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NUR 417 Med Surg Final Exam 2026-
Well Revised Exam Questions With
Correct Answers
To prevent autonomic dysreflexia, which nursing action should the home health
nurse include in the plan of care for a patient who
has paraplegia at the T4 level? - correct-answer -Assist to plan a prescribed bowel
program.
The nurse is admitting a patient who has a neck fracture at the C6 level to the
intensive care unit. Which finding on the nursing
assessment is congruent with neurogenic shock? - correct-answer -Hypotension
and warm extremities
What should the nurse explain to the patient who has a T2 spinal cord transection
injury? - correct-answer -Function of both arms should be maintained.
,2
What should the nurse include in a rehabilitation plan as an appropriate goal for a
30-yr-old patient with a C6 spinal cord injury? - correct-answer -Propel a manual
wheelchair on a flat surface.
A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic
reflexic bladder. Which action should the nurse
include in the plan of care? - correct-answer -Instruct the patient how to self-
catheterize.
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the
nurse, "I want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse
appropriately take? - correct-answer -Ask the patient to provide input for the plan
of care.
A 38-yr-old patient who has had a spinal cord injury returned home following a
stay in a rehabilitation facility. The home care
nurse notes the spouse is performing many of the activities that the patient had
been managing unassisted during rehabilitation.
What should the nurse identify as the most appropriate action at this phase of
rehabilitation? - correct-answer -Develop a plan to increase the patient's
independence in consultation with the
patient and the spouse.
, 3
Which action should the nurse recognize has the highest priority for a patient who
was admitted 16 hours earlier with a C5 spinal
cord injury? - correct-answer -Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and
crackles. What initial intervention should the
nurse perform? - correct-answer -Push upward on the epigastric area as the
patient coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The
patient tells the nurse, "I have a pounding
headache and I feel sick to my stomach." Which action should the nurse take first?
- correct-answer -Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be able to be
sexually active. Which information should the nurse
include in an initial response? - correct-answer -Multiple options are available to
maintain sexuality after spinal cord injury.
NUR 417 Med Surg Final Exam 2026-
Well Revised Exam Questions With
Correct Answers
To prevent autonomic dysreflexia, which nursing action should the home health
nurse include in the plan of care for a patient who
has paraplegia at the T4 level? - correct-answer -Assist to plan a prescribed bowel
program.
The nurse is admitting a patient who has a neck fracture at the C6 level to the
intensive care unit. Which finding on the nursing
assessment is congruent with neurogenic shock? - correct-answer -Hypotension
and warm extremities
What should the nurse explain to the patient who has a T2 spinal cord transection
injury? - correct-answer -Function of both arms should be maintained.
,2
What should the nurse include in a rehabilitation plan as an appropriate goal for a
30-yr-old patient with a C6 spinal cord injury? - correct-answer -Propel a manual
wheelchair on a flat surface.
A patient with paraplegia resulting from a T9 spinal cord injury has a neurogenic
reflexic bladder. Which action should the nurse
include in the plan of care? - correct-answer -Instruct the patient how to self-
catheterize.
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the
nurse, "I want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse
appropriately take? - correct-answer -Ask the patient to provide input for the plan
of care.
A 38-yr-old patient who has had a spinal cord injury returned home following a
stay in a rehabilitation facility. The home care
nurse notes the spouse is performing many of the activities that the patient had
been managing unassisted during rehabilitation.
What should the nurse identify as the most appropriate action at this phase of
rehabilitation? - correct-answer -Develop a plan to increase the patient's
independence in consultation with the
patient and the spouse.
, 3
Which action should the nurse recognize has the highest priority for a patient who
was admitted 16 hours earlier with a C5 spinal
cord injury? - correct-answer -Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and
crackles. What initial intervention should the
nurse perform? - correct-answer -Push upward on the epigastric area as the
patient coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The
patient tells the nurse, "I have a pounding
headache and I feel sick to my stomach." Which action should the nurse take first?
- correct-answer -Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be able to be
sexually active. Which information should the nurse
include in an initial response? - correct-answer -Multiple options are available to
maintain sexuality after spinal cord injury.
