FLORIDA BOARD OF NURSING CERTIFIED
REHABILITATION NURSE EXAM WITH
ACTUAL QUESTIONS AND VERIFIED
ANSWERS, PLUS EXPLAINED
RATIONALES/EXPERT VERIFIED FOR
GUARANTEED 100% PASS 2026/LATEST
UPDATE/INSTANT DOWNLOAD PDF
1.
A 67-year-old patient is admitted to an inpatient rehabilitation unit 10
days after an ischemic stroke involving the right middle cerebral artery.
The patient has left-sided hemiparesis, impaired proprioception, mild
dysphagia, and difficulty recognizing objects placed on the left side of
the environment. During morning care, the patient repeatedly leaves the
left sleeve of the shirt unworn and bumps into objects on the left. Which
nursing intervention is most appropriate to address the patient's
visuospatial impairment while promoting independence?
A. Place all personal items on the patient's right side so they can be
located independently.
B. Complete dressing for the patient until visual-perceptual function
improves.
C. Teach the patient systematic scanning from right to left during
functional activities.
D. Keep the patient's environment completely free of objects to prevent
collisions.
Answer: C.
Rationale: Systematic visual scanning from the intact side toward the
impaired side is an important compensatory strategy for patients with
unilateral neglect or visual-field deficits after stroke. The nurse should
1
,promote independence while reducing safety risks. Placing everything
on the unaffected side can reinforce neglect, completing all activities
unnecessarily reduces independence, and eliminating environmental
stimuli does not teach a compensatory skill.
2.
A patient with a new spinal cord injury at the T6 level suddenly
develops a pounding headache, facial flushing, diaphoresis above the
level of injury, nasal congestion, and severe hypertension. Which action
should the rehabilitation nurse take first?
A. Place the patient in a supine position and administer prescribed
analgesia.
B. Immediately sit the patient upright and identify and remove the
triggering stimulus.
C. Encourage the patient to perform deep breathing exercises.
D. Administer a large fluid bolus to correct presumed hypovolemia.
Answer: B.
Rationale: The presentation is classic for autonomic dysreflexia, a
potentially life-threatening complication of spinal cord injury at or
above T6. The immediate priority is to sit the patient upright to reduce
blood pressure and rapidly search for and eliminate the stimulus, most
commonly bladder distention, bowel impaction, or another noxious
stimulus.
3.
A patient with a C5 spinal cord injury is learning self-care skills. Which
functional ability would the rehabilitation nurse expect the patient to
have with appropriate adaptive equipment?
2
,A. Independent fine-finger manipulation without assistive devices
B. Functional elbow flexion with limited hand function
C. Normal triceps extension and complete wrist control
D. Independent walking with a standard walker
Answer: B.
Rationale: A C5-level injury generally preserves shoulder movement
and elbow flexion but significantly limits elbow extension, wrist, and
hand function. Patients may use adaptive equipment for feeding,
grooming, and other activities. The functional pattern varies according
to completeness and neurologic level, but independent ambulation
would not generally be expected with a complete C5 injury.
4.
A patient recovering from a traumatic brain injury demonstrates
impulsivity, poor judgment, emotional lability, and difficulty
remembering safety instructions. Which nursing intervention is most
appropriate?
A. Provide lengthy explanations about the consequences of unsafe
behavior.
B. Allow unrestricted independence so the patient can learn from
mistakes.
C. Establish consistent routines and provide brief, concrete instructions.
D. Avoid correcting unsafe behavior because confrontation may increase
frustration.
Answer: C.
Rationale: Patients with cognitive and behavioral impairments after
traumatic brain injury often benefit from consistency, repetition,
environmental structure, and short, concrete instructions. Long
explanations may overwhelm impaired attention and processing
3
, abilities. Rehabilitation emphasizes safe independence rather than
unrestricted independence when judgment is impaired.
5.
A patient with a recent stroke has dysphagia and begins coughing
immediately after drinking thin liquids. The patient's voice becomes wet
and gurgly. What should the nurse do first?
A. Encourage the patient to drink additional water to clear the throat.
B. Continue feeding while monitoring oxygen saturation.
C. Stop oral intake and notify the appropriate interdisciplinary team
member.
D. Place the patient flat and encourage coughing.
Answer: C.
Rationale: Coughing and a wet, gurgly voice immediately after
swallowing suggest aspiration or impaired airway protection. Oral
intake should be stopped until swallowing safety is reassessed. The
speech-language pathologist is typically responsible for formal
swallowing evaluation and recommendations, while the nurse
maintains aspiration precautions.
6.
A patient with a spinal cord injury asks why the rehabilitation team
emphasizes pressure-relief techniques so frequently. Which explanation
is most accurate?
A. "Pressure relief primarily prevents muscle spasms."
B. "Pressure relief restores normal sensation over time."
C. "Pressure relief reduces prolonged tissue compression and helps
prevent pressure injuries."
4
REHABILITATION NURSE EXAM WITH
ACTUAL QUESTIONS AND VERIFIED
ANSWERS, PLUS EXPLAINED
RATIONALES/EXPERT VERIFIED FOR
GUARANTEED 100% PASS 2026/LATEST
UPDATE/INSTANT DOWNLOAD PDF
1.
A 67-year-old patient is admitted to an inpatient rehabilitation unit 10
days after an ischemic stroke involving the right middle cerebral artery.
The patient has left-sided hemiparesis, impaired proprioception, mild
dysphagia, and difficulty recognizing objects placed on the left side of
the environment. During morning care, the patient repeatedly leaves the
left sleeve of the shirt unworn and bumps into objects on the left. Which
nursing intervention is most appropriate to address the patient's
visuospatial impairment while promoting independence?
A. Place all personal items on the patient's right side so they can be
located independently.
B. Complete dressing for the patient until visual-perceptual function
improves.
C. Teach the patient systematic scanning from right to left during
functional activities.
D. Keep the patient's environment completely free of objects to prevent
collisions.
Answer: C.
Rationale: Systematic visual scanning from the intact side toward the
impaired side is an important compensatory strategy for patients with
unilateral neglect or visual-field deficits after stroke. The nurse should
1
,promote independence while reducing safety risks. Placing everything
on the unaffected side can reinforce neglect, completing all activities
unnecessarily reduces independence, and eliminating environmental
stimuli does not teach a compensatory skill.
2.
A patient with a new spinal cord injury at the T6 level suddenly
develops a pounding headache, facial flushing, diaphoresis above the
level of injury, nasal congestion, and severe hypertension. Which action
should the rehabilitation nurse take first?
A. Place the patient in a supine position and administer prescribed
analgesia.
B. Immediately sit the patient upright and identify and remove the
triggering stimulus.
C. Encourage the patient to perform deep breathing exercises.
D. Administer a large fluid bolus to correct presumed hypovolemia.
Answer: B.
Rationale: The presentation is classic for autonomic dysreflexia, a
potentially life-threatening complication of spinal cord injury at or
above T6. The immediate priority is to sit the patient upright to reduce
blood pressure and rapidly search for and eliminate the stimulus, most
commonly bladder distention, bowel impaction, or another noxious
stimulus.
3.
A patient with a C5 spinal cord injury is learning self-care skills. Which
functional ability would the rehabilitation nurse expect the patient to
have with appropriate adaptive equipment?
2
,A. Independent fine-finger manipulation without assistive devices
B. Functional elbow flexion with limited hand function
C. Normal triceps extension and complete wrist control
D. Independent walking with a standard walker
Answer: B.
Rationale: A C5-level injury generally preserves shoulder movement
and elbow flexion but significantly limits elbow extension, wrist, and
hand function. Patients may use adaptive equipment for feeding,
grooming, and other activities. The functional pattern varies according
to completeness and neurologic level, but independent ambulation
would not generally be expected with a complete C5 injury.
4.
A patient recovering from a traumatic brain injury demonstrates
impulsivity, poor judgment, emotional lability, and difficulty
remembering safety instructions. Which nursing intervention is most
appropriate?
A. Provide lengthy explanations about the consequences of unsafe
behavior.
B. Allow unrestricted independence so the patient can learn from
mistakes.
C. Establish consistent routines and provide brief, concrete instructions.
D. Avoid correcting unsafe behavior because confrontation may increase
frustration.
Answer: C.
Rationale: Patients with cognitive and behavioral impairments after
traumatic brain injury often benefit from consistency, repetition,
environmental structure, and short, concrete instructions. Long
explanations may overwhelm impaired attention and processing
3
, abilities. Rehabilitation emphasizes safe independence rather than
unrestricted independence when judgment is impaired.
5.
A patient with a recent stroke has dysphagia and begins coughing
immediately after drinking thin liquids. The patient's voice becomes wet
and gurgly. What should the nurse do first?
A. Encourage the patient to drink additional water to clear the throat.
B. Continue feeding while monitoring oxygen saturation.
C. Stop oral intake and notify the appropriate interdisciplinary team
member.
D. Place the patient flat and encourage coughing.
Answer: C.
Rationale: Coughing and a wet, gurgly voice immediately after
swallowing suggest aspiration or impaired airway protection. Oral
intake should be stopped until swallowing safety is reassessed. The
speech-language pathologist is typically responsible for formal
swallowing evaluation and recommendations, while the nurse
maintains aspiration precautions.
6.
A patient with a spinal cord injury asks why the rehabilitation team
emphasizes pressure-relief techniques so frequently. Which explanation
is most accurate?
A. "Pressure relief primarily prevents muscle spasms."
B. "Pressure relief restores normal sensation over time."
C. "Pressure relief reduces prolonged tissue compression and helps
prevent pressure injuries."
4
