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NURS 5463 TEST 5 2026 QUESTIONS
AND ANSWERS| ACE YOUR GRADES.
Management of Hypotension in Neurogenic Shock - correct
answer -Dopamine - high doses (> 10mcg) for alpha effect, has
significant beta effects at lower doses-- diuresis at lower doses
exacerbates relative hypovolemia, Epinephrine - alpha/beta,
vasoconstriction, ↑cardiac output, Dobutamine - beta (inotrope),
loss of sympathetic tone =cardiac dysfunction, no volume
resuscitation =hypotension
Cauda Equina - correct answer -Connect CNS and PNS; Damage
irreversible- may be surgical emergency
Autonomic Dysreflexia - correct answer -Considered medical
emergency; Occurs in the first year post-injury; Affects pt with SCI
at T6 or higher
AD Manifestation - correct answer -loss of coordinated autonomic
responses to demands on heart rate and vascular tone,
bradycardia and vasodilation above the level of the lesion,
Bladder distention, Bowel impaction, Piloerection • Nasal
obstruction
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Life threatening S/S of AD - correct answer -Bradycardia is
common, profound bradycardia is a complication of hypertensive
crisis and can lead to cardiac arrest
Management of acute AD - correct answer -Sit patient up to lower
blood pressure by orthostasis, Remove any tight fitting clothing or
garments, Find and correct noxious stimuli
Relieve AD most common causes - correct answer -Bladder
distention and fecal impaction
Management of blood pressure in AD - correct answer -Nitrates,
Nitropaste 2%, vessel dilation Reduces preload and afterload BT
Do not use in pt with ED being treated with Viagra, Cialis Levitra;
Calcium channel blockers: Nifedipine 10mg, Captopril 25, DHP
(dihydropyridine) CCB reduce SVR and arterial blood pressure,
Can cause reflex tachycardia 2/2 hypotension from vasodilation
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AD Mgmt - correct answer -Labetalol 10mg, Hydrazinophthalazine
Class, Hydralazine 10mg • Direct acting smooth muscle
relaxation, dilation of arteries and arterioles
Guillain Barre Syndrome (GBS) - correct answer -Patients usually
present a few days to a week after onset of symptoms, Pain in the
back and extremities • Severe respiratory muscle weakness,
Facial and oropharyngeal weakness, Paraesthesia in hands and
feet
GBS Oculomotor weakness - correct answer -CN 3 palsy
GBS complications - correct answer -Dysautonomia, Tachycardia-
-most common• Urinary retention, orthostatic hypotension
GBS Treatment - correct answer -Hospital admission for close
obs; 1/3 will require ICU admit 2/2 acute respiratory failure,
Monitor for bulbar weakness
GBS Vent needs - correct answer -Need CPT and PEEP—
prevent PNA and sepsis
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Death from GBS - correct answer -respiratory and/or autonomic
complications
GBS ICU/intubation criteria - correct answer -FVC <20ml/kg;
Severe bulbar palsy; Labile dysautonomia
GBS TX - correct answer -IVIG: dosing 0.4 g/kg Q D x5 days,
pooled immunoglobulin, Plasma exchange (PLEX) (PE): removes
Ab monitor coags/fibrinogen daily, PLEX- 5 exchanges (start
within 7 days of symptom onset) given over 1-2weeks, Exchange
of ~50 mL/kg of plasma volume—albumin, FFP, fibrinogen
GBS TX not recommended - correct answer -Combo therapy with
PLEX and IVIg not recommended, Steroids are not effective and
not used
Dysautonomia - correct answer -treat HTN and hypotension with
short acting drugs
NURS 5463 TEST 5 2026 QUESTIONS
AND ANSWERS| ACE YOUR GRADES.
Management of Hypotension in Neurogenic Shock - correct
answer -Dopamine - high doses (> 10mcg) for alpha effect, has
significant beta effects at lower doses-- diuresis at lower doses
exacerbates relative hypovolemia, Epinephrine - alpha/beta,
vasoconstriction, ↑cardiac output, Dobutamine - beta (inotrope),
loss of sympathetic tone =cardiac dysfunction, no volume
resuscitation =hypotension
Cauda Equina - correct answer -Connect CNS and PNS; Damage
irreversible- may be surgical emergency
Autonomic Dysreflexia - correct answer -Considered medical
emergency; Occurs in the first year post-injury; Affects pt with SCI
at T6 or higher
AD Manifestation - correct answer -loss of coordinated autonomic
responses to demands on heart rate and vascular tone,
bradycardia and vasodilation above the level of the lesion,
Bladder distention, Bowel impaction, Piloerection • Nasal
obstruction
, Page | 2
Life threatening S/S of AD - correct answer -Bradycardia is
common, profound bradycardia is a complication of hypertensive
crisis and can lead to cardiac arrest
Management of acute AD - correct answer -Sit patient up to lower
blood pressure by orthostasis, Remove any tight fitting clothing or
garments, Find and correct noxious stimuli
Relieve AD most common causes - correct answer -Bladder
distention and fecal impaction
Management of blood pressure in AD - correct answer -Nitrates,
Nitropaste 2%, vessel dilation Reduces preload and afterload BT
Do not use in pt with ED being treated with Viagra, Cialis Levitra;
Calcium channel blockers: Nifedipine 10mg, Captopril 25, DHP
(dihydropyridine) CCB reduce SVR and arterial blood pressure,
Can cause reflex tachycardia 2/2 hypotension from vasodilation
, Page | 3
AD Mgmt - correct answer -Labetalol 10mg, Hydrazinophthalazine
Class, Hydralazine 10mg • Direct acting smooth muscle
relaxation, dilation of arteries and arterioles
Guillain Barre Syndrome (GBS) - correct answer -Patients usually
present a few days to a week after onset of symptoms, Pain in the
back and extremities • Severe respiratory muscle weakness,
Facial and oropharyngeal weakness, Paraesthesia in hands and
feet
GBS Oculomotor weakness - correct answer -CN 3 palsy
GBS complications - correct answer -Dysautonomia, Tachycardia-
-most common• Urinary retention, orthostatic hypotension
GBS Treatment - correct answer -Hospital admission for close
obs; 1/3 will require ICU admit 2/2 acute respiratory failure,
Monitor for bulbar weakness
GBS Vent needs - correct answer -Need CPT and PEEP—
prevent PNA and sepsis
, Page | 4
Death from GBS - correct answer -respiratory and/or autonomic
complications
GBS ICU/intubation criteria - correct answer -FVC <20ml/kg;
Severe bulbar palsy; Labile dysautonomia
GBS TX - correct answer -IVIG: dosing 0.4 g/kg Q D x5 days,
pooled immunoglobulin, Plasma exchange (PLEX) (PE): removes
Ab monitor coags/fibrinogen daily, PLEX- 5 exchanges (start
within 7 days of symptom onset) given over 1-2weeks, Exchange
of ~50 mL/kg of plasma volume—albumin, FFP, fibrinogen
GBS TX not recommended - correct answer -Combo therapy with
PLEX and IVIg not recommended, Steroids are not effective and
not used
Dysautonomia - correct answer -treat HTN and hypotension with
short acting drugs
