True or false: A rigid long backboard is intended for prolonged routine hospital care after a patient with suspected spinal cord injury has been transferred.
5 Spinal Cord Injury Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Spinal Cord Injury, test your knowledge, and prepare for your next test or exam.
Complete the statement about serial neurologic assessment: Record and findings in each extremity, then repeat the assessment to detect change.
After a high spinal cord injury, a patient has hypotension, bradycardia, and warm skin. What condition is a likely explanation for this pattern?
After a fall, a patient reports neck pain and tingling in both hands. What is the best immediate approach?
- A
Move the neck through its full range of motion to identify the painful direction.
- B
Maintain spinal alignment, assess airway, breathing, and circulation, and perform a focused neurologic assessment.
- C
Wait for imaging before beginning any assessment.
- D
Ask the patient to walk so you can assess leg function.
A trauma patient is confused, has midline back tenderness, and reports new leg weakness. Select all findings that support using spinal motion restriction.
- A
Confusion or altered mental status
- B
Midline spinal tenderness
- C
Ability to move both arms
- D
New leg weakness
True or false: Neurogenic shock and spinal shock are two names for the same condition.
- A
True
- B
False
A patient with a high spinal cord injury is hypotensive and bradycardic. Besides considering neurogenic shock, what traumatic cause of hypotension must be assessed?
A confused trauma patient has midline back tenderness and new leg weakness. Which action is most appropriate during transfer?
- A
Ask the patient to turn independently to avoid delaying transfer.
- B
Minimize spinal movement and maintain head, neck, and torso alignment with a coordinated transfer.
- C
Remove spinal precautions if the patient can move both arms.
- D
Use a rigid long backboard for all care throughout a prolonged hospital stay.
Complete the statement: After the initial focused neurologic assessment, a comprehensive examination and classification can follow when the patient is .
A patient with suspected acute spinal cord injury develops worsening breathing and low blood pressure. Select all appropriate immediate priorities.
- A
Support oxygenation and ventilation.
- B
Address circulatory instability.
- C
Maintain spinal alignment.
- D
Wait to address breathing until the injury has been classified.
- E
Arrange urgent trauma-team care.
A patient with suspected spinal cord injury is receiving initial trauma care. Which statement best describes when a comprehensive neurologic examination and classification should occur?
- A
Do not assess the patient until a comprehensive classification is complete.
- B
Perform a comprehensive classification before addressing airway, breathing, and circulation.
- C
Address immediate threats and perform a focused neurologic assessment; a comprehensive examination and classification can follow when the patient is stable.
- D
Replace repeat neurologic assessments with a single examination after imaging.
A patient with suspected acute spinal cord injury develops worsening breathing and hypotension. In 2–3 sentences, describe the immediate priorities and explain why the hypotension should not be attributed to neurogenic shock without further assessment.
A trauma patient has spinal tenderness and new leg weakness but can move both arms. Which conclusion is most appropriate?
- A
Remove spinal precautions because arm movement rules out a spinal cord injury.
- B
Maintain appropriate spinal precautions because arm movement does not negate the other concerning findings.
- C
Ask the patient to walk before deciding whether precautions are needed.
- D
Test neck range of motion to determine whether the tenderness is significant.
In a patient with suspected spinal cord injury, which two neurologic assessment domains should be documented in each extremity and reassessed to detect change?
A rigid long backboard may be used to assist with a transfer, but it is not intended for prolonged routine care.
- A
True
- B
False
If a patient with suspected spinal cord injury is not yet stable, when can a comprehensive neurologic examination and classification follow?
A patient with a high spinal cord injury has hypotension, a slow heart rate, and warm skin. Which interpretation is most likely?
- A
Neurogenic shock, while also assessing for other causes of shock
- B
Spinal shock, which is the same condition as neurogenic shock
- C
Autonomic dysreflexia
- D
A normal response that does not require evaluation
A trauma patient with suspected spinal cord injury develops low blood pressure. Which approach best avoids missing a potentially serious cause?
- A
Assume the low blood pressure is neurogenic and stop investigating other causes.
- B
Assess urgently for bleeding and other causes of shock rather than assuming the low blood pressure is neurogenic.
- C
Wait to investigate until the patient's neurologic classification is complete.
- D
Give oral fluids and reassess later.
A patient with suspected acute spinal cord injury develops worsening breathing and low blood pressure. What is the priority?
- A
Classify the spinal cord injury before addressing the breathing and blood pressure changes.
- B
Support airway, breathing, and circulation, maintain spinal alignment, and urgently escalate for trauma-team care.
- C
Give oral fluids and wait to see whether the symptoms improve.
- D
Treat the low blood pressure as neurogenic without investigating other causes.
A trauma patient is confused, has midline back tenderness, and reports new leg weakness. Which action is most appropriate during transfer?
- A
Ask the patient to turn independently.
- B
Minimize spinal movement and maintain head, neck, and torso alignment during a coordinated transfer.
- C
Remove spinal precautions because the patient can move both arms.
- D
Move the patient's neck through its full range of motion.
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