CRRN Certified Rehabilitation Registered Nurse 2

Question 1

A patient with a T6 spinal cord injury suddenly develops a pounding headache, hypertension (BP 180/100), and profuse sweating above the level of injury. What is the priority nursing action?

Accepted Answer

Sit the patient upright and identify the triggering stimulus

Answer

Autonomic dysreflexia requires immediately sitting the patient upright (to lower BP via orthostasis) and removing the noxious stimulus, most commonly a full bladder or bowel.

Question 2

When educating a patient with a new stroke about dysphagia precautions, which food consistency is typically SAFEST to introduce first?

Accepted Answer

Nectar-thick liquids

Answer

Nectar-thick liquids are commonly the safest starting consistency for dysphagic stroke patients because they move more slowly and allow more time to trigger the swallow reflex.

Question 3

A rehabilitation nurse is assessing a patient who had a right-hemisphere stroke. Which deficit is MOST characteristic of right-hemisphere damage?

Accepted Answer

Left-sided neglect and impulsive behavior

Answer

Right-hemisphere strokes commonly cause left-sided neglect, poor safety judgment, and impulsive behavior, while left-hemisphere strokes more commonly cause aphasia.

Question 4

A patient with a complete C5 spinal cord injury is being taught tenodesis grasp. What is the functional goal of this technique?

Accepted Answer

Using wrist extension to passively close the fingers for functional grip

Answer

Tenodesis uses the biomechanical relationship between wrist extension and passive finger flexion, allowing C5-C6 patients to grasp objects without intact hand musculature.

Question 5

Which pressure injury stage is characterized by full-thickness skin and tissue loss with exposed or directly palpable fascia, muscle, tendon, ligament, cartilage, or bone?

Accepted Answer

Stage 4

Answer

Stage 4 pressure injuries involve full-thickness loss with visible or directly palpable underlying structures such as fascia, muscle, tendon, bone, or cartilage.

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN Certified Rehabilitation Registered Nurse 2