CRRN EXAM TEST BANK 2026-2027 ACTUAL
EXAM QUESTIONS WITH VERFIED ANSWERS
AND DETAILED RATIONALES (GRADED A+)
Maximize your study efficiency and ace the exam with this
definitive question CRRN Test Bank featuring
comprehensive, verified questions and answers tailored for
the 2025/2026 syllabus. Each detailed multiple-choice entry
includes precise, bold-italic rationales placed directly after
the question to ensure immediate concept mastery and
eliminate guesswork. Perfect for nurses looking to master
neurological care, bowel/bladder management, and
rehabilitation theory, this top-rated resource is guaranteed to
help you secure an A+ and elevate your clinical practice
Question 1
A rehabilitation nurse is caring for a patient who suffered a
complete T6 spinal cord injury 4 weeks ago. The patient suddenly
complains of a severe, pounding headache, and the nurse notes
a blood pressure of 180/100 mmHg and diaphoresis above the
level of injury. What is the priority nursing action?
A. Administer an ordered antihypertensive medication.
B. Place the patient in a sitting position and check for bladder
distention.
C. Assess the patient for deep vein thrombosis in the lower
extremities.
,D. Elevate the head of the bed to 15 degrees and notify the
physician.
Answer: B
Rationale: The patient is exhibiting classic signs of
autonomic dysreflexia (AD), a life-threatening medical
emergency common in spinal cord injuries at or above the T6
level. The immediate priority action is to sit the patient
upright to induce orthostatic reduction in blood pressure and
then identify and eliminate the noxious stimulus, which is
most frequently a distended bladder or fecal impaction.
Question 2
According to standard rehabilitation practices, which of the
following is the primary goal of a comprehensive bladder training
program for a stroke survivor with reflex urinary incontinence?
A. Achieving complete continence without the use of scheduled
voiding.
B. Preventing urinary tract infections (UTIs) by restricting fluid
intake after 1800 hours.
C. Regulating bladder emptying using a predictable, timed
schedule based on patterns.
D. Transitioning the patient to long-term indwelling catheterization
to preserve skin integrity.
Answer: C
Rationale: The goal of bladder training in a neurogenic or
reflex bladder pattern is to establish a predictable, timed
voiding routine that prevents bladder overdistention, reduces
incontinence episodes, and promotes full emptying, thereby
,maintaining skin integrity and preventing infections. Fluid
restriction is counterproductive as concentrated urine
irritates the bladder.
Question 3
An adult patient with a traumatic brain injury (TBI) exhibits
restless, agitated behavior, fluctuates between cooperation and
resistance, and has a very short attention span. According to the
Rancho Los Amigos Levels of Cognitive Functioning, which level
is this patient demonstrating?
A. Level III - Localized Response
B. Level IV - Confused-Agitated
C. Level V - Confused-Inappropriate
D. Level VI - Confused-Appropriate
Answer: B
Rationale: Rancho Los Amigos Level IV is characterized by
confused and agitated behavior. The patient is in a
hyperactive state, exhibits bizarre or non-purposeful
behavior relative to the immediate environment, has a short
attention span, and lacks short-term recall.
Question 4
When implementing a bowel program for a patient with an upper
motor neuron (UMN) bowel injury (reflexic bowel), which
technique is most effective to stimulate peristalsis and digital
evacuation?
A. Frequent administration of tap water enemas.
, B. Suppository insertion followed by digital stimulation at a
scheduled time.
C. Restricting dietary fiber to prevent loose stools.
D. Relying strictly on oral laxatives every morning.
Answer: B
Rationale: A reflexic or upper motor neuron bowel (occurring
with spinal cord injuries above T12) retains reflex
coordination but lacks voluntary control. A successful bowel
program relies on establishing a routine using a chemical
stimulant (like a suppository) followed by digital stimulation
to trigger the defecation reflex.
Question 5
A patient with left-sided hemiplegia from a right-hemisphere
cerebrovascular accident (CVA) constantly ignores food on the
left side of the tray and does not look toward the left side when
spoken to. Which neurological deficit does this represent?
A. Anosognosia
B. Homonymous hemianopsia
C. Unilateral spatial neglect
D. Apraxia
Answer: C
Rationale: Unilateral spatial neglect (or hemispatial neglect)
is a perceptual deficit common in right-hemisphere strokes
where the patient fails to attend to, respond to, or perceive
stimuli on the contralateral (left) side of their body or
environment.
Question 6
EXAM QUESTIONS WITH VERFIED ANSWERS
AND DETAILED RATIONALES (GRADED A+)
Maximize your study efficiency and ace the exam with this
definitive question CRRN Test Bank featuring
comprehensive, verified questions and answers tailored for
the 2025/2026 syllabus. Each detailed multiple-choice entry
includes precise, bold-italic rationales placed directly after
the question to ensure immediate concept mastery and
eliminate guesswork. Perfect for nurses looking to master
neurological care, bowel/bladder management, and
rehabilitation theory, this top-rated resource is guaranteed to
help you secure an A+ and elevate your clinical practice
Question 1
A rehabilitation nurse is caring for a patient who suffered a
complete T6 spinal cord injury 4 weeks ago. The patient suddenly
complains of a severe, pounding headache, and the nurse notes
a blood pressure of 180/100 mmHg and diaphoresis above the
level of injury. What is the priority nursing action?
A. Administer an ordered antihypertensive medication.
B. Place the patient in a sitting position and check for bladder
distention.
C. Assess the patient for deep vein thrombosis in the lower
extremities.
,D. Elevate the head of the bed to 15 degrees and notify the
physician.
Answer: B
Rationale: The patient is exhibiting classic signs of
autonomic dysreflexia (AD), a life-threatening medical
emergency common in spinal cord injuries at or above the T6
level. The immediate priority action is to sit the patient
upright to induce orthostatic reduction in blood pressure and
then identify and eliminate the noxious stimulus, which is
most frequently a distended bladder or fecal impaction.
Question 2
According to standard rehabilitation practices, which of the
following is the primary goal of a comprehensive bladder training
program for a stroke survivor with reflex urinary incontinence?
A. Achieving complete continence without the use of scheduled
voiding.
B. Preventing urinary tract infections (UTIs) by restricting fluid
intake after 1800 hours.
C. Regulating bladder emptying using a predictable, timed
schedule based on patterns.
D. Transitioning the patient to long-term indwelling catheterization
to preserve skin integrity.
Answer: C
Rationale: The goal of bladder training in a neurogenic or
reflex bladder pattern is to establish a predictable, timed
voiding routine that prevents bladder overdistention, reduces
incontinence episodes, and promotes full emptying, thereby
,maintaining skin integrity and preventing infections. Fluid
restriction is counterproductive as concentrated urine
irritates the bladder.
Question 3
An adult patient with a traumatic brain injury (TBI) exhibits
restless, agitated behavior, fluctuates between cooperation and
resistance, and has a very short attention span. According to the
Rancho Los Amigos Levels of Cognitive Functioning, which level
is this patient demonstrating?
A. Level III - Localized Response
B. Level IV - Confused-Agitated
C. Level V - Confused-Inappropriate
D. Level VI - Confused-Appropriate
Answer: B
Rationale: Rancho Los Amigos Level IV is characterized by
confused and agitated behavior. The patient is in a
hyperactive state, exhibits bizarre or non-purposeful
behavior relative to the immediate environment, has a short
attention span, and lacks short-term recall.
Question 4
When implementing a bowel program for a patient with an upper
motor neuron (UMN) bowel injury (reflexic bowel), which
technique is most effective to stimulate peristalsis and digital
evacuation?
A. Frequent administration of tap water enemas.
, B. Suppository insertion followed by digital stimulation at a
scheduled time.
C. Restricting dietary fiber to prevent loose stools.
D. Relying strictly on oral laxatives every morning.
Answer: B
Rationale: A reflexic or upper motor neuron bowel (occurring
with spinal cord injuries above T12) retains reflex
coordination but lacks voluntary control. A successful bowel
program relies on establishing a routine using a chemical
stimulant (like a suppository) followed by digital stimulation
to trigger the defecation reflex.
Question 5
A patient with left-sided hemiplegia from a right-hemisphere
cerebrovascular accident (CVA) constantly ignores food on the
left side of the tray and does not look toward the left side when
spoken to. Which neurological deficit does this represent?
A. Anosognosia
B. Homonymous hemianopsia
C. Unilateral spatial neglect
D. Apraxia
Answer: C
Rationale: Unilateral spatial neglect (or hemispatial neglect)
is a perceptual deficit common in right-hemisphere strokes
where the patient fails to attend to, respond to, or perceive
stimuli on the contralateral (left) side of their body or
environment.
Question 6
