Sherpath Questions with CORRECT Answers (Verified Update)
Q1: Which type of spinal cord injury occurs when a patient experiences a backward and
downward motion of the head?
A. Rotation
B. Axial loading
C. Hyperflexion
D. Hyperextension
Answer: D. Hyperextension
Q2: The nurse would expect which condition in a patient with a complete spinal cord injury?
A. Brown-Séquard
B. Central cord syndrome
C. Anterior cord syndrome
D. Paraplegia
Answer: D. Paraplegia
Q3: Using the muscle strength scale, match the score to the corresponding assessment finding.
Active movement through range of motion against gravity Flicker or trace of contraction No
contraction; total paralysis Active movement against maximal resistance
A. 1
B. 2
C. 0
D. 3
E. 5
F. 4
Answer: A. 1
Q4: Active movement against maximal resistance
A. 1
B. 2
C. 0
D. 3
E. 5
F. 4
Answer: A. 1
, Q5: Which assessment finding would indicate the development of spinal shock?
A. Bradycardia
B. Hypotension
C. Fever
D. Absent reflexes
Answer: D. Absent reflexes
Q6: Based on the Eastern Association of Surgeons in Trauma guidelines for cervical spine
clearance, which action would be taken before removing the cervical collar on an awake and
alert patient who reports no alcohol use or neck pain?
A. Palpation of neck for tenderness or pain
B. MRI of the cervical spine
C. Flexion radiographs
D. Axial CT scan
Answer: A. Palpation of neck for tenderness or pain
Q7: The nurse would prepare a standby transvenous pacemaker for a patient with a spinal cord
injury at which level?
A. C3
B. T7
C. T11
D. L2
Answer: A. C3
Q8: When caring for a patient with a spinal cord injury (SCI) at C4, the nurse would question a
prescription for which medication?
A. Metoprolol
B. Amiodarone
C. Succinylcholine
D. Acetaminophen
Answer: C. Succinylcholine
Q1: Which type of spinal cord injury occurs when a patient experiences a backward and
downward motion of the head?
A. Rotation
B. Axial loading
C. Hyperflexion
D. Hyperextension
Answer: D. Hyperextension
Q2: The nurse would expect which condition in a patient with a complete spinal cord injury?
A. Brown-Séquard
B. Central cord syndrome
C. Anterior cord syndrome
D. Paraplegia
Answer: D. Paraplegia
Q3: Using the muscle strength scale, match the score to the corresponding assessment finding.
Active movement through range of motion against gravity Flicker or trace of contraction No
contraction; total paralysis Active movement against maximal resistance
A. 1
B. 2
C. 0
D. 3
E. 5
F. 4
Answer: A. 1
Q4: Active movement against maximal resistance
A. 1
B. 2
C. 0
D. 3
E. 5
F. 4
Answer: A. 1
, Q5: Which assessment finding would indicate the development of spinal shock?
A. Bradycardia
B. Hypotension
C. Fever
D. Absent reflexes
Answer: D. Absent reflexes
Q6: Based on the Eastern Association of Surgeons in Trauma guidelines for cervical spine
clearance, which action would be taken before removing the cervical collar on an awake and
alert patient who reports no alcohol use or neck pain?
A. Palpation of neck for tenderness or pain
B. MRI of the cervical spine
C. Flexion radiographs
D. Axial CT scan
Answer: A. Palpation of neck for tenderness or pain
Q7: The nurse would prepare a standby transvenous pacemaker for a patient with a spinal cord
injury at which level?
A. C3
B. T7
C. T11
D. L2
Answer: A. C3
Q8: When caring for a patient with a spinal cord injury (SCI) at C4, the nurse would question a
prescription for which medication?
A. Metoprolol
B. Amiodarone
C. Succinylcholine
D. Acetaminophen
Answer: C. Succinylcholine
