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CRRN : RNCB Certified Rehabilitation Registered Nurse Exam

Nursing CRRN Questions & Answers

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Certified Rehabilitation Registered Nurse


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Question: 1469


Which of the following lab results would most likely indicate a patient is at risk for developing dysphagia due to electrolyte imbalance?


  1. Elevated sodium levels

  2. Low magnesium levels

    rmal calcium levels er: B

    nation: Low magnesium levels can lead to neuromuscular dysfunction, which may increase t phagia due to impaired swallowing coordination.


    ion: 1470


    ontext of behavior management, what is the primary objective when implementing a structu ention plan for a patient with aggressive tendencies?


    ontrol the patient's behavior through restrictive measures nsure staff safety above all else

    romote the patient's ability to self-regulate their emotions inimize the need for verbal communication with the patient


    er: C


    nation: The primary objective is to promote the patient’s ability to self-regulate their emotion ng a more therapeutic and safe environment for rehabilitation.

    High bicarbonate levels

  3. No


Answ


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  3. To p

  4. To m Answ

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Question: 1471


Post-Traumatic Stress Disorder (PTSD) can manifest in various ways. Which of the following symptoms is considered a hallmark of PTSD, particularly in relation to re-experiencing the trauma?


  1. Intense fear during new experiences unrelated to the trauma.

  2. Recurrent, involuntary, and intrusive distressing memories of the traumatic event.

  3. Persistent avoidance of reminders associated with the trauma.

  4. Generalized anxiety about future threats unrelated to past trauma. Answer: B

Explanation: Recurrent, involuntary, and intrusive memories of the traumatic event are hallmark symptoms of PTSD, indicating a strong re-experiencing of the trauma.


Question: 1472


of the Rehabilitation Act, which of the following practices should a rehabilitation nurse ment to ensure compliance with Section 504 regarding patients with disabilities?


viding access to rehabilitation services only to individuals who can demonstrate a need for t miting accommodations to physical changes in the environment without considering educatio ments.

uring that all patients, regardless of disability status, have equal access to programs and serv quiring individuals with disabilities to provide additional documentation to access services.


er: C


nation: Section 504 of the Rehabilitation Act mandates that individuals with disabilities have to services and programs, ensuring non-discrimination in rehabilitation settings.


ion: 1473


statement best reflects the rationale behind using an elimination diary in the management of with bowel dysfunction?


llows for the identification of medications that cause constipation. erves as a legal document for treatment verification.

rovides a visual representation of bowel habits over time. primarily used to track dietary intake.

In light imple


  1. Pro hem.

  2. Li nal

    adjust

  3. Ens ices.

  4. Re


Answ


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access


Quest


Which patients


  1. It a

  2. It s

  3. It p

  4. It is Answer: C

Explanation: An elimination diary offers a visual representation of bowel habits over time, which can help healthcare providers and patients identify patterns, triggers, and areas for intervention in bowel management.


Question: 1474

A 65-year-old patient presents with expressive aphasia following a stroke. During your assessment, he struggles to communicate his needs effectively, often using gestures. Which intervention is most appropriate to facilitate his communication?


  1. Encourage the use of written notes for communication

  2. Implement a speech-generating device

  3. Use a picture board to enhance understanding


    nation: A speech-generating device can help the patient express himself more effectively, nsating for his expressive aphasia and promoting communication.


    ion: 1475


    erapeutic session, a nurse uses reflective listening to help a patient articulate feelings of stres of the following techniques best exemplifies this approach?


    hy do you think you feel this way?"

    ou should try to manage your time better."

    ounds like you're feeling overwhelmed by your responsibilities." ave you considered taking a break?"


    er: C


    nation: Reflective listening involves paraphrasing and validating the patient's feelings, which the therapeutic relationship and encourages further exploration.


    ion: 1476

    Focus on auditory comprehension assessments Answer: B

Expla compe


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Quest


In a patient with diabetes who is also undergoing rehabilitation, what is the most important dietary consideration to help manage their condition effectively?


  1. Frequent high-sugar snacks

  2. Balanced meals with controlled carbohydrate intake

  3. Elimination of all carbohydrates

  4. High-fat diet to control blood sugar levels Answer: B

Explanation: Balanced meals with controlled carbohydrate intake are essential for managing diabetes effectively, helping to maintain stable blood glucose levels.


Question: 1477



vide a detailed manual for the device edule regular reminders via phone calls

nduct a weekly review of device functionality a visual cue system to prompt device use


er: D


nation: A visual cue system can serve as a constant reminder for the patient to use their perso se device, improving adherence.


ion: 1478


naging a patient with chronic pain on long-term opioid therapy, which of the following entions is vital to prevent the development of tolerance and dependence?


orporating multimodal pain management strategies gularly scheduling opioid doses

reasing the opioid dosage frequently miting patient assessment of pain levels


er: A

A rehabilitation nurse is evaluating a patient with severe cognitive deficits who often forgets to use their personal response device. What method can the nurse implement to improve adherence to using this device?


  1. Pro

  2. Sch

  3. Co

  4. Use Answ

Expla nal

respon


Quest


In ma interv


  1. Inc

  2. Re

  3. Inc

  4. Li


Answ


Explanation: Multimodal pain management strategies, including physical therapy and non-opioid medications, can prevent tolerance and dependence by providing comprehensive pain relief.


Question: 1479


A 65-year-old patient with a stroke is admitted to a rehabilitation facility. The interdisciplinary team is tasked with establishing achievable goals for the patient’s rehabilitation. Which of the following is the most appropriate initial goal for this patient based on the principles of rehabilitation nursing?

  1. Achieving full independence in all activities of daily living (ADLs) within two weeks

  2. Improving mobility to the point where the patient can transfer from bed to wheelchair with minimal assistance

  3. Returning home with a complete recovery of speech and cognitive function

  4. Attending a support group for stroke survivors three times a week Answer: B

ehabilitation principles and promotes gradual progress.


ion: 1480


atient-centered approach, which complementary alternative medicine (CAM) modality is mos o enhance a patient's self-efficacy in managing chronic pain?


upuncture ded imagery omatherapy

rbal supplements er: B

nation: Guided imagery can empower patients by enhancing their sense of control over pain ement, thus improving self-efficacy.


ion: 1481


valuating the impact of staffing patterns in rehabilitation settings, which of the following fa be prioritized to enhance patient outcomes?

Explanation: The initial goal for a stroke patient should focus on improving mobility and functional independence. Setting realistic and specific goals, such as transferring with minimal assistance, aligns with r


Quest


In a p t

likely t


  1. Ac

  2. Gui

  3. Ar

  4. He

Answ Expla

manag


Quest


When e ctors

should


  1. The qualifications and training of staff members in rehabilitation practices.

  2. The total number of staff employed in the facility.

  3. The geographical location of the facility.

  4. The staff's ability to work long hours without breaks. Answer: A

Explanation: The qualifications and training of staff members in rehabilitation practices are critical factors that directly influence patient outcomes, as skilled and knowledgeable staff can provide high-

quality care tailored to individual patient needs.


Question: 1482


A nurse is assessing a patient with a history of seizures who wears a helmet as a precaution. What additional safety strategy should the nurse recommend to minimize risks associated with potential falls or injuries?


alling padding on furniture edges couraging independence in movement miting the patient's mobility


er: B


nation: Installing padding on furniture edges can help prevent injuries in case of falls, ementing the use of a helmet.


ion: 1483


bilitation facility is preparing for an audit regarding documentation practices. Which of the ing practices should be emphasized to ensure compliance with regulatory standards?


intaining a separate log for verbal orders

ng electronic health records with automatic updates ying on summary reports for overall patient care

suring that all patient interactions are documented comprehensively er: D

nation: Comprehensive documentation of all patient interactions is critical for compliance an es a complete picture of care, which is essential during audits.

  • Avoiding all physical activity

  • Inst

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  • Li

    • Answ Expla

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    Question: 1484


    In a patient with advanced dementia, which of the following approaches is most effective in promoting safe swallowing during mealtimes?


    1. Encouraging the patient to eat independently

    2. Using adaptive utensils for easier handling

    3. Allowing the patient to choose food textures

    4. Serving meals in a dimly lit environment Answer: B

    Explanation: Using adaptive utensils can help promote independence and safety during mealtimes, facilitating better control over food intake and reducing the risk of aspiration.



    el events are critical incidents that require immediate investigation. Which of the following m tely describes a sentinel event according to the National Patient Safety Goals?


    hospital-acquired infection

    nexpected occurrence involving death or serious physical or psychological injury inor medication error that does not cause harm

    atient complaint regarding facility cleanliness er: B

    nation: Sentinel events involve unexpected occurrences that result in death or serious harm, itating immediate response and investigation to prevent future incidents.


    ion: 1486


    ding to Rogers' Science of Unitary Human Beings, which principle is central to understandin approach in rehabilitation nursing?


    importance of environmental control focus on physiological assessments concept of energy field interactions hierarchy of needs in patient care

    Question: 1485


    Sentin ost

    accura


    1. Any

    2. An u

    3. A m

    4. A p

    Answ Expla

    necess


    Quest


    Accor g the

    holistic


    1. The

    2. The

    3. The

    4. The Answer: C

    Explanation: Rogers’ theory emphasizes the energy field interactions between the patient and their environment, advocating for a holistic approach that considers the patient’s overall well-being in rehabilitation.


    Question: 1487

    The Americans with Disabilities Act (ADA) defines disability broadly. Which of the following conditions would be classified as a disability under the ADA?


    1. A temporary injury that fully resolves within six months

    2. A chronic condition that limits a major life activity

    3. A condition that only affects work performance but not daily living

    4. An individual’s perceived disability without a medical diagnosis Answer: B

    nation: The ADA classifies a chronic condition that limits a major life activity as a disability, less of its permanence.


    ion: 1488


    hing patients about the prevention of complications associated with urinary catheters, which ing patient statements reflects an accurate understanding of proper catheter care?


    hould clean my catheter daily and report any signs of infection." an change my catheter as often as I like."

    okay to use any soap to clean the area."

    an leave my catheter in for months without any issues." er: A

    nation: Cleaning the catheter daily and being vigilant for signs of infection are critical compo heter care, which help prevent urinary tract infections and other complications associated wit atheter use.


    ion: 1489

    Expla regard


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    Quest


    When considering infection control practices, what is the significance of contact precautions in a rehabilitation setting?


    1. They help prevent the spread of infections associated with direct patient contact

    2. They should be applied universally to all patients without exception

    3. They are necessary only for patients with visible infections

    4. They are primarily focused on protecting healthcare providers without regard for patient safety Answer: A

    Explanation: Contact precautions are critical for preventing the transmission of infections that can spread through direct contact, ensuring the safety of both patients and healthcare providers.


    Question: 1490


    Neuman's Systems Model is particularly useful in rehabilitation nursing because it addresses various stressors. Which of the following statements best captures the essence of this model in a rehabilitation context?


    ocuses solely on physical recovery.

    primarily concerned with acute care settings.

    ntegrates psychological, social, and environmental factors. mphasizes the nurse's role in medication management.


    er: C


    nation: Neuman's Systems Model considers the patient as a whole and integrates multiple fac ological, social, and environmental) that can impact the rehabilitation process.


    ion: 1491


    ontext of clinical practice guidelines, which of the following statements most accurately ref portance of evidence-based practice in rehabilitation nursing, particularly in reducing variabi outcomes?


    nical practice guidelines derived from evidence-based research help standardize care and imp mes.

    dence-based practice primarily focuses on patient satisfaction rather than clinical outcomes. use of evidence-based practice is limited to acute care settings and does not apply to litation nursing.

    dence-based practice is solely concerned with the cost-effectiveness of rehabilitation interve

  • It f

  • It is

  • It i

  • It e Answ

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    Quest


    In the c lects

    the im lity in

    patient


    1. Cli rove

      outco

    2. Evi

    3. The rehabi

    4. Evi ntions.


    Answer: A


    Explanation: Evidence-based practice integrates the best available research with clinical expertise and patient values to guide healthcare decisions. This standardization helps reduce variability in patient outcomes by providing a consistent framework for care.


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