NUR 347 Exam 3: Practice UPDATED
ACTUAL Exam Questions and CORRECT
Answers
Solumedrol (methylprednisolone) - CORRECT ANSWER - A 19 year old man is
admitted to the ED with a C6 SCI after a motorcycle crash. Which medication should the nurse
anticipate that she will administer first?
urinary catheterization - CORRECT ANSWER - Which intervention should the RN
perform in the acute care of a pt with a autonomic dysreflexia?
infarction & necrosis of the cord causes by edema, hemorrhage, & metabolites - CORRECT
ANSWER - What causes an initial incomplete SCI to result in complete cord damage?
teach the pt how to self catheterize - CORRECT ANSWER - A pt with paraplegia
resulting from a T-10 spinal cord injury has a neurogenic reflex bladder. which action will the
nurse include in the plan of care?
"I will perform self-catheterization at least six times per day." - CORRECT ANSWER -
The nurse performs discharge teaching for a 34 year old male pt with a T2 spinal cord injury
resulting from a construction accident. Which statement, if made by the pt to the nurse, indicates
that teaching about recognition & management of autonomic dysreflexia is successful?
HR of 42 bpm - CORRECT ANSWER - a pt is admitted to the ED with a SCI at the level
of T2. which finding is of most concern to the RN?
1. immobilize the pts head, neck, spine
2. administer O2 using a non-rebreather mask
3. monitor cardiac rhythm & BP
4. infuse normal saline at 150mL.hr
, 5. transfer pt to radiology for spinal CT - CORRECT ANSWER - in which order will the
RN perform the following actions when caring for a pt with possible C6 SCI who is admitted to
the ED?
throbbing headache - CORRECT ANSWER - RN is caring for a pt admitted 1 week
earlier with an acute SCI. which assessment finding alerts the RN to the presence of autonomic
dysreflexia?
Bradycardia - CORRECT ANSWER - which manifestation do you interpret as
respresenting neurogenic shock in a pt with acute SCI?
Maintaining a patent airway - CORRECT ANSWER - priority decision: a pt is admitted
to the ED with a possible cervical SPI following an automobile crash. During admission of the
pt, what is the highest priority for the RN?
loss of sympathetic nervous system innervation resulting in peripheral vasodilation - CORRECT
ANSWER - a pt is admitted to the hospital with a C4 SCI after a motorcycle collision.
The pts BP is 83/49mHg and pulse is 39bpm. He remains orally intubated. What is the cause of
this pathophysiologic response?
Ineffective airway clearance due to high cervical SCP - CORRECT ANSWER - when
planning care for a pt with a C5 spinal cord injury, which nursing dx is the highest priority
Take the pts BP - CORRECT ANSWER - A pt with a C7 SCI undergoing rehab tells you
he must have the flu because he has a bad headache & nausea. What is your initial action?
a BP of 88/6o mmHg, pulse of 56 bpm - CORRECT ANSWER - which is most important
to respond to in a pt presenting with a T3 SCI
hypotension, bradycardia, warm extremities - CORRECT ANSWER - a pt with a neck
fracture at the C5 level is admitted to the intensive care unit. during initial assessment of the pt,
the RN recognizes the presence of neurogenic shock on finding
ACTUAL Exam Questions and CORRECT
Answers
Solumedrol (methylprednisolone) - CORRECT ANSWER - A 19 year old man is
admitted to the ED with a C6 SCI after a motorcycle crash. Which medication should the nurse
anticipate that she will administer first?
urinary catheterization - CORRECT ANSWER - Which intervention should the RN
perform in the acute care of a pt with a autonomic dysreflexia?
infarction & necrosis of the cord causes by edema, hemorrhage, & metabolites - CORRECT
ANSWER - What causes an initial incomplete SCI to result in complete cord damage?
teach the pt how to self catheterize - CORRECT ANSWER - A pt with paraplegia
resulting from a T-10 spinal cord injury has a neurogenic reflex bladder. which action will the
nurse include in the plan of care?
"I will perform self-catheterization at least six times per day." - CORRECT ANSWER -
The nurse performs discharge teaching for a 34 year old male pt with a T2 spinal cord injury
resulting from a construction accident. Which statement, if made by the pt to the nurse, indicates
that teaching about recognition & management of autonomic dysreflexia is successful?
HR of 42 bpm - CORRECT ANSWER - a pt is admitted to the ED with a SCI at the level
of T2. which finding is of most concern to the RN?
1. immobilize the pts head, neck, spine
2. administer O2 using a non-rebreather mask
3. monitor cardiac rhythm & BP
4. infuse normal saline at 150mL.hr
, 5. transfer pt to radiology for spinal CT - CORRECT ANSWER - in which order will the
RN perform the following actions when caring for a pt with possible C6 SCI who is admitted to
the ED?
throbbing headache - CORRECT ANSWER - RN is caring for a pt admitted 1 week
earlier with an acute SCI. which assessment finding alerts the RN to the presence of autonomic
dysreflexia?
Bradycardia - CORRECT ANSWER - which manifestation do you interpret as
respresenting neurogenic shock in a pt with acute SCI?
Maintaining a patent airway - CORRECT ANSWER - priority decision: a pt is admitted
to the ED with a possible cervical SPI following an automobile crash. During admission of the
pt, what is the highest priority for the RN?
loss of sympathetic nervous system innervation resulting in peripheral vasodilation - CORRECT
ANSWER - a pt is admitted to the hospital with a C4 SCI after a motorcycle collision.
The pts BP is 83/49mHg and pulse is 39bpm. He remains orally intubated. What is the cause of
this pathophysiologic response?
Ineffective airway clearance due to high cervical SCP - CORRECT ANSWER - when
planning care for a pt with a C5 spinal cord injury, which nursing dx is the highest priority
Take the pts BP - CORRECT ANSWER - A pt with a C7 SCI undergoing rehab tells you
he must have the flu because he has a bad headache & nausea. What is your initial action?
a BP of 88/6o mmHg, pulse of 56 bpm - CORRECT ANSWER - which is most important
to respond to in a pt presenting with a T3 SCI
hypotension, bradycardia, warm extremities - CORRECT ANSWER - a pt with a neck
fracture at the C5 level is admitted to the intensive care unit. during initial assessment of the pt,
the RN recognizes the presence of neurogenic shock on finding
