NUR 417 MEDICAL-SURGICAL NURSING (CARE OF THE ADULT II)
FINAL EXAM
09/27/2026
NUR 417 Medical-Surgical Nursing (Care of the
Adult II) final exam (2026–2027) Actual Questions
& Verified Answers A+ Graded
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 include in the plan of care?
9/27/2026
Instruct the patient how to self-catheterize.
1
, NUR 417 MEDICAL-SURGICAL NURSING (CARE OF THE ADULT II)
FINAL EXAM
09/27/2026
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.
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?
Assess the blood pressure (BP).
9/27/2026
2
, NUR 417 MEDICAL-SURGICAL NURSING (CARE OF THE ADULT II)
FINAL EXAM
09/27/2026
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.
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the
ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is
9/27/2026
best for this situation?
"The monitoring system helps show whether blood flow to the brain is adequate."
3
FINAL EXAM
09/27/2026
NUR 417 Medical-Surgical Nursing (Care of the
Adult II) final exam (2026–2027) Actual Questions
& Verified Answers A+ Graded
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 include in the plan of care?
9/27/2026
Instruct the patient how to self-catheterize.
1
, NUR 417 MEDICAL-SURGICAL NURSING (CARE OF THE ADULT II)
FINAL EXAM
09/27/2026
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.
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?
Assess the blood pressure (BP).
9/27/2026
2
, NUR 417 MEDICAL-SURGICAL NURSING (CARE OF THE ADULT II)
FINAL EXAM
09/27/2026
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.
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
Family members of a patient who has a traumatic brain injury ask the nurse about the purpose of the
ventriculostomy system being used for intracranial pressure monitoring. Which response by the nurse is
9/27/2026
best for this situation?
"The monitoring system helps show whether blood flow to the brain is adequate."
3
