NEW YORK REHABILITATION NURSING LPN PRACTICE
EXAM | STUDY GUIDE | TESTBANK | LATEST UPDATE
2026/2027 | QUESTIONS & 100% CORRECT ANSWERS
Table of Contents: Rehabilitation Nursing Principles; Functional Assessment; Mobility
& Transfers; Neurologic Rehabilitation; Stroke Rehabilitation; Spinal Cord Injury;
Amputee Rehabilitation; Musculoskeletal Rehabilitation; Cardiopulmonary
Rehabilitation; Dysphagia & Nutrition; Bowel & Bladder Management; Skin Integrity;
Pain & Spasticity; Psychosocial Rehabilitation; Patient Safety; Interdisciplinary Care;
Documentation & Professional Practice
INTRODUCTION
This practice examination focuses on advanced rehabilitation nursing concepts
relevant to Licensed Practical Nurses practicing in New York. Questions emphasize
functional assessment, mobility, neurologic and musculoskeletal rehabilitation,
stroke and spinal cord injury, bowel and bladder programs, skin integrity,
dysphagia, pain, psychosocial adaptation, safety, documentation, and
interdisciplinary collaboration. The questions are designed to assess application and
clinical judgment rather than simple memorization. Expect realistic patient scenarios
requiring prioritization, recognition of complications, evaluation of rehabilitation
progress, and selection of appropriate nursing interventions within the LPN scope
of practice. The difficulty is intentionally elevated to support preparation for
professional-level nursing assessments and advanced rehabilitation practice.
Question 1
A patient recovering from a right-sided ischemic stroke has left hemiparesis and is
beginning transfer training. During the first transfer from bed to wheelchair, the
patient attempts to stand before the wheelchair brakes are locked. Which nursing
action is the priority?
A. Ask the patient to remain seated until the physical therapist arrives.
B. Secure the wheelchair and reinforce the transfer sequence before proceeding.
C. Position the wheelchair farther from the bed to increase independence.
D. Allow the patient to complete the transfer independently to promote autonomy.
, Correct Answer: B
Explanation: Wheelchair stability is an immediate safety requirement. Securing
the brakes and reinforcing the transfer sequence reduces fall risk while still
supporting the patient's participation and independence.
Question 2
A patient with a T10 spinal cord injury is participating in rehabilitation. Which
finding most strongly indicates the need for immediate evaluation for autonomic
dysreflexia?
A. Warm, dry skin below the level of injury
B. Sudden severe hypertension accompanied by a pounding headache
C. Gradual improvement in lower-extremity muscle strength
D. Increased urinary output following fluid administration
Correct Answer: B
Explanation: Autonomic dysreflexia is a potentially life-threatening complication
of spinal cord injury, typically occurring at or above T6. Sudden hypertension with
severe headache requires immediate assessment and intervention to identify and
remove the triggering stimulus.
Question 3
A patient with a recent stroke has dysphagia and is prescribed a mechanically
modified diet with thickened liquids. During lunch, the patient develops a wet,
gurgling voice and begins coughing after swallowing. What is the nurse's best
action?
A. Encourage the patient to drink water to clear the throat.
B. Continue feeding but decrease the size of each bite.
C. Stop oral intake and assess for possible aspiration.
D. Place the patient supine to facilitate airway clearance.
Correct Answer: C
, Explanation: A wet or gurgling voice and coughing after swallowing are
concerning for aspiration. Oral intake should be stopped while the patient's
airway and swallowing safety are evaluated.
Question 4
A patient with a new lower-extremity prosthesis reports discomfort during
ambulation. The nurse observes redness over a bony prominence that remains after
the prosthesis is removed. Which interpretation is most appropriate?
A. The finding is expected during initial prosthetic training.
B. The finding suggests excessive pressure requiring prosthetic evaluation.
C. The finding indicates adequate socket adaptation.
D. The patient should increase walking time to improve tissue tolerance.
Correct Answer: B
Explanation: Persistent erythema over a pressure area can indicate excessive
prosthetic socket pressure and potential tissue injury. Continued use without
evaluation may lead to skin breakdown.
Question 5
A patient with multiple sclerosis is participating in a rehabilitation program. The
patient becomes increasingly fatigued during afternoon therapy sessions and
reports worsening weakness in a warm environment. Which intervention is most
appropriate?
A. Schedule the most demanding activities during periods of maximal fatigue.
B. Encourage prolonged exposure to heat to improve muscle flexibility.
C. Plan activities during periods of greater energy and incorporate rest intervals.
D. Restrict all physical activity until fatigue completely resolves.
Correct Answer: C
Explanation: Energy conservation and avoidance of excessive heat are important
in multiple sclerosis rehabilitation. Scheduling demanding activities during
, higher-energy periods and using planned rest can improve functional
performance.
Question 6
A patient with a spinal cord injury has an indwelling urinary catheter. During
rehabilitation, the patient develops cloudy urine and a low-grade temperature but
denies dysuria. Which nursing interpretation is most appropriate?
A. Dysuria must occur before urinary infection can be suspected.
B. The catheter makes infection impossible if drainage is continuous.
C. The findings warrant assessment for a possible urinary complication.
D. Cloudy urine is always an expected finding with long-term catheterization.
Correct Answer: C
Explanation: Patients with neurologic impairment and indwelling catheters may
have atypical manifestations of urinary infection. Cloudy urine and temperature
changes warrant further assessment rather than being dismissed as expected.
Question 7
A patient with a recent stroke demonstrates unilateral neglect. When eating, the
patient repeatedly leaves food on the left side of the plate. Which intervention is
most appropriate?
A. Place all food on the neglected side.
B. Teach the patient to systematically scan the environment toward the affected
side.
C. Feed the patient exclusively from the unaffected side.
D. Avoid verbal cues because they may increase frustration.
Correct Answer: B
Explanation: Visual scanning techniques can help patients with unilateral neglect
increase awareness of the affected side and improve safety and independence
during functional activities.
EXAM | STUDY GUIDE | TESTBANK | LATEST UPDATE
2026/2027 | QUESTIONS & 100% CORRECT ANSWERS
Table of Contents: Rehabilitation Nursing Principles; Functional Assessment; Mobility
& Transfers; Neurologic Rehabilitation; Stroke Rehabilitation; Spinal Cord Injury;
Amputee Rehabilitation; Musculoskeletal Rehabilitation; Cardiopulmonary
Rehabilitation; Dysphagia & Nutrition; Bowel & Bladder Management; Skin Integrity;
Pain & Spasticity; Psychosocial Rehabilitation; Patient Safety; Interdisciplinary Care;
Documentation & Professional Practice
INTRODUCTION
This practice examination focuses on advanced rehabilitation nursing concepts
relevant to Licensed Practical Nurses practicing in New York. Questions emphasize
functional assessment, mobility, neurologic and musculoskeletal rehabilitation,
stroke and spinal cord injury, bowel and bladder programs, skin integrity,
dysphagia, pain, psychosocial adaptation, safety, documentation, and
interdisciplinary collaboration. The questions are designed to assess application and
clinical judgment rather than simple memorization. Expect realistic patient scenarios
requiring prioritization, recognition of complications, evaluation of rehabilitation
progress, and selection of appropriate nursing interventions within the LPN scope
of practice. The difficulty is intentionally elevated to support preparation for
professional-level nursing assessments and advanced rehabilitation practice.
Question 1
A patient recovering from a right-sided ischemic stroke has left hemiparesis and is
beginning transfer training. During the first transfer from bed to wheelchair, the
patient attempts to stand before the wheelchair brakes are locked. Which nursing
action is the priority?
A. Ask the patient to remain seated until the physical therapist arrives.
B. Secure the wheelchair and reinforce the transfer sequence before proceeding.
C. Position the wheelchair farther from the bed to increase independence.
D. Allow the patient to complete the transfer independently to promote autonomy.
, Correct Answer: B
Explanation: Wheelchair stability is an immediate safety requirement. Securing
the brakes and reinforcing the transfer sequence reduces fall risk while still
supporting the patient's participation and independence.
Question 2
A patient with a T10 spinal cord injury is participating in rehabilitation. Which
finding most strongly indicates the need for immediate evaluation for autonomic
dysreflexia?
A. Warm, dry skin below the level of injury
B. Sudden severe hypertension accompanied by a pounding headache
C. Gradual improvement in lower-extremity muscle strength
D. Increased urinary output following fluid administration
Correct Answer: B
Explanation: Autonomic dysreflexia is a potentially life-threatening complication
of spinal cord injury, typically occurring at or above T6. Sudden hypertension with
severe headache requires immediate assessment and intervention to identify and
remove the triggering stimulus.
Question 3
A patient with a recent stroke has dysphagia and is prescribed a mechanically
modified diet with thickened liquids. During lunch, the patient develops a wet,
gurgling voice and begins coughing after swallowing. What is the nurse's best
action?
A. Encourage the patient to drink water to clear the throat.
B. Continue feeding but decrease the size of each bite.
C. Stop oral intake and assess for possible aspiration.
D. Place the patient supine to facilitate airway clearance.
Correct Answer: C
, Explanation: A wet or gurgling voice and coughing after swallowing are
concerning for aspiration. Oral intake should be stopped while the patient's
airway and swallowing safety are evaluated.
Question 4
A patient with a new lower-extremity prosthesis reports discomfort during
ambulation. The nurse observes redness over a bony prominence that remains after
the prosthesis is removed. Which interpretation is most appropriate?
A. The finding is expected during initial prosthetic training.
B. The finding suggests excessive pressure requiring prosthetic evaluation.
C. The finding indicates adequate socket adaptation.
D. The patient should increase walking time to improve tissue tolerance.
Correct Answer: B
Explanation: Persistent erythema over a pressure area can indicate excessive
prosthetic socket pressure and potential tissue injury. Continued use without
evaluation may lead to skin breakdown.
Question 5
A patient with multiple sclerosis is participating in a rehabilitation program. The
patient becomes increasingly fatigued during afternoon therapy sessions and
reports worsening weakness in a warm environment. Which intervention is most
appropriate?
A. Schedule the most demanding activities during periods of maximal fatigue.
B. Encourage prolonged exposure to heat to improve muscle flexibility.
C. Plan activities during periods of greater energy and incorporate rest intervals.
D. Restrict all physical activity until fatigue completely resolves.
Correct Answer: C
Explanation: Energy conservation and avoidance of excessive heat are important
in multiple sclerosis rehabilitation. Scheduling demanding activities during
, higher-energy periods and using planned rest can improve functional
performance.
Question 6
A patient with a spinal cord injury has an indwelling urinary catheter. During
rehabilitation, the patient develops cloudy urine and a low-grade temperature but
denies dysuria. Which nursing interpretation is most appropriate?
A. Dysuria must occur before urinary infection can be suspected.
B. The catheter makes infection impossible if drainage is continuous.
C. The findings warrant assessment for a possible urinary complication.
D. Cloudy urine is always an expected finding with long-term catheterization.
Correct Answer: C
Explanation: Patients with neurologic impairment and indwelling catheters may
have atypical manifestations of urinary infection. Cloudy urine and temperature
changes warrant further assessment rather than being dismissed as expected.
Question 7
A patient with a recent stroke demonstrates unilateral neglect. When eating, the
patient repeatedly leaves food on the left side of the plate. Which intervention is
most appropriate?
A. Place all food on the neglected side.
B. Teach the patient to systematically scan the environment toward the affected
side.
C. Feed the patient exclusively from the unaffected side.
D. Avoid verbal cues because they may increase frustration.
Correct Answer: B
Explanation: Visual scanning techniques can help patients with unilateral neglect
increase awareness of the affected side and improve safety and independence
during functional activities.
