Chamberlain NR 325 Exam 2, NR 325 Exam #2 –
Questions With Reliable Solutions
Which sided stroke has impaired speech/language aphasia;
impaired right/left discrimination; slow performance/cautious,;
depression/anxiety; impaired comprehension. Correct Answer -
Left-Sided
Which sided stroke has spatial perception deficits;
denying/minimizing; rapid performance/short attention;
impulsiveness; impaired judgment; impaired time. Correct
Answer - Right-sided
_____ are the confirming diagnostic studies for stroke. Correct
Answer - CT; CT angiogram; CT/MRI perfusion and diffusion
imaging; MRI; Magnetic resonance angiography (MRA)
_____ are the confirming laboratory studies for stroke. Correct
Answer - Prothrombin time, activated partial thromboplastin
time; CBC (including platelets); Electrolyte panel with blood glucose;
Lipid profile; Renal and hepatic studies
Recombinant tissue plasminogen activator (tPA) is used to produce
localized fibrinolysis by binding to the fibrin in the thrombi, and is
the immediate treatment for _____ _____. Correct Answer -
Ischemic stroke
Aspirin at a dose of 325 mg may be started within 24 to 48 hours
after the onset of an _____ stroke. Correct Answer - ischemic
Anticoagulants and platelet inhibitors are contraindicated in
patients with _____ strokes. Correct Answer - hemorrhagic
,The main drug therapy for patients with _____ stroke is the
management of hypertension. Correct Answer - hemorrhagic
The _____ _____ of a spinal cord injury (SCI) is initial physical
disruption of the spinal cord. Correct Answer - primary injury
The _____ _____ of a spinal cord injury is from processes, such as
ischemia, hypoxia, hemorrhage, edema Correct Answer -
secondary injury
_____ _____ may occur shortly after acute SCI. It is characterized by
loss of deep tendon and sphincter reflexes, loss of sensation, and
flaccid paralysis below the level of injury. Correct Answer -
Spinal shock
_____ _____ involvement results in total loss of sensory and motor
function below the level of injury. Correct Answer - Complete
cord
_____ _____ involvement results in a mixed loss of voluntary motor
activity and sensation and leaves some tracts intact. Correct
Answer - Incomplete cord
SCI at C1-C3 Correct Answer - Often fatal; Movement in neck
and above, loss of innervation to diaphragm, absence of
independent respiratory function
SCI at C4 Correct Answer - Sensation and movement in neck
and above; May be able to breathe without ventilator
SCI at C5 Correct Answer - Full neck, partial shoulder, back,
biceps; Gross elbow, inability to roll over or use hands; ↓ Respiratory
reserve
, SCI at C6 Correct Answer - Shoulder and upper back abduction
and rotation at shoulder; Full biceps to elbow flexion, wrist
extension, weak grasp of thumb; ↓ Respiratory reserve
SCI at C7-C8 Correct Answer - All triceps to elbow extension,
finger extensors and flexors; Good grasp with some decreased
strength; ↓ Respiratory reserve
SCI at T1-T6 Correct Answer - Full innervation of upper
extremities; Back, essential intrinsic muscles of hand; Full strength
and dexterity of grasp; ↓ Trunk stability, decreased respiratory
reserve
SCI at T6-T12 Correct Answer - Full, stable thoracic muscles
and upper back; Functional intercostal muscles, resulting in ↑
respiratory reserve
SCI at L1-L2 Correct Answer - Varying control of legs and
pelvis; Instability of lower back
SCI at L3-L4 Correct Answer - Quadriceps and hip flexors;
Absence of hamstring function, flail ankles
CT scan is the preferred imaging study to diagnose the location and
degree of injury and the degree of _____ _____ _____. Correct Answer
- spinal canal compromise
_____ is used to assess soft tissue injury, neurologic changes,
unexplained neurologic deficits, or worsening neurologic condition
in SCI. Correct Answer - MRI
Goals immediately after _____ include maintaining a patent airway,
adequate ventilation/breathing, and adequate circulating blood
Questions With Reliable Solutions
Which sided stroke has impaired speech/language aphasia;
impaired right/left discrimination; slow performance/cautious,;
depression/anxiety; impaired comprehension. Correct Answer -
Left-Sided
Which sided stroke has spatial perception deficits;
denying/minimizing; rapid performance/short attention;
impulsiveness; impaired judgment; impaired time. Correct
Answer - Right-sided
_____ are the confirming diagnostic studies for stroke. Correct
Answer - CT; CT angiogram; CT/MRI perfusion and diffusion
imaging; MRI; Magnetic resonance angiography (MRA)
_____ are the confirming laboratory studies for stroke. Correct
Answer - Prothrombin time, activated partial thromboplastin
time; CBC (including platelets); Electrolyte panel with blood glucose;
Lipid profile; Renal and hepatic studies
Recombinant tissue plasminogen activator (tPA) is used to produce
localized fibrinolysis by binding to the fibrin in the thrombi, and is
the immediate treatment for _____ _____. Correct Answer -
Ischemic stroke
Aspirin at a dose of 325 mg may be started within 24 to 48 hours
after the onset of an _____ stroke. Correct Answer - ischemic
Anticoagulants and platelet inhibitors are contraindicated in
patients with _____ strokes. Correct Answer - hemorrhagic
,The main drug therapy for patients with _____ stroke is the
management of hypertension. Correct Answer - hemorrhagic
The _____ _____ of a spinal cord injury (SCI) is initial physical
disruption of the spinal cord. Correct Answer - primary injury
The _____ _____ of a spinal cord injury is from processes, such as
ischemia, hypoxia, hemorrhage, edema Correct Answer -
secondary injury
_____ _____ may occur shortly after acute SCI. It is characterized by
loss of deep tendon and sphincter reflexes, loss of sensation, and
flaccid paralysis below the level of injury. Correct Answer -
Spinal shock
_____ _____ involvement results in total loss of sensory and motor
function below the level of injury. Correct Answer - Complete
cord
_____ _____ involvement results in a mixed loss of voluntary motor
activity and sensation and leaves some tracts intact. Correct
Answer - Incomplete cord
SCI at C1-C3 Correct Answer - Often fatal; Movement in neck
and above, loss of innervation to diaphragm, absence of
independent respiratory function
SCI at C4 Correct Answer - Sensation and movement in neck
and above; May be able to breathe without ventilator
SCI at C5 Correct Answer - Full neck, partial shoulder, back,
biceps; Gross elbow, inability to roll over or use hands; ↓ Respiratory
reserve
, SCI at C6 Correct Answer - Shoulder and upper back abduction
and rotation at shoulder; Full biceps to elbow flexion, wrist
extension, weak grasp of thumb; ↓ Respiratory reserve
SCI at C7-C8 Correct Answer - All triceps to elbow extension,
finger extensors and flexors; Good grasp with some decreased
strength; ↓ Respiratory reserve
SCI at T1-T6 Correct Answer - Full innervation of upper
extremities; Back, essential intrinsic muscles of hand; Full strength
and dexterity of grasp; ↓ Trunk stability, decreased respiratory
reserve
SCI at T6-T12 Correct Answer - Full, stable thoracic muscles
and upper back; Functional intercostal muscles, resulting in ↑
respiratory reserve
SCI at L1-L2 Correct Answer - Varying control of legs and
pelvis; Instability of lower back
SCI at L3-L4 Correct Answer - Quadriceps and hip flexors;
Absence of hamstring function, flail ankles
CT scan is the preferred imaging study to diagnose the location and
degree of injury and the degree of _____ _____ _____. Correct Answer
- spinal canal compromise
_____ is used to assess soft tissue injury, neurologic changes,
unexplained neurologic deficits, or worsening neurologic condition
in SCI. Correct Answer - MRI
Goals immediately after _____ include maintaining a patent airway,
adequate ventilation/breathing, and adequate circulating blood
