NR 325 Exam 2/Questions and Answers/ Graded
A+(Latest Updated)
/. Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension. - Answer-✅Left-Sided
/.Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time. -
Answer-✅Right-sided
/._____ are the confirming diagnostic studies for stroke. - Answer-✅CT; CT angiogram;
CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
/._____ are the confirming laboratory studies for stroke. - Answer-✅Prothrombin time,
activated partial thromboplastin time; CBC (including platelets); Electrolyte panel with
blood glucose; Lipid profile; Renal and hepatic studies
/.Recombinant tissue plasminogen activator (tPA) is used to produce localized
fibrinolysis by binding to the fibrin in the thrombi, and is the immediate treatment for
_____ _____. - Answer-✅Ischemic stroke
/.Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an
_____ stroke. - Answer-✅ischemic
/.Anticoagulants and platelet inhibitors are contraindicated in patients with _____
strokes. - Answer-✅hemorrhagic
/.The main drug therapy for patients with _____ stroke is the management of
hypertension. - Answer-✅hemorrhagic
/.The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal
cord. - Answer-✅primary injury
/.The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - Answer-✅secondary injury
/._____ _____ may occur shortly after acute SCI. It is characterized by loss of deep
tendon and sphincter reflexes, loss of sensation, and flaccid paralysis below the level of
injury. - Answer-✅Spinal shock
, /._____ _____ involvement results in total loss of sensory and motor function below the
level of injury. - Answer-✅Complete cord
/._____ _____ involvement results in a mixed loss of voluntary motor activity and
sensation and leaves some tracts intact. - Answer-✅Incomplete cord
/.SCI at C1-C3 - Answer-✅Often fatal; Movement in neck and above, loss of innervation
to diaphragm, absence of independent respiratory function
/.SCI at C4 - Answer-✅Sensation and movement in neck and above; May be able to
breathe without ventilator
/.SCI at C5 - Answer-✅Full neck, partial shoulder, back, biceps; Gross elbow, inability
to roll over or use hands; ↓ Respiratory reserve
/.SCI at C6 - Answer-✅Shoulder and upper back abduction and rotation at shoulder;
Full biceps to elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory
reserve
/.SCI at C7-C8 - Answer-✅All triceps to elbow extension, finger extensors and flexors;
Good grasp with some decreased strength; ↓ Respiratory reserve
/.SCI at T1-T6 - Answer-✅Full innervation of upper extremities; Back, essential intrinsic
muscles of hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased
respiratory reserve
/.SCI at T6-T12 - Answer-✅Full, stable thoracic muscles and upper back; Functional
intercostal muscles, resulting in ↑ respiratory reserve
/.SCI at L1-L2 - Answer-✅Varying control of legs and pelvis; Instability of lower back
/.SCI at L3-L4 - Answer-✅Quadriceps and hip flexors; Absence of hamstring function,
flail ankles
/.CT scan is the preferred imaging study to diagnose the location and degree of injury
and the degree of _____ _____ _____. - Answer-✅spinal canal compromise
/._____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic
deficits, or worsening neurologic condition in SCI. - Answer-✅MRI
/.Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing
extension of spinal cord damage (secondary injury). - Answer-✅SCI
A+(Latest Updated)
/. Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension. - Answer-✅Left-Sided
/.Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time. -
Answer-✅Right-sided
/._____ are the confirming diagnostic studies for stroke. - Answer-✅CT; CT angiogram;
CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
/._____ are the confirming laboratory studies for stroke. - Answer-✅Prothrombin time,
activated partial thromboplastin time; CBC (including platelets); Electrolyte panel with
blood glucose; Lipid profile; Renal and hepatic studies
/.Recombinant tissue plasminogen activator (tPA) is used to produce localized
fibrinolysis by binding to the fibrin in the thrombi, and is the immediate treatment for
_____ _____. - Answer-✅Ischemic stroke
/.Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an
_____ stroke. - Answer-✅ischemic
/.Anticoagulants and platelet inhibitors are contraindicated in patients with _____
strokes. - Answer-✅hemorrhagic
/.The main drug therapy for patients with _____ stroke is the management of
hypertension. - Answer-✅hemorrhagic
/.The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal
cord. - Answer-✅primary injury
/.The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - Answer-✅secondary injury
/._____ _____ may occur shortly after acute SCI. It is characterized by loss of deep
tendon and sphincter reflexes, loss of sensation, and flaccid paralysis below the level of
injury. - Answer-✅Spinal shock
, /._____ _____ involvement results in total loss of sensory and motor function below the
level of injury. - Answer-✅Complete cord
/._____ _____ involvement results in a mixed loss of voluntary motor activity and
sensation and leaves some tracts intact. - Answer-✅Incomplete cord
/.SCI at C1-C3 - Answer-✅Often fatal; Movement in neck and above, loss of innervation
to diaphragm, absence of independent respiratory function
/.SCI at C4 - Answer-✅Sensation and movement in neck and above; May be able to
breathe without ventilator
/.SCI at C5 - Answer-✅Full neck, partial shoulder, back, biceps; Gross elbow, inability
to roll over or use hands; ↓ Respiratory reserve
/.SCI at C6 - Answer-✅Shoulder and upper back abduction and rotation at shoulder;
Full biceps to elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory
reserve
/.SCI at C7-C8 - Answer-✅All triceps to elbow extension, finger extensors and flexors;
Good grasp with some decreased strength; ↓ Respiratory reserve
/.SCI at T1-T6 - Answer-✅Full innervation of upper extremities; Back, essential intrinsic
muscles of hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased
respiratory reserve
/.SCI at T6-T12 - Answer-✅Full, stable thoracic muscles and upper back; Functional
intercostal muscles, resulting in ↑ respiratory reserve
/.SCI at L1-L2 - Answer-✅Varying control of legs and pelvis; Instability of lower back
/.SCI at L3-L4 - Answer-✅Quadriceps and hip flexors; Absence of hamstring function,
flail ankles
/.CT scan is the preferred imaging study to diagnose the location and degree of injury
and the degree of _____ _____ _____. - Answer-✅spinal canal compromise
/._____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic
deficits, or worsening neurologic condition in SCI. - Answer-✅MRI
/.Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing
extension of spinal cord damage (secondary injury). - Answer-✅SCI
