Spinal Cord Injury NCLEX Quiz Questions And Answers
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Have fun learning time with this Spinal cord injury quiz. The spinal cord is one of the most important parts of the human body that is regularly used on a daily basis. The cord basically controls and handles the whole body together. This quiz will help you find out how much you know about spinal cord injury. Give your best and get a good score. Best of luck to you with this quiz!
- 1.Regarding UMN and LMN signs, which of the following is true?
- A.
UMN signs at and below level of lesion
- B.
LMN at level, UMN below
- C.
UMN at level, LMN below
- D.
LMN signs at and below level of lesion
- 2.What is the most common clinical cord syndrome in incomplete injuries?
- A.
Anterior Cord
- B.
Central Cord
- C.
Posterior Cord
- D.
Cauda Equina
- E.
Brown Sequard
- 3.Which of the following is not true regarding anterior cord syndrome?
- A.
Loss of motor below level
- B.
Loss of proprioception/vibration
- C.
Loss of pain and temp
- D.
Flexion injury
- 4.Which of the following is NOT a sign/symptom of AD?
- A.
Severe, pounding headache
- B.
Hypertension
- C.
Dilated pupils
- D.
Bradycardia
- E.
Profuse sweating/flushing above lesion level
- 5.Which all of these are possible, which is the most common cause of AD:
- A.
Bladder distention
- B.
Bowel distention
- C.
UTI
- D.
Noxious cutaneous stimuli (i.e. ingrown toenail)
- 6.Which is true of bulbocavernosus reflex?
- A.
Mediated by S1-3
- B.
Is only present during spinal shock
- C.
Would never be checked by physical therapist
- D.
Elicited by pressure on anal sphincter
- E.
Is negative if contraction of anal sphincter occurs
- 7.Which of the following is NOT required by ASIA standards?
- A.
Sharp/dull
- B.
Light touch
- C.
Deep anal sensation (S4-5)
- D.
Proprioception
- 8.You are completing the sensory exam on the ASIA. Pt. can tell between sharp and dull in the C5 dermatome, but says it feels difference than the reference point. What would you score them? What is the reference point?
- A.
0; forehead
- B.
1; forehead
- C.
2; cheek
- D.
1; cheek
- 9.Mr. Johnson is a C6 complete tetraplegia and you are instructing him on positioning. What would be important to emphasize during his rehabilitation process?
- A.
Using UE as a hook.
- B.
Keeping long finger flexors tight for tenodesis.
- C.
Head hips relationship.
- D.
All of the above.
- 10.In order to be considered the motor level of that patient, which statement is NOT true?
- A.
Must be 3 or above
- B.
Rostral segment must be normal (5)
- C.
There may be a different motor level on each side of the body
- D.
Must be 3 or below
- 11.Josh is a neuro level C6, but has deep anal sensation. However, Josh has motor below C6 and more than half of the muscles grade 3 or below. What is Josh on ASIA impairment scale?
- A.
A
- B.
B
- C.
C
- D.
D
- E.
E
- 12.Clara has an incomplete spinal cord injury. She has sensory, but no motor, below the level of impairment. What is Clara?
- A.
ASIA A
- B.
ASIA B
- C.
ASIA C
- D.
ASIA D
- E.
ASIA E
- 13.You are testing the key muscle for L2 on Pete. Pete can move through full ROM against gravity and can hold against minimal resistance. What grade would you give Pete?
- A.
0
- B.
1
- C.
5
- D.
3
- E.
4
- 14.What is the key muscle group for L2?
- A.
Hip flexors
- B.
Knee extensors
- C.
Ankle DFs
- D.
Ankle Pfs
- 15.You now test Pete at L4. Pete can move through full range in the gravity eliminated position, but can not hold against resistance. Grade him.
- A.
0
- B.
1
- C.
2
- D.
3
- E.
4
- 16.Which of the following may trigger spasticity?
- A.
Environment
- B.
Stress
- C.
UTI
- D.
Impaction
- E.
All of the above
- 17.What is NOT true regarding ROM in a patient with SCI?
- A.
Low back tightness is desirable
- B.
Need 100-110* of hamstring length
- C.
Stretching long finger flexors is important
- D.
Shoulders must be hypermobile, but monitored for overuse injuries
- 18.Which of the following is the appropriate w/c stroke?
- A.
Arc
- B.
Double-arc
- C.
Semicircular
- D.
Loop
- 19.The conus medullaris is located at _____. Lesions above this often result in a (spastic/flaccid) bladder.
- A.
S1-3; spastic
- B.
S1-3; flaccid
- C.
S2-4; spastic
- D.
S2-4; flaccid
- 20.During spinal shock the bladder is ____. If the patient had this type of bladder, how would they be instructed on emptying?
- A.
Flaccid, Valsalva or Crede manuever
- B.
Flaccid, manual stimulation
- C.
Spastic, Valsalva or Crede manuever
- D.
Flaccid, manual stimulation
- 21.What is the functionally revelant muscle at C4?
- A.
Neck muscles
- B.
Diaphragm
- C.
Biceps
- D.
Triceps
- 22.At what level would we begin to expect independent transfers and independent self-care?
- A.
C5
- B.
C6
- C.
C7-8
- D.
T1-9
- 23.At what level do we have fully intact intercostals?
- A.
T1-5
- B.
T10-L1
- C.
L2
- D.
T4-9
- 24.What's the important of teaching a wheelie?
- A.
Pressure relief
- B.
Uneven terrains
- C.
Ramps
- D.
Turns
- E.
All of these
- 25.If you were to have an L3 motor level and L2 sensory level, what would the neuro level be?
- A.
L2
- B.
L3
- C.
L1
- D.
L4
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