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Spinal Cord Injury 2026 – Expert Verified Practice Questions & Complete Study Notes

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This document provides a comprehensive overview of spinal cord injury (SCI), including causes, pathophysiology, classification, assessment, complications, and nursing management. It contains detailed practice questions with answers covering autonomic dysreflexia, neurogenic shock, spinal shock, respiratory and cardiovascular complications, bladder and bowel management, and rehabilitation concepts. The material aligns with exam-style NCLEX questions and includes rationales to reinforce clinical reasoning and test preparation. Keywords: spinal cord injury SCI complications autonomic dysreflexia neurogenic shock spinal shock tetraplegia paraplegia ASIA impairment scale central cord syndrome anterior cord syndrome Brown-Sequard syndrome posterior cord syndrome neurogenic bladder neurogenic bowel respiratory complications SCI halo vest skeletal traction laminectomy DVT prevention SCI nursing interventions

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Institution
Spinal Cord Injury
Course
Spinal Cord Injury

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4 Spinal Cord Injury 2026 Expert
Verified | Ace the Test



spinal cord injuries in kids are most commonly caused by: - 🧠 ANSWER

✔✔sports


MVA

diving

GSW

(potentially life threatening emergency!) HOB elevate 90 degrees, loosen

constrictive clothing, *assess for full bladder or bowel impaction*, (trigger)

,administer antihypertensives (may cause stroke, MI, seizure) - 🧠 ANSWER

✔✔Autonomic Dysreflexia


spinal cord injury complications: - 🧠 ANSWER ✔✔skin breakdown


paralytic ileus

autonomic dysreflexia

pneumonia

orthostatic hypotension

spinal shock

neurogenic shock

In Autonomic dysreflexia where is the injury usually above? - 🧠 ANSWER

✔✔t6


s/s of autonomic dysreflexia: (bladder distention) - 🧠 ANSWER

✔✔hypertension


bradycardia

diaphoretic

*Young adult* men between ages ___ years have the greatest risk for SCI.

,•Eighty-one percent of people with SCI are male. - 🧠 ANSWER ✔✔16-30


•Almost ___% of patients with SCI are discharged from the hospital to

home or another non-institutional residence. - 🧠 ANSWER ✔✔90


causes of spinal cord injuries: - 🧠 ANSWER ✔✔*42% motor vehicle

collisions*

*27% falls*

15% violence

7% sports injuries

8% other miscellaneous cases


SCI due to cord compression by: - 🧠 ANSWER ✔✔Bone displacement


Interruption of blood supply

Traction from pulling on cord

•Penetrating trauma, such as gunshot and stab wounds, can result in ___

and ____. - 🧠 ANSWER ✔✔tearing, transection




COPYRIGHT©PROFFKERRYMARTIN 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE.
PRIVACY STATEMENT. ALL RIGHTS RESERVED

, The initial mechanical disruption of axons as a result of stretch or laceration

is referred to as the __. The insult may be due to cord compression by

bone displacement, interruption of blood supply to the cord, or traction

resulting from pulling on the cord. Penetrating trauma, such as gunshot and

stab wounds, can result in tearing and transection of the spinal cord. - 🧠

ANSWER ✔✔primary injury


___ refers to the ongoing, progressive damage that occurs after the initial

injury which may include ischemia, hypoxia, hemorrhage, or edema. The

mechanism for this injury involves a cascade of metabolic and cellular

events that creates a decrease in overall spinal cord blood flow. This

results in tissue hypoxia and secondary injury. - 🧠 ANSWER ✔✔Secondary

injury

¡Several theories on what causes ongoing damage at molecular and

cellular levels: - 🧠 ANSWER ✔✔Free radical formation


Uncontrolled calcium influx

Ischemia

Lipid peroxidation

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Institution
Spinal Cord Injury
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Spinal Cord Injury

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