CRRN EXAM 2024 WITH 100% ACCURATE SOLUTIONS, Exams of Nursing

Download CRRN EXAM 2024 WITH 100% ACCURATE SOLUTIONS and more Exams Nursing in PDF only on Docsity!

CRRN EXAM 2024 WITH 100%

ACCURATE SOLUTIONS

Loss of visual fields in the left half of each eye - correct answer✔✔ Left Homonymous hemianopsia is evidenced by: a.Loss of visual fields in the left half of each eye b. Significant right sided neglect c. Loss of visual fields in the nasal half of the left eye d. Spatial perceptual deficits Pocketing of food and wet voice during meals. - correct answer✔✔ Which requires a swallowing evaluation? a. Pocketing of food and wet voice during meals b. Temperature elevation shortly after eating c. Increased thickness of secretions within 30 minutes of drinking milk d. Complaints about quality and taste of food Sensory function is preserved below the level of injury and extends through S4-5 - correct answer✔✔ The chart indicates that your patient has an ASIA B injury at T6-7, which means: a. Motor function is preserved below the level of injury with most muscles a Grade 3 or higher b. Motor function is preserved below the level of injury with most muscles a Grade 3 or below c. There is no sensory or motor function preserved below the level of injury d. Sensory function is preserved below the level of injury and extends through S4- Visual perception - correct answer✔✔ The occipital area of the brain is responsible for: a. Balance and co-ordination b. Perception of time passage c. Visual perception

d. Writing, reading, and math skills Right hemisphere stroke - correct answer✔✔ Which of the following patients is at higher risk for self- injury because of her diagnosis; a. Lacunar infarct b. Basilar artery infarct c. Left hemisphere stroke d. Right hemisphere stroke Establishing a change relationship - correct answer✔✔ In your role as a change agent, you will assist your patient by: a. Establishing a change relationship b. Establishing barriers and assisting the patient in defining his challenges c. Assisting to maintain the status quo d. Functioning as a restrain force to control movement Temporal lobe - correct answer✔✔ Auditory association and the sense of time are associated with the: a. Frontal lobe b. Temporal lobe c. Parietal lobe d. Occipital lobe Consistent time of day associated with the gastrocolic reflex, triggering of reflex emptying with suppositories or digital stimulation - correct answer✔✔ Which bowel program is most appropriate for a patient who has had a spinal cord injury at C5-6: a. Enemas given daily in the morning to prevent incontinence during the day b. Consistent time of day associated with the gastrocolic reflex, triggering of reflex emptying with suppositories or digital stimulation c. Administration of laxatives and suppositories every evening timed within 6 hours of laxative administration

d. Bulk fiber products used to form stool with toileting time at a consistent time of the day associated with the gastro-colic reflex maintenance of continence - correct answer✔✔ Which of the following is NOT a primary goal of a bladder program? a. maintenance of continence b. Preservation of upper urinary tracts c. Prevention of infection d. Establishment of an effective method of emptying the bladder Flushing below the level of the lesion - correct answer✔✔ Which of the following is not generally a symptom of an autonomic dysreflexia? a. Pounding headache b. Flushing below the level of the lesion c. Nasal congestion d. Feeling of apprehension and doom Relaxation of the bladder wall - correct answer✔✔ Sympathetic stimulation of the detrusor results in: a. Relaxation of the bladder neck b. Contraction of the bladder wall c. Relaxation of the bladder wall d. Relation of the external sphincter A high incidence of right side neglect - correct answer✔✔ Expressions of sexuality may be impaired in patients who have had a stroke due to all of the following EXCEPT: a. Communication deficits b. A high incidence of right side neglect c. Depression d. Apraxia

Remove/avoid pressure - correct answer✔✔ The first action is to be taken when a red area is noted is: a. Remove/avoid pressure b. Apply protective lotion c. Massage the area d. Apply a protective dressing Proper and supportive positioning - correct answer✔✔ One of the most important interventions for preventing subluxation of a joint in a flaccid extremity is: a. Proper and supportive positioning b. Aggressive range of motion c. Administration of etidronate disodium (Didronel) d. Weight bearing on the affected extremity Three - correct answer✔✔ The developmental milestone of alternating feet while going up and down stairs is usually achieved at age: a. one b. two c. Three d. Four Difficulty making skilled movements - correct answer✔✔ Apraxia is demonstrated as: a. Severe tremor b. Neglect of the affected side of the body c. Difficulty making skilled movements d. Inappropriate interpretation of sensations Feeding and grooming with specially adapted equipment - correct answer✔✔ A patient with motor and sensory impairment at the C7 level will be independent in: a. Upper and lower extremity dressing b. Ambulation

c. Floor to chair transfers d. Feeding and grooming with specially adapted equipment Storing medications, alcohol and other harmful substances in a secured area - correct answer✔✔ You are assisting the parents of a twelve year old with a brain injury and significant cognitive limitations to prepare for discharge to home. What safety interventions will you include? a. Serving hot food and beverages as soon as possible to improve palatability b. Storing medications, alcohol and other harmful substances in a secured area c. Placing all small appliances in the same location d. Lowering the temperature of the water heater to 140 degrees to avoid accidental burning. Controlling the amount of noise, stimulation and activities occurring during sleep time - correct answer✔✔ Which of the following interventions should be the first to be tried for patients who are evidencing sleep deprivation? a. Administrating sleep medications nightly b. Waking the patient every 3 hours instead of every 2 c. Controlling the amount of noise, stimulation and activities occurring during sleep time d. Assisting the patient through an exercise routine prior to bedtime to increase fatigue. Injured in the course of employment - correct answer✔✔ In order to be eligible for Worker's Compensation, the worker must be: a. Injured in the course of employment b. Able to request claim dollars c. Able to meet the minimum hours worked requirement

d. Signed up with the Worker's Compensation program Paralysis and loss of proprioception on the same side as the lesion with the loss of pain and temperature on the other side. - correct answer✔✔ A patient with Brown-Sequard syndrome will demonstrate: a. Paralysis and loss of proprioception on the same side as the lesion with the loss of pain and temperature on the other side b. Weakness greater in the upper extremities than in the lower c. Loss of proprioception with preservation of other sensory and motor functions d. Paralysis and loss of pain and temperature sensation with preservation of proprioception Executive functioning - correct answer✔✔ Cognitive, flexibility, motivation, organization and planning are key concepts of: a. Selective attention b. Memory c. Motor learning d. Executive functioning Exercise and conditioning - correct answer✔✔ Which of the following is a PRIMARY functioning for management of chronic pain? a. Spinal implants b. Patient administered analgesia c. Exercise and conditioning d. Electrical stimulation Providing direct patient care - correct answer✔✔ A case manager is generally expected to participate in all of the following activities of the patient care EXCEPT:

a. Evaluation of goal achievement b. Discharge planning c. Providing direct patient care d. Assisting the patient/family with coping and adaptation to disability Quietly converse with them, telling him what has gone on throughout the day - correct answer✔✔ While caring for a patient who had a brain injury and is at Rancho Cognitive Level IV, you will instruct the family that the siblings will be most helpful to the patient if they: a. Quietly converse with them, telling him what has gone on throughout the day b. Watch his favorite movies with him, particularly those which are most intense and stimulating c. Challenge him to computer or board games d. Visit in groups of three to four at a time and work hard at cheering him up. Is responsible to ensure achievement of outcomes - correct answer✔✔ According to CARF, the person responsible for coordinating the patient's care: a. Is responsible to ensure achievement of outcomes b. Must be a full-time employee c. Must be trained as a social worker or nurse with discharge planning experience d. Is also accountable to do discharge planning Regular and frequent schedule of cathartic stimulants - correct answer✔✔ Primary factors for establishment of a bowel program include all of the following EXCEPT: a. Establishing a consistent emptying time b. Maintaining appropriate levels of hydration c. Regular and frequent schedule of cathartic stimulants

d. Diet high in bulk and fiber Remove stool from the rectum - correct answer✔✔ Your patient is dysreflexic. You elevate her head, loosen tight clothing, check blood pressure and empty the bladder. The blood pressure continues above 150 mm Hg. Your next step is to: a. Instill lidocaine into the rectum b. Remove stool from the rectum c. Lay the patient flat and elevate the legs d. Administer a short-acting antihypertensive Paresthesia - correct answer✔✔ Which of the following symptoms would make you suspect nerve impairment in a patient who recently had a hip replacement? a. Hot, warm, red area over the joint b. Paresthesia c. Popping noise and alteration in length of leg d. Decrease in popliteal pulse Increasing the patient's endurance for speech - correct answer✔✔ Dysarthria is best managed by: a. Allowing the patient to use an alphabet board or to write/sign communication b. Directing the patient to use full sentences c. Increasing the patient's endurance for speech d. Using gestures and removing distracting stimuli from the environment Loss of consciousness - correct answer✔✔ Damage to the RAS and the cerebral cortex can result in: a. Ataxia b. Blindness c. Loss of consciousness d. Speech difficulties

All of the above - correct answer✔✔ Attitudes towards disability significantly affect: a. The ability to reintegrate into the community b. Return to work and school c. Development of buildings, which are fully accessible and easy for persons with a handicap to use. d. All of the above Encourage him to focus on his current needs and activities while he is waiting on recovery so that he will be in optimum condition throughout the recovery process. - correct answer✔✔ Your patient is setting unrealistic goals regarding his ability to walk and resists planning for equipment needs. The best intervention is to: a. Make the decisions for him and then inform him of the results b. Use a direct approach to assist him to understand his limitations and the impact they will have on his future c. Encourage him to focus on his current needs and activities while he is waiting on recovery so that he will be in optimum condition throughout the recovery process d. Provide concrete information in writing to demonstrate his unrealistic expectations and get him to refocus on appropriate strategies for adaptation. Allows you to clarify his beliefs and enables you to provide appropriate support and contact with resources. - correct answer✔✔ Asking the patient if there are any religious practices that are important to him: a. Is required by Medicare on the admission assessment b. Allows you to clarify his beliefs and enables you to

provide appropriate support and contact with resources c. Is an unethical question and not really any of your business d. Demonstrates your support of his belief system Heterotopic ossifications - correct answer✔✔ Noticing a warm, red area over the hip of a patient who sustained a severe brain injury 4 weeks ago, would make you assess for further systems of: a. Osteoporosis b. Osteoblastemia c. Heterotopic ossifications d. Osteoarthritis Self-responsibility - correct answer✔✔ Which of the following is NOT a key component of hardiness? a. Commitment b. Self-responsibility c. Control d. Challenge Serial casting - correct answer✔✔ Which of the following is NOT used to promote venous return and control swelling in a residual limb? a. Serial casting b. Figure 8 elastic wraps c. Removable rigid dressings d. Stump shrinker Meet the state's eligibility requirements - correct answer✔✔ Medicaid was initiated under title XIX of the Social Security Act of 1965 and provide federal grant to states for medical assistance. In order to be eligible for services, you must: a. Meet federal eligibility requirements

b. Be over 65 years of age c. Participate in Aid to Dependent Children Programs d. Meet the state's eligibility requirements Moisture-reactive occlusive dressing - correct answer✔✔ Which of the following improves wound healing by cleansing and debriding the wound through autolysis and angiogenesis? a. Provide-iodine products b. Moisture-reactive occlusive dressing c. Whirlpool d. Topical agents combined with mechanical debridement Ataxia - correct answer✔✔ Your patient has an evidence of damage in the cerebellum. Which of the following symptoms is evidence of this damage? a. Ataxia b. Apraxia c. Aphasia d. Areflexia Improve bladder contractility and decrease outlet resistance - correct answer✔✔ Cholinergic medications may be given to a patient with bladder dysfunction to: a. Improve bladder contractility and decrease outlet resistance b. Decrease bladder contractility and improve sphincter tone c. Increase urethral and bladder neck resistance d. Relax urethral smooth muscle and decrease sphincter tone

Difficulty accessing toileting facilities due to mobility or environmental problems - correct answer✔✔ Functional incontinence most often results from: a. Upper motor neuron damage b. Lower motor neuron damage c. Peripheral nerve injury or disease d. Difficulty accessing toileting facilities due to mobility or environmental problems Cautious behaviors - correct answer✔✔ Patients with a left hemisphere stroke will frequently demonstrate: a. Impulsive behaviors b. Cautious behaviors c. Severe ataxia d. Spatial deficits Demonstrates ptosis - correct answer✔✔ Damage to the VII cranial nerve is evident in a patient who: a. Cannot wink b. Cannot clench teeth c. Demonstrates ptosis d. Can chew without problems but cannot smile Placing the patient on a special diet that offers crumbly foods, which are easier to chew - correct answer✔✔ The speech therapist notes that your patient is at risk for aspiration secondary to an absent swallow reflex. All of the following interventions are likely to be recommended EXCEPT: bad question?? a. Sitting the patient at 90 degrees with his head flexed slightly forward b. Placing the patient on a special diet that offers crumbly foods, which are easier to chew

c. Controlling the size of the bolus by offering only a ½ teaspoon at a time d. Suggesting that the patient avoid water and drink nectar instead B Thinner, drier, and more prone to blistering and itching - correct answer✔✔ Burn victims must deal with scar tissue that is: a. Thicker, more pliable and less sensitive to temperature changes b. Thinner, drier, and more prone to blistering and itching c. No longer photosensitive d. Moist and prone to yeast infection Full thickness burns - correct answer✔✔ Skin-grafting is required for: a. Full thickness burns b. Partial thickness burns c. Stage 1 burns d. All burns Confide frequently in others. Talking about stresses of the situation will help encourage others to assist and provide respite care opportunities - correct answer✔✔ In order to avoid burnout, the caregiver should: a. Avoid thinking about the warning signs of burnout, focusing on them will make it happen b. Understand that the patient is the first priority and adapt own life around this premise

c. Participate in some form of aerobic exercise for an hour three times per week d. Confide frequently in others. Talking about stresses of the situation will help encourage others to assist and provide respite care opportunities Restricting fluids - correct answer✔✔ Which of the following is NOT a principle of urinary management? a. Identifying and treating any underlying causes of incontinence b. Eliminating functional barriers c. Restricting fluids d. Tailoring the bladder management program to the individual patient Avoiding long periods of time with the head of the bed elevated. - correct answer✔✔ While educating your patient about prevention of skin breakdown, you teach him that all of the following contribute to the development of pressure sores EXCEPT: a. Poor nutrition b. Pressure c. Moisture d. Avoiding long periods of time with the head of the bed elevated. Expressive aphasia - correct answer✔✔ A picture communication board would be most helpful for a patient with: a. Receptive aphasia b. Expressive aphasia c. Global aphasia d. Dysarthria

Pharyngeal phase - correct answer✔✔ The swallowing reflex initiates in the: a. Oral preparatory phase b. Oral phase c. Pharyngeal phase d. Esophageal phase Apraxia - correct answer✔✔ Teaching dysphagia management strategies will be most difficult in a patient demonstrating: a. Neglect b. Apraxia c. Anosodiaphoria d. Asteregnosis Damage from urinary reflex - correct answer✔✔ Radiographic studies and cystometry are regularly performed on patients with spinal cord injuries to evaluate for: a. Development of deep vein thrombosis b. Damage from urinary reflex c. Respiratory tidal volumes and expiratory force d. Orthopedic and Neurologic stability Assist him with the constructive problem solving and the development of a support system - correct answer✔✔ Which of the following is an initial intervention for a patient who is using illicit substances, demonstrating continued dependence on health care providers and has no support system? a. Obtain a guardian for him through the court system b. Assist him with the constructive problem solving and the development of a support

system c. Provide a structured schedule which keeps him busy in therapy and away from illicit substances d. Advise him that he will be dropped from the program if substance abuse continues Constipation - correct answer✔✔ The most common bowel elimination problem is: a. Diarrhea b. Constipation c. Incontinence d. Urgency Environmental or socioeconomic barriers - correct answer✔✔ Persons with disabilities often have a decrease in socialization and recreational activities due to: a. Environmental or socioeconomic barriers b. Legal restrictions c. Changes in roles d. Significant levels of hostility and resentment from others Should be utilized if the patient bottoms out on conventional mattresses or has limited undamaged sides to lay on - correct answer✔✔ Pressure reduction mattresses: a. Decrease workload of the caregiver b. Eliminate the need to turn patients every 2 hours c. Support the patient with pressures greater than capillary pressure d. Should be utilized if the patient bottoms

out on conventional mattresses or has limited undamaged sides to lay on Social Security Act - correct answer✔✔ Which of the following laws passed in 1935 defined rehabilitation? a. First Rehabilitation Act b. Social Security Act c. Vocational Rehabilitation Act d. Architectural Barriers Act Anal sphincters are flaccid and do not retain stool under abdominal pressures - correct answer✔✔ Patient with an autonomous neurogenic bowel may experience incontinence during transfers because: a. Anal sphincters are flaccid and do not retain stool under abdominal pressures b. The rectum will reflexively empty when stool enters it c. This problem is associated with stress incontinence d. Sensation is impaired which limits reflex contraction of the external sphincter Irritability and difficulty remembering - correct answer✔✔ EARLY symptoms of sleep deprivation include: a. Alterations in the perception of time b. Hallucinations c. Elevated pulse and blood pressure d. Irritability and difficulty remembering War - correct answer✔✔ One of the driving forces which has led to dramatic changes in health care and has pushed the development of rehab services over the course of the last two centuries is:

a. War b. Famine c. Depression d. Legislation Frontal Lobe - correct answer✔✔ Which lobe of the brain predominates cognitive processes? a. Frontal lobe b. Temporal lobe c. Parietal lobe d. Occipital lobe Remaining dependent on staff for initiation of activities and problem - correct answer✔✔ Which of the following behaviors would indicate that your patient is demonstrating ineffective coping? a. Problem solving in response to a crisis situation b. Remaining dependent on staff for initiation of activities and problem c. Asking many questions about discharge planning d. Writing down all the information given to the patient and family Maintain neurologic and orthopedic stability d. Prevent complications from immobility - correct answer✔✔ A primary goal of care of a spinal cord injured individual during the first 48 hours is to: a. Prevent postural hypotension b. Manage dependent edema c. Maintain neurologic and orthopedic stability d. Prevent complications from immobility

All of the above - correct answer✔✔ Memory remediation strategies for acquired brain injury include: a. Using a memory book b. Using alarms c. Using a checklist d. All of the above Gestural cues - correct answer✔✔ Patients who demonstrate Wernicke's aphasia are best helped by: a. Written directions b. Melodic intonation c. Encouragement to verbalize d Gestural cues An upper motor neuron lesion - correct answer✔✔ Males with a spinal cord injury may be able to achieve reflexogenic erections if the injury is: a. Below C b. A lower motor neuron lesion c. An upper motor neuron lesion d. In the sacral area Aspiration - correct answer✔✔ Patients receiving tube feedings via a gastrostomy tube are at risk for: a. Hypoglycemia b. Aspiration c. Fluid retention d. Constipation Use partitions and dividers to separate items in drawers, cabinets, and closets. - correct answer✔✔ One compensation strategy which can be used to help a patient with a figure-ground deficit is to: a. Use partitions and dividers to separate items

in drawers, cabinets, and closets b. Verbally frill on familiar objects c. Assist to practice copying diagrams d. Label items using brightly colored tape to code them