CRRN TEST (CERTIFICATION TEST)2023-2024 ACTUAL
EXAM 400 QUESTIONS AND CORRECT DETAILED ANSWERS
WITH RATIONALES (VERIFIED ANSWERS) | ALREADY
GRADED A
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. - ANSWER- Storing medications, alcohol
and other harmful substances in a secured area
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. - ANSWER- Controlling the amount of noise,
stimulation and activities occurring during sleep time
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 - ANSWER- Injured in the
course of employment
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 - ANSWER- Paralysis and loss of
proprioception on the same side as the lesion with the loss of pain and temperature
on the other side.
Cognitive, flexibility, motivation, organization and planning are key concepts of:
a. Selective attention
b. Memory
c. Motor learning
d. Executive functioning - ANSWER- Executive functioning
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 - ANSWER- Exercise and conditioning
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 - ANSWER- Providing direct patient care
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. - ANSWER- Quietly converse with them, telling him
what has gone on throughout the day
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 - ANSWER- Is responsible to
ensure achievement of outcomes
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 - ANSWER- Regular and frequent schedule of
cathartic stimulants
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 - ANSWER- Remove stool from the
rectum
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
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