NUR 213- UNIT 4 Updated Exam 2026 WITH
Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct
Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST
VERSION Of The Exam Guarantee Pass!!
What is central cord syndrome? - ANSWERS-This is the most common hyperextension
with central swelling.
Clinical manifestations include:
- functional motor loss greater in arms and legs.
- bladder dysfunction.
- variable loss of sensation.
What is anterior cord syndrome? - ANSWERS-This is the anterior compression from
bony fragments or acute disk herniation.
Clinical Manifestations include:
- loss of motor function
- pain
- temperature
- Crude tach and pressure below injury.
- Preserved Proprioception, fine touch/ pressure and vibrationi.
,What tis Posterior Cord Syndrome? - ANSWERS-This is an acute compression.
Clinical Manifestations include:
- loss of proprioception
- fine touch/ pressure and vibration.
- intact pain, temperature and crude touch/pressure.
What is brown sequard syndrome? - ANSWERS-This is the hemisection of spinal cord
from penetrating injury or primary ischemia, infection or hemorrhagic event.
Clinical Manifestations include:
- Ipsilateral (same side as injury) loss of motor function.
- proprioception.
- vibration.
- Contralateral (opposite side of injury) loss of pain and temp.
What are the neurologic levels of injury? - ANSWERS-C3-C4 may be ventilator
dependent because of loss of innervation of the diaphragm.
Quadriplegia/ Tetraplegia: Cervical Spine Injury.
Paraplegia: Thoracic or Lumbar Injury.
Lumbar/Sacral Injuries decreased control of legs, bowel/bladder and sexual function.
Other S&S: Chronic pain, low BP, inability to sweat, decreased temp control.
Thoracic injuries have poor trunk control.
,How do we diagnose a spinal cord injury? - ANSWERS-make sure the spine is
immobilized with a cervical collar and backboard to prevent further damage.
Neuro Exam
Standard XRay
CT scan
MRI
UA
Hemoglobin and Hematocrit
ABGs
CBC
The UA, H&H, ABG, CBC will help test for any undiagnosed internal bleeding or
respiratory exchange issues from the injury because the client now may not be able to
feel pain from other internal injuries.
What is apart of the Neuro Exam? - ANSWERS-- Pain present?
- H/A present?
- Seizures
- Dizziness
- Visual Problems
- Weakness
- Abnormal sensation
- LOC/Mental Status
- Glascow Coma Scale (15 is normal) (less than 8 is a poor prognosis)
- Cranial Nerve Testing
- Monitor Strength test and movement.
-Reflexes
- Sensory testing- tactile and painful responses.
- Vitals
, What is the Glascow Coma Scale scoring? - ANSWERS-GCS: Assessment of eye
opening, verbal response, and motor response
Eye opening: Spontaneous = 4, To loud voice = 3, To pain = 2, None =1
Verbal response: Oriented = 5, Confused/disoriented = 4, Inappropriate words = 3,
Incomprehensible sounds = 2, None = 1
Motor response: Obeys = 6, Localizes = 5, Withdraws (flexion) = 4, Abnormal
flexion/posturing = 3, Extension posturing = 2, None = 1
Decorticate vs Decerebrate Posturing - ANSWERS--Flexion= Decorticate
-Extension= Decerebrate
-Abnormal Response to pain.
Decorticate: Arm's are like C's. Move towards the body (the cord)
This indicates problem with the cervical spinal tract or cerebral hemisphere.
Decerebrate (Extensors): Arms are like E's and this indicates problems within the
midbrains or pons.
What do we look for/perform with reflex and sensory exam? - ANSWERS-- Gag, cough
and swallow are protective reflexes (think to protect from choking)
- Blink, corneal. (prevent damage/ something flying into eye.)
- DTR's, assess with a reflex hammer, graded scale from absent to hyperactive.
- Steregonisis: Identify objects with eyes closed. (sensory examination)
- 2 point discrimination: identifies between dull and sharp.
- Paresthesia
- Response to pain (sternal rub, nail bed pressure)
- Proprioception.
Recent Newest Verified And Well Analyzed Exam
Questions (Actual Exam 2026-2027) Correct
Detailed & Verified ANSWERS (100% Accurate
Solutions) ALREADY GRADED A+||NEWEST
VERSION Of The Exam Guarantee Pass!!
What is central cord syndrome? - ANSWERS-This is the most common hyperextension
with central swelling.
Clinical manifestations include:
- functional motor loss greater in arms and legs.
- bladder dysfunction.
- variable loss of sensation.
What is anterior cord syndrome? - ANSWERS-This is the anterior compression from
bony fragments or acute disk herniation.
Clinical Manifestations include:
- loss of motor function
- pain
- temperature
- Crude tach and pressure below injury.
- Preserved Proprioception, fine touch/ pressure and vibrationi.
,What tis Posterior Cord Syndrome? - ANSWERS-This is an acute compression.
Clinical Manifestations include:
- loss of proprioception
- fine touch/ pressure and vibration.
- intact pain, temperature and crude touch/pressure.
What is brown sequard syndrome? - ANSWERS-This is the hemisection of spinal cord
from penetrating injury or primary ischemia, infection or hemorrhagic event.
Clinical Manifestations include:
- Ipsilateral (same side as injury) loss of motor function.
- proprioception.
- vibration.
- Contralateral (opposite side of injury) loss of pain and temp.
What are the neurologic levels of injury? - ANSWERS-C3-C4 may be ventilator
dependent because of loss of innervation of the diaphragm.
Quadriplegia/ Tetraplegia: Cervical Spine Injury.
Paraplegia: Thoracic or Lumbar Injury.
Lumbar/Sacral Injuries decreased control of legs, bowel/bladder and sexual function.
Other S&S: Chronic pain, low BP, inability to sweat, decreased temp control.
Thoracic injuries have poor trunk control.
,How do we diagnose a spinal cord injury? - ANSWERS-make sure the spine is
immobilized with a cervical collar and backboard to prevent further damage.
Neuro Exam
Standard XRay
CT scan
MRI
UA
Hemoglobin and Hematocrit
ABGs
CBC
The UA, H&H, ABG, CBC will help test for any undiagnosed internal bleeding or
respiratory exchange issues from the injury because the client now may not be able to
feel pain from other internal injuries.
What is apart of the Neuro Exam? - ANSWERS-- Pain present?
- H/A present?
- Seizures
- Dizziness
- Visual Problems
- Weakness
- Abnormal sensation
- LOC/Mental Status
- Glascow Coma Scale (15 is normal) (less than 8 is a poor prognosis)
- Cranial Nerve Testing
- Monitor Strength test and movement.
-Reflexes
- Sensory testing- tactile and painful responses.
- Vitals
, What is the Glascow Coma Scale scoring? - ANSWERS-GCS: Assessment of eye
opening, verbal response, and motor response
Eye opening: Spontaneous = 4, To loud voice = 3, To pain = 2, None =1
Verbal response: Oriented = 5, Confused/disoriented = 4, Inappropriate words = 3,
Incomprehensible sounds = 2, None = 1
Motor response: Obeys = 6, Localizes = 5, Withdraws (flexion) = 4, Abnormal
flexion/posturing = 3, Extension posturing = 2, None = 1
Decorticate vs Decerebrate Posturing - ANSWERS--Flexion= Decorticate
-Extension= Decerebrate
-Abnormal Response to pain.
Decorticate: Arm's are like C's. Move towards the body (the cord)
This indicates problem with the cervical spinal tract or cerebral hemisphere.
Decerebrate (Extensors): Arms are like E's and this indicates problems within the
midbrains or pons.
What do we look for/perform with reflex and sensory exam? - ANSWERS-- Gag, cough
and swallow are protective reflexes (think to protect from choking)
- Blink, corneal. (prevent damage/ something flying into eye.)
- DTR's, assess with a reflex hammer, graded scale from absent to hyperactive.
- Steregonisis: Identify objects with eyes closed. (sensory examination)
- 2 point discrimination: identifies between dull and sharp.
- Paresthesia
- Response to pain (sternal rub, nail bed pressure)
- Proprioception.
