NUR 265 EXAM 3 | ADVANCED CONCEPTS
OF MEDICAL SURGICAL NURSING EXAM
3 | RATED A+ | LATEST 2025/2026 GUIDE |
GALEN
What is SCI?
- Correct Answer - loss of motor function, sensory perception reflex
activity, and bowel and bladder control
What are causes of SCI?
- Correct Answer - vehicle crashes
falls
acts of violence
sport-related accidents
What are primary causes of SCI?
- Correct Answer - hyperflexion
hyperextension
axial loading or vertical compression
excessive rotation
penetrating trauma
What are s/s of SCI?
- Correct Answer - bradycardia
hypotension
hypothermia
,SBP <90
What are N/I with SCI?
- Correct Answer - ABCs
cap refill
assess for abd hemorrhage
glascow coma scale
sometimes need bowel & bladder retraining
increase mobility
monitor pulse strength and cap refill
monitor for absent DTR
What are tx with SCI?
- Correct Answer - methylprednisolone (inflammation)
dextran (hypotension)
atropine (bradycardia)
muscle relaxers (with caution)
tizanidine (muscle spasticity)
intratheral baclofen
What is a indication that spinal shock is resolving?
- Correct Answer - muscle spasticity and reflexes below the level of
injury
What is the 1st priority with AD?
- Correct Answer - sit them up
check bowel or bladder distention
call md
insert foley or give enema
,give bp meds
What is spinal shock?
- Correct Answer - happens immediately as a response to injury
lasting usually less than 48 hrs, or could last several weeks
What are s/s of spinal shock?
- Correct Answer - bradycardia
hypotension
hypothermia
What is AD? - Correct Answer - after spinal socks subsides
response to spinal injury above T6
What are common causes of AD?
- Correct Answer - full bladder
UTI
impacted feces
skin pressure & breakdown
What is s/s of AD?
- Correct Answer - severe hypertension
HA
bradycardia
nasal stuffiness
What are you at r/f with AD?
- Correct Answer - skin breakdown
abd bleeding
, diaphragm can become paralyzed
What n/i do you do with AD?
- Correct Answer - treat cause
VAP prevention
cough assist them if needed
monitor cardio
IV fluids
monitor bp q 10-15mins
nitrate
What are secondary sci causes?
- Correct Answer - haemorrhage
ischemia
hypovolemia
impaired tissue perfusion from neuro shock
local edema
What is hyperflexion?
- Correct Answer - like whiplash
What is hyperextension?
- Correct Answer - hits chin upward
What is axial loading or vertical compression?
- Correct Answer - hit top of head or butt
What is excessive rotation?
- Correct Answer - turn head too far
OF MEDICAL SURGICAL NURSING EXAM
3 | RATED A+ | LATEST 2025/2026 GUIDE |
GALEN
What is SCI?
- Correct Answer - loss of motor function, sensory perception reflex
activity, and bowel and bladder control
What are causes of SCI?
- Correct Answer - vehicle crashes
falls
acts of violence
sport-related accidents
What are primary causes of SCI?
- Correct Answer - hyperflexion
hyperextension
axial loading or vertical compression
excessive rotation
penetrating trauma
What are s/s of SCI?
- Correct Answer - bradycardia
hypotension
hypothermia
,SBP <90
What are N/I with SCI?
- Correct Answer - ABCs
cap refill
assess for abd hemorrhage
glascow coma scale
sometimes need bowel & bladder retraining
increase mobility
monitor pulse strength and cap refill
monitor for absent DTR
What are tx with SCI?
- Correct Answer - methylprednisolone (inflammation)
dextran (hypotension)
atropine (bradycardia)
muscle relaxers (with caution)
tizanidine (muscle spasticity)
intratheral baclofen
What is a indication that spinal shock is resolving?
- Correct Answer - muscle spasticity and reflexes below the level of
injury
What is the 1st priority with AD?
- Correct Answer - sit them up
check bowel or bladder distention
call md
insert foley or give enema
,give bp meds
What is spinal shock?
- Correct Answer - happens immediately as a response to injury
lasting usually less than 48 hrs, or could last several weeks
What are s/s of spinal shock?
- Correct Answer - bradycardia
hypotension
hypothermia
What is AD? - Correct Answer - after spinal socks subsides
response to spinal injury above T6
What are common causes of AD?
- Correct Answer - full bladder
UTI
impacted feces
skin pressure & breakdown
What is s/s of AD?
- Correct Answer - severe hypertension
HA
bradycardia
nasal stuffiness
What are you at r/f with AD?
- Correct Answer - skin breakdown
abd bleeding
, diaphragm can become paralyzed
What n/i do you do with AD?
- Correct Answer - treat cause
VAP prevention
cough assist them if needed
monitor cardio
IV fluids
monitor bp q 10-15mins
nitrate
What are secondary sci causes?
- Correct Answer - haemorrhage
ischemia
hypovolemia
impaired tissue perfusion from neuro shock
local edema
What is hyperflexion?
- Correct Answer - like whiplash
What is hyperextension?
- Correct Answer - hits chin upward
What is axial loading or vertical compression?
- Correct Answer - hit top of head or butt
What is excessive rotation?
- Correct Answer - turn head too far
