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NUR 265 FINAL EXAM NEWEST UPDATE 2025
ACTUAL EXAM QUESTIONS WITH CORRECT
VERIFIED ANSWERS/ GRADED A+
What is SCI? - Correct Answer - loss of motor function, sensory perception reflex activity, and bowel and bladder control
What are causes of SCI? - Correct Answer - vehicle crashes falls acts of violence sport-related accidents
What are primary causes of SCI? - Correct Answer - hyperflexion hyperextension axial loading or vertical compression excessive rotation penetrating trauma
What are s/s of SCI? - Correct Answer - bradycardia hypotension hypothermia SBP <90
What are N/I with SCI? - Correct Answer - ABCs cap refill 1 / 4
pg. 2 assess for abd hemorrhage glascow coma scale sometimes need bowel & bladder retraining increase mobility monitor pulse strength and cap refill monitor for absent DTR
What are tx with SCI? - Correct Answer - methylprednisolone (inflammation) dextran (hypotension) atropine (bradycardia) muscle relaxers (with caution) tizanidine (muscle spasticity) intratheral baclofen
What is a indication that spinal shock is resolving? - Correct Answer - muscle spasticity and reflexes below the level of injury
What is the 1st priority with AD? - Correct Answer - sit them up check bowel or bladder distention call md insert foley or give enema give bp meds
What is spinal shock? - Correct Answer - happens immediately as a response to injury lasting usually less than 48 hrs, or could last several weeks
What are s/s of spinal shock? - Correct Answer - bradycardia hypotension hypothermia 2 / 4
pg. 3 What is complication of craniotomy? - Correct Answer - increased ICP hemorrhage infection resp complications
What are n/i with craniotomy? - Correct Answer - neuro checks q 15-30mins monitor i&o asses dressing q 1-2hrs monitor for hypo/hypernatermia, hypokalemia, DI, seizures keep flat or sidelying
What is AD? - Correct Answer - after spinal socks subsides response to spinal injury above T6
What are common causes of AD? - Correct Answer - full bladder UTI impacted feces skin pressure & breakdown
What is s/s of AD? - Correct Answer - severe hypertension HA bradycardia nasal stuffiness
What are you at r/f with AD? - Correct Answer - skin breakdown abd bleeding diaphragm can become paralyzed 3 / 4
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What n/i do you do with AD? - Correct Answer - treat cause VAP prevention cough assist them if needed monitor cardio IV fluids monitor bp q 10-15mins nitrate
What are secondary sci causes? - Correct Answer - hemorrhage ischemia hypovolemia impaired tissue perfusion from neuro shock local edema
What is hyperflexion? - Correct Answer - like whiplash
What is hyperextension? - Correct Answer - hits chin upward
What is axial loading or vertical compression? - Correct Answer - hit top of head or butt
What is excessive rotation? - Correct Answer - turn head too far
What is penetrating trauma? - Correct Answer - knife or bullet
How do you prevent secondary SCI? - Correct Answer - stabilize the spine (c coloar) halo fixator
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