CRRN Pain Management in Rehabilitation Nursing

Question 1

Which pain assessment tool is most appropriate for evaluating pain in a non-verbal adult patient with cognitive impairment in a rehabilitation setting?

Accepted Answer

PAINAD Scale

Answer

The PAINAD (Pain Assessment in Advanced Dementia) scale was specifically designed to assess pain in non-verbal patients who cannot self-report, using behavioral indicators such as breathing, vocalization, facial expression, body language, and consolability.

Question 2

In the PQRST pain assessment mnemonic used in rehabilitation nursing, what does the letter 'P' represent?

Accepted Answer

Precipitating and palliating factors

Answer

In the PQRST mnemonic, 'P' stands for Precipitating and Palliating factors — what makes the pain better or worse — which helps direct both pharmacological and non-pharmacological interventions.

Question 3

A rehabilitation patient describes pain as 'burning, shooting, and electric shock-like' that radiates along the arm following a nerve distribution. This pain is best classified as:

Accepted Answer

Neuropathic pain

Answer

Neuropathic pain arises from damage or dysfunction of the nervous system and is characteristically described as burning, shooting, tingling, or electric shock-like, often following a dermatomal or nerve distribution pattern.

Question 4

A rehabilitation patient with a T6 spinal cord injury suddenly reports a severe pounding headache and diaphoresis above the level of injury along with worsening pain. The nurse's priority action is to:

Accepted Answer

Assess for and eliminate the triggering stimulus for autonomic dysreflexia

Answer

Sudden severe headache with diaphoresis above the level of injury in a patient with SCI at T6 or above is a hallmark presentation of autonomic dysreflexia, a medical emergency requiring immediate identification and removal of the noxious stimulus.

Question 5

Undertreated chronic pain in a rehabilitation patient is most likely to result in which of the following outcomes?

Accepted Answer

Functional decline and development of depression

Answer

Undertreated pain interferes with participation in rehabilitation activities, disrupts sleep, and is strongly associated with depression and functional decline, all of which impede the rehabilitation process.

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN - Certified Rehabilitation Registered Nurse Practice Test

CRRN Pain Management in Rehabilitation Nursing