Free Rehabilitation Registered Nurse Certification Questions and Answers — Questions and Answers
Question 1: As opposed to bilevel positive airway pressure (BPAP), which of the following conditions is typically treated with continuous positive airway pressure (CPAP)?
- blurry vision
- unilateral neglect
- bitemporal hemianopsia
- homonymous hemianopsia (Correct answer)
Correct answer: homonymous hemianopsia
CPAP (Continuous Positive Airway Pressure) is a respiratory therapy primarily used to treat conditions like sleep apnea by maintaining an open airway. Homonymous hemianopsia, however, is a visual field defect resulting from neurological damage, such as a stroke. These two conditions are medically unrelated, and CPAP is not a typical treatment for visual impairments, suggesting a potential error in the question or provided answer.
Question 2: What is a patient's best course of nursing action? experiencing physical and/or psychological distress after moving from one setting to another recently?
- past learning difficulties
- knowledge to comprehension to application
- encourage pt's verbalization of feelings (Correct answer)
- encouraging coughing and deep breathing techniques
Correct answer: encourage pt's verbalization of feelings
Patients who have recently moved settings, especially in rehabilitation, often experience anxiety, fear, and a sense of loss or disorientation. Encouraging them to verbalize their feelings provides an outlet for these emotions and helps the nurse understand their specific concerns. This therapeutic communication fosters trust and allows for targeted interventions to address their distress.
Question 3: What kind of living situation offers supervised living for people with comparable disabilities and employees who are on call day and night?
- respite care
- group home (Correct answer)
- nursing home
- half-way house
Correct answer: group home
A group home is specifically designed to provide a supportive, supervised living environment for individuals with similar disabilities who require assistance with daily living activities. These homes typically have staff available around the clock to provide care, supervision, and support, fostering independence while ensuring safety and assistance when needed.
Question 4: The cause of esophageal speech.
- use repetition
- knowledge to comprehension to application
- less likelihood for systemic side effects
- burping to exert pressure and produce vibration (Correct answer)
Correct answer: burping to exert pressure and produce vibration
Esophageal speech is a method of voice production used by individuals who have had their larynx removed (laryngectomy). It involves swallowing air into the esophagus and then expelling it, causing the upper esophageal sphincter to vibrate. This vibration produces a sound that can then be articulated into speech.
Question 5: What is a typical adverse reaction to hyperosmotic tube feedings?
- diarrhea (Correct answer)
- dysphagia
- fatigue
- hypotension
Correct answer: diarrhea
Hyperosmotic tube feedings contain a high concentration of solutes, which can draw water into the gastrointestinal tract. This influx of fluid increases bowel motility and can lead to osmotic diarrhea. This is a common adverse effect, often managed by adjusting the feeding's concentration or rate.
Question 6: At the level of the: motor nerve fibers cross over in the brainstem.
- medulla (Correct answer)
- sacral
- hypothalamus
- refle
Correct answer: medulla
The decussation of the pyramids, where the majority of motor nerve fibers (corticospinal tracts) cross from one side of the brainstem to the opposite side of the spinal cord, occurs in the medulla oblongata. This crossing explains why one side of the brain controls movement on the opposite side of the body.
Question 7: A strong gag reaction means that:
- decreased
- aid in venous return and reduce swelling
- hip flexion contracture
- pharyngeal muscles are constricting (Correct answer)
Correct answer: pharyngeal muscles are constricting
A gag reflex is an involuntary contraction of the pharyngeal muscles, specifically the constrictor muscles of the pharynx. This reflex is a protective mechanism designed to prevent foreign objects from entering the trachea and is triggered by stimulation of the back of the throat or soft palate.
Free Rehabilitation Registered Nurse Certification Questions and Answers
As opposed to bilevel positive airway pressure (BPAP), which of the following conditions is typically treated with continuous positive airway pressure (CPAP)?