CPNRE Rehabilitation and Restorative Nursing

Question 1

A client who had a left-sided stroke is being assisted to transfer from bed to wheelchair. Which side should the wheelchair be positioned on to maximize the client's functional participation?

Accepted Answer

On the right (unaffected) side so the client can use their stronger arm to assist

Answer

On the left (affected) side to encourage use of the weaker limb

Answer

At the foot of the bed to minimize transfer distance

Answer

Position does not matter — a full mechanical lift should always be used post-stroke

Question 2

A PN is assisting a client who uses a standard cane following a right hip replacement. When walking, the cane should be held in which hand and advanced at which time?

Accepted Answer

Left hand; advance the cane simultaneously with the right (affected) leg

Answer

Right hand; advance the cane simultaneously with the right leg

Answer

Right hand; advance the cane before stepping with the left leg

Answer

Left hand; advance the cane after the right leg completes the step

Question 3

A client recovering from a prolonged hospitalization has significant muscle weakness. Which of the following exercises should the PN initiate first?

Accepted Answer

Passive range-of-motion (ROM) exercises

Answer

Resistive weight-bearing exercises

Answer

Active range-of-motion (ROM) exercises

Answer

Isotonic strengthening exercises

Question 4

Which nursing intervention best supports the rehabilitation principle of 'restorative care'?

Accepted Answer

Encouraging the client to do as much as possible for themselves with guidance and support

Answer

Completing tasks for the client to ensure efficiency and reduce fatigue

Answer

Delegating all rehabilitation activities to the physiotherapist

Answer

Restricting activity until the client is fully recovered to prevent injury

Question 5

A client with a spinal cord injury at T6 is at risk for autonomic dysreflexia. A PN notices the client's blood pressure has risen to 178/100 mmHg and the client reports a pounding headache. What is the priority action?

Accepted Answer

Sit the client upright, loosen restrictive clothing, and identify/remove the triggering stimulus

Answer

Administer a prescribed PRN antihypertensive immediately

Answer

Place the client in a supine position and apply a cool cloth to the forehead

Answer

Document findings and notify the physician at the next scheduled check

Question 6

A PN is teaching a client with a below-knee amputation to care for their residual limb. Which instruction is correct?

Accepted Answer

Wrap the residual limb with a figure-eight bandage to shape it for prosthetic fitting

Answer

Soak the residual limb in warm water daily to keep the skin soft and pliable

Answer

Avoid touching the residual limb until the wound is fully healed

Answer

Apply lotion between skin folds daily to prevent maceration