SPINAL CORD INJURY NCLEX QUESTIONS 2
LATEST VERSIONS 2024-2025 REAL EXAM 200+
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|AGRADE
Terms in this set (26)
The nurse is caring for a Correct Answer(s): B
patient admitted with a About 50% of people with acute spinal cord injury
spinal cord injury experience a temporary loss of reflexes, sensation,
following a motor vehicle and motor activity that is known as spinal shock.
accident. The patient Central cord syndrome is manifested by motor and
exhibits a complete loss of sensory loss greater in the upper extremities than the
motor, sensory, and reflex lower extremities. Anterior cord syndrome results in
activity below the injury motor and sensory loss but not reflexes. Brown-
level. The nurse Séquard syndrome is characterized by ipsilateral loss
recognizes this condition of motor function and contralateral loss of sensory
as which of the following? function.
A) Central cord syndrome
B) Spinal shock syndrome
C) Anterior cord
syndrome
D) Brown-Séquard
,Which of the following Correct Answer(s): A
clinical manifestations Neurogenic shock is due to the loss of vasomotor
would the nurse interpret tone caused by injury and is characterized by
as representing hypotension and bradycardia. Loss of sympathetic
neurogenic shock in a innervation causes peripheral vasodilation, venous
patient with acute spinal pooling, and a decreased cardiac output.
cord injury?
A) Bradycardia
B) Hypertension
C) Neurogenic spasticity
D) Bounding pedal pulses
The nurse is caring for a Correct Answer(s): D
patient admitted 1 week Autonomic dysreflexia is related to reflex stimulation
ago with an acute spinal of the sympathetic nervous system reflected by
cord injury. Which of the hypertension, bradycardia, throbbing headache, and
following assessment diaphoresis.
findings would alert the
nurse to the presence of
autonomic dysreflexia?
A) Tachycardia
B) Hypotension
C) Hot, dry skin
D) Throbbing headache
, When planning care for a Correct Answer(s): D
patient with a C5 spinal Maintaining a patent airway is the most important goal
cord injury, which nursing for a patient with a high cervical fracture. Although all
diagnosis is the highest of these are appropriate nursing diagnoses for a
priority? patient with a spinal cord injury, respiratory needs are
A) Risk for impairment of always the highest priority. Remember the ABCs.
tissue integrity caused by
paralysis
B) Altered patterns of
urinary elimination caused
by quadriplegia
C) Altered family and
individual coping caused
by the extent of trauma
D) Ineffective airway
clearance caused by high
cervical spinal cord injury
Which of the following Correct Answer(s): A
signs and symptoms in a Among the manifestations of autonomic dysreflexia
patient with a T4 spinal are hypertension (up to 300 mm Hg systolic) and a
cord injury should alert throbbing headache. Respiratory manifestations,
the nurse to the possibility decreased level of consciousness, and
of autonomic dysreflexia? gastrointestinal manifestations are not characteristic.
A) Headache and rising
blood pressure
B) Irregular respirations
and shortness of breath
C) Decreased level of
consciousness or
hallucinations
D) Abdominal distention
and absence of bowel
sounds
LATEST VERSIONS 2024-2025 REAL EXAM 200+
QUESTIONS AND CORRECT ANSWERS WITH
RATIONALES|AGRADE
Terms in this set (26)
The nurse is caring for a Correct Answer(s): B
patient admitted with a About 50% of people with acute spinal cord injury
spinal cord injury experience a temporary loss of reflexes, sensation,
following a motor vehicle and motor activity that is known as spinal shock.
accident. The patient Central cord syndrome is manifested by motor and
exhibits a complete loss of sensory loss greater in the upper extremities than the
motor, sensory, and reflex lower extremities. Anterior cord syndrome results in
activity below the injury motor and sensory loss but not reflexes. Brown-
level. The nurse Séquard syndrome is characterized by ipsilateral loss
recognizes this condition of motor function and contralateral loss of sensory
as which of the following? function.
A) Central cord syndrome
B) Spinal shock syndrome
C) Anterior cord
syndrome
D) Brown-Séquard
,Which of the following Correct Answer(s): A
clinical manifestations Neurogenic shock is due to the loss of vasomotor
would the nurse interpret tone caused by injury and is characterized by
as representing hypotension and bradycardia. Loss of sympathetic
neurogenic shock in a innervation causes peripheral vasodilation, venous
patient with acute spinal pooling, and a decreased cardiac output.
cord injury?
A) Bradycardia
B) Hypertension
C) Neurogenic spasticity
D) Bounding pedal pulses
The nurse is caring for a Correct Answer(s): D
patient admitted 1 week Autonomic dysreflexia is related to reflex stimulation
ago with an acute spinal of the sympathetic nervous system reflected by
cord injury. Which of the hypertension, bradycardia, throbbing headache, and
following assessment diaphoresis.
findings would alert the
nurse to the presence of
autonomic dysreflexia?
A) Tachycardia
B) Hypotension
C) Hot, dry skin
D) Throbbing headache
, When planning care for a Correct Answer(s): D
patient with a C5 spinal Maintaining a patent airway is the most important goal
cord injury, which nursing for a patient with a high cervical fracture. Although all
diagnosis is the highest of these are appropriate nursing diagnoses for a
priority? patient with a spinal cord injury, respiratory needs are
A) Risk for impairment of always the highest priority. Remember the ABCs.
tissue integrity caused by
paralysis
B) Altered patterns of
urinary elimination caused
by quadriplegia
C) Altered family and
individual coping caused
by the extent of trauma
D) Ineffective airway
clearance caused by high
cervical spinal cord injury
Which of the following Correct Answer(s): A
signs and symptoms in a Among the manifestations of autonomic dysreflexia
patient with a T4 spinal are hypertension (up to 300 mm Hg systolic) and a
cord injury should alert throbbing headache. Respiratory manifestations,
the nurse to the possibility decreased level of consciousness, and
of autonomic dysreflexia? gastrointestinal manifestations are not characteristic.
A) Headache and rising
blood pressure
B) Irregular respirations
and shortness of breath
C) Decreased level of
consciousness or
hallucinations
D) Abdominal distention
and absence of bowel
sounds
