NRSG 357 Exam 3 Questions and Answers with complete solutions
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Course
NRSG 357
Institution
NRSG 357
What does SCI stand for?
A. Susceptible Cord Infection
B. Super Comfy Injection
C. Superior Cord Infarct
D. Spinal Cord Injury - ANSWER D. Spinal Cord Injury
True or False: Primary SCI is the initial disruption of axons; Secondary SCI is the ongoing, progressive damage due to ischemia, hypox...
nrsg 357 exam 3 questions and answers with complete solutions
what does sci stand for
true or false primary sci is the initial disruption of axons secondary sci is the ongo
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NRSG 357 Exam 3
What does SCI stand for?
A. Susceptible Cord Infection
B. Super Comfy Injection
C. Superior Cord Infarct
D. Spinal Cord Injury - ANSWER D. Spinal Cord Injury
True or False: Primary SCI is the initial disruption of axons; Secondary SCI is the
ongoing, progressive damage due to ischemia, hypoxia, micro-hemorrhage, and
edema. - ANSWER True
A client is admitted to the emergency department with SCI at the level of T2. Which
finding is of MOST concern to the nurse?
A. Loss of motor and sensory function in arms and legs
B. BP of 92/60 mm Hg
C. Heart rate of 42 bpm
D. SpO2 of 92% - ANSWER C. Heart rate of 42 bpm
What causes an initial incomplete SCI to result in complete cord damage?
A. Mechanical transection of the cord by sharp vertebral bone fragments after the initial
injury
B. Edematous compression of the cord above the level of the injury
C. Continued trauma to the cord resulting from damage to stabilizing ligaments
D. Infarction and necrosis of the cord caused by edema, hemorrhage, and metabolites -
ANSWER D. Infarction and necrosis of the cord caused by edema, hemorrhage, and
metabolites
The nurse knows that a client suffering from complete paralysis from the waist down
would have the condition of which of the following?
A. Hemiparesis
B. Paraparesis
C. Paraplegia
D. Hemiplegia - ANSWER C. Paraplegia
Use of Glasgow Coma Scale (GCS) provides a relatively objective assessment of Level
of Consciousness (LOC). What are the Three functions assessed?
A. Verbal response, eye opening, motor response
B. Eye opening, motor response, sensation
C. Verbal response, pupil reaction, motor response
D. Pupil reaction, orientation, sensation - ANSWER A. Verbal response, eye opening,
motor response
When the nurse applies painful stimulus to the nailbeds of and unconscious patient, the
patient responds with internal rotation, adduction and flexion of the arms. The nurse
documents this finding as:
A. Flexion withdrawal
B. Decorticate posturing
, NRSG 357 Exam 3
C. Decerebrate posturing
D. Localization of pain - ANSWER B. Decorticate posturing
What is the normal value range of Intracranial Pressure (ICP)?
A. 5-15 mm Hg
B. 15-25 mm Hg
C. >25 mm Hg
D. <5 mm Hg - ANSWER A. 5-15 mm Hg
What type of brain injury occurs due to swelling or impaired blood flow to the area of the
injury (i.e. Increased Intracranial pressure, infection, ischemia, hypoxia)
A. Primary Injury
B. Secondary Injury
C. Focal Injury
D. Diffuse Axonal Injury - ANSWER B. Secondary Injury
Complication which results from bleeding between the skull and dura mater - ANSWER
Epidural Hematoma
Complication which results from bleeding between the dura mater and arachnoid layer -
ANSWER Subdural Hematoma
Complication which results from bleeding within the brain tissue - ANSWER
Intracerebral Hematoma
The patient with a spinal cord injury is prone to experiencing autonomic dysreflexia. The
nurse would AVOID which of the following measures to minimize the risk of recurrence?
A. Strict adherence to a bowel retraining program
B. Keeping the linen wrinkle-free under the patient
C. Preventing unnecessary pressure of the lower limbs
D. Limiting bladder catheterization to once every 12 hours - ANSWER D. Limiting
bladder catheterization to once every 12 hours
A patient has an incomplete left spinal cord lesion at the level of T7, resulting in Brown-
Sequard syndrome. Which nursing action should be included in the plan of care?
A. Assessment of the patient fro right arm weakness
B. Assessment of the patient for increased right leg pain
C. Positioning the patient's left leg, when turning the patient
D. Teaching the patient to look at the right leg to verify its position - ANSWER C.
Positioning the patient's left leg when turning the patient
- Rare neurological condition
- characterized by weakness or paralysis on one side of body and a loss of sensation on
the opposite side
- Incomplete spinal cord injury syndrome
- May be caused by spinal cord tumor, trauma, ischemia, or infectious
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