Chamberlain NR 325 Exam 2 With Complete Solution
100% Pass 2024-2025
Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension. - Ans Left-Sided
Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time. - Ans
Right-sided
_____ are the confirming diagnostic studies for stroke. - Ans CT; CT angiogram; CT/MRI
perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
_____ 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
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
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an
_____ stroke. - Answer ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes.
- Answer hemorrhagic
The major drug therapy for patients with _____ stroke is the management of
hypertension. - Answer hemorrhagic
,The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal
cord. - Answer primary injury
The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - 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. -
Spinal shock
_____ _____ involvement results in total loss of sensory and motor function below the
level of injury. - Complete cord
_____ _____ involvement results in a mixed loss of voluntary motor activity and sensation
and leaves some tracts intact. - Answer Incomplete cord
SCI at C1-C3 - Answer Often fatal; Movement in neck and above, loss of innervation to
diaphragm, absence of independent respiratory function
SCI at C4 - Answer Sensation and movement in neck and above; May be able to breathe
without ventilator
SCI at C5 - Answer Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll
over or use hands; ↓ Respiratory reserve
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
SCI at C7-C8 - Answer All triceps to elbow extension, finger extensors and flexors; Good
grasp with some decreased strength; ↓ Respiratory reserve
, 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
SCI at T6-T12 - Answer Full, stable thoracic muscles and upper back; Functional
intercostal muscles, resulting in ↑ respiratory reserve
SCI at L1-L2 - Answer Variable control of lower extremities and pelvis; Stability of lower
back
SCI at L3-L4 - 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 _____ _____ _____. - Answer spinal canal compromise
_____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic
deficits, or deteriorating neurologic condition in SCI. - Answer MRI
Goals immediately after _____ include maintenance of a patent airway, adequate
ventilation/ breathing, and adequate circulating blood volume (ABCs) and prevention of
extension of spinal cord damage (secondary injury). - Answer SCI
_____ offers a chance for the patient to mobilize and walk while cervical bones are fusing
- Answer Halo fixation device
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
Positive _____ sign is involuntary flexing of hips and knees-an involuntary reaction to
100% Pass 2024-2025
Which sided stroke has impaired speech/language aphasia; impaired right/left
discrimination; slow performance/cautious,; depression/anxiety; impaired
comprehension. - Ans Left-Sided
Which sided stroke has spatial perception deficits; denying/minimizing; rapid
performance/short attention; impulsiveness; impaired judgment; impaired time. - Ans
Right-sided
_____ are the confirming diagnostic studies for stroke. - Ans CT; CT angiogram; CT/MRI
perfusion and diffusion imaging; MRI; Magnetic resonance angiography (MRA)
_____ 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
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
Aspirin at a dose of 325 mg may be started within 24 to 48 hours after the onset of an
_____ stroke. - Answer ischemic
Anticoagulants and platelet inhibitors are contraindicated in patients with _____ strokes.
- Answer hemorrhagic
The major drug therapy for patients with _____ stroke is the management of
hypertension. - Answer hemorrhagic
,The _____ _____ of a spinal cord injury (SCI) is initial physical disruption of the spinal
cord. - Answer primary injury
The _____ _____ of a spinal cord injury is from processes, such as ischemia, hypoxia,
hemorrhage, edema - 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. -
Spinal shock
_____ _____ involvement results in total loss of sensory and motor function below the
level of injury. - Complete cord
_____ _____ involvement results in a mixed loss of voluntary motor activity and sensation
and leaves some tracts intact. - Answer Incomplete cord
SCI at C1-C3 - Answer Often fatal; Movement in neck and above, loss of innervation to
diaphragm, absence of independent respiratory function
SCI at C4 - Answer Sensation and movement in neck and above; May be able to breathe
without ventilator
SCI at C5 - Answer Full neck, partial shoulder, back, biceps; Gross elbow, inability to roll
over or use hands; ↓ Respiratory reserve
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
SCI at C7-C8 - Answer All triceps to elbow extension, finger extensors and flexors; Good
grasp with some decreased strength; ↓ Respiratory reserve
, 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
SCI at T6-T12 - Answer Full, stable thoracic muscles and upper back; Functional
intercostal muscles, resulting in ↑ respiratory reserve
SCI at L1-L2 - Answer Variable control of lower extremities and pelvis; Stability of lower
back
SCI at L3-L4 - 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 _____ _____ _____. - Answer spinal canal compromise
_____ is used to assess soft tissue injury, neurologic changes, unexplained neurologic
deficits, or deteriorating neurologic condition in SCI. - Answer MRI
Goals immediately after _____ include maintenance of a patent airway, adequate
ventilation/ breathing, and adequate circulating blood volume (ABCs) and prevention of
extension of spinal cord damage (secondary injury). - Answer SCI
_____ offers a chance for the patient to mobilize and walk while cervical bones are fusing
- Answer Halo fixation device
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
Positive _____ sign is involuntary flexing of hips and knees-an involuntary reaction to
