“CRRN” Study Guide: All-In-One Guide + 4 Exam Practice Test (1200 Questions), Latest for “Certified Rehabilitation Registered Nurse (CRRN)”(RNCB)”

16 of 150. A 45-year-old patient diagnosed with Relapsing-Remitting Multiple Sclerosis (RRMS) 12 years ago reports a gradual, steady decline in ambulation and cognitive function over the past 18 months. The patient denies experiencing any distinct acute attacks or new neurological deficits followed by recovery during this period. Based on this clinical presentation, which classification of Multiple Sclerosis does the nurse suspect the patient has transitioned into?

30 of 150. A rehabilitation nurse is developing a fall prevention program for a stroke rehabilitation unit. The nurse identifies a Clinical Practice Guideline (CPG) recommending tai chi, but the facility currently lacks staff trained in this modality. A cross-sectional study suggests that bed alarms are effective, though the CPG advises against them. Which decision best aligns with evidence-based practice principles?

29 of 150. A patient with a right hemisphere stroke and severe impulsive behavior becomes combative during morning hygiene, pushing the nurse away. The patient appears flushed, is grimacing, and is non-verbal. Which action demonstrates the most appropriate de-escalation technique?

28 of 150. A patient admitted for orthopedic rehabilitation has a BMI of 42 kg/m² and requires bariatric equipment for transfers. The medical history lists “Obesity” and “Hypertension.” Which step best ensures the clinical complexity is reflected in the coding data?

27 of 150. A rehabilitation nurse is assessing the surgical incision of a patient 72 hours after a total hip arthroplasty. The incision is approximated with staples, and the nurse notes erythema extending approximately 1 cm from the incision line, slight edema, and warmth. The patient’s body temperature is 99.5°F (37.5°C). Which action is most appropriate based on these findings?

26 of 150. A patient with Multiple Sclerosis (MS) is admitted for rehabilitation. The patient reports a sudden, strong urge to void followed immediately by uncontrolled leakage. Urodynamics confirm detrusor hyperreflexia with spared sphincter coordination. Which pharmacologic intervention should the nurse anticipate to address this storage failure?

25 of 150. A patient with multiple sclerosis is experiencing detrusor hyperreflexia (neurogenic overactive bladder) and is prescribed an anticholinergic medication. How does this pharmacological intervention target the autonomic nervous system to improve bladder function?

24 of 150. A patient with a right hemisphere hemorrhage involving the parietal lobe is being evaluated for transfer safety. The patient consistently leaves the left arm dangling in the wheelchair spokes and eats only food placed on the right side of the tray, despite having intact visual acuity. Which intervention best addresses the underlying neuroanatomical deficit?

23 of 150. A patient with a new body-powered transradial prosthesis reports difficulty operating the terminal device. The patient states, “I have to stretch my arm out completely and twist my body just to get the hook to open a little bit.” The nurse observes the harness and notes the control cable is slack when the patient is in a neutral position. Which intervention should the nurse anticipate to improve the device’s efficiency?

22 of 150. A 32-year-old patient with T4 paraplegia is admitted to the rehabilitation unit. The patient has an indwelling urinary catheter, and the nurse notes the urine is cloudy with sediment and a strong odor. The patient is afebrile, has stable vital signs, and denies suprapubic pain or increased spasticity.

21 of 150. A 65-year-old patient with a history of right hemisphere stroke is admitted for rehabilitation. He experiences focal seizures with impaired awareness (complex partial), characterized by lip-smacking and non-purposeful wandering, but he is currently alert and oriented.

20 of 150. A 30-year-old male sustained a traumatic brain injury (TBI) two years ago and has plateaued in his physical recovery. His partner reports that he has become increasingly withdrawn, irritable, and lacks initiative. Which secondary prevention screening is the priority?

19 of 150. Parents of a 3-year-old with a high-level spinal cord injury seek Medicaid coverage to help with the cost of home ventilators and nursing. The parents’ combined income is significantly above the federal poverty level, disqualifying the family from standard Medicaid. The child meets the clinical criteria for institutional level of care. Which eligibility pathway is most appropriate for this family?

18 of 150. A 72-year-old patient with right-sided hemiparesis and a high fall risk reports lying in bed awake for hours each night. The patient states, “I just watch the news in bed until I eventually drift off.” When implementing stimulus control therapy, which instruction is most appropriate for this patient’s safety and clinical needs?

17 of 150. A patient with cerebral palsy has received botulinum toxin injections every 10 weeks for the past year to manage adductor spasticity. The patient reports that the last two treatments provided significantly shorter durations of relief and less muscle relaxation.

1 of 150. A 28-year-old male with a history of intravenous drug use and a traumatic brain injury is labeled “manipulative” during shift report because he frequently asks for specific staff members. The oncoming nurse decides to set strict limits immediately upon entering the room.

15 of 150. A patient in the acute rehabilitation unit reacts specifically but inconsistently to stimuli. He turns his head toward loud noises, withdraws from painful stimuli, and occasionally follows a command to close his eyes when prompted repeatedly. Based on the Rancho Los Amigos Scale, which nursing action best supports this patient’s cognitive progression?

14 of 150. Rehabilitation in Cognitive Impairment A patient with a severe Traumatic Brain Injury (TBI) is at Rancho Los Amigos Level IV (Confused-Agitated). The patient frequently mouths words but becomes combative when staff cannot understand the requests. The patient is medically stable, tolerates cuff deflation, and has a patent upper airway. Which approach best aligns with rehabilitation goals regarding Passy-Muir Valve (PMV) use?

13 of 150. An older adult patient is being discharged to the care of a son who values high respect for authority figures. During education on fall prevention, the son nods repeatedly and smiles but does not ask questions. The nurse suspects the son is agreeing out of politeness. Which approach best verifies understanding?

12 of 150. A nurse is monitoring a patient with a C4 spinal cord injury who is receiving continuous enteral nutrition via a nasogastric tube. The nurse measures a gastric residual volume (GRV) of 350 mL. The patient denies nausea, the abdomen is soft and non-distended, and bowel sounds are active.

11 of 150. A 22-year-old male with a Traumatic Brain Injury (Rancho Los Amigos Level VIII) and a history of alcohol abuse expresses a desire to rejoin his former softball league. He admits the team frequently drinks alcohol in the dugout during games. What is the most appropriate nursing intervention regarding his community reintegration?

10 of 150. A spinal cord injury unit has collected three months of data regarding patient dissatisfaction, resulting in twelve distinct categories of complaints ranging from food quality to call light response times. The nurse manager aims to focus improvement efforts on the “vital few” issues that account for the majority of complaints to maximize impact with limited resources. Which quality improvement tool is most appropriate for this purpose?

9 of 150. A rehabilitation nurse is admitting a patient with a traumatic brain injury (TBI) and Post-Traumatic Stress Disorder (PTSD) to an inpatient unit. The patient arrives with a dog and states the animal “helps me feel safe” when he becomes overwhelmed. The facility has a strict no-pets policy. To determine if the animal is a service animal under the Americans with Disabilities Act (AD

8 of 150. A 68-year-old patient with right hemiparesis returns to the rehabilitation unit following a hemodialysis session. The patient has a left forearm arteriovenous (AV) fistula. During a transfer from the wheelchair to the bed, the needle site begins to ooze bright red blood. The patient received heparin during dialysis three hours ago. What is the most appropriate initial action?

7 of 150. A patient with advanced Parkinson’s disease exhibits severe choreiform movements (dyskinesia) of the head and neck approximately one hour after taking carbidopa-levodopa. These movements interfere with eating and grooming. Which medication adjustment should the nurse anticipate to manage this symptom without worsening parkinsonism?

6 of 150. A 45-year-old patient with Guillain-Barré syndrome reports severe neuropathic pain. The patient feels nurses are dismissive, lowering scores for “Communication with Nurses.” Which communication strategy best addresses the HCAHPS requirements for courtesy, respect, and listening?

5 of 150. Troubleshooting Air Trapping A patient with a traumatic brain injury has been tolerating a Passy-Muir Valve (PMV) for 15-minute intervals. During a scheduled trial, the patient becomes visibly anxious and tachypneic after 5 minutes. Upon removing the valve, the nurse hears a distinct, prolonged “whoosh” of air releasing from the tracheostomy tube. The patient’s oxygen saturation remained stable at 95% throughout the event. What is the most likely cause of this reaction?

4 of 150. A patient with a mechanical heart valve is admitted to rehabilitation on Warfarin therapy. The patient’s INR is 3.5, and the target range is 2.5–3.5. The patient is eager to start vigorous physical therapy. To comply with The Joint Commission’s National Patient Safety Goal on anticoagulant therapy, which nursing intervention is most critical?

3 of 150. A patient with complex regional pain syndrome (CRPS) Type I in the right hand presents with significant edema, warmth, and shiny skin. The patient requests a hot pack to relieve the deep aching sensation. Which response by the nurse reflects appropriate clinical judgment?

2 of 150. A rehabilitation nurse is developing a discharge plan for a patient with a “present-time” orientation who requires time-sensitive intermittent catheterization. The patient has a history of missing scheduled therapy sessions because “other things came up” and expresses dislike for rigid clock-based schedules. Which teaching strategy is most likely to ensure adherence?