CNRN EXAM |ACTUAL QUESTIONS AND VERIFIED
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A 17-year-old sustained a concussion playing soccer. He was treated and released from the
emergency department. Which of the following are MOST important to discuss with the
patient and family?
a. Most concussions resolve in a day and he can return to normal actives
b. Concussions from soccer are not as bad as concussions from football
c. The need to follow return to play guidelines before returning to physical activity
d. He should have neurocognitive testing before returning to school
CORRECT ANSWER
The need to follow return to play guidelines before returning to physical activity
Question 2
A 21-year old patient has severe traumatic brain injury after a motor vehicle collision
(MVC). Which of the following would be MOST important for the nurse to notify the
provider about?
a. Urine output 400 ml/hr for past 3 hours
b. Bruising behind the right ear
c. Serum sodium of 134 mmol/dl
d. Conjunctival hemorrhage
CORRECT ANSWER
Urine output 400 ml/hr for past 3 hours
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,Question 3
Shifting of blood and Cerebrospinal fluid (CSF) to compensate for increased intracranial
pressure (ICP) is described by which of the following?
a. Monro-Kellie Doctrine
b. Emergency Doctrine
c. Neuron Doctrine
d. Cerebrospinal fluid Doctrine
CORRECT ANSWER
Monro-Kellie Doctrine
Question 4
A child in the intensive care unit has been declared brain dead. The parents express their
faith and say they are certain their child will be restored to health. What is the MOST
appropriate INITIAL nursing intervention?
a. Suggest the parents talk to the physician and share their concerns
b. Accept the family's grief process and provide educational support
c. Provide the patents with a detailed interpretation of the medical reports
d. 'Perform a neurological assessment while the parents observe
CORRECT ANSWER
Accept the family's grief process and provide educational support
Question 5
Increases in intracranial volume can lead to significant increases in intracranial pressure
(ICP). This phenomenon is related to a disruption in:
a. cerebral blood flow.
b. intracranial compliance.
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,c. cerebral perfusion pressure.
d. intracranial equilibrium.
CORRECT ANSWER
intracranial compliance
Question 6
Which of the following are recommended to prevent second impact syndrome following a
concussion?
a. The athlete should refrain from all future contact sports.
b. The athlete should sit out of the sport for 3 days.
c. The athlete should sit out at least until symptom free.
d. The athlete should refrain from the sport if it is their 3rd concussion.
CORRECT ANSWER
The athlete should sit out at least until symptom free
Question 7
When assessing muscle strength, Grade 4 indicates active movement:
a. against gravity and full resistance.
b. against gravity and some resistance.
c. against gravity only.
d. when gravity is eliminated
CORRECT ANSWER
Against gravity and some resistance
3
@THE STUDY VAULT
, Question 8
After sustaining an unstable T6 burst fracture, discharge management to prevent further
injury includes:
a. Application of a halo vest.
b. A thoracic lumbar sacral orthotic (TLSO).
c. Bed rest, log rolling, and pain management.
d. Exercise to build compensatory musculature.
CORRECT ANSWER
A thoracic lumbar sacral orthotic (TLSO)
Question 9
A cervical (C-1) burst fracture resulting in ligamentous rupture, causing instability is known
as which of the following?
a. Hangman's fractures
b. Atlantoaxial subluxation
c. Lateral mass
d. Jefferson fracture
CORRECT ANSWER
Jefferson Fracture
Question 10
A patient suffering a traumatic humeral fracture presents to clinic with difficulty extending
the wrist and hand intrinsic weakness. The nurse would expect which primary diagnosis?
a. Radial nerve injury
b. Median nerve injury
c. Ulnar nerve injury
4
@THE STUDY VAULT
ANSWERS|BRAND NEW 2026-2027
UPDATE|GRADED A+
Question 1
A 17-year-old sustained a concussion playing soccer. He was treated and released from the
emergency department. Which of the following are MOST important to discuss with the
patient and family?
a. Most concussions resolve in a day and he can return to normal actives
b. Concussions from soccer are not as bad as concussions from football
c. The need to follow return to play guidelines before returning to physical activity
d. He should have neurocognitive testing before returning to school
CORRECT ANSWER
The need to follow return to play guidelines before returning to physical activity
Question 2
A 21-year old patient has severe traumatic brain injury after a motor vehicle collision
(MVC). Which of the following would be MOST important for the nurse to notify the
provider about?
a. Urine output 400 ml/hr for past 3 hours
b. Bruising behind the right ear
c. Serum sodium of 134 mmol/dl
d. Conjunctival hemorrhage
CORRECT ANSWER
Urine output 400 ml/hr for past 3 hours
1
@THE STUDY VAULT
,Question 3
Shifting of blood and Cerebrospinal fluid (CSF) to compensate for increased intracranial
pressure (ICP) is described by which of the following?
a. Monro-Kellie Doctrine
b. Emergency Doctrine
c. Neuron Doctrine
d. Cerebrospinal fluid Doctrine
CORRECT ANSWER
Monro-Kellie Doctrine
Question 4
A child in the intensive care unit has been declared brain dead. The parents express their
faith and say they are certain their child will be restored to health. What is the MOST
appropriate INITIAL nursing intervention?
a. Suggest the parents talk to the physician and share their concerns
b. Accept the family's grief process and provide educational support
c. Provide the patents with a detailed interpretation of the medical reports
d. 'Perform a neurological assessment while the parents observe
CORRECT ANSWER
Accept the family's grief process and provide educational support
Question 5
Increases in intracranial volume can lead to significant increases in intracranial pressure
(ICP). This phenomenon is related to a disruption in:
a. cerebral blood flow.
b. intracranial compliance.
2
@THE STUDY VAULT
,c. cerebral perfusion pressure.
d. intracranial equilibrium.
CORRECT ANSWER
intracranial compliance
Question 6
Which of the following are recommended to prevent second impact syndrome following a
concussion?
a. The athlete should refrain from all future contact sports.
b. The athlete should sit out of the sport for 3 days.
c. The athlete should sit out at least until symptom free.
d. The athlete should refrain from the sport if it is their 3rd concussion.
CORRECT ANSWER
The athlete should sit out at least until symptom free
Question 7
When assessing muscle strength, Grade 4 indicates active movement:
a. against gravity and full resistance.
b. against gravity and some resistance.
c. against gravity only.
d. when gravity is eliminated
CORRECT ANSWER
Against gravity and some resistance
3
@THE STUDY VAULT
, Question 8
After sustaining an unstable T6 burst fracture, discharge management to prevent further
injury includes:
a. Application of a halo vest.
b. A thoracic lumbar sacral orthotic (TLSO).
c. Bed rest, log rolling, and pain management.
d. Exercise to build compensatory musculature.
CORRECT ANSWER
A thoracic lumbar sacral orthotic (TLSO)
Question 9
A cervical (C-1) burst fracture resulting in ligamentous rupture, causing instability is known
as which of the following?
a. Hangman's fractures
b. Atlantoaxial subluxation
c. Lateral mass
d. Jefferson fracture
CORRECT ANSWER
Jefferson Fracture
Question 10
A patient suffering a traumatic humeral fracture presents to clinic with difficulty extending
the wrist and hand intrinsic weakness. The nurse would expect which primary diagnosis?
a. Radial nerve injury
b. Median nerve injury
c. Ulnar nerve injury
4
@THE STUDY VAULT
