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NUR 417
NUR 417 Med Surg Final Exam| Care of
Adult II | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the nurse, "I
want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse appropriately
take? - ANS ✓Ask the patient to provide input for the plan of care.
A 38-yr-old patient who has had a spinal cord injury returned home following a stay in a
rehabilitation facility. The home care
nurse notes the spouse is performing many of the activities that the patient had been
managing unassisted during rehabilitation.
What should the nurse identify as the most appropriate action at this phase of
rehabilitation? - ANS ✓Develop a plan to increase the patient's independence in
consultation with the
patient and the spouse.
Which action should the nurse recognize has the highest priority for a patient who was
admitted 16 hours earlier with a C5 spinal
cord injury? - ANS ✓Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and
crackles. What initial intervention should the
nurse perform? - ANS ✓Push upward on the epigastric area as the patient coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The
patient tells the nurse, "I have a pounding
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headache and I feel sick to my stomach." Which action should the nurse take first? - ANS
✓Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be able to be sexually
active. Which information should the nurse
include in an initial response? - ANS ✓Multiple options are available to maintain
sexuality after spinal cord injury.
Which collaborative and nursing actions should the nurse include in the plan of care for
a patient who experienced a T2 spinal cord
transection 24 hours ago? (Select all that apply.) - ANS ✓Urinary catheter care
Continuous cardiac monitoring
Administration of H2 receptor blockers
Maintenance of a warm room temperature
In which order should the nurse perform the following actions for a patient admitted to
the emergency department with possible C5
spinal cord trauma? (Put a comma and a space between each answer choice [A, B, C, D,
E].) - ANS ✓a. Infuse normal saline at 150 mL/hr.
b. Monitor cardiac rhythm and blood pressure.
c. Administer O2 using a non-rebreather mask.
d. Immobilize the patient's head, neck, and spine.
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
Family members of a patient who has a traumatic brain injury ask the nurse about the
purpose of the ventriculostomy system being
used for intracranial pressure monitoring. Which response by the nurse is best for this
situation? - ANS ✓"The monitoring system helps show whether blood flow to the brain
is adequate."
NUR 417
NUR 417
NUR 417 Med Surg Final Exam| Care of
Adult II | Questions & Answers| Grade A |
100% Correct | (NEW 2025/ 2026)
A 20-yr-old patient who sustained a T2 spinal cord injury 10 days ago tells the nurse, "I
want to be transferred to a hospital where
the nurses know what they are doing." Which action should the nurse appropriately
take? - ANS ✓Ask the patient to provide input for the plan of care.
A 38-yr-old patient who has had a spinal cord injury returned home following a stay in a
rehabilitation facility. The home care
nurse notes the spouse is performing many of the activities that the patient had been
managing unassisted during rehabilitation.
What should the nurse identify as the most appropriate action at this phase of
rehabilitation? - ANS ✓Develop a plan to increase the patient's independence in
consultation with the
patient and the spouse.
Which action should the nurse recognize has the highest priority for a patient who was
admitted 16 hours earlier with a C5 spinal
cord injury? - ANS ✓Assessment of respiratory rate and effort
A patient who had a C7 spinal cord injury 1 week ago has a weak cough effort and
crackles. What initial intervention should the
nurse perform? - ANS ✓Push upward on the epigastric area as the patient coughs.
A patient with a history of T3 spinal cord injury is admitted with dermal ulcers. The
patient tells the nurse, "I have a pounding
NUR 417
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NUR 417
headache and I feel sick to my stomach." Which action should the nurse take first? - ANS
✓Assess the blood pressure (BP).
A patient with a T4 spinal cord injury asks the nurse if he will be able to be sexually
active. Which information should the nurse
include in an initial response? - ANS ✓Multiple options are available to maintain
sexuality after spinal cord injury.
Which collaborative and nursing actions should the nurse include in the plan of care for
a patient who experienced a T2 spinal cord
transection 24 hours ago? (Select all that apply.) - ANS ✓Urinary catheter care
Continuous cardiac monitoring
Administration of H2 receptor blockers
Maintenance of a warm room temperature
In which order should the nurse perform the following actions for a patient admitted to
the emergency department with possible C5
spinal cord trauma? (Put a comma and a space between each answer choice [A, B, C, D,
E].) - ANS ✓a. Infuse normal saline at 150 mL/hr.
b. Monitor cardiac rhythm and blood pressure.
c. Administer O2 using a non-rebreather mask.
d. Immobilize the patient's head, neck, and spine.
e. Transfer the patient to radiology for spinal computed tomography (CT).
ANS:
D, C, B, A, E
Family members of a patient who has a traumatic brain injury ask the nurse about the
purpose of the ventriculostomy system being
used for intracranial pressure monitoring. Which response by the nurse is best for this
situation? - ANS ✓"The monitoring system helps show whether blood flow to the brain
is adequate."
NUR 417
