SPINAL CORD INJURY NCLEX QUESTIONS 2 LATEST
VERSIONS REAL EXAM 200+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|AGRADE
Most SCI's occur in _______ ages ___-____. - ANSWER: Males
16-30
What months do most injuries occur? - ANSWER: Summer
What is the most common cause of SCI? - ANSWER: car crashes
What is the basic anatomy of the spinal cord? - ANSWER: 7 cervical (more mobile)
12 thoracic
5 lumbar
5 sacral (tail)
What is the purpose of the curve of the spine? - ANSWER: Movement, absorbs
pressure
The intervertebral disc cushion what? - ANSWER: Vertebrae
How many cervical nerve roots are there? - ANSWER: 8
What is the impairment that affects arms, trunk, legs, and pelvic organs? - ANSWER:
Quadriplegia / Tetraplegia
With Quadriplegia / Tetraplegia , the injury occurs at what level? - ANSWER: Cervical
Respiratory impairment typically occurs above what level? - ANSWER: C5
This is caused by injury occurring at or below the thoracic level? - ANSWER:
Paraplegia
What is the lowest dermatome? - ANSWER: S5 (anus)
Dermatome C2 to C4 assesses? - ANSWER: Head and Neck
Dermatome C5 to T1 assesses? - ANSWER: Arms and hands
Dermatome T2 to T12 assesses? - ANSWER: Axillary and Chest
Dermatome L1 to L5 assesses? - ANSWER: Hip and Groin
Dermatome S1 to S5 assesses? - ANSWER: Heel and Middle back of leg
Dermatome S3 covers? - ANSWER: Medial buttocks
, Dermatome S4-S5 assesses? - ANSWER: Perineal region
How is level of SCI determined? - ANSWER: ASIA Scale (American Spinal Injury
Association)
How many hours after injury is the ASIA scale performed? - ANSWER: 72
(inflammation/swelling needs to go down)
The ASIA scale can be performed by an OT. True or False? - ANSWER: False-- only
doctors
What are the 5 steps of the ASIA scale? - ANSWER: Sensory Assessment
Motor Assessment
Neurological level of injury determination
Determination of complete or incomplete
Determine ASIA scale (A, B, C, D, E)
How many dermatomes are assessed in the sensory examination of ASIA scale? -
ANSWER: 28 (c2 to s5 tested)
Describe the 3 point grading scale used for sensory examination. - ANSWER: 0-
absent
1- impaired/altered
2- normal
Which muscle is assessed when looking at C7? - ANSWER: Elbow extensors -- triceps
The motor assessment tests both sides of the body. True or False? - ANSWER: True
The motor assessment is always performed in what position? - ANSWER: Supine
Defined by ASIA as the lowest key muscle function that has a grade of at least ____
out of 5. - ANSWER: 3
If someone has a C6 injury, use what adaptive equipment or technique? - ANSWER:
U-cuff
Tendonesis
What is a complete SCI? - ANSWER: Pt. has neither sensation or motor function in
the anal and perineal region
What is a incomplete SCI? - ANSWER: Partial preservation of sensory or motor
function below the level of injury
The anal sphincter is innervated by? - ANSWER: S4-S5
VERSIONS REAL EXAM 200+ QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES|AGRADE
Most SCI's occur in _______ ages ___-____. - ANSWER: Males
16-30
What months do most injuries occur? - ANSWER: Summer
What is the most common cause of SCI? - ANSWER: car crashes
What is the basic anatomy of the spinal cord? - ANSWER: 7 cervical (more mobile)
12 thoracic
5 lumbar
5 sacral (tail)
What is the purpose of the curve of the spine? - ANSWER: Movement, absorbs
pressure
The intervertebral disc cushion what? - ANSWER: Vertebrae
How many cervical nerve roots are there? - ANSWER: 8
What is the impairment that affects arms, trunk, legs, and pelvic organs? - ANSWER:
Quadriplegia / Tetraplegia
With Quadriplegia / Tetraplegia , the injury occurs at what level? - ANSWER: Cervical
Respiratory impairment typically occurs above what level? - ANSWER: C5
This is caused by injury occurring at or below the thoracic level? - ANSWER:
Paraplegia
What is the lowest dermatome? - ANSWER: S5 (anus)
Dermatome C2 to C4 assesses? - ANSWER: Head and Neck
Dermatome C5 to T1 assesses? - ANSWER: Arms and hands
Dermatome T2 to T12 assesses? - ANSWER: Axillary and Chest
Dermatome L1 to L5 assesses? - ANSWER: Hip and Groin
Dermatome S1 to S5 assesses? - ANSWER: Heel and Middle back of leg
Dermatome S3 covers? - ANSWER: Medial buttocks
, Dermatome S4-S5 assesses? - ANSWER: Perineal region
How is level of SCI determined? - ANSWER: ASIA Scale (American Spinal Injury
Association)
How many hours after injury is the ASIA scale performed? - ANSWER: 72
(inflammation/swelling needs to go down)
The ASIA scale can be performed by an OT. True or False? - ANSWER: False-- only
doctors
What are the 5 steps of the ASIA scale? - ANSWER: Sensory Assessment
Motor Assessment
Neurological level of injury determination
Determination of complete or incomplete
Determine ASIA scale (A, B, C, D, E)
How many dermatomes are assessed in the sensory examination of ASIA scale? -
ANSWER: 28 (c2 to s5 tested)
Describe the 3 point grading scale used for sensory examination. - ANSWER: 0-
absent
1- impaired/altered
2- normal
Which muscle is assessed when looking at C7? - ANSWER: Elbow extensors -- triceps
The motor assessment tests both sides of the body. True or False? - ANSWER: True
The motor assessment is always performed in what position? - ANSWER: Supine
Defined by ASIA as the lowest key muscle function that has a grade of at least ____
out of 5. - ANSWER: 3
If someone has a C6 injury, use what adaptive equipment or technique? - ANSWER:
U-cuff
Tendonesis
What is a complete SCI? - ANSWER: Pt. has neither sensation or motor function in
the anal and perineal region
What is a incomplete SCI? - ANSWER: Partial preservation of sensory or motor
function below the level of injury
The anal sphincter is innervated by? - ANSWER: S4-S5
