Emergency Nursing Orientation
3.0: Spinal Trauma - ENA-ENO-C06
Exam/20 Q’s and A’s
Which type of shock causes a temporary loss of motor, sensory, and reflex
functions below the level of a lesion? - -Spinal shock
-Which of the following statements regarding autonomic dysreflexia is
correct? - -It may occur at any time after spinal shock has subsided.
-Which of the following is the first step performed when removing a helmet
from a suspected spinal injured patient? - -Apply in-line stabilization by
placing hands on each side of the helmet with fingers on the patient's
mandible.
-Which of the following is the first step performed when initiating spinal
protection? - -Leader is positioned at the head of the patient with hands on
each side of the patient's head.
-For a patient with partial airway obstruction who cannot tolerate the supine
position for spinal stabilization, which intervention is appropriate? - -Protect
the cervical spine in the position the patient uses to protect the airway.
-A paraplegic patient comes to the ED with a severe headache and blurred
vision. Findings include a flushed face, severe hypertension, and
bradycardia. What is the most likely cause of these signs and symptoms? - -
Constipation
-Which of the following signs would be anticipated in a patient with
neurogenic shock? - -Warm, dry skin
-Which of the following statements regarding spinal cord injury without
radiographic abnormality is accurate? - -It is an injury primarily found in
younger children.
-Which of the following vertebral column injuries is most likely to result in a
bone fragment impinging on the spinal cord? - -Teardrop fracture
-In which of the following injuries would you find paralysis below the injury
and crude touch, pressure, and proprioception intact? - -Anterior cord
syndrome
-Which of the following is a secondary injury to the spinal cord? - -Edema
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