NUR 445-EXAM 3/NUR 445 EXAM 3 NEWEST 2025
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
A patient arrives in the emergency department under full spinal
cord injury precautions after being involved in a motor vehicle
crash as an unrestrained driver. He has a C5-6 fracture that
involves the posterior wall of the vertebral body and bilateral
lamina. The nurse will plan care for which type of fracture?
1. Stable spinal fracture
2. Subluxed spinal fracture
3. Compression spinal fracture
4. Unstable spinal fracture - ✔✔ - Answer: 4
A patient presents with a complete spinal cord injury at T4,
sustained when the patient was shot in a robbery. The nurse
prepares to care for a patient with which impairment?
1. Paraplegia
2. Quadriplegia
3. Tetraplegia
4. No impairment - ✔✔ - Answer: 1
,A patient has sustained a spinal cord injury. The nurse asks the
patient to close her eyes while the nurse moves the big toe up
and down, having the patient state the direction in which the toe
moves. What is the nurse assessing with this technique?
1. Priapism
2. Proprioception
3. Dermatomes
4. Sensation - ✔✔ - Answer: 2
A patient who sustained a C4-5 fracture subluxation has been
placed in Gardner-Well tong traction with 20 pounds of weight.
The patient is alert and oriented and complaining of neck pain
and spasms. Which nursing intervention should be
implemented?
1. Remove 10 pounds of weight from the traction apparatus.
2. Administer PRN muscle relaxants.
3. Report this unusual finding to the surgeon immediately.
4. Place a pillow under the patient's neck with ice bags to the
side. - ✔✔ - Answer: 2
A patient sustained a C4 spinal cord injury 3 weeks ago. This
morning the patient's BP is 204/110, heart rate is 45, and the
patient is complaining of a headache. What should the nurse do?
(Select all that apply.)
,1. Administer antihypertensive medications immediately.
2. Encourage the patient to rest and plan to recheck blood
pressure in 30 minutes.
3. Elevate the head of the bed.
4. Check for a source of noxious stimuli.
5. Order a stat 12-lead ECG. - ✔✔ - Answer: 3, 4
A patient is diagnosed with a lower motor neuron lesion. The
nurse uses this information to plan care for which condition?
1. Permanent loss of bladder function
2. Flaccid paralysis
3. Contralateral motor weakness
4. Spastic paralysis - ✔✔ - Answer: 2
A patient who has a spinal cord injury has been admitted to the
ICU. Which factors, associated with the development of
decreased cardiac output, are essential for the nurse to monitor?
(Select all that apply.)
1. Orthostatic hypotension
2. Neurogenic shock
3. Venous pooling
4. Bradycardia
, 5. Atelectasis - ✔✔ - Answer: 1, 2, 3, 4
A patient sustained an injury to the right side of the neck 3 years
ago that resulted in Brown- Séquard syndrome. The nurse
admitting the patient to the hospital for an elective surgery
would expect which assessment findings? (Select all that apply.)
1. Loss of voluntary motor movement on the right
2. Loss of temperature sensation on the left
3. Inability to feel pain on either side
4. Loss of voluntary motor movement on the left
5. Loss of sensation on the right - ✔✔ - Answer: 1, 2
Which laboratory results would the nurse evaluate as indicating
damage to the liver? (Select all that apply.)
1. ALT of 135 units/L
2. AST of 25 units/L
3. ALP1 of 280 IU/L
4. Triglycerides of 225 mg/dL
5. Alk phos of 80 units/L - ✔✔ - Answer: 1, 3
COMPLETE EXAM QUESTIONS WITH DETAILED
VERIFIED ANSWERS (100% CORRECT ANSWERS)
/ALREADY GRADED A+
A patient arrives in the emergency department under full spinal
cord injury precautions after being involved in a motor vehicle
crash as an unrestrained driver. He has a C5-6 fracture that
involves the posterior wall of the vertebral body and bilateral
lamina. The nurse will plan care for which type of fracture?
1. Stable spinal fracture
2. Subluxed spinal fracture
3. Compression spinal fracture
4. Unstable spinal fracture - ✔✔ - Answer: 4
A patient presents with a complete spinal cord injury at T4,
sustained when the patient was shot in a robbery. The nurse
prepares to care for a patient with which impairment?
1. Paraplegia
2. Quadriplegia
3. Tetraplegia
4. No impairment - ✔✔ - Answer: 1
,A patient has sustained a spinal cord injury. The nurse asks the
patient to close her eyes while the nurse moves the big toe up
and down, having the patient state the direction in which the toe
moves. What is the nurse assessing with this technique?
1. Priapism
2. Proprioception
3. Dermatomes
4. Sensation - ✔✔ - Answer: 2
A patient who sustained a C4-5 fracture subluxation has been
placed in Gardner-Well tong traction with 20 pounds of weight.
The patient is alert and oriented and complaining of neck pain
and spasms. Which nursing intervention should be
implemented?
1. Remove 10 pounds of weight from the traction apparatus.
2. Administer PRN muscle relaxants.
3. Report this unusual finding to the surgeon immediately.
4. Place a pillow under the patient's neck with ice bags to the
side. - ✔✔ - Answer: 2
A patient sustained a C4 spinal cord injury 3 weeks ago. This
morning the patient's BP is 204/110, heart rate is 45, and the
patient is complaining of a headache. What should the nurse do?
(Select all that apply.)
,1. Administer antihypertensive medications immediately.
2. Encourage the patient to rest and plan to recheck blood
pressure in 30 minutes.
3. Elevate the head of the bed.
4. Check for a source of noxious stimuli.
5. Order a stat 12-lead ECG. - ✔✔ - Answer: 3, 4
A patient is diagnosed with a lower motor neuron lesion. The
nurse uses this information to plan care for which condition?
1. Permanent loss of bladder function
2. Flaccid paralysis
3. Contralateral motor weakness
4. Spastic paralysis - ✔✔ - Answer: 2
A patient who has a spinal cord injury has been admitted to the
ICU. Which factors, associated with the development of
decreased cardiac output, are essential for the nurse to monitor?
(Select all that apply.)
1. Orthostatic hypotension
2. Neurogenic shock
3. Venous pooling
4. Bradycardia
, 5. Atelectasis - ✔✔ - Answer: 1, 2, 3, 4
A patient sustained an injury to the right side of the neck 3 years
ago that resulted in Brown- Séquard syndrome. The nurse
admitting the patient to the hospital for an elective surgery
would expect which assessment findings? (Select all that apply.)
1. Loss of voluntary motor movement on the right
2. Loss of temperature sensation on the left
3. Inability to feel pain on either side
4. Loss of voluntary motor movement on the left
5. Loss of sensation on the right - ✔✔ - Answer: 1, 2
Which laboratory results would the nurse evaluate as indicating
damage to the liver? (Select all that apply.)
1. ALT of 135 units/L
2. AST of 25 units/L
3. ALP1 of 280 IU/L
4. Triglycerides of 225 mg/dL
5. Alk phos of 80 units/L - ✔✔ - Answer: 1, 3
