NURS 5463/ NURS5463 Exam 5 (New 2026/ 2027 Update) Adult Gerontology Acute Care Guide| Questions & Answers | Grade A| 100% Correct (Verified Solutions)- UTA

NURSl 5463/l NURS5463l Examl 5l (Newl
2026/l 2027l Update)l Adultl Gerontologyl
Acutel Carel Guide|l Questionsl &l Answersl
|l Gradel A|l 100%l Correctl (Verifiedl
Solutions)-l UTA

QUESTION
Spinall Cordl Injury

Answer:
•l Suddenl decelerationl injuriesl (MVCs,l falls)l
•l Compressionl injuriesl (diving,l fallsl landingl onl feet/buttocks)l
•l Significantl bluntl traumal injuriesl (sportsl trauma)l
•l Veryl violentl mechanismsl (explosions,l blasts,l lightning)l •l Unconsciousl patientl
•l Neurologicall deficitl
•l Spinall tendernessl
•l Priapisml inl males



QUESTION
Evidencel ofl C-Spinel Injury

Answer:
•l Diaphragmaticl breathingl
•l Neurogenicl shock:l lowl BPl HRl
•l Spinall shock:l flaccid,l areflexial
•l Flexedl UE:l seenl inl injuryl belowl C5l
•l Painl responsel isl presentl inl clavicularl areal onlyl
•l Priapism



QUESTION

,Spinall Columnl Injuryl forl Breathing/Ventilation

Answer:
•l C1l -l C7l =l accessoryl musclesl
•l C3l -l C5l =l diaphragml
*C3-4-5l keepsl thel diaphragml alive!*l
•l T1l -l T11l =l intercostalsl
•l T6l -l L1l =l abdominals



QUESTION
Spinall Columnl Injuryl forl Coughl Function

Answer:
•l C1-C3l =l absentl
•l C4l =l non-functionall
•l C5-T1l =l non-functionall
•l T2-T4l =l weakl
•l T5-T10l =l poorl
•l T11l &l belowl =l normal



QUESTION
Spinall Columnl Injuryl forl Vitall Capacityl (acutel phase)

Answer:
•l C1-C3l =l 0l -l 5%l ofl normall
•l C4l =l 10-15%l ofl normall
•l C5-T1l =l 30-40%l ofl normall
•l T2-T4l =l 40-50%l ofl normall
•l T5-T10l =l 75-100%l ofl normall
•l T11l andl belowl =l normal



QUESTION
Quadraplegia

Answer:

,Dysfunctionl inl arms,l legs,l bowell andl bladderl 2/2l SCIl inl cervicall spine



QUESTION
Paraplegia

Answer:
Dysfunctionl ofl lowerl body,l bowell andl bladderl 2/2l SCIl inl thoracicl lumbarl orl sacrall
spine



QUESTION
Completel SCI

Answer:
Entirel crossl sectionl ofl cordl isl injured,l lossl ofl alll sensoryl andl motorl functionl belowl
levell ofl injury



QUESTION
Incompletel SCI

Answer:
Partiall injury,l preservationl ofl motorl andl sensoryl functionl belowl levell ofl injury



QUESTION
SCIl Motorl Exam:l Musclel Groups

Answer:
C5l elbowl flexionl
C6l wristl extensionl
C7l elbowl extensionl
C8l fingerl flexionl
T1l fingerl abductionl
L2l hipl flexionl
L3l kneel extensionl
L4l anklel dorsiflexionl

, L5l toel extensionl
S1l anklel plantarl flexion



QUESTION
SCIl Motorl Exam:l Motorl Gradingl 6ptl Scale

Answer:
0=l nol activel movementl
1=l musclel contractionl
2=l activel movementl withoutl gravityl
3=l movementl thrul ROMl againstl gravityl
4=l movementl againstl somel resistancel
5=l movementl againstl fulll resistance



QUESTION
Clinicall C-spinel Clearance

Answer:
•l Neurol intact,l nol painl
•l Negativel CTl orl didl notl meetl CDRl criterial
•l Removel C-collar-patientl rotatel headl 45◦l eachl side—nol painl canl clearl spinel
•l Significantl painl orl ptl cannotl performl thel entirel movement,l replacel thel cervicall collarl
•l Mayl havel ligamentl injury,l maintainl c-collarl andl needl advancedl imaging



QUESTION
NEXUSl criteria

Answer:
Validatedl decisionl toolsl thatl mayl bel usedl tol determinel whetherl cervicall spinel
radiographsl arel warrantedl inl thel traumal pt
-l Veryl sensitivel butl notl specific



QUESTION
Spinall Shockl (SCIl Complication)