CRRN Certified Rehabilitation Registered Nurse

A rehabilitation nurse is assessing a patient with a new spinal cord injury at T6. Which complication should the nurse monitor for MOST urgently?

• AAutonomic dysreflexia
• BDeep vein thrombosis
• CPressure ulcers
• DUrinary retention

Which functional assessment tool is MOST commonly used to measure a patient's level of independence in activities of daily living in rehabilitation settings?

• AGlasgow Coma Scale
• BFunctional Independence Measure (FIM)
• CBraden Scale
• DMini-Mental State Examination

A patient who had a left hemispheric stroke presents with expressive aphasia. Which communication strategy should the rehabilitation nurse use?

• ASpeak louder and faster to compensate for the language deficit
• BUse simple yes/no questions, visual cues, and allow extra time for responses
• CAvoid communicating directly with the patient and speak only to family members
• DUse complex sentences to stimulate language recovery

Which rehabilitation nursing intervention is MOST effective for preventing deep vein thrombosis (DVT) in an immobilized patient?

• ABed rest with legs elevated above heart level
• BSequential compression devices combined with pharmacological prophylaxis
• CPassive range of motion exercises alone
• DLimiting fluid intake to reduce edema

When developing a patient education plan for a newly injured spinal cord injury patient, which learning principle should the rehabilitation nurse prioritize?

• ACover all material in the first session while the patient is motivated
• BAssess readiness to learn and adjust education to the patient's emotional and cognitive s…
• CUse only written materials to ensure consistency
• DDelay education until discharge to avoid overwhelming the patient

A rehabilitation nurse is caring for a patient with a traumatic brain injury who exhibits agitation and confusion. According to the Rancho Los Amigos Scale, which level BEST describes this behavior?

• ALevel II: Generalized Response
• BLevel IV: Confused-Agitated
• CLevel VI: Confused-Appropriate
• DLevel VIII: Purposeful-Appropriate

Which federal requirement mandates that inpatient rehabilitation facilities hold an interdisciplinary team conference for each patient at least once per week?

• AHIPAA
• BCMS coverage requirements for Inpatient Rehabilitation Facilities
• CAmericans with Disabilities Act
• DJoint Commission Standards

A patient with a C5 spinal cord injury asks about expected functional outcomes. Which activity should the nurse identify as achievable with adaptive equipment?

• AIndependent ambulation with a walker
• BIndependent feeding with adaptive utensils
• CIndependent transfers without any assistive devices
• DIndependent bowel and bladder management without catheterization

Which psychosocial intervention is MOST effective for addressing depression in patients undergoing rehabilitation?

• ATelling the patient to stay positive
• BCognitive behavioral therapy combined with appropriate pharmacotherapy
• CRestricting visitors to reduce stimulation
• DIgnoring emotional concerns to focus on physical recovery

What is the PRIMARY purpose of a bladder retraining program for a patient with neurogenic bladder after spinal cord injury?

• ATo eliminate the need for any catheterization permanently
• BTo establish a predictable voiding pattern and reduce urinary complications
• CTo increase fluid intake to maximum levels
• DTo eliminate all incontinence episodes immediately

A rehabilitation nurse notices a patient's family is overly protective and performing tasks the patient can do independently. Which intervention is MOST appropriate?

• AExclude the family from the rehabilitation process
• BEducate the family about the importance of patient independence and involve them in thera…
• CAllow the family to continue their current behavior to avoid conflict
• DReport the family to social services

Which assessment tool is used to evaluate the severity of a stroke and guide treatment decisions?

• AFIM (Functional Independence Measure)
• BNIH Stroke Scale (NIHSS)
• CBarthel Index
• DBerg Balance Scale

A patient with a right hemispheric stroke exhibits left-sided neglect. Which nursing intervention is MOST effective for addressing this deficit?

• APlacing all items on the patient's right side for convenience
• BApproaching the patient from the left side and placing items on the left to promote aware…
• CCovering the left eye to improve right-sided vision
• DRestricting the patient's movement to prevent falls

Which pain management approach follows the WHO analgesic ladder for chronic pain in rehabilitation patients?

• AStarting with opioids and stepping down to non-opioids
• BStarting with non-opioid analgesics, then weak opioids, then strong opioids as needed
• CUsing only non-pharmacological interventions
• DAdministering pain medication only when pain is severe

What is the PRIMARY role of a rehabilitation nurse in the interdisciplinary team?

• ATo prescribe medications and order diagnostic tests
• BTo coordinate care, provide 24-hour nursing care, and reinforce therapeutic interventions…
• CTo perform physical therapy exercises with the patient
• DTo make discharge decisions independently

A rehabilitation patient with paraplegia is preparing for discharge. Which aspect of continuity of care planning should be addressed FIRST?

• AArranging recreational activities
• BAssessing home accessibility and equipment needs
• CPlanning a vacation schedule
• DSelecting a new primary care physician

Which pressure ulcer prevention strategy is MOST important for a patient with limited mobility in a wheelchair?

• APerforming weight shifts every 15-30 minutes
• BSitting on a donut-shaped cushion
• CKeeping the skin moist at all times
• DUsing a standard foam mattress in the wheelchair