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1. A rehabilitation nurse is caring for a patient recovering from a
cerebrovascular accident (CVA). Which intervention best
promotes patient independence?
A. Performing all activities of daily living for the patient B.
Encouraging the patient to complete tasks within their ability C.
Restricting family involvement during therapy sessions D. Limiting
patient participation to prevent fatigue
Answer: B. Encouraging the patient to complete tasks within their
ability
Rationale: Rehabilitation nursing focuses on maximizing
independence and functional ability. Encouraging patients to
participate in tasks they can safely perform promotes confidence,
autonomy, and recovery. Performing all care for the patient can lead
to dependence and reduced motivation.
2. Which member of the rehabilitation team primarily focuses on
improving a patient’s ability to perform activities of daily
living (ADLs)?
,A. Physical therapist B. Occupational therapist C. Speech-language
pathologist D. Respiratory therapist
Answer: B. Occupational therapist
Rationale: Occupational therapists assist patients in developing or
regaining the skills necessary for daily living, including dressing,
bathing, eating, and grooming. Physical therapists focus on mobility
and strength, while speech therapists address communication and
swallowing disorders.
3. A patient with a spinal cord injury at the T4 level is at greatest
risk for which complication?
A. Autonomic dysreflexia B. Hypoglycemia C. Hepatic failure D.
Cataracts
Answer: A. Autonomic dysreflexia
Rationale: Patients with spinal cord injuries above T6 are at risk for
autonomic dysreflexia, a potentially life-threatening condition
characterized by severe hypertension, headache, and diaphoresis in
response to stimuli such as bladder distention. Early recognition and
intervention are critical.
4. Which nursing intervention is most appropriate for preventing
contractures in an immobile patient?
A. Limiting movement to reduce discomfort B. Positioning the
patient in high Fowler’s position continuously C. Performing
passive range-of-motion exercises regularly D. Restricting fluid
intake
Answer: C. Performing passive range-of-motion exercises regularly
Rationale: Passive range-of-motion exercises help maintain joint
flexibility, muscle length, and circulation while preventing
,contractures in patients with limited mobility. Immobility without
exercises increases the risk of permanent joint deformities.
5. A rehabilitation nurse is teaching a patient how to safely
transfer from a bed to a wheelchair. Which principle is most
important?
A. The nurse should complete the transfer quickly. B. The patient
should avoid using assistive devices. C. Proper body mechanics
should be used during transfers. D. Transfers should only occur
with two nurses present.
Answer: C. Proper body mechanics should be used during transfers.
Rationale: Proper body mechanics protect both the patient and
healthcare provider from injury during transfers. Assistive devices may
also be used when appropriate to ensure safety and independence.
6. Which goal is the highest priority during the acute phase of
rehabilitation after a traumatic brain injury?
A. Vocational training B. Prevention of secondary complications C.
Long-term career planning D. Recreational therapy
Answer: B. Prevention of secondary complications
Rationale: During the acute rehabilitation phase, preventing
complications such as pressure ulcers, pneumonia, contractures, and
deep vein thrombosis is essential. Long-term goals are addressed later
in the rehabilitation process.
7. A patient recovering from a stroke has expressive aphasia.
Which nursing intervention is most appropriate?
A. Speak loudly to the patient. B. Ask only yes-or-no questions. C.
Complete sentences for the patient. D. Avoid communication
attempts.
, Answer: B. Ask only yes-or-no questions.
Rationale: Expressive aphasia affects the ability to communicate
verbally. Simple yes-or-no questions facilitate communication while
reducing frustration. Completing sentences may discourage patient
participation.
8. Which assessment finding indicates improvement in a patient
undergoing rehabilitation for chronic obstructive pulmonary
disease (COPD)?
A. Increased dependence on oxygen therapy B. Ability to perform
ADLs with less dyspnea C. Decreased appetite and weight loss D.
Increased respiratory rate at rest
Answer: B. Ability to perform ADLs with less dyspnea
Rationale: Rehabilitation aims to improve functional capacity and
endurance. Being able to perform daily activities with less shortness of
breath demonstrates progress and improved respiratory efficiency.
9. Which intervention is most effective in preventing pressure
ulcers in patients with impaired mobility?
A. Restricting mobility B. Repositioning the patient every 2 hours C.
Using donut-shaped cushions continuously D. Reducing fluid intake
Answer: B. Repositioning the patient every 2 hours
Rationale: Frequent repositioning relieves pressure on vulnerable
areas, improves circulation, and reduces tissue breakdown. Adequate
nutrition and skin assessment are also important preventive measures.
10. A patient with multiple sclerosis reports severe fatigue.
Which nursing recommendation is most appropriate?