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CRRN TEST 1 (CERTIFICATION TEST)
ACTUAL NEWEST EXAM 200
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALE | LATEST 2026-2027 |
ALREADY A GRADED | NEW AND
REVISED
1. A 68-year-old patient with a recent ischemic stroke
presents with left-sided hemiplegia and difficulty
swallowing. Which nursing intervention should be
prioritized?
A. Encourage full liquid diet immediately
B. Initiate passive range-of-motion exercises
C. Consult a speech-language pathologist for
swallowing assessment
D. Restrict all oral intake indefinitely
Rationale: Early assessment by a speech-language
pathologist is critical to prevent aspiration and guide safe
nutrition and hydration.
2. Which of the following best reflects the primary goal of
rehabilitation nursing?
A. Cure the underlying disease
B. Maximize patient independence and quality of life
C. Focus solely on physical recovery
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D. Minimize nursing interventions to reduce cost
Rationale: Rehabilitation nursing emphasizes restoring
function, promoting independence, and improving quality
of life, rather than curing the disease.
3. A patient with a spinal cord injury reports severe
neuropathic pain. Which intervention is most appropriate to
include in the care plan?
A. Increase activity levels rapidly
B. Administer prescribed gabapentin and evaluate
effectiveness
C. Ignore pain as part of expected recovery
D. Apply ice to the affected area only
Rationale: Neuropathic pain is common after SCI, and
medications like gabapentin are evidence-based
interventions. Non-pharmacologic approaches may
complement therapy.
4. A patient recovering from a total hip replacement
demonstrates hip flexion beyond 90 degrees. Which is the
best nursing action?
A. Assist the patient to continue exercises independently
B. Instruct the patient on hip precautions to prevent
dislocation
C. Ignore since mobility is improving
D. Encourage standing without support
Rationale: Hip precautions (limiting flexion >90°) are
critical to prevent prosthesis dislocation.
5. Which statement demonstrates ethical nursing practice in
rehabilitation?
A. Providing therapy only to patients who can fully recover
B. Sharing patient information with unauthorized family
members
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C. Respecting patient autonomy when planning
interventions
D. Ignoring patient preferences for the sake of efficiency
Rationale: Ethical practice requires respecting patient
autonomy and involving patients in care decisions.
6. During a home visit, the nurse notices clutter that increases
fall risk for a patient recovering from stroke. What is the
best intervention?
A. Leave the patient to rearrange the environment
B. Tell the patient to move furniture without guidance
C. Collaborate with the patient and family to reduce
hazards
D. Remove all personal belongings to reduce risk
Rationale: Collaboration and education are key to
promoting safety while respecting patient autonomy.
7. Which patient would most benefit from an interdisciplinary
rehabilitation team?
A. A patient with mild seasonal allergies
B. A patient post-traumatic brain injury with cognitive
and mobility deficits
C. A patient with uncomplicated hypertension
D. A patient recovering from a minor laceration
Rationale: Complex cases involving multiple functional
deficits require interdisciplinary input for comprehensive
care.
8. A patient with chronic traumatic brain injury demonstrates
emotional lability. What is the most appropriate nursing
response?
A. Ignore the behavior and continue therapy
B. Provide consistent emotional support and coping
strategies
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C. Restrict social interactions to prevent outbursts
D. Administer sedatives routinely
Rationale: Emotional support, consistency, and coping
strategies are evidence-based interventions for managing
post-TBI emotional changes.
9. The nurse is planning discharge for a patient with
hemiplegia. Which outcome is most appropriate?
A. Patient will walk without assistance within 24 hours
B. Patient and caregiver will demonstrate safe transfer
techniques before discharge
C. Patient will achieve full independence immediately
D. Patient will require hospitalization indefinitely
Rationale: Safety and caregiver education are critical for
reducing readmission and promoting independence.
10. A rehabilitation nurse is advocating for a patient with
multiple sclerosis who is experiencing fatigue. Which
intervention is evidence-based?
A. Encourage maximum activity regardless of fatigue
B. Restrict all physical activity
C. Schedule therapy sessions during peak energy
periods
D. Ignore fatigue as a symptom
Rationale: Energy conservation and activity scheduling are
evidence-based interventions to manage MS-related
fatigue.
11. A patient with a new tracheostomy is anxious and
struggling with communication. Which action should the
nurse take first?
A. Ignore communication difficulties
B. Provide alternative communication methods (e.g.,
communication board)
CRRN TEST 1 (CERTIFICATION TEST)
ACTUAL NEWEST EXAM 200
QUESTIONS AND VERIFIED ANSWERS
WITH RATIONALE | LATEST 2026-2027 |
ALREADY A GRADED | NEW AND
REVISED
1. A 68-year-old patient with a recent ischemic stroke
presents with left-sided hemiplegia and difficulty
swallowing. Which nursing intervention should be
prioritized?
A. Encourage full liquid diet immediately
B. Initiate passive range-of-motion exercises
C. Consult a speech-language pathologist for
swallowing assessment
D. Restrict all oral intake indefinitely
Rationale: Early assessment by a speech-language
pathologist is critical to prevent aspiration and guide safe
nutrition and hydration.
2. Which of the following best reflects the primary goal of
rehabilitation nursing?
A. Cure the underlying disease
B. Maximize patient independence and quality of life
C. Focus solely on physical recovery
,2|Page
D. Minimize nursing interventions to reduce cost
Rationale: Rehabilitation nursing emphasizes restoring
function, promoting independence, and improving quality
of life, rather than curing the disease.
3. A patient with a spinal cord injury reports severe
neuropathic pain. Which intervention is most appropriate to
include in the care plan?
A. Increase activity levels rapidly
B. Administer prescribed gabapentin and evaluate
effectiveness
C. Ignore pain as part of expected recovery
D. Apply ice to the affected area only
Rationale: Neuropathic pain is common after SCI, and
medications like gabapentin are evidence-based
interventions. Non-pharmacologic approaches may
complement therapy.
4. A patient recovering from a total hip replacement
demonstrates hip flexion beyond 90 degrees. Which is the
best nursing action?
A. Assist the patient to continue exercises independently
B. Instruct the patient on hip precautions to prevent
dislocation
C. Ignore since mobility is improving
D. Encourage standing without support
Rationale: Hip precautions (limiting flexion >90°) are
critical to prevent prosthesis dislocation.
5. Which statement demonstrates ethical nursing practice in
rehabilitation?
A. Providing therapy only to patients who can fully recover
B. Sharing patient information with unauthorized family
members
,3|Page
C. Respecting patient autonomy when planning
interventions
D. Ignoring patient preferences for the sake of efficiency
Rationale: Ethical practice requires respecting patient
autonomy and involving patients in care decisions.
6. During a home visit, the nurse notices clutter that increases
fall risk for a patient recovering from stroke. What is the
best intervention?
A. Leave the patient to rearrange the environment
B. Tell the patient to move furniture without guidance
C. Collaborate with the patient and family to reduce
hazards
D. Remove all personal belongings to reduce risk
Rationale: Collaboration and education are key to
promoting safety while respecting patient autonomy.
7. Which patient would most benefit from an interdisciplinary
rehabilitation team?
A. A patient with mild seasonal allergies
B. A patient post-traumatic brain injury with cognitive
and mobility deficits
C. A patient with uncomplicated hypertension
D. A patient recovering from a minor laceration
Rationale: Complex cases involving multiple functional
deficits require interdisciplinary input for comprehensive
care.
8. A patient with chronic traumatic brain injury demonstrates
emotional lability. What is the most appropriate nursing
response?
A. Ignore the behavior and continue therapy
B. Provide consistent emotional support and coping
strategies
, 4|Page
C. Restrict social interactions to prevent outbursts
D. Administer sedatives routinely
Rationale: Emotional support, consistency, and coping
strategies are evidence-based interventions for managing
post-TBI emotional changes.
9. The nurse is planning discharge for a patient with
hemiplegia. Which outcome is most appropriate?
A. Patient will walk without assistance within 24 hours
B. Patient and caregiver will demonstrate safe transfer
techniques before discharge
C. Patient will achieve full independence immediately
D. Patient will require hospitalization indefinitely
Rationale: Safety and caregiver education are critical for
reducing readmission and promoting independence.
10. A rehabilitation nurse is advocating for a patient with
multiple sclerosis who is experiencing fatigue. Which
intervention is evidence-based?
A. Encourage maximum activity regardless of fatigue
B. Restrict all physical activity
C. Schedule therapy sessions during peak energy
periods
D. Ignore fatigue as a symptom
Rationale: Energy conservation and activity scheduling are
evidence-based interventions to manage MS-related
fatigue.
11. A patient with a new tracheostomy is anxious and
struggling with communication. Which action should the
nurse take first?
A. Ignore communication difficulties
B. Provide alternative communication methods (e.g.,
communication board)
