Galen College of Nursing NSG 3250 Adult
Health I Exam 1 Study Guide: Rehabilitation
Nursing, Perioperative Care & Diabetes
Management Review (2026/2027)
Question 1
A client with a spinal cord injury at T6 develops a severe headache, hypertension, and
bradycardia. What is the priority action?
A) Administer antihypertensive
B) Check for bladder distention
C) Place in supine position
D) Give pain medication
Answer
Answer: B
Rationale
Autonomic dysreflexia is triggered by noxious stimuli, most commonly bladder distention.
Question 2
A client with a new below-the-knee amputation reports phantom limb pain. Which intervention
is appropriate?
A) Ignore the pain
B) Apply mirror therapy
C) Restrict activity
D) Give opioids only
Answer
,Answer: B
Rationale
Mirror therapy reduces phantom pain by creating visual illusion of intact limb.
Question 3
A client with a stroke has left-sided neglect. Which intervention is correct?
A) Place items on right side
B) Approach from left and remind to scan left
C) Restrain right arm
D) Keep room dark
Answer
Answer: B
Rationale
Encourage attention to neglected side.
Question 4
A client with a spinal cord injury has a neurogenic bladder. Which intervention is appropriate?
A) Credé maneuver
B) Intermittent catheterization
C) Restrict fluids
D) Diuretics
Answer
Answer: B
Rationale
,Prevents bladder distention and infection.
Question 5
A client with a TBI is agitated and confused. Which intervention is priority?
A) Restrain
B) Provide calm environment and reorientation
C) Give sedative
D) Isolate
Answer
Answer: B
Rationale
Reduce stimuli and reorient to prevent escalation.
Question 6
A client with a stroke has dysphagia. Which action is priority?
A) Feed pureed diet
B) NPO and speech therapy consult
C) Thicken liquids
D) Feed small meals
Answer
Answer: B
Rationale
Prevent aspiration until swallow evaluation.
, Question 7
A client with a spinal cord injury at C5 has respiratory compromise. Which intervention is
priority?
A) Encourage ambulation
B) Monitor respiratory status and provide suctioning
C) Restrict fluids
D) Give sedatives
Answer
Answer: B
Rationale
C5 injury affects diaphragm and respiratory muscles.
Question 8
A client with a new colostomy needs teaching about appliance care. Which instruction is correct?
A) Change pouch daily
B) Empty when one-third full
C) Use alcohol on skin
D) Apply baby powder
Answer
Answer: B
Rationale
Prevents leakage and skin breakdown.
Question 9
A client with a pressure injury has a stage 3 ulcer. Which intervention is correct?
Health I Exam 1 Study Guide: Rehabilitation
Nursing, Perioperative Care & Diabetes
Management Review (2026/2027)
Question 1
A client with a spinal cord injury at T6 develops a severe headache, hypertension, and
bradycardia. What is the priority action?
A) Administer antihypertensive
B) Check for bladder distention
C) Place in supine position
D) Give pain medication
Answer
Answer: B
Rationale
Autonomic dysreflexia is triggered by noxious stimuli, most commonly bladder distention.
Question 2
A client with a new below-the-knee amputation reports phantom limb pain. Which intervention
is appropriate?
A) Ignore the pain
B) Apply mirror therapy
C) Restrict activity
D) Give opioids only
Answer
,Answer: B
Rationale
Mirror therapy reduces phantom pain by creating visual illusion of intact limb.
Question 3
A client with a stroke has left-sided neglect. Which intervention is correct?
A) Place items on right side
B) Approach from left and remind to scan left
C) Restrain right arm
D) Keep room dark
Answer
Answer: B
Rationale
Encourage attention to neglected side.
Question 4
A client with a spinal cord injury has a neurogenic bladder. Which intervention is appropriate?
A) Credé maneuver
B) Intermittent catheterization
C) Restrict fluids
D) Diuretics
Answer
Answer: B
Rationale
,Prevents bladder distention and infection.
Question 5
A client with a TBI is agitated and confused. Which intervention is priority?
A) Restrain
B) Provide calm environment and reorientation
C) Give sedative
D) Isolate
Answer
Answer: B
Rationale
Reduce stimuli and reorient to prevent escalation.
Question 6
A client with a stroke has dysphagia. Which action is priority?
A) Feed pureed diet
B) NPO and speech therapy consult
C) Thicken liquids
D) Feed small meals
Answer
Answer: B
Rationale
Prevent aspiration until swallow evaluation.
, Question 7
A client with a spinal cord injury at C5 has respiratory compromise. Which intervention is
priority?
A) Encourage ambulation
B) Monitor respiratory status and provide suctioning
C) Restrict fluids
D) Give sedatives
Answer
Answer: B
Rationale
C5 injury affects diaphragm and respiratory muscles.
Question 8
A client with a new colostomy needs teaching about appliance care. Which instruction is correct?
A) Change pouch daily
B) Empty when one-third full
C) Use alcohol on skin
D) Apply baby powder
Answer
Answer: B
Rationale
Prevents leakage and skin breakdown.
Question 9
A client with a pressure injury has a stage 3 ulcer. Which intervention is correct?
