CRRN Musculoskeletal and Orthopedic Rehabilitation 2

Question 1

A patient with osteoporosis is being discharged after a vertebral compression fracture. Which activity instruction is MOST appropriate?

Accepted Answer

Avoid spinal flexion exercises; focus on extension and balance

Answer

Spinal flexion increases anterior vertebral loading and fracture risk in osteoporosis; extension exercises and balance training are the safer rehabilitation approach.

Question 2

Which assessment finding in a patient with a long leg cast MOST warrants immediate notification of the physician?

Accepted Answer

Pallor, pulselessness, and paresthesias distal to the cast

Answer

The 5 Ps (pain, pallor, pulselessness, paresthesias, paralysis) indicate compartment syndrome or neurovascular compromise requiring emergent intervention.

Question 3

A patient with a rotator cuff repair is at 6 weeks post-surgery. Which activity is APPROPRIATE at this stage?

Accepted Answer

Pendulum exercises and passive ROM within prescribed limits

Answer

At 6 weeks post rotator cuff repair, passive ROM and gentle pendulum exercises are typically appropriate while the healing tendon is protected from active resistance.

Question 4

A patient with gout is admitted to the rehabilitation unit with an acute flare. Which nursing intervention is PRIORITY during an acute attack?

Accepted Answer

Rest the affected joint, apply ice, and administer prescribed anti-inflammatory medication

Answer

Acute gout management centers on joint rest, ice application, and anti-inflammatory medications (NSAIDs, colchicine, or corticosteroids) to reduce inflammation.

Question 5

When teaching weight-bearing precautions after a femur fracture, the CRRN distinguishes 'toe-touch weight bearing' (TTWB). Which description is CORRECT?

Accepted Answer

Foot contact for balance only, with minimal weight transfer (approximately 10–15% body weight)

Answer

TTWB (also called touch-down weight bearing) allows only foot contact for balance with minimal weight transfer, protecting fracture or surgical sites during early healing.

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN Musculoskeletal and Orthopedic Rehabilitation 2