WGU ADULT HEALTH II QUIZ 4 SCI / TBI / NEURO /
ENDOCRINE QUESTIONS WITH VERIFIED ANSWER
2026
Answer: B
Rationale: At the C7 level, spinal shock is manifested by tetraplegia and sensory
loss. The neurologic loss may be temporary or permanent. Paraplegia with
sensory loss would occur at the level of T1. A hemiplegia occurs with central
(brain) lesions affecting motor neurons and spastic paraplegia occurs when spinal
shock resolves. - CORRECT ANSWER A patient is admitted with a spinal cord injury
at the C7 level. During assessment the nurse identifies the presence of spinal
shock on finding
A) paraplegia with a flaccid paralysis
B) tetraplegia with total sensory loss
C) total hemiplegia with sensory and motor loss
D) spastic tetraplegia with loss of pressure sensation
Answer: C
Rationale: The primary injury of the spinal cord rarely affects the entire cord, but
the pathophysiology of the secondary injury may result in damage that is the
same as mechanical severance of the cord. Complete cord dissolution occurs
through auto destruction of the cord by hemorrhage, edema, and the presence of
metabolites and norepinephrine, resulting in anoxia and infarction of the cord.
Edema resulting from the inflammatory response may increase the damage as it
, extends above and below the injury site. - CORRECT ANSWER An initial incomplete
spinal cord injury often results in complete cord damage because of
A) edematous compression of the cord resulting from damage to stabilizing
ligaments
B) continued trauma to the cord resulting from damage to stabilizing ligaments
C) infarction and necrosis of the cord caused by edema, hemorrhage, and
metabolites.
D) mechanical transection of the cord by sharp vertebral bone fragments after the
initial injury.
Answer: C
Rationale: Spinal shock occurs in about half of all people with acute spinal cord
injury. In spinal shock, the entire cord below the level of the lesion fails to
function, resulting in a flaccid paralysis and hypotonicity of most processes
without any reflect activity. Return of reflex activity signals the end of spinal
shock. Sympathetic function is impaired below the level of the injury because
sympathetic nerves leave the spinal cord at the thoracic and lumbar areas and
cranial parasympathetic nerves predominate in control over respirations, heart,
and all vessels and organs below the injury. Neurogenic shock results from loss of
vascular tone caused by the injury and is manifested by hypotension, peripheral
vasodilation, and decreased CO. Rehabilitation activities are not contraindicated
during spinal shock and should be instituted if the patient's cardiopulmonary
status is stable. - CORRECT ANSWER A patient with a spinal cord injury has spinal
shock. The nurse plans care for the patient based on the knowledge that
A) rehabilitation measures cannot be initiated until spinal shock has resolved.
ENDOCRINE QUESTIONS WITH VERIFIED ANSWER
2026
Answer: B
Rationale: At the C7 level, spinal shock is manifested by tetraplegia and sensory
loss. The neurologic loss may be temporary or permanent. Paraplegia with
sensory loss would occur at the level of T1. A hemiplegia occurs with central
(brain) lesions affecting motor neurons and spastic paraplegia occurs when spinal
shock resolves. - CORRECT ANSWER A patient is admitted with a spinal cord injury
at the C7 level. During assessment the nurse identifies the presence of spinal
shock on finding
A) paraplegia with a flaccid paralysis
B) tetraplegia with total sensory loss
C) total hemiplegia with sensory and motor loss
D) spastic tetraplegia with loss of pressure sensation
Answer: C
Rationale: The primary injury of the spinal cord rarely affects the entire cord, but
the pathophysiology of the secondary injury may result in damage that is the
same as mechanical severance of the cord. Complete cord dissolution occurs
through auto destruction of the cord by hemorrhage, edema, and the presence of
metabolites and norepinephrine, resulting in anoxia and infarction of the cord.
Edema resulting from the inflammatory response may increase the damage as it
, extends above and below the injury site. - CORRECT ANSWER An initial incomplete
spinal cord injury often results in complete cord damage because of
A) edematous compression of the cord resulting from damage to stabilizing
ligaments
B) continued trauma to the cord resulting from damage to stabilizing ligaments
C) infarction and necrosis of the cord caused by edema, hemorrhage, and
metabolites.
D) mechanical transection of the cord by sharp vertebral bone fragments after the
initial injury.
Answer: C
Rationale: Spinal shock occurs in about half of all people with acute spinal cord
injury. In spinal shock, the entire cord below the level of the lesion fails to
function, resulting in a flaccid paralysis and hypotonicity of most processes
without any reflect activity. Return of reflex activity signals the end of spinal
shock. Sympathetic function is impaired below the level of the injury because
sympathetic nerves leave the spinal cord at the thoracic and lumbar areas and
cranial parasympathetic nerves predominate in control over respirations, heart,
and all vessels and organs below the injury. Neurogenic shock results from loss of
vascular tone caused by the injury and is manifested by hypotension, peripheral
vasodilation, and decreased CO. Rehabilitation activities are not contraindicated
during spinal shock and should be instituted if the patient's cardiopulmonary
status is stable. - CORRECT ANSWER A patient with a spinal cord injury has spinal
shock. The nurse plans care for the patient based on the knowledge that
A) rehabilitation measures cannot be initiated until spinal shock has resolved.
