CRRN Advanced Practice Test Exam MOD 010 with Graded
Questions & Answers 2023/2024
What criteria must be met in order for a patient to qualify for Medicaid? correct answers Must meet
state eligibility requirements (Medicaid was initiated under Title XIX of the Social Security Act of 1965
and provides federal grants to states for medical assistance. Each state sets its own eligibility
requirements)
What symptom should a pt taking Digoxin be instructed to report to the physician? correct answers
Anorexia (Anorexia can be a sign of Digoxin toxicity. Other signs could be nausea, vomiting, diarrhea, and
visual disturbances).
The nurse is monitoring a pt for s/s of autonomic dysreflexia. Which symptom would indicate a need for
further assessment of the pt? correct answers Blood pressure of 130/60 (range has been 110-125/60-
70), a blood pressure of 20-40 mm above the pt's baseline may indicate autonomic dysreflexia)
Which of the following are facilitated within the nursing team by the use of the nursing process? correct
answers Continuity of care (The nursing process is a sequence of problem identification, data gathering,
options assessment, decision-making, actions, and reassessment. The nurse provides care and makes
decisions in collaboration with pt's and fellow team members. This process facilitates continuity of the
patient's care)
Pt w/ diabetes and stroke wants his wife to bring his ginseng mixture from home. The patient also drinks
coffee with each meal. What potential problems should the nurse monitor for? correct answers Monitor
for hypoglycemia and increased effects of caffeine.(Asian Ginseng has been noted to lower blodd sugar
and should be used cautiously in pt's being treated for diabetes. It is also noted to increase the effects of
caffeine)
The nurse is proactive in teaching the pt self-care activities each shift, communicating and coordinating
with other team members. She tells the pt "On rehab, every day counts!" What moral principle is she
demonstrating? correct answers Fiduciary Responsibility
CM is discussing options for care with a pt who received a traumatic amputation in the course of work.
The pt is self-employed. What may be a significant barrier for this pt? correct answers Lack of insurance
(due to self-employment)
Prosthetic devices are costly and must be custom-fitted to the pt.
What is the purpose of pressure-reduction mattresses? correct answers To protect the pt from
bottoming out or excessive pressure on conventional mattresses.
Position is important to adequate bowel emptying. Which pt response in bed indicates the need for
upright positioning during elimination? correct answers Bowel emptying takes 40 minutes and includes
use of suppositories, digital stimulation, and manual evacuation. (Bowel emptying that takes a long
period of time and a great deal of effort will likely be improved by upright positioning)
, What is the most common cause in vertical compression spinal injuries? correct answers A high-velocity
blow to the top of the head (such as occurs in diving accidents, these injuries most often impact the
cervical spine area)
Which term is defined as the situation that occurs when a person knows the right thing to do, but
institutional constraints make it nearly impossible to pursue the right course of action. correct answers
Moral distress
The nurse is counseling a pt, who has had a stroke, and her sexual partner. Which comment by the nurse
is MOST accurate? correct answers Future sexual activity is best predicted by their pre-injury sexual
activity.
Newly-admitted pt w/ stroke to home health services has a history of CRPS (Complex Regional Pain
Syndrome- also known as reflex sympathetic dystrophy or shoulder-hand syndrome). What does the
nurse expect in caring for this pt? correct answers The pt will have continuous, intense burning pain that
may worsen over time.
Compulsory Hospital Insurance Program for workers over the age of 65. correct answers Medicare Part A
(payment into this system occurred during working years)
What poses a significant hazard in the community for pt's utilizing walkers? correct answers Stairs
(Walkers are not safe on stairs)
The amount of resistance during passive range of motion in a relaxed pt is: correct answers muscle tone
What level of evidence is most sound, reliable and reproducible regarding research on staffing patterns
for rehab nursing (or other research)? correct answers Level 1 (Level 1 is evidence from a systematic
review or meta-analysis or an evidence-based practice guideline based on a systematic review of
randomized, controlled trials)
A child with quadriparesis cerebral palsy uses a universal cuff. What is the purpose of this device? correct
answers To hold small objects when grasp is impaired. (Device that slips over the hand, allowing a person
with minimal hand function to hold small objects such as a spoon, toothbrush, etc..., by sliding them into
the holder)
For what beneficiaries did the Balanced Budget Act of 1997 direct the development of funding service
guidelines? correct answers Medicare (Required Medicare budget cuts for services provided in post-
acute settings)
What exam is used in testing the function of the cerebellum? correct answers Romberg exam-
(A +Romberg exam would indicate a pt has damage to the cerebellum and will be at risk for falls. Ask the
pt to stand with both feet together and arms at the side. Ask the pt to close eyes and stand quietly for
20-30 seconds. A normal response is minimal swaying. More significant swaying indicates cerebellar
damage)
The nurse is caring for a pt with expressive aphasia. She cannot understand what the pt is trying to tell
her. What action is best on the part of the nurse? correct answers Acknowledge that you do not
understand.
Questions & Answers 2023/2024
What criteria must be met in order for a patient to qualify for Medicaid? correct answers Must meet
state eligibility requirements (Medicaid was initiated under Title XIX of the Social Security Act of 1965
and provides federal grants to states for medical assistance. Each state sets its own eligibility
requirements)
What symptom should a pt taking Digoxin be instructed to report to the physician? correct answers
Anorexia (Anorexia can be a sign of Digoxin toxicity. Other signs could be nausea, vomiting, diarrhea, and
visual disturbances).
The nurse is monitoring a pt for s/s of autonomic dysreflexia. Which symptom would indicate a need for
further assessment of the pt? correct answers Blood pressure of 130/60 (range has been 110-125/60-
70), a blood pressure of 20-40 mm above the pt's baseline may indicate autonomic dysreflexia)
Which of the following are facilitated within the nursing team by the use of the nursing process? correct
answers Continuity of care (The nursing process is a sequence of problem identification, data gathering,
options assessment, decision-making, actions, and reassessment. The nurse provides care and makes
decisions in collaboration with pt's and fellow team members. This process facilitates continuity of the
patient's care)
Pt w/ diabetes and stroke wants his wife to bring his ginseng mixture from home. The patient also drinks
coffee with each meal. What potential problems should the nurse monitor for? correct answers Monitor
for hypoglycemia and increased effects of caffeine.(Asian Ginseng has been noted to lower blodd sugar
and should be used cautiously in pt's being treated for diabetes. It is also noted to increase the effects of
caffeine)
The nurse is proactive in teaching the pt self-care activities each shift, communicating and coordinating
with other team members. She tells the pt "On rehab, every day counts!" What moral principle is she
demonstrating? correct answers Fiduciary Responsibility
CM is discussing options for care with a pt who received a traumatic amputation in the course of work.
The pt is self-employed. What may be a significant barrier for this pt? correct answers Lack of insurance
(due to self-employment)
Prosthetic devices are costly and must be custom-fitted to the pt.
What is the purpose of pressure-reduction mattresses? correct answers To protect the pt from
bottoming out or excessive pressure on conventional mattresses.
Position is important to adequate bowel emptying. Which pt response in bed indicates the need for
upright positioning during elimination? correct answers Bowel emptying takes 40 minutes and includes
use of suppositories, digital stimulation, and manual evacuation. (Bowel emptying that takes a long
period of time and a great deal of effort will likely be improved by upright positioning)
, What is the most common cause in vertical compression spinal injuries? correct answers A high-velocity
blow to the top of the head (such as occurs in diving accidents, these injuries most often impact the
cervical spine area)
Which term is defined as the situation that occurs when a person knows the right thing to do, but
institutional constraints make it nearly impossible to pursue the right course of action. correct answers
Moral distress
The nurse is counseling a pt, who has had a stroke, and her sexual partner. Which comment by the nurse
is MOST accurate? correct answers Future sexual activity is best predicted by their pre-injury sexual
activity.
Newly-admitted pt w/ stroke to home health services has a history of CRPS (Complex Regional Pain
Syndrome- also known as reflex sympathetic dystrophy or shoulder-hand syndrome). What does the
nurse expect in caring for this pt? correct answers The pt will have continuous, intense burning pain that
may worsen over time.
Compulsory Hospital Insurance Program for workers over the age of 65. correct answers Medicare Part A
(payment into this system occurred during working years)
What poses a significant hazard in the community for pt's utilizing walkers? correct answers Stairs
(Walkers are not safe on stairs)
The amount of resistance during passive range of motion in a relaxed pt is: correct answers muscle tone
What level of evidence is most sound, reliable and reproducible regarding research on staffing patterns
for rehab nursing (or other research)? correct answers Level 1 (Level 1 is evidence from a systematic
review or meta-analysis or an evidence-based practice guideline based on a systematic review of
randomized, controlled trials)
A child with quadriparesis cerebral palsy uses a universal cuff. What is the purpose of this device? correct
answers To hold small objects when grasp is impaired. (Device that slips over the hand, allowing a person
with minimal hand function to hold small objects such as a spoon, toothbrush, etc..., by sliding them into
the holder)
For what beneficiaries did the Balanced Budget Act of 1997 direct the development of funding service
guidelines? correct answers Medicare (Required Medicare budget cuts for services provided in post-
acute settings)
What exam is used in testing the function of the cerebellum? correct answers Romberg exam-
(A +Romberg exam would indicate a pt has damage to the cerebellum and will be at risk for falls. Ask the
pt to stand with both feet together and arms at the side. Ask the pt to close eyes and stand quietly for
20-30 seconds. A normal response is minimal swaying. More significant swaying indicates cerebellar
damage)
The nurse is caring for a pt with expressive aphasia. She cannot understand what the pt is trying to tell
her. What action is best on the part of the nurse? correct answers Acknowledge that you do not
understand.
