CRRN Certified Rehabilitation Registered Nurse MCQ 4

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?

Accepted Answer

Wrap the residual limb with elastic bandage in a figure-of-eight pattern starting distally

Answer

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:

Accepted Answer

Requires moderate assistance — the helper does 25–49% of the effort

Answer

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:

Accepted Answer

Use the larger, stronger joints for tasks whenever possible and avoid sustained gripping

Answer

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:

Accepted Answer

PAINAD (Pain Assessment in Advanced Dementia) scale

Answer

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?

Accepted Answer

Universal cuff with utensil holder to compensate for absent grip

Answer

A universal cuff holds utensils without requiring grip, enabling patients with C6 injuries who have wrist extension but no hand function to feed independently.

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN Certified Rehabilitation Registered Nurse MCQ 4