Certified Brain Injury Specialist (CBIS) Exam Success Kit -
Complete 2026 Study Resource with Practice Questions and
Step-by-Step CORRECT 100% SOLUTIONs| Instant Digital
Access - 218 Questions and Answers Already Graded A+
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Subject Area Rehabilitation Psychology / Clinical Neuropsychology
Description This exam evaluates advanced knowledge of traumatic brain injury (TBI)
pathophysiology, assessment, rehabilitation, pharmacological management,
family systems, ethical practice, and community reintegration. Content aligns with
the Academy of Certified Brain Injury Specialists (ACBIS) requirements and
reflects current evidence-based practice.
Expected Grade A+
Total Questions 218
Duration 3 hours
Learning Outcomes 1. Analyze neuroanatomical correlates of TBI sequelae using imaging and clinical
data
2. Formulate evidence-based rehabilitation plans integrating cognitive, behavioral,
and psychosocial interventions
3. Evaluate pharmacological and non-pharmacological treatments for common
post-TBI complications
4. Critically appraise ethical and legal issues in brain injury care across the care
continuum
Accreditation This examination meets the content standards for certification with the Academy
of Certified Brain Injury Specialists (ACBIS) and is designed at the level of a US
R1 university graduate seminar.
Page 1
,1. During a Rancho Los Amigos Level IV assessment, a patient demonstrates
confusion and agitation but can follow simple commands inconsistently. Which
intervention strategy is most appropriate to minimize overstimulation and
promote orientation?
A. Provide a structured daily schedule with written cues and limit environmental noise
B. Encourage family members to provide continuous one-on-one verbal stimulation
C. Use bright, changing visual displays to engage attention
D. Assign multiple therapists to work simultaneously on different modalities
Answer: A. Provide a structured daily schedule with written cues and limit
environmental noise
At Level IV, the patient is easily overstimulated; a structured, quiet environment
with written cues aids orientation without overwhelming. Continuous verbal
stimulation (B), bright displays (C), or simultaneous therapies (D) increase
agitation and impair recovery.
2. A patient with severe TBI (GCS 6 at admission) is now 3 months post-injury
and exhibits profound anterograde amnesia, confabulation, and a flat affect.
Neuroimaging reveals bilateral hippocampal atrophy and orbitofrontal
contusions. Which term best describes this clinical picture?
A. Persistent vegetative state
B. Minimally conscious state
C. Post-traumatic amnesia (PTA)
D. Akinetic mutism
Answer: C. Post-traumatic amnesia (PTA)
Post-traumatic amnesia (PTA) is characterized by anterograde amnesia,
disorientation, and confabulation; it frequently follows severe TBI with
hippocampal and orbitofrontal damage. PVS (A) implies no awareness, MCS (B)
requires inconsistent but clear signs of consciousness, and akinetic mutism (D)
involves severe psychomotor slowing without amnesia.
Page 2
,3. According to the ICF (International Classification of Functioning, Disability
and Health) model, a brain injury survivor who can walk independently on a
flat surface but cannot navigate a crowded public transportation system is
experiencing a limitation at which level?
A. Body structure and function
B. Activity
C. Participation
D. Environmental factor
Answer: C. Participation
Walking independently is an activity (B), but the inability to use public transport
in a real-world setting reflects a participation restriction (C) due to
environmental demands. Body structure/function (A) is intact, and
environmental factors (D) may moderate but are not the level of limitation.
4. Which of the following pharmacological agents is contraindicated in the
acute phase of moderate-to-severe TBI due to its association with increased
mortality and poorer neurological outcomes?
A. Levetiracetam
B. Methylphenidate
C. High-dose corticosteroids
D. Amantadine
Answer: C. High-dose corticosteroids
High-dose corticosteroids (e.g., dexamethasone) are contraindicated in TBI based
on the CRASH trial, showing increased mortality. Levetiracetam (A) is used for
seizure prophylaxis; methylphenidate (B) may be used for attention deficits;
amantadine (D) is sometimes used for arousal, though evidence is mixed.
Page 3
, 5. A 34-year-old survivor of severe TBI (2 years post-injury) is being evaluated
for driving readiness. Neuropsychological testing shows intact visual scanning
and motor speed but significant impairments in divided attention and executive
function. Which recommendation is most evidence-based?
A. Unrestricted driving permitted
B. On-road driving assessment is indicated
C. Permanent driving prohibition
D. Only drive with a licensed instructor present
Answer: B. On-road driving assessment is indicated
Intact basic skills but impaired higher-order functions make an on-road
assessment necessary to evaluate real-world safety; it may be passed with
modifications. Unrestricted driving (A) is unsafe; permanent prohibition (C) is
premature without assessment; an instructor (D) is not a validated long-term
solution.
6. Which of the following ethical principles is most directly challenged when a
brain injury survivor with retained capacity refuses a rehabilitation
intervention that the team believes is essential for optimal recovery?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C. Autonomy
Autonomy (the right to self-determination) is directly challenged when a
competent individual refuses recommended treatment. Beneficence (A) drives the
team's recommendation, but the conflict is between beneficence and autonomy.
Justice (B) concerns fairness, and nonmaleficence (D) is about avoiding harm.
Page 4
Complete 2026 Study Resource with Practice Questions and
Step-by-Step CORRECT 100% SOLUTIONs| Instant Digital
Access - 218 Questions and Answers Already Graded A+
Premium Exam Tested And Verified
Subject Area Rehabilitation Psychology / Clinical Neuropsychology
Description This exam evaluates advanced knowledge of traumatic brain injury (TBI)
pathophysiology, assessment, rehabilitation, pharmacological management,
family systems, ethical practice, and community reintegration. Content aligns with
the Academy of Certified Brain Injury Specialists (ACBIS) requirements and
reflects current evidence-based practice.
Expected Grade A+
Total Questions 218
Duration 3 hours
Learning Outcomes 1. Analyze neuroanatomical correlates of TBI sequelae using imaging and clinical
data
2. Formulate evidence-based rehabilitation plans integrating cognitive, behavioral,
and psychosocial interventions
3. Evaluate pharmacological and non-pharmacological treatments for common
post-TBI complications
4. Critically appraise ethical and legal issues in brain injury care across the care
continuum
Accreditation This examination meets the content standards for certification with the Academy
of Certified Brain Injury Specialists (ACBIS) and is designed at the level of a US
R1 university graduate seminar.
Page 1
,1. During a Rancho Los Amigos Level IV assessment, a patient demonstrates
confusion and agitation but can follow simple commands inconsistently. Which
intervention strategy is most appropriate to minimize overstimulation and
promote orientation?
A. Provide a structured daily schedule with written cues and limit environmental noise
B. Encourage family members to provide continuous one-on-one verbal stimulation
C. Use bright, changing visual displays to engage attention
D. Assign multiple therapists to work simultaneously on different modalities
Answer: A. Provide a structured daily schedule with written cues and limit
environmental noise
At Level IV, the patient is easily overstimulated; a structured, quiet environment
with written cues aids orientation without overwhelming. Continuous verbal
stimulation (B), bright displays (C), or simultaneous therapies (D) increase
agitation and impair recovery.
2. A patient with severe TBI (GCS 6 at admission) is now 3 months post-injury
and exhibits profound anterograde amnesia, confabulation, and a flat affect.
Neuroimaging reveals bilateral hippocampal atrophy and orbitofrontal
contusions. Which term best describes this clinical picture?
A. Persistent vegetative state
B. Minimally conscious state
C. Post-traumatic amnesia (PTA)
D. Akinetic mutism
Answer: C. Post-traumatic amnesia (PTA)
Post-traumatic amnesia (PTA) is characterized by anterograde amnesia,
disorientation, and confabulation; it frequently follows severe TBI with
hippocampal and orbitofrontal damage. PVS (A) implies no awareness, MCS (B)
requires inconsistent but clear signs of consciousness, and akinetic mutism (D)
involves severe psychomotor slowing without amnesia.
Page 2
,3. According to the ICF (International Classification of Functioning, Disability
and Health) model, a brain injury survivor who can walk independently on a
flat surface but cannot navigate a crowded public transportation system is
experiencing a limitation at which level?
A. Body structure and function
B. Activity
C. Participation
D. Environmental factor
Answer: C. Participation
Walking independently is an activity (B), but the inability to use public transport
in a real-world setting reflects a participation restriction (C) due to
environmental demands. Body structure/function (A) is intact, and
environmental factors (D) may moderate but are not the level of limitation.
4. Which of the following pharmacological agents is contraindicated in the
acute phase of moderate-to-severe TBI due to its association with increased
mortality and poorer neurological outcomes?
A. Levetiracetam
B. Methylphenidate
C. High-dose corticosteroids
D. Amantadine
Answer: C. High-dose corticosteroids
High-dose corticosteroids (e.g., dexamethasone) are contraindicated in TBI based
on the CRASH trial, showing increased mortality. Levetiracetam (A) is used for
seizure prophylaxis; methylphenidate (B) may be used for attention deficits;
amantadine (D) is sometimes used for arousal, though evidence is mixed.
Page 3
, 5. A 34-year-old survivor of severe TBI (2 years post-injury) is being evaluated
for driving readiness. Neuropsychological testing shows intact visual scanning
and motor speed but significant impairments in divided attention and executive
function. Which recommendation is most evidence-based?
A. Unrestricted driving permitted
B. On-road driving assessment is indicated
C. Permanent driving prohibition
D. Only drive with a licensed instructor present
Answer: B. On-road driving assessment is indicated
Intact basic skills but impaired higher-order functions make an on-road
assessment necessary to evaluate real-world safety; it may be passed with
modifications. Unrestricted driving (A) is unsafe; permanent prohibition (C) is
premature without assessment; an instructor (D) is not a validated long-term
solution.
6. Which of the following ethical principles is most directly challenged when a
brain injury survivor with retained capacity refuses a rehabilitation
intervention that the team believes is essential for optimal recovery?
A. Beneficence
B. Justice
C. Autonomy
D. Nonmaleficence
Answer: C. Autonomy
Autonomy (the right to self-determination) is directly challenged when a
competent individual refuses recommended treatment. Beneficence (A) drives the
team's recommendation, but the conflict is between beneficence and autonomy.
Justice (B) concerns fairness, and nonmaleficence (D) is about avoiding harm.
Page 4
