NUR 417 MED SURG FINAL EXAM QUESTIONS WITH
2 MMAY 2026
VERIFIED ANSWERS
NUR 417 Med Surg Final Exam Questions with Verified Answers,
Exams of Nursing
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?
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?
Hypotension and warm extremities
What should the nurse explain to the patient who has a T2 spinal cord transection injury?
Function of both arms should be maintained.
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?
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
2 mmay 2026
include in the plan of care?
Instruct the patient how to self-catheterize.
1
, NUR 417 MED SURG FINAL EXAM QUESTIONS WITH
2 MMAY 2026
VERIFIED ANSWERS
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?
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?
Develop a plan to increase the patient's independence in consultation with the
patient and the spouse.
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?
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?
Push upward on the epigastric area as the patient coughs.
2 mmay 2026
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The patient tells the
nurse, "I have a pounding
2
, NUR 417 MED SURG FINAL EXAM QUESTIONS WITH
2 MMAY 2026
VERIFIED ANSWERS
headache and I feel sick to my stomach." Which action should the nurse take first?
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?
Multiple options are available to maintain sexuality after spinal cord injury.
Which collaborative and nursing actions should the nurse include in the plan of care for a patient who
experienced a T2 spinal cord
transection 24 hours ago? (Select all that apply.)
Urinary catheter care
Continuous cardiac monitoring
Administration of H2 receptor blockers
Maintenance of a warm room temperature
In which order should the nurse perform the following actions for a patient admitted to the emergency
department with possible C5
spinal cord trauma? (Put a comma and a space between each answer choice [A, B, C, D, E].)
a. Infuse normal saline at 150 mL/hr.
b. Monitor cardiac rhythm and blood pressure.
c. Administer O2 using a non-rebreather mask.
d. Immobilize the patient's head, neck, and spine.
2 mmay 2026
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
3
2 MMAY 2026
VERIFIED ANSWERS
NUR 417 Med Surg Final Exam Questions with Verified Answers,
Exams of Nursing
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?
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?
Hypotension and warm extremities
What should the nurse explain to the patient who has a T2 spinal cord transection injury?
Function of both arms should be maintained.
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?
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
2 mmay 2026
include in the plan of care?
Instruct the patient how to self-catheterize.
1
, NUR 417 MED SURG FINAL EXAM QUESTIONS WITH
2 MMAY 2026
VERIFIED ANSWERS
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?
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?
Develop a plan to increase the patient's independence in consultation with the
patient and the spouse.
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?
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?
Push upward on the epigastric area as the patient coughs.
2 mmay 2026
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The patient tells the
nurse, "I have a pounding
2
, NUR 417 MED SURG FINAL EXAM QUESTIONS WITH
2 MMAY 2026
VERIFIED ANSWERS
headache and I feel sick to my stomach." Which action should the nurse take first?
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?
Multiple options are available to maintain sexuality after spinal cord injury.
Which collaborative and nursing actions should the nurse include in the plan of care for a patient who
experienced a T2 spinal cord
transection 24 hours ago? (Select all that apply.)
Urinary catheter care
Continuous cardiac monitoring
Administration of H2 receptor blockers
Maintenance of a warm room temperature
In which order should the nurse perform the following actions for a patient admitted to the emergency
department with possible C5
spinal cord trauma? (Put a comma and a space between each answer choice [A, B, C, D, E].)
a. Infuse normal saline at 150 mL/hr.
b. Monitor cardiac rhythm and blood pressure.
c. Administer O2 using a non-rebreather mask.
d. Immobilize the patient's head, neck, and spine.
2 mmay 2026
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
3
