CRRN Neurological Rehabilitation 2

Question 1

A patient with Guillain-Barré syndrome is in the recovery phase. Which nursing priority is MOST important during early mobilization?

Accepted Answer

Monitoring for orthostatic hypotension

Answer

Preventing autonomic dysreflexia

Answer

Managing hyperreflexia

Answer

Preventing spasticity

Question 2

Which outcome is EXPECTED for a patient with a complete C6 spinal cord injury regarding self-care?

Accepted Answer

Ability to perform upper body dressing independently with adaptive equipment

Answer

Complete independence in all ADLs without assistive devices

Answer

Full ambulation with ankle-foot orthoses

Answer

Complete dependence in all self-care activities

Question 3

A rehabilitation nurse is teaching a patient with epilepsy about seizure precautions. Which instruction is MOST important?

Accepted Answer

Never drive until seizure-free per state law guidelines

Answer

Avoid all physical activity to prevent seizures

Answer

Take seizure medications only when feeling a seizure coming on

Answer

Keep a supply of rectal diazepam for all seizure types

Question 4

When assessing a patient with amyotrophic lateral sclerosis (ALS) for aspiration risk, which finding is MOST concerning?

Accepted Answer

Weak cough and wet vocal quality after swallowing

Answer

Increased deep tendon reflexes

Answer

Spastic gait pattern

Answer

Bilateral hand weakness

Question 5

A patient with TBI at Rancho Level IV is agitated and pulling at tubes. Which nursing intervention is MOST appropriate?

Accepted Answer

Use a calm, consistent approach and minimize stimulation

Answer

Apply soft restraints to all four extremities

Answer

Administer high-dose sedatives to reduce agitation

Answer

Transfer the patient to a psychiatric unit

Question 6

Which intervention BEST prevents heterotopic ossification (HO) in a patient with severe TBI?

Accepted Answer

Administer prophylactic indomethacin and maintain gentle ROM

Answer

Restrict passive range of motion exercises

Answer

Apply heat to joints with early signs of HO

Answer

Encourage early forceful stretching of stiff joints