NUR 347 Exam 3 Practice Questions And Answers
With Verified Study Solutions
A 19-year-old man is admitted to the ED with a C6 SCI after a motorcycle crash. Which medication should the
nurse anticipate that she will administer first? ANS Solumedrol (methylprednisolone)
Which intervention should the RN perform in the acute care of a pt with a autonomic dysreflexia? ANS
urinary catheterization
What causes an initial incomplete SCI to result in complete cord damage? ANS infarction & necrosis of
the cord causes by edema, hemorrhage, & metabolites
A pt with paraplegia resulting from a T-10 spinal cord injury has a neurogenic reflex bladder. which action will
the nurse include in the plan of care? ANS teach the pt how to self-catheterize
The nurse performs discharge teaching for a 34-year-old male pt with a T2 spinal cord injury resulting from a
construction accident. Which statement, if made by the pt to the nurse, indicates that teaching about
recognition & management of autonomic dysreflexia is successful? ANS "I will perform self-
catheterization at least six times per day."
a pt is admitted to the ED with a SCI at the level of T2. which finding is of most concern to the RN? ANS
HR of 42 bpm
in which order will the RN perform the following actions when caring for a pt with possible C6 SCI who is
admitted to the ED? ANS 1. immobilize the pts head, neck, spine
2. administer O2 using a non-rebreather mask
3. monitor cardiac rhythm & BP
4. infuse normal saline at 150mL.hr
5. transfer pt to radiology for spinal CT
RN is caring for a pt admitted 1 week earlier with an acute SCI. which assessment finding alerts the RN to the
presence of autonomic dysreflexia? ANS throbbing headache
, which manifestation do you interpret as respresenting neurogenic shock in a pt with acute SCI? ANS
Bradycardia
priority decision: a pt is admitted to the ED with a possible cervical SPI following an automobile crash. During
admission of the pt, what is the highest priority for the RN? ANS Maintaining a patent airway
a pt is admitted to the hospital with a C4 SCI after a motorcycle collision. The pts BP is 83/49mHg and pulse is
39bpm. He remains orally intubated. What is the cause of this pathophysiologic response? ANS loss of
sympathetic nervous system innervation resulting in peripheral vasodilation
when planning care for a pt with a C5 spinal cord injury, which nursing dx is the highest priority ANS
Ineffective airway clearance due to high cervical SCP
A pt with a C7 SCI undergoing rehab tells you he must have the flu because he has a bad headache & nausea.
What is your initial action? ANS Take the pts BP
which is most important to respond to in a pt presenting with a T3 SCI ANS a BP of 88/6o mmHg, pulse of
56 bpm
a pt with a neck fracture at the C5 level is admitted to the intensive care unit. during initial assessment of the
pt, the RN recognizes the presence of neurogenic shock on finding ANS hypotension, bradycardia, warm
extremities
one month after SCI, which finding is most important for you to monitor? ANS The left calf is 5cm larger
that the right calf
In planning community education for prevention of SCI, what group should the RN target> ANS
adolescent & young adult men
Priority decision: the pt was in a traffic collision & is experiencing loss of function below C4. which effect
must the RN be aware of to provide priority care for the pt ANS respiratory diaphragmatic breathing
A 68 year old pt with a SCI has a neurogenic bowel. beyond the use of bisacodyl (Ducolax) suppositories &
digital stimulation, which measures should the RN teach the pt & caregiver to assist the pt with bowel
evacuation ANS eat 20-30 grams of fiber per day & drink 1800-2000 mL of water or juice
With Verified Study Solutions
A 19-year-old man is admitted to the ED with a C6 SCI after a motorcycle crash. Which medication should the
nurse anticipate that she will administer first? ANS Solumedrol (methylprednisolone)
Which intervention should the RN perform in the acute care of a pt with a autonomic dysreflexia? ANS
urinary catheterization
What causes an initial incomplete SCI to result in complete cord damage? ANS infarction & necrosis of
the cord causes by edema, hemorrhage, & metabolites
A pt with paraplegia resulting from a T-10 spinal cord injury has a neurogenic reflex bladder. which action will
the nurse include in the plan of care? ANS teach the pt how to self-catheterize
The nurse performs discharge teaching for a 34-year-old male pt with a T2 spinal cord injury resulting from a
construction accident. Which statement, if made by the pt to the nurse, indicates that teaching about
recognition & management of autonomic dysreflexia is successful? ANS "I will perform self-
catheterization at least six times per day."
a pt is admitted to the ED with a SCI at the level of T2. which finding is of most concern to the RN? ANS
HR of 42 bpm
in which order will the RN perform the following actions when caring for a pt with possible C6 SCI who is
admitted to the ED? ANS 1. immobilize the pts head, neck, spine
2. administer O2 using a non-rebreather mask
3. monitor cardiac rhythm & BP
4. infuse normal saline at 150mL.hr
5. transfer pt to radiology for spinal CT
RN is caring for a pt admitted 1 week earlier with an acute SCI. which assessment finding alerts the RN to the
presence of autonomic dysreflexia? ANS throbbing headache
, which manifestation do you interpret as respresenting neurogenic shock in a pt with acute SCI? ANS
Bradycardia
priority decision: a pt is admitted to the ED with a possible cervical SPI following an automobile crash. During
admission of the pt, what is the highest priority for the RN? ANS Maintaining a patent airway
a pt is admitted to the hospital with a C4 SCI after a motorcycle collision. The pts BP is 83/49mHg and pulse is
39bpm. He remains orally intubated. What is the cause of this pathophysiologic response? ANS loss of
sympathetic nervous system innervation resulting in peripheral vasodilation
when planning care for a pt with a C5 spinal cord injury, which nursing dx is the highest priority ANS
Ineffective airway clearance due to high cervical SCP
A pt with a C7 SCI undergoing rehab tells you he must have the flu because he has a bad headache & nausea.
What is your initial action? ANS Take the pts BP
which is most important to respond to in a pt presenting with a T3 SCI ANS a BP of 88/6o mmHg, pulse of
56 bpm
a pt with a neck fracture at the C5 level is admitted to the intensive care unit. during initial assessment of the
pt, the RN recognizes the presence of neurogenic shock on finding ANS hypotension, bradycardia, warm
extremities
one month after SCI, which finding is most important for you to monitor? ANS The left calf is 5cm larger
that the right calf
In planning community education for prevention of SCI, what group should the RN target> ANS
adolescent & young adult men
Priority decision: the pt was in a traffic collision & is experiencing loss of function below C4. which effect
must the RN be aware of to provide priority care for the pt ANS respiratory diaphragmatic breathing
A 68 year old pt with a SCI has a neurogenic bowel. beyond the use of bisacodyl (Ducolax) suppositories &
digital stimulation, which measures should the RN teach the pt & caregiver to assist the pt with bowel
evacuation ANS eat 20-30 grams of fiber per day & drink 1800-2000 mL of water or juice
