Spinal Cord Injury Quiz: Levels & Nursing Care

1. Which spinal cord region contains the most nerve roots and controls lower body and pelvic functions?

Cervical

Thoracic

Lumbar and Sacral

Coccygeal

2. A patient with C5 tetraplegia typically retains which motor function?

Hand grip and wrist extension

Shoulder and elbow flexion

Full upper limb control

Trunk and abdominal control

3. What is the primary difference between a complete and incomplete spinal cord injury?

Complete injuries are always fatal

Incomplete injuries preserve some sensory or motor function below the level of injury

Complete injuries affect only one side of the cord

Incomplete injuries occur only in the cervical region

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5. Which syndrome results from incomplete spinal cord injury affecting the anterior two-thirds of the cord?

Brown-Séquard syndrome

Central cord syndrome

Anterior cord syndrome

Posterior cord syndrome

6. In the acute phase of spinal cord injury, what is the primary goal of nursing care?

Maximize functional recovery

Stabilize the spine and prevent secondary injury

Begin intensive rehabilitation

Discharge the patient early

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8. Which complication is most common in patients with high cervical injuries (C1-C4)?

Respiratory failure requiring mechanical ventilation

Permanent loss of bowel function

Complete paralysis of lower extremities only

Sensory loss in the arms only

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10. Which nursing intervention is essential to prevent skin breakdown in immobilized SCI patients?

Frequent repositioning and pressure relief

Applying plastic wrap to skin

Limiting fluid intake

Avoiding catheterization

11. The ASIA Impairment Scale (AIS) grades SCI severity from A (complete) to E. What does grade C indicate?

Normal neurological function

Incomplete injury with motor function preserved below the level

Complete loss of all function

Partial recovery of function

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13. Which assessment tool is used to determine the neurological level and completeness of spinal cord injury?

Glasgow Coma Scale

ASIA Impairment Scale

Braden Scale

Morse Fall Scale

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Spinal Cord Injury Quiz: Levels & Nursing Care

1. Which spinal cord region contains the most nerve roots and controls lower body and pelvic functions?

2.

What first name or nickname would you like us to use?

2. A patient with C5 tetraplegia typically retains which motor function?

3. What is the primary difference between a complete and incomplete spinal cord injury?

4. Spinal cord injuries at the T1-L5 level result in ____.

5. Which syndrome results from incomplete spinal cord injury affecting the anterior two-thirds of the cord?

6. In the acute phase of spinal cord injury, what is the primary goal of nursing care?

7. High-dose methylprednisolone in acute SCI is administered to reduce ____.

8. Which complication is most common in patients with high cervical injuries (C1-C4)?

9. Autonomic dysreflexia in SCI patients is triggered by stimuli below the level of injury and manifests as ____.

10. Which nursing intervention is essential to prevent skin breakdown in immobilized SCI patients?

11. The ASIA Impairment Scale (AIS) grades SCI severity from A (complete) to E. What does grade C indicate?

12. Neurogenic bowel dysfunction in SCI requires management strategies including digital stimulation and ____.

13. Which assessment tool is used to determine the neurological level and completeness of spinal cord injury?

14. Long-term complications of spinal cord injury include chronic pain, contractures, and ____.

15. Rehabilitation goals for SCI patients prioritize independence in activities of daily living (ADLs) and ____.