Page 16 - Exhibit No. 11 Samples of teacher-made tests in the current school year

93. The nurse is caring for a patient admitted with a spinal cord injury after a motor vehicle
accident. The patient exhibits a complete loss of motor, sensory, and reflex activity
below the injury level. The nurse recognizes this condition as which of the following?
A. Central cord syndrome
B. Spinal shock syndrome
C. Anterior cord syndrome
D. Brown-Sequard syndrome

94. Which clinical manifestation would the nurse interpret as a manifestation of
neurogenic shock in a patient with acute spinal cord injury?
A. Bradycardia
B. Hypertension
C. Neurogenic spasticity
D. Bounding pedal pulses

95. When planning care for a patient with a cervical spinal cord injury (C5), which nursing
diagnosis has the highest priority?
A. Impaired urinary elimination related to tetraplegia
B. Risk for impaired tissue integrity related to paralysis
C. Disabled family coping related to the extent of trauma
D. Ineffective airway clearance related to cervical spinal cord injury

96. Which manifestations in a patient with a thoracic spinal cord injury (T4) should alert
the nurse to possible autonomic dysreflexia?
A. Headache and rising blood pressure
B. Irregular respirations and shortness of breath
C. Decreased level of consciousness or hallucinations
D. Abdominal distention and absence of bowel sounds

97. Which intervention should the nurse perform first in the acute care of a patient with
autonomic dysreflexia?
A. Urinary catheterization
B. Check for bowel impaction
C. Elevate the head of the bed
D. Administer intravenous hydralazine

98.A A client with a history of spinal cord injury (SCI) reports a severe headache and blurred
vision. Upon assessment, the nurse notes the following: hypertension, bradycardia,
and a flushed face. Which intervention should the nurse implement first?
A. Apply compression stockings
B. Lower the head of the bed
C. Empty the client’s bladder
D. Increase the IV flow rate

99. Which of the following is NOT true about SCI?
A. C5 is the most common level of tetraplegia
B. T12 is the most common level of paraplegia
C. Incomplete Paraplegia is the most common injury
D. Most common cause of SCI is MVA

100. Complete paralysis of all 4 extremities and trunk is known as:
A. Tetraplegia
B. Paraplegia
C. Hemiplegia
D. Hemiparesis

101. What is the most common clinical cord syndrome in incomplete injuries?