NUR 254- Unit 2.3 Exam QUESTIONS
AND VERIFIED CORRECT ANSWERS
GRADED A+ [LATEST 2026-2027] 100%
GUARANTEED PASS
a nurse stops to help after witnessing an accident involving adolescent riding a motorcycle,
hitting a tree and being thrown 30 feet into a field. the adolescent reports that he is unable to
move his legs. while waiting for EMS, what should the nurse do? - CORRECT ANSWER-leave the
adolescent as he is, staying with him
the nurse auscultates closely for bowel sounds when assessing a patient with SCI because? -
CORRECT ANSWER-the complication of paralytic ileus
the family of a patient with a fresh spinal cord injury asks what the methylprednisolone infusion
is for. what should the nurse say? - CORRECT ANSWER-it is to decrease inflammation and
decrease further injury to the spinal cord secondary to inflammatory response after the initial
injury
after a fall, which manifestations would indicate a potential spinal cord injury and need to be
evaluated further? - CORRECT ANSWER-extreme pain/pressure in the neck or back, impaired
breathing after injury, oddly positioned neck or back, weakness, paresthesia
, when distinguishing spinal shock from neurogenic shock, what may not occur with neurogenic
shock? - CORRECT ANSWER-flaccid paralysis
the nurse is assessing a patient at a rehabilitation facility who is 2 months post T5 complete
spinal cord injury. what manifestations would alert the nurse the patient has developed
autonomic dysreflexia? - CORRECT ANSWER-hypertension, headache, nasal stuffiness, sweating
above level of injury, bradycardia
a patient 2 months post T5 complete spinal cord injury, present with sudden hypertension of
205-110 and complaints of pounding headache. the upper body is flushed and diaphoretic.
what should the nurse do? - CORRECT ANSWER-assess for skin irritation, assess for fecal
impaction, and remove all restrictive clothing
when providing care for a patient in cervical skeletal traction what is essential? - CORRECT
ANSWER-ensure that the weights are hanging freely
a patient involved in an auto accident has severe spinal cord injuries. if the patient is having
difficulty with diaphragmatic breathing, which level of the spinal cord is injured? - CORRECT
ANSWER-C6-C7
which region consists of 12 pairs of spinal nerves? - CORRECT ANSWER-thoracic region
a patient reports the inability to move his or her neck. which injury is the patient most likely to
have incurred? - CORRECT ANSWER-cervical injury
the nurse is caring for patient with a spinal injury. the patient reports difficulty breathing. which
region of the spinal cord in injured? - CORRECT ANSWER-cervical region
which spinal cord injury complications are related to the respiratory system? - CORRECT
ANSWER-atelectasis, pneumonia
AND VERIFIED CORRECT ANSWERS
GRADED A+ [LATEST 2026-2027] 100%
GUARANTEED PASS
a nurse stops to help after witnessing an accident involving adolescent riding a motorcycle,
hitting a tree and being thrown 30 feet into a field. the adolescent reports that he is unable to
move his legs. while waiting for EMS, what should the nurse do? - CORRECT ANSWER-leave the
adolescent as he is, staying with him
the nurse auscultates closely for bowel sounds when assessing a patient with SCI because? -
CORRECT ANSWER-the complication of paralytic ileus
the family of a patient with a fresh spinal cord injury asks what the methylprednisolone infusion
is for. what should the nurse say? - CORRECT ANSWER-it is to decrease inflammation and
decrease further injury to the spinal cord secondary to inflammatory response after the initial
injury
after a fall, which manifestations would indicate a potential spinal cord injury and need to be
evaluated further? - CORRECT ANSWER-extreme pain/pressure in the neck or back, impaired
breathing after injury, oddly positioned neck or back, weakness, paresthesia
, when distinguishing spinal shock from neurogenic shock, what may not occur with neurogenic
shock? - CORRECT ANSWER-flaccid paralysis
the nurse is assessing a patient at a rehabilitation facility who is 2 months post T5 complete
spinal cord injury. what manifestations would alert the nurse the patient has developed
autonomic dysreflexia? - CORRECT ANSWER-hypertension, headache, nasal stuffiness, sweating
above level of injury, bradycardia
a patient 2 months post T5 complete spinal cord injury, present with sudden hypertension of
205-110 and complaints of pounding headache. the upper body is flushed and diaphoretic.
what should the nurse do? - CORRECT ANSWER-assess for skin irritation, assess for fecal
impaction, and remove all restrictive clothing
when providing care for a patient in cervical skeletal traction what is essential? - CORRECT
ANSWER-ensure that the weights are hanging freely
a patient involved in an auto accident has severe spinal cord injuries. if the patient is having
difficulty with diaphragmatic breathing, which level of the spinal cord is injured? - CORRECT
ANSWER-C6-C7
which region consists of 12 pairs of spinal nerves? - CORRECT ANSWER-thoracic region
a patient reports the inability to move his or her neck. which injury is the patient most likely to
have incurred? - CORRECT ANSWER-cervical injury
the nurse is caring for patient with a spinal injury. the patient reports difficulty breathing. which
region of the spinal cord in injured? - CORRECT ANSWER-cervical region
which spinal cord injury complications are related to the respiratory system? - CORRECT
ANSWER-atelectasis, pneumonia
