CNRN Practice Samples / Complete
Study Guide / Newest Actual Questions
& Answers (A+ Guide Solution) Newest
2025/2026.
Terms in this set (235)
_____________Quiz____________?
Which of the following is a TRUE statement about rehabilitation with spinal cord-injured (SCI)
patients?
A. Rehabilitation begins after the patient is stabilized in the acute period.
B. The goal of rehabilitation in SCI patients is to return the patient to his or her prior level of
functioning.
C. Preventing secondary injuries in SCI patients is a component of rehabilitation.
D. It provides long-term assistance to patients with SCI. -
Answer✓✓
C
Rationale: Rehabilitation begins on admission into an acute care facility. A major component of
rehabilitation is the prevention of secondary injuries that can adversely affect outcome. A goal
of rehabilitation is to improve the patient's independence in activities of daily living, but it is not
realistic to have the goal of returning to their prior level of function in spinal cord-injured (SCI)
patients. Rehabilitation is to assist with reintegration of the patient into society with good
resources, but it is not to provide long-term care and assistance to the patient.
1
,_____________Quiz____________?
The cardinal feature of Guillain-Barré includes which of the following?
A. Unilateral ascending paralysis
B. Descending bilateral paresthesia
C. Bilateral ascending paralysis
D. Bilateral spasticity in upper extremities -
Answer✓✓
C
Rationale: The primary characteristic of paralysis in Guillain-Barré (GB) is bilateral, ascending
paralysis. It may or may not involve ventilatory muscles and requirement for mechanical
ventilation. It is bilateral, not unilateral, paralysis. GB presents in an ascending manner, not in a
descending manner.
_____________Quiz____________?
Which of the following has been associated with a genetic increase in risk of brain tumor?
A. Down syndrome
B. Autoimmune disorders
C. Glioblastoma gene
D. Neurofibromatosis -
Answer✓✓
D
2
,Rationale: Genetic syndromes, such as neurofibromatosis types I and II, have been associated
with brain tumor risk in families. Glioblastoma has a less than 1% with a genetic predisposition.
Allergies and immune disorders may protect against brain tumors. Down syndrome has a very
low association with brain tumors.
_____________Quiz____________?
Which of the following is the priority of care of a patient following a seizure?
A. Reorient the patient to place and time.
B. Determine whether the patient has a recollection of the seizure.
C. Maintain the patient's airway and breathing.
D. Assess for the presence of Todd's paralysis. -
Answer✓✓
C
Rationale: Airway and breathing are always the priorities. Following a seizure, patients may have
altered mentation and are unable to maintain airway. All of the other answers are interventions
following a seizure, but the priority is airway.
_____________Quiz____________?
When assessing a patient with meningitis, you passively flex the patient's neck and his or her
knees automatically flex upward. What is this called?
A. Brudzinski's sign
B. Romberg sign
C. Kernig's sign
3
, D. Kehr's sign -
Answer✓✓
A
Rationale: Brudzinski's and Kernig's signs are both signs of meningeal irritation and can be
present in patients with meningitis. The Brudzinski's sign is seen when the flexion of the neck
causes knees to passively flex. The Kernig's sign is pain or hamstring spasm upon straightening
the bent leg. Romberg's sign is found in patients with vertigo. Kehr's sign is found in splenic
injuries.
_____________Quiz____________?
A patient presents to your unit with the diagnosis of an intracerebral hemorrhage. Which of
the following blood pressure (BP) parameters orders would be expected?
A. Keep systolic BP >220 mmHg.
B. Maintain systolic BP <100 mmHg.
C. Maintain systolic BP between 130 and 150 mmHg.
D. Treat BP only if patient rebleeds. -
Answer✓✓
C
Rationale: The goal in a hemorrhagic stroke is to keep the systolic blood pressure (SBP) low to
prevent a rebleed but high enough for perfusion of the brain tissue. Frequently, the BP will be
ordered as a range such as between 130 and 150 mmHg. An SBP > 220 mmHg will increase
incidence of rebleeding. Less than 100 mmHg will increase ischemic injury. The BP should be
managed to prevent complications such as rebleeds, not to treat them only when they occur.
4
Study Guide / Newest Actual Questions
& Answers (A+ Guide Solution) Newest
2025/2026.
Terms in this set (235)
_____________Quiz____________?
Which of the following is a TRUE statement about rehabilitation with spinal cord-injured (SCI)
patients?
A. Rehabilitation begins after the patient is stabilized in the acute period.
B. The goal of rehabilitation in SCI patients is to return the patient to his or her prior level of
functioning.
C. Preventing secondary injuries in SCI patients is a component of rehabilitation.
D. It provides long-term assistance to patients with SCI. -
Answer✓✓
C
Rationale: Rehabilitation begins on admission into an acute care facility. A major component of
rehabilitation is the prevention of secondary injuries that can adversely affect outcome. A goal
of rehabilitation is to improve the patient's independence in activities of daily living, but it is not
realistic to have the goal of returning to their prior level of function in spinal cord-injured (SCI)
patients. Rehabilitation is to assist with reintegration of the patient into society with good
resources, but it is not to provide long-term care and assistance to the patient.
1
,_____________Quiz____________?
The cardinal feature of Guillain-Barré includes which of the following?
A. Unilateral ascending paralysis
B. Descending bilateral paresthesia
C. Bilateral ascending paralysis
D. Bilateral spasticity in upper extremities -
Answer✓✓
C
Rationale: The primary characteristic of paralysis in Guillain-Barré (GB) is bilateral, ascending
paralysis. It may or may not involve ventilatory muscles and requirement for mechanical
ventilation. It is bilateral, not unilateral, paralysis. GB presents in an ascending manner, not in a
descending manner.
_____________Quiz____________?
Which of the following has been associated with a genetic increase in risk of brain tumor?
A. Down syndrome
B. Autoimmune disorders
C. Glioblastoma gene
D. Neurofibromatosis -
Answer✓✓
D
2
,Rationale: Genetic syndromes, such as neurofibromatosis types I and II, have been associated
with brain tumor risk in families. Glioblastoma has a less than 1% with a genetic predisposition.
Allergies and immune disorders may protect against brain tumors. Down syndrome has a very
low association with brain tumors.
_____________Quiz____________?
Which of the following is the priority of care of a patient following a seizure?
A. Reorient the patient to place and time.
B. Determine whether the patient has a recollection of the seizure.
C. Maintain the patient's airway and breathing.
D. Assess for the presence of Todd's paralysis. -
Answer✓✓
C
Rationale: Airway and breathing are always the priorities. Following a seizure, patients may have
altered mentation and are unable to maintain airway. All of the other answers are interventions
following a seizure, but the priority is airway.
_____________Quiz____________?
When assessing a patient with meningitis, you passively flex the patient's neck and his or her
knees automatically flex upward. What is this called?
A. Brudzinski's sign
B. Romberg sign
C. Kernig's sign
3
, D. Kehr's sign -
Answer✓✓
A
Rationale: Brudzinski's and Kernig's signs are both signs of meningeal irritation and can be
present in patients with meningitis. The Brudzinski's sign is seen when the flexion of the neck
causes knees to passively flex. The Kernig's sign is pain or hamstring spasm upon straightening
the bent leg. Romberg's sign is found in patients with vertigo. Kehr's sign is found in splenic
injuries.
_____________Quiz____________?
A patient presents to your unit with the diagnosis of an intracerebral hemorrhage. Which of
the following blood pressure (BP) parameters orders would be expected?
A. Keep systolic BP >220 mmHg.
B. Maintain systolic BP <100 mmHg.
C. Maintain systolic BP between 130 and 150 mmHg.
D. Treat BP only if patient rebleeds. -
Answer✓✓
C
Rationale: The goal in a hemorrhagic stroke is to keep the systolic blood pressure (SBP) low to
prevent a rebleed but high enough for perfusion of the brain tissue. Frequently, the BP will be
ordered as a range such as between 130 and 150 mmHg. An SBP > 220 mmHg will increase
incidence of rebleeding. Less than 100 mmHg will increase ischemic injury. The BP should be
managed to prevent complications such as rebleeds, not to treat them only when they occur.
4
