NEUROREHABILITATION TECHNICIAN
CERTIFICATION EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
1. Which cranial nerve is primarily responsible for facial expression?
A. Trigeminal (CN V)
B. Facial (CN VII)
C. Glossopharyngeal (CN IX)
D. Vagus (CN X)
The facial nerve controls motor innervation to muscles of facial expression;
damage can lead to facial droop and asymmetry.
2. In post-stroke rehabilitation, which intervention is most evidence-based for
improving upper limb function?
A. Passive stretching alone
B. Mirror therapy combined with task-specific training
C. Only passive range-of-motion exercises
D. Constraint-induced movement therapy (CIMT)
CIMT has strong clinical evidence for enhancing motor recovery by
encouraging use of the affected limb and promoting neuroplasticity.
3. A patient with right-sided hemiplegia demonstrates difficulty initiating
movement. This is most consistent with:
A. Apraxia
B. Motor planning deficit
C. Ataxia
, D. Dysmetria
A motor planning deficit, often called apraxia, involves difficulty initiating
or sequencing movements despite intact strength and coordination.
4. Which assessment tool is specifically designed to measure functional
independence in activities of daily living (ADLs) for neurological patients?
A. Berg Balance Scale
B. Fugl-Meyer Assessment
C. Barthel Index
D. Montreal Cognitive Assessment (MoCA)
The Barthel Index is widely used to evaluate ADLs, scoring patient
independence from feeding, bathing, grooming to mobility.
5. During neurorehabilitation, which approach emphasizes repetition, task
specificity, and intensity to drive neural plasticity?
A. NDT (Neurodevelopmental Treatment)
B. Brunnstrom Approach
C. Motor learning principles
D. Sensory Integration
Motor learning principles highlight the importance of repeated, meaningful,
and progressively challenging tasks to facilitate neuroplasticity.
6. A 65-year-old patient exhibits loss of fine motor coordination, tremors, and
bradykinesia. The most likely underlying disorder is:
A. Multiple Sclerosis
B. Stroke
C. Parkinson’s Disease
D. Huntington’s Disease
Parkinson’s disease is characterized by the triad of tremor,
, rigidity/bradykinesia, and postural instability due to dopaminergic neuron
loss in the substantia nigra.
7. Which safety precaution is most important when mobilizing a patient with
severe spasticity in the lower limbs?
A. Encourage rapid stretching of muscles
B. Use no assistance
C. Ensure proper positioning and use supportive equipment
D. Avoid all ambulation attempts
Proper positioning and assistive devices reduce risk of falls, injury, and
spasticity-induced complications.
8. In neurorehabilitation documentation, which of the following is required for
compliance with professional standards?
A. Informal notes without dates
B. Only verbal reports to the team
C. Accurate, dated, and objective clinical notes
D. Documentation of only successful outcomes
Professional standards require complete, accurate, objective, and dated
documentation for legal, clinical, and quality purposes.
9. Which type of stroke is caused by a rupture of cerebral blood vessels?
A. Ischemic
B. Hemorrhagic
C. Transient ischemic attack (TIA)
D. Lacunar
Hemorrhagic stroke results from bleeding in the brain due to ruptured
vessels, causing increased intracranial pressure and tissue damage.
10.When performing neurorehabilitation on a patient with hemiplegia, which
positioning technique helps prevent shoulder subluxation?
, A. Allow the arm to hang unsupported
B. Support the affected arm with pillows and proper alignment
C. Keep the shoulder adducted without support
D. Use slings continuously without active therapy
Supporting the affected limb prevents gravitational pull on the glenohumeral
joint, reducing subluxation risk.
11.Which cognitive domain is assessed by tasks such as repeating sequences of
numbers or following multi-step directions?
A. Visual-spatial skills
B. Language comprehension
C. Attention and working memory
D. Executive function
Attention and working memory are evaluated through tasks requiring
retention and manipulation of information, critical for daily function.
12.A patient demonstrates difficulty swallowing liquids post-stroke. The most
immediate concern is:
A. Malnutrition
B. Depression
C. Aspiration and risk of pneumonia
D. Fatigue
Dysphagia can cause aspiration of liquids into the lungs, significantly
increasing pneumonia risk.
13.Which of the following is a principle of neuroplasticity?
A. Neural pathways are fixed after age 12
B. Use-dependent cortical reorganization can occur throughout life
C. Only surgical interventions can restore function
D. Sensory input does not affect motor recovery
CERTIFICATION EXAM ACTUAL PREP
QUESTIONS AND WELL REVISED ANSWERS -
LATEST AND COMPLETE UPDATE WITH
VERIFIED SOLUTIONS – ASSURES PASS
1. Which cranial nerve is primarily responsible for facial expression?
A. Trigeminal (CN V)
B. Facial (CN VII)
C. Glossopharyngeal (CN IX)
D. Vagus (CN X)
The facial nerve controls motor innervation to muscles of facial expression;
damage can lead to facial droop and asymmetry.
2. In post-stroke rehabilitation, which intervention is most evidence-based for
improving upper limb function?
A. Passive stretching alone
B. Mirror therapy combined with task-specific training
C. Only passive range-of-motion exercises
D. Constraint-induced movement therapy (CIMT)
CIMT has strong clinical evidence for enhancing motor recovery by
encouraging use of the affected limb and promoting neuroplasticity.
3. A patient with right-sided hemiplegia demonstrates difficulty initiating
movement. This is most consistent with:
A. Apraxia
B. Motor planning deficit
C. Ataxia
, D. Dysmetria
A motor planning deficit, often called apraxia, involves difficulty initiating
or sequencing movements despite intact strength and coordination.
4. Which assessment tool is specifically designed to measure functional
independence in activities of daily living (ADLs) for neurological patients?
A. Berg Balance Scale
B. Fugl-Meyer Assessment
C. Barthel Index
D. Montreal Cognitive Assessment (MoCA)
The Barthel Index is widely used to evaluate ADLs, scoring patient
independence from feeding, bathing, grooming to mobility.
5. During neurorehabilitation, which approach emphasizes repetition, task
specificity, and intensity to drive neural plasticity?
A. NDT (Neurodevelopmental Treatment)
B. Brunnstrom Approach
C. Motor learning principles
D. Sensory Integration
Motor learning principles highlight the importance of repeated, meaningful,
and progressively challenging tasks to facilitate neuroplasticity.
6. A 65-year-old patient exhibits loss of fine motor coordination, tremors, and
bradykinesia. The most likely underlying disorder is:
A. Multiple Sclerosis
B. Stroke
C. Parkinson’s Disease
D. Huntington’s Disease
Parkinson’s disease is characterized by the triad of tremor,
, rigidity/bradykinesia, and postural instability due to dopaminergic neuron
loss in the substantia nigra.
7. Which safety precaution is most important when mobilizing a patient with
severe spasticity in the lower limbs?
A. Encourage rapid stretching of muscles
B. Use no assistance
C. Ensure proper positioning and use supportive equipment
D. Avoid all ambulation attempts
Proper positioning and assistive devices reduce risk of falls, injury, and
spasticity-induced complications.
8. In neurorehabilitation documentation, which of the following is required for
compliance with professional standards?
A. Informal notes without dates
B. Only verbal reports to the team
C. Accurate, dated, and objective clinical notes
D. Documentation of only successful outcomes
Professional standards require complete, accurate, objective, and dated
documentation for legal, clinical, and quality purposes.
9. Which type of stroke is caused by a rupture of cerebral blood vessels?
A. Ischemic
B. Hemorrhagic
C. Transient ischemic attack (TIA)
D. Lacunar
Hemorrhagic stroke results from bleeding in the brain due to ruptured
vessels, causing increased intracranial pressure and tissue damage.
10.When performing neurorehabilitation on a patient with hemiplegia, which
positioning technique helps prevent shoulder subluxation?
, A. Allow the arm to hang unsupported
B. Support the affected arm with pillows and proper alignment
C. Keep the shoulder adducted without support
D. Use slings continuously without active therapy
Supporting the affected limb prevents gravitational pull on the glenohumeral
joint, reducing subluxation risk.
11.Which cognitive domain is assessed by tasks such as repeating sequences of
numbers or following multi-step directions?
A. Visual-spatial skills
B. Language comprehension
C. Attention and working memory
D. Executive function
Attention and working memory are evaluated through tasks requiring
retention and manipulation of information, critical for daily function.
12.A patient demonstrates difficulty swallowing liquids post-stroke. The most
immediate concern is:
A. Malnutrition
B. Depression
C. Aspiration and risk of pneumonia
D. Fatigue
Dysphagia can cause aspiration of liquids into the lungs, significantly
increasing pneumonia risk.
13.Which of the following is a principle of neuroplasticity?
A. Neural pathways are fixed after age 12
B. Use-dependent cortical reorganization can occur throughout life
C. Only surgical interventions can restore function
D. Sensory input does not affect motor recovery
