CRRN TEST 1 (CERTIFICATION TEST) EXAM 200 ACTUAL
QUESTIONS AND CORRECT ANSWERS WITH RATIONALE
LATEST 2026 ALREADY GRADED A+ ASSURED PASS
This comprehensive 200-question CRRN exam bank provides a rigorous
review of rehabilitation nursing content for certification preparation. Each
question is uniquely crafted with realistic clinical scenarios, multiple-choice
options, a definitive correct answer, and a detailed rationale explaining
rehabilitation principles, nursing interventions, and interdisciplinary team
collaboration. Content spans functional health patterns (mobility, ADLs, skin
integrity, bowel/bladder management), legislative and ethical issues (ADA,
Patient Self-Determination Act), rehabilitation team function and transitions
of care, and nursing models and theories. Key topics include spinal cord
injury, stroke, traumatic brain injury, amputation, and pressure ulcer
prevention. Designed to align with CRRN exam blueprints, this resource
promotes clinical reasoning, identifies knowledge gaps, and enhances test-
taking strategies for successful certification as a rehabilitation registered
nurse.
1. A patient with a spinal cord injury at the T4 level is being taught intermittent
self-catheterization. Which nursing model best supports this patient's
independence?
A) Orem's Self-Care Deficit Theory
B) Roy's Adaptation Model
C) Neuman's Systems Model
D) Watson's Theory of Human Caring
Correct Answer: A) Orem's Self-Care Deficit Theory
Rationale: Orem's Self-Care Deficit Theory focuses on the patient's ability to
perform self-care activities. Teaching self-catheterization aligns with this model by
promoting independence and reducing the self-care deficit.
2. A rehabilitation nurse is developing a care plan for a patient recovering from a
stroke. Which nursing theory would best guide the nurse in supporting the patient's
adaptation to physical limitations?
A) Peplau's Interpersonal Relations Theory
B) Roy's Adaptation Model
C) King's Theory of Goal Attainment
D) Levine's Conservation Model
,Correct Answer: B) Roy's Adaptation Model
Rationale: Roy's Adaptation Model focuses on how individuals adapt to changes in
their environment and health status. This model is particularly useful in
rehabilitation settings for guiding interventions that help patients adapt to physical
limitations.
3. A patient with a spinal cord injury is having difficulty adjusting to their new
physical limitations and is expressing anger. According to King's Theory of Goal
Attainment, what should the nurse do first?
A) Refer the patient to a psychologist
B) Establish a mutual goal-setting process with the patient
C) Allow the patient to work through their anger alone
D) Administer an anti-anxiety medication
Correct Answer: B) Establish a mutual goal-setting process with the patient
Rationale: King's Theory emphasizes the importance of mutual goal-setting
between the nurse and patient to achieve optimal health outcomes. Involving the
patient in establishing goals is crucial when they are struggling with adjustment.
4. A patient with a recent traumatic brain injury frequently becomes agitated
during physical therapy sessions. Using a behavioral modification approach, what
is the nurse's priority intervention?
A) Restrict physical therapy until the patient calms down
B) Identify triggers for agitation and reinforce calm behavior
C) Increase the frequency of physical therapy sessions
D) Administer sedation before therapy sessions
Correct Answer: B) Identify triggers for agitation and reinforce calm behavior
Rationale: Behavioral modification involves identifying antecedents to
maladaptive behaviors and reinforcing positive behaviors. This approach is
appropriate in rehabilitation settings for managing agitation, particularly in brain
injury patients.
5. A rehabilitation nurse is designing a care plan for a patient with bilateral lower
extremity amputations. Which nursing model emphasizes the patient's strengths
and capabilities?
A) Henderson's Nursing Need Theory
B) Orem's Self-Care Deficit Theory
C) Roger's Science of Unitary Human Beings
D) Watson's Theory of Human Caring
Correct Answer: B) Orem's Self-Care Deficit Theory
,Rationale: Orem's theory emphasizes identifying and supporting the patient's self-
care capabilities. For a patient with amputations, the nurse would assess remaining
strengths and abilities to guide rehabilitation efforts.
6. A patient with a spinal cord injury at C6 is working on self-feeding with
adaptive equipment. According to the Functional Health Patterns domain, which
pattern is the nurse primarily addressing?
A) Activity-Exercise Pattern
B) Nutrition-Metabolic Pattern
C) Self-Perception-Self-Concept Pattern
D) Coping-Stress Tolerance Pattern
Correct Answer: B) Nutrition-Metabolic Pattern
Rationale: Self-feeding is directly related to the Nutrition-Metabolic Pattern, which
addresses the patient's ability to maintain adequate nutrition and hydration
independently.
7. The rehabilitation team is evaluating a patient for discharge planning after a hip
fracture. Which of the following best describes the nurse's role in this process?
A) Making the final discharge decision independently
B) Coordinating interdisciplinary team collaboration to ensure a safe transition
C) Delegating discharge planning to the physical therapist
D) Focusing solely on the patient's medical diagnoses
Correct Answer: B) Coordinating interdisciplinary team collaboration to ensure a
safe transition
Rationale: The rehabilitation nurse's role in transitions of care involves
coordinating the interdisciplinary team to ensure a safe, patient-centered plan for
discharge and community reintegration.
8. A patient with a history of alcohol use disorder is admitted for rehabilitation
following a traumatic brain injury. The nurse observes that the patient is becoming
withdrawn and irritable. Which nursing diagnosis is most appropriate?
A) Ineffective Coping
B) Risk for Injury
C) Impaired Social Interaction
D) Ineffective Health Maintenance
Correct Answer: A) Ineffective Coping
Rationale: Withdrawal and irritability in a patient with a history of substance use
disorder who is adjusting to a new disability are signs of ineffective coping. This
diagnosis addresses the psychosocial impact of rehabilitation.
, 9. In a rehabilitation setting, the interdisciplinary team uses the International
Classification of Functioning, Disability and Health (ICF) model. According to the
ICF, which of the following is considered a "contextual factor"?
A) Body structure impairment
B) Activity limitation
C) Environmental barriers
D) Participation restriction
Correct Answer: C) Environmental barriers
Rationale: The ICF model includes environmental and personal factors as
"contextual factors" that can influence functioning and disability. These factors can
be facilitators or barriers to rehabilitation.
10. A patient with a stroke has left-sided neglect and is at risk for falls. Which
safety intervention should the nurse implement first?
A) Apply a vest restraint during ambulation
B) Place all call light and essential items on the unaffected side
C) Keep the bed in a high position to facilitate transfers
D) Ambulate the patient without assistance to promote independence
Correct Answer: B) Place all call light and essential items on the unaffected side
Rationale: Patients with left-sided neglect are unaware of their left side. Placing
essential items on the unaffected side helps the patient access them and reduces fall
risk. Restraints are a last resort and should be avoided.
11. A patient with a new spinal cord injury at T10 is participating in bowel
training. Which intervention is most appropriate for establishing a regular bowel
routine?
A) Schedule bowel evacuation at varying times each day
B) Use digital stimulation at the same time daily
C) Administer a suppository only when the patient requests it
D) Restrict fluid intake to decrease stool volume
Correct Answer: B) Use digital stimulation at the same time daily
Rationale: Consistency is key in bowel training. Digital stimulation at the same
time each day helps establish a predictable bowel routine and promote bowel
continence.
12. A patient with a brain injury becomes increasingly disoriented at night and
attempts to get out of bed. What is the nurse's priority action?
A) Apply wrist restraints to prevent falls
B) Administer a sedative to promote sleep
C) Implement a toileting schedule and encourage daytime activity
QUESTIONS AND CORRECT ANSWERS WITH RATIONALE
LATEST 2026 ALREADY GRADED A+ ASSURED PASS
This comprehensive 200-question CRRN exam bank provides a rigorous
review of rehabilitation nursing content for certification preparation. Each
question is uniquely crafted with realistic clinical scenarios, multiple-choice
options, a definitive correct answer, and a detailed rationale explaining
rehabilitation principles, nursing interventions, and interdisciplinary team
collaboration. Content spans functional health patterns (mobility, ADLs, skin
integrity, bowel/bladder management), legislative and ethical issues (ADA,
Patient Self-Determination Act), rehabilitation team function and transitions
of care, and nursing models and theories. Key topics include spinal cord
injury, stroke, traumatic brain injury, amputation, and pressure ulcer
prevention. Designed to align with CRRN exam blueprints, this resource
promotes clinical reasoning, identifies knowledge gaps, and enhances test-
taking strategies for successful certification as a rehabilitation registered
nurse.
1. A patient with a spinal cord injury at the T4 level is being taught intermittent
self-catheterization. Which nursing model best supports this patient's
independence?
A) Orem's Self-Care Deficit Theory
B) Roy's Adaptation Model
C) Neuman's Systems Model
D) Watson's Theory of Human Caring
Correct Answer: A) Orem's Self-Care Deficit Theory
Rationale: Orem's Self-Care Deficit Theory focuses on the patient's ability to
perform self-care activities. Teaching self-catheterization aligns with this model by
promoting independence and reducing the self-care deficit.
2. A rehabilitation nurse is developing a care plan for a patient recovering from a
stroke. Which nursing theory would best guide the nurse in supporting the patient's
adaptation to physical limitations?
A) Peplau's Interpersonal Relations Theory
B) Roy's Adaptation Model
C) King's Theory of Goal Attainment
D) Levine's Conservation Model
,Correct Answer: B) Roy's Adaptation Model
Rationale: Roy's Adaptation Model focuses on how individuals adapt to changes in
their environment and health status. This model is particularly useful in
rehabilitation settings for guiding interventions that help patients adapt to physical
limitations.
3. A patient with a spinal cord injury is having difficulty adjusting to their new
physical limitations and is expressing anger. According to King's Theory of Goal
Attainment, what should the nurse do first?
A) Refer the patient to a psychologist
B) Establish a mutual goal-setting process with the patient
C) Allow the patient to work through their anger alone
D) Administer an anti-anxiety medication
Correct Answer: B) Establish a mutual goal-setting process with the patient
Rationale: King's Theory emphasizes the importance of mutual goal-setting
between the nurse and patient to achieve optimal health outcomes. Involving the
patient in establishing goals is crucial when they are struggling with adjustment.
4. A patient with a recent traumatic brain injury frequently becomes agitated
during physical therapy sessions. Using a behavioral modification approach, what
is the nurse's priority intervention?
A) Restrict physical therapy until the patient calms down
B) Identify triggers for agitation and reinforce calm behavior
C) Increase the frequency of physical therapy sessions
D) Administer sedation before therapy sessions
Correct Answer: B) Identify triggers for agitation and reinforce calm behavior
Rationale: Behavioral modification involves identifying antecedents to
maladaptive behaviors and reinforcing positive behaviors. This approach is
appropriate in rehabilitation settings for managing agitation, particularly in brain
injury patients.
5. A rehabilitation nurse is designing a care plan for a patient with bilateral lower
extremity amputations. Which nursing model emphasizes the patient's strengths
and capabilities?
A) Henderson's Nursing Need Theory
B) Orem's Self-Care Deficit Theory
C) Roger's Science of Unitary Human Beings
D) Watson's Theory of Human Caring
Correct Answer: B) Orem's Self-Care Deficit Theory
,Rationale: Orem's theory emphasizes identifying and supporting the patient's self-
care capabilities. For a patient with amputations, the nurse would assess remaining
strengths and abilities to guide rehabilitation efforts.
6. A patient with a spinal cord injury at C6 is working on self-feeding with
adaptive equipment. According to the Functional Health Patterns domain, which
pattern is the nurse primarily addressing?
A) Activity-Exercise Pattern
B) Nutrition-Metabolic Pattern
C) Self-Perception-Self-Concept Pattern
D) Coping-Stress Tolerance Pattern
Correct Answer: B) Nutrition-Metabolic Pattern
Rationale: Self-feeding is directly related to the Nutrition-Metabolic Pattern, which
addresses the patient's ability to maintain adequate nutrition and hydration
independently.
7. The rehabilitation team is evaluating a patient for discharge planning after a hip
fracture. Which of the following best describes the nurse's role in this process?
A) Making the final discharge decision independently
B) Coordinating interdisciplinary team collaboration to ensure a safe transition
C) Delegating discharge planning to the physical therapist
D) Focusing solely on the patient's medical diagnoses
Correct Answer: B) Coordinating interdisciplinary team collaboration to ensure a
safe transition
Rationale: The rehabilitation nurse's role in transitions of care involves
coordinating the interdisciplinary team to ensure a safe, patient-centered plan for
discharge and community reintegration.
8. A patient with a history of alcohol use disorder is admitted for rehabilitation
following a traumatic brain injury. The nurse observes that the patient is becoming
withdrawn and irritable. Which nursing diagnosis is most appropriate?
A) Ineffective Coping
B) Risk for Injury
C) Impaired Social Interaction
D) Ineffective Health Maintenance
Correct Answer: A) Ineffective Coping
Rationale: Withdrawal and irritability in a patient with a history of substance use
disorder who is adjusting to a new disability are signs of ineffective coping. This
diagnosis addresses the psychosocial impact of rehabilitation.
, 9. In a rehabilitation setting, the interdisciplinary team uses the International
Classification of Functioning, Disability and Health (ICF) model. According to the
ICF, which of the following is considered a "contextual factor"?
A) Body structure impairment
B) Activity limitation
C) Environmental barriers
D) Participation restriction
Correct Answer: C) Environmental barriers
Rationale: The ICF model includes environmental and personal factors as
"contextual factors" that can influence functioning and disability. These factors can
be facilitators or barriers to rehabilitation.
10. A patient with a stroke has left-sided neglect and is at risk for falls. Which
safety intervention should the nurse implement first?
A) Apply a vest restraint during ambulation
B) Place all call light and essential items on the unaffected side
C) Keep the bed in a high position to facilitate transfers
D) Ambulate the patient without assistance to promote independence
Correct Answer: B) Place all call light and essential items on the unaffected side
Rationale: Patients with left-sided neglect are unaware of their left side. Placing
essential items on the unaffected side helps the patient access them and reduces fall
risk. Restraints are a last resort and should be avoided.
11. A patient with a new spinal cord injury at T10 is participating in bowel
training. Which intervention is most appropriate for establishing a regular bowel
routine?
A) Schedule bowel evacuation at varying times each day
B) Use digital stimulation at the same time daily
C) Administer a suppository only when the patient requests it
D) Restrict fluid intake to decrease stool volume
Correct Answer: B) Use digital stimulation at the same time daily
Rationale: Consistency is key in bowel training. Digital stimulation at the same
time each day helps establish a predictable bowel routine and promote bowel
continence.
12. A patient with a brain injury becomes increasingly disoriented at night and
attempts to get out of bed. What is the nurse's priority action?
A) Apply wrist restraints to prevent falls
B) Administer a sedative to promote sleep
C) Implement a toileting schedule and encourage daytime activity
