CHAMBERLAIN NR325 EXAM 2
COMPLETE QUESTIONS WITH 100%
CORRECT AND OUTLINED ANSWERS
2025\2026 UPDATE
\Q\.Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired comprehension. -
ANSWER-✔Left-Sided
\Q\.Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time. - ANSWER-
✔Right-sided
\Q\._____ are the confirming diagnostic studies for stroke. - ANSWER-✔CT; CT angiogram;
CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
\Q\._____ are the confirming laboratory studies for stroke. - ANSWER-✔Prothrombin time,
activated partial thromboplastin time; CBC (including platelets); Electrolyte panel with blood
glucose; Lipid profile; Renal and hepatic studies
\Q\.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 _____ _____. -
ANSWER-✔Ischemic stroke
\Q\.Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an
_____ stroke. - ANSWER-✔ischemic
,\Q\.Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes. -
ANSWER-✔hemorrhagic
\Q\.The main drug therapy for patients with _____ stroke is the management of hypertension. -
ANSWER-✔hemorrhagic
\Q\.The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal cord. -
ANSWER-✔primary injury
\Q\.The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - ANSWER-✔secondary injury
\Q\._____ _____ 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. -
ANSWER-✔Spinal shock
\Q\._____ _____ involvement results in total loss of sensory and motor function below the level
of injury. - ANSWER-✔Complete cord
\Q\._____ _____ involvement results in a mixed loss of voluntary motor activity and sensation
and leaves some tracts intact. - ANSWER-✔Incomplete cord
\Q\.SCI at C1-C3 - ANSWER-✔Often fatal; Movement in neck and above, loss of innervation to
diaphragm, absence of independent respiratory function
\Q\.SCI at C4 - ANSWER-✔Sensation and movement in neck and above; May be able to breathe
without ventilator
,\Q\.SCI at C5 - ANSWER-✔Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll
over or use hands; ↓ Respiratory reserve
\Q\.SCI at C6 - ANSWER-✔Shoulder and upper back abduction and rotation at shoulder; Full
biceps to elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
\Q\.SCI at C7-C8 - ANSWER-✔All triceps to elbow extension, finger extensors and flexors; Good
grasp with some decreased strength; ↓ Respiratory reserve
\Q\.SCI at T1-T6 - ANSWER-✔Full innervation of upper extremities; Back, essential intrinsic
muscles of hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory
reserve
\Q\.SCI at T6-T12 - ANSWER-✔Full, stable thoracic muscles and upper back; Functional
intercostal muscles, resulting in ↑ respiratory reserve
\Q\.SCI at L1-L2 - ANSWER-✔Varying control of legs and pelvis; Instability of lower back
\Q\.SCI at L3-L4 - ANSWER-✔Quadriceps and hip flexors; Absence of hamstring function, flail
ankles
\Q\.CT scan is the preferred imaging study to diagnose the location and degree of injury and the
degree of _____ _____ _____. - ANSWER-✔spinal canal compromise
\Q\._____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic
deficits, or worsening neurologic condition in SCI. - ANSWER-✔MRI
, \Q\.Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing extension
of spinal cord damage (secondary injury). - ANSWER-✔SCI
\Q\._____ allows the patient to move and ambulate while cervical bones fuse - ANSWER-✔Halo
fixation device
\Q\.One of the physically demonstrable symptoms of meningitis is _____ _____. Severe neck
stiffness causes a patient's hips and knees to flex when the neck is flexed. - ANSWER-
✔Brudzinski's sign
\Q\.Positive _____ sign is involuntary flexing of hips and knees (an involuntary reaction to
lessen the stretch on the inflamed meninges) - ANSWER-✔Brudzinski's sign
\Q\._____ _____ is a neuropsychiatric manifestation of liver disease. The pathogenesis is
multifactorial. It includes the neurotoxic effects of ammonia, abnormal neurotransmission,
astrocyte swelling, and inflammatory cytokines. - ANSWER-✔Hepatic encephalopathy
\Q\.A characteristic manifestation of hepatic encephalopathy is _____, or flapping tremors, with
the most common involving the arms and hands. - ANSWER-✔asterixis
\Q\.If the common bile duct is obstructed due to _____, no bilirubin will reach the small
intestine to be converted to urobilinogen. Thus the kidneys will excrete bilirubin, causing dark
amber to brown urine. - ANSWER-✔cholelithiasis
\Q\.Complications of _____ and cholecystitis include gangrenous cholecystitis, subphrenic
abscess, pancreatitis, cholangitis (inflammation of biliary ducts), biliary cirrhosis, fistulas, and
rupture of the gallbladder, which can cause bile peritonitis. - ANSWER-✔cholelithiasis
COMPLETE QUESTIONS WITH 100%
CORRECT AND OUTLINED ANSWERS
2025\2026 UPDATE
\Q\.Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired comprehension. -
ANSWER-✔Left-Sided
\Q\.Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time. - ANSWER-
✔Right-sided
\Q\._____ are the confirming diagnostic studies for stroke. - ANSWER-✔CT; CT angiogram;
CT/MRI perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
\Q\._____ are the confirming laboratory studies for stroke. - ANSWER-✔Prothrombin time,
activated partial thromboplastin time; CBC (including platelets); Electrolyte panel with blood
glucose; Lipid profile; Renal and hepatic studies
\Q\.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 _____ _____. -
ANSWER-✔Ischemic stroke
\Q\.Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an
_____ stroke. - ANSWER-✔ischemic
,\Q\.Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes. -
ANSWER-✔hemorrhagic
\Q\.The main drug therapy for patients with _____ stroke is the management of hypertension. -
ANSWER-✔hemorrhagic
\Q\.The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal cord. -
ANSWER-✔primary injury
\Q\.The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - ANSWER-✔secondary injury
\Q\._____ _____ 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. -
ANSWER-✔Spinal shock
\Q\._____ _____ involvement results in total loss of sensory and motor function below the level
of injury. - ANSWER-✔Complete cord
\Q\._____ _____ involvement results in a mixed loss of voluntary motor activity and sensation
and leaves some tracts intact. - ANSWER-✔Incomplete cord
\Q\.SCI at C1-C3 - ANSWER-✔Often fatal; Movement in neck and above, loss of innervation to
diaphragm, absence of independent respiratory function
\Q\.SCI at C4 - ANSWER-✔Sensation and movement in neck and above; May be able to breathe
without ventilator
,\Q\.SCI at C5 - ANSWER-✔Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll
over or use hands; ↓ Respiratory reserve
\Q\.SCI at C6 - ANSWER-✔Shoulder and upper back abduction and rotation at shoulder; Full
biceps to elbow flexion, wrist extension, weak grasp of thumb; ↓ Respiratory reserve
\Q\.SCI at C7-C8 - ANSWER-✔All triceps to elbow extension, finger extensors and flexors; Good
grasp with some decreased strength; ↓ Respiratory reserve
\Q\.SCI at T1-T6 - ANSWER-✔Full innervation of upper extremities; Back, essential intrinsic
muscles of hand; Full strength and dexterity of grasp; ↓ Trunk stability, decreased respiratory
reserve
\Q\.SCI at T6-T12 - ANSWER-✔Full, stable thoracic muscles and upper back; Functional
intercostal muscles, resulting in ↑ respiratory reserve
\Q\.SCI at L1-L2 - ANSWER-✔Varying control of legs and pelvis; Instability of lower back
\Q\.SCI at L3-L4 - ANSWER-✔Quadriceps and hip flexors; Absence of hamstring function, flail
ankles
\Q\.CT scan is the preferred imaging study to diagnose the location and degree of injury and the
degree of _____ _____ _____. - ANSWER-✔spinal canal compromise
\Q\._____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic
deficits, or worsening neurologic condition in SCI. - ANSWER-✔MRI
, \Q\.Goals immediately after _____ include maintaining a patent airway, adequate
ventilation/breathing, and adequate circulating blood volume (ABCs) and preventing extension
of spinal cord damage (secondary injury). - ANSWER-✔SCI
\Q\._____ allows the patient to move and ambulate while cervical bones fuse - ANSWER-✔Halo
fixation device
\Q\.One of the physically demonstrable symptoms of meningitis is _____ _____. Severe neck
stiffness causes a patient's hips and knees to flex when the neck is flexed. - ANSWER-
✔Brudzinski's sign
\Q\.Positive _____ sign is involuntary flexing of hips and knees (an involuntary reaction to
lessen the stretch on the inflamed meninges) - ANSWER-✔Brudzinski's sign
\Q\._____ _____ is a neuropsychiatric manifestation of liver disease. The pathogenesis is
multifactorial. It includes the neurotoxic effects of ammonia, abnormal neurotransmission,
astrocyte swelling, and inflammatory cytokines. - ANSWER-✔Hepatic encephalopathy
\Q\.A characteristic manifestation of hepatic encephalopathy is _____, or flapping tremors, with
the most common involving the arms and hands. - ANSWER-✔asterixis
\Q\.If the common bile duct is obstructed due to _____, no bilirubin will reach the small
intestine to be converted to urobilinogen. Thus the kidneys will excrete bilirubin, causing dark
amber to brown urine. - ANSWER-✔cholelithiasis
\Q\.Complications of _____ and cholecystitis include gangrenous cholecystitis, subphrenic
abscess, pancreatitis, cholangitis (inflammation of biliary ducts), biliary cirrhosis, fistulas, and
rupture of the gallbladder, which can cause bile peritonitis. - ANSWER-✔cholelithiasis
