Licensed occupational therapists, occupational therapy assistants, physical therapists, and physical therapist assistants who attend all 4 CSRS training days take this examination to earn the Certified Stroke Rehabilitation Specialist credential. This page provides free practice questions written with AI tools to help you review key clinical concepts, understand the test format, and prepare for testing requirements established by Neurorecovery Unlimited, LLC.

CSRS Exam at a Glance

What changed for CSRS in 2026

• Oct 27, 2026: Exam fee changed to $150 certification fee (previously $150 certification fee (the 4-day course costs $900 separately)).^[2]

What the CSRS is and how it works

According to Neurorecovery Unlimited, LLC, “The online exam consists of 100 multiple choice questions from a bank of over 400 questions.”^[1]

The Certified Stroke Rehabilitation Specialist examination, administered by Neurorecovery Unlimited, LLC, certifies licensed healthcare practitioners in stroke management. Eligibility is open to licensed occupational therapists, occupational therapy assistants, physical therapists, and physical therapist assistants who attend all 4 CSRS training courses, consisting of 1 online course and 3 in-person courses. Attendees must sign in and sign out across all training days to receive continuing education credits and sit for the exam.

The test is delivered as an online exam. An email invitation is sent following the completion of training. Candidates face 100 multiple-choice questions selected from a bank of over 400 questions, with a time limit of 3 hours. Scoring requires achieving at least 80% correct to pass. The certification fee is $150. Candidates must take the test within 3 months after completing the Level 4 course. If a candidate does not pass on the first try, 2 attempts are allowed within that 3 months window.

Certification remains valid for 2 years. Renewal requires 16 hours of continuing education specific to stroke rehabilitation and a $100 fee every 2 years. Certificants receive a 60-day grace period, and documentation may be submitted up to 90 days late with a $25 late fee. Continuing education approval rules can vary by state licensing board, so verify local acceptance with your state authority or Neurorecovery Unlimited, LLC.

Worked examples: how to reason through CSRS questions

These are practice questions written for this site, not questions from the real exam. Each explanation shows why the right answer is right and why the others are wrong.

Example 1

Question: Why is goal setting important in multidisciplinary rehabilitation?

1. It confuses the care team.
2. It directs treatment and tracks progress
3. It is only important for physical therapy.
4. It is unnecessary in stroke care.

Answer: B. It directs treatment and tracks progress

Explanation:

Option B is correct because goal setting establishes unified targets across therapies, directing daily interventions and providing clear benchmarks to track recovery progress. Option A is incorrect because clear goals align clinicians rather than confusing them. Option C is incorrect because goal setting involves the entire multidisciplinary team, including occupational therapy and speech therapy, rather than physical therapy alone. Option D is incorrect because rehabilitation requires structured milestones to evaluate recovery. The general rule to remember is that multidisciplinary rehabilitation relies on shared, measurable goals to coordinate care across disciplines and adjust therapeutic interventions effectively.

Example 2

Question: How often should compliance procedures be reviewed and updated?

1. Regularly, and whenever regulations change or new risks are identified
2. Only when an audit is scheduled
3. Once at initial certification and never again
4. Every ten years regardless of changes

Answer: A. Regularly, and whenever regulations change or new risks are identified

Explanation:

Option A is correct because compliance policies require ongoing monitoring alongside immediate revisions whenever relevant regulations change or novel operational risks emerge. Option B is incorrect because waiting for an audit leaves organizations vulnerable to undetected violations and safety issues between inspections. Option C is incorrect because static policies become obsolete as legal standards and clinical requirements evolve. Option D is incorrect because waiting every ten years ignores intermediate statutory updates and procedural improvements. The general rule to remember is that healthcare compliance demands proactive, routine oversight and immediate updates whenever external rules change or internal clinical risks appear.

Example 3

Question: In Certified Stroke Rehabilitation Specialist, how should sensitive documentation & health records be protected?

1. Through role-based access controls, encryption, and compliance with privacy regulations
2. By limiting all access to one person
3. By avoiding digital storage entirely
4. Through password protection alone

Answer: A. Through role-based access controls, encryption, and compliance with privacy regulations

Explanation:

Option A is correct because safeguarding clinical documentation requires a defense-in-depth strategy that combines role-based access permissions, data encryption at rest and in transit, and adherence to legal privacy standards. Option B is incorrect because restricting all access to one person disrupts clinical workflows and prevents multidisciplinary care teams from viewing necessary patient charts. Option C is incorrect because avoiding digital systems is impractical in modern healthcare and does not ensure physical document protection. Option D is incorrect because standalone passwords offer inadequate defense against unauthorized exposure or system breaches without access boundaries and encryption. The general rule to remember is that health record confidentiality demands multilayered administrative, technical, and physical safeguards.

How to use these practice tests

Begin by organizing your notes immediately after concluding your 4 training courses. Because you have 3 months following the conclusion of the seminar series to complete the test, establish a steady study schedule early in that window.

Review foundational topics by working through targeted modules like CSRS Stroke Pathophysiology & Patient Assessment and CSRS Neuroplasticity & Motor Recovery. Follow with practical application sets, including CSRS Rehabilitation Techniques & Therapeutic Interventions and CSRS Multidisciplinary Care Planning & Coordination. Examine every question rationale to understand why correct choices succeed and incorrect options fail.

Before sitting for the actual exam, simulate official conditions. Practice answering 100 questions within a continuous block of 3 hours, aiming to exceed the 80% passing standard. If you encounter difficult topics, cross-reference your training slides and notes before your final attempt.

Sources & last verified

1. Neurorecovery Unlimited, LLC — number of questions, time limit, retake policy (official source). “The online exam consists of 100 multiple choice questions from a bank of over 400 questions.” Verified Oct 27, 2026.
2. Neurorecovery Unlimited, LLC — exam fee, passing score, validity, renewal (official source). “The fee to become certified is $150.” Verified Oct 27, 2026.
3. Neurorecovery Unlimited, LLC — registration opens (official source). “Registration opens: January 12, 2027 8:00 pm EST” Verified Oct 27, 2026.
4. Neurorecovery Unlimited, LLC — registration opens (official source). “Registration opens: March 16, 2027 8:00 pm EST” Verified Oct 27, 2026.

How we verify: editorial & fact-checking policy. Report an error: contact us.