CRRN Certified Rehabilitation Registered Nurse MCQ 4 — Questions and Answers
Question 1: A patient with a below-knee amputation is being fitted with a prosthesis. Which nursing instruction regarding residual limb care is most important?
- Soak the residual limb in warm water nightly to maintain skin hydration
- Inspect the residual limb daily for redness, skin breakdown, and changes in shape
- Apply powder inside the prosthetic socket to reduce friction
- Wrap the residual limb with elastic bandage in a figure-of-eight pattern starting distally (Correct answer)
Correct answer: Wrap the residual limb with elastic bandage in a figure-of-eight pattern starting distally
A figure-of-eight elastic wrap applied from distal to proximal shapes the residual limb, controls edema, and prepares it for prosthetic fitting.
Question 2: The Functional Independence Measure (FIM) rates a patient at level 3 for feeding. This means the patient:
- Is independent with feeding using adaptive equipment
- Requires moderate assistance — the helper does 50–74% of the effort
- Requires moderate assistance — the helper does 25–49% of the effort (Correct answer)
- Needs only supervision or setup with no physical assistance
Correct answer: Requires moderate assistance — the helper does 25–49% of the effort
FIM level 3 (Moderate Assistance) means the patient performs 50–74% of the task themselves, with the helper contributing 25–49% of the effort.
Question 3: A patient with rheumatoid arthritis attending rehabilitation asks about joint protection strategies for the hands. The nurse should teach the patient to:
- Use a tight grip and pinch technique for maximum strength
- Use the larger, stronger joints for tasks whenever possible and avoid sustained gripping (Correct answer)
- Perform repetitive resistive hand exercises daily to maintain strength
- Apply heat before all manual activities to improve flexibility
Correct answer: Use the larger, stronger joints for tasks whenever possible and avoid sustained gripping
Joint protection principles in rheumatoid arthritis include using larger joints for load-bearing tasks, avoiding prolonged static positions, and distributing stress across multiple joints.
Question 4: When assessing pain in a rehabilitation patient with severe cognitive impairment who is unable to self-report, the nurse should use:
- Numeric Rating Scale (NRS) with picture cards
- PAINAD (Pain Assessment in Advanced Dementia) scale (Correct answer)
- Wong-Baker FACES Pain Rating Scale
- Visual Analog Scale with verbal prompts
Correct answer: PAINAD (Pain Assessment in Advanced Dementia) scale
The PAINAD scale observes behavioral indicators including breathing, vocalization, facial expression, body language, and consolability to assess pain in non-verbal patients.
Question 5: A patient with C6 tetraplegia is learning to feed themselves. Which adaptive equipment is most appropriate to facilitate independence?
- Built-up handled spoon only
- Universal cuff with utensil holder to compensate for absent grip (Correct answer)
- Weighted fork to reduce tremor-related spilling
- Long-handled spoon for shoulder range of motion deficits
Correct answer: Universal cuff with utensil holder to compensate for absent grip
A universal cuff holds utensils without requiring grip, enabling patients with C6 injuries who have wrist extension but no hand function to feed independently.
Question 6: A patient with a hip replacement is being taught posterior hip precautions. Which instruction is correct?
- Avoid hip flexion beyond 90°, hip adduction past midline, and internal rotation (Correct answer)
- Avoid hip extension, external rotation, and abduction past 45°
- Avoid hip flexion beyond 60° and all rotation for 12 months
- Avoid hip abduction and keep legs together at all times
Correct answer: Avoid hip flexion beyond 90°, hip adduction past midline, and internal rotation
Standard posterior hip precautions after total hip arthroplasty restrict flexion >90°, adduction past neutral, and internal rotation to prevent prosthetic dislocation.
Question 7: Which principle guides the rehabilitation nurse when setting goals with a patient who has a newly acquired disability?
- Goals should be set primarily by the interdisciplinary team based on clinical findings
- Goals should be patient-centered, specific, measurable, and reflect the patient's valued roles and activities (Correct answer)
- Short-term goals should focus exclusively on preventing medical complications
- Long-term goals should always aim for full pre-injury functional status
Correct answer: Goals should be patient-centered, specific, measurable, and reflect the patient's valued roles and activities
Patient-centered, SMART goals grounded in the patient's own priorities and meaningful roles drive motivation, engagement, and relevant functional outcomes in rehabilitation.
CRRN Certified Rehabilitation Registered Nurse MCQ 4
A patient with a below-knee amputation is being fitted with a prosthesis.
Which nursing instruction regarding residual limb care is most important?