CRRN TEST 1 (CERTIFICATION TEST )LATEST UPDATE
2024 QUESTIONS AND CORRECT DETAILED
100%CORRET ANSWERS|ALREADY GRADED A+
Severe constipation is defined as constipation that causes -
100%CORRET ANSWER-sympathetic systemic problems (e.g.,
sweating, nausea, irritability, acute abdominal discomfort,
and elevated blood pressure.)
Reflexic neurogenic bowel disorder related to spinal cord
injury involves - 100%CORRET ANSWER-Dysfunction in the
Upper Motor Neuron (UMN), the bowel is capable of
reflexive emptying of the rectum without cortical awareness
of the need to defecate.
Reflexic Bowel disorders are associated with Spinal Cord
Injury (SCI) above this level - 100%CORRET ANSWER-T12-S1
or damage to the cerebral cortex.
Autonomous, areflexic, flaccid, or atonal bowel disorders
involves - 100%CORRET ANSWER-Dysfunction in the Lower
Motor Neurons (LMN), there is no cortical control, lack of
,tone in the internal and external sphincters with frequent
oozing of stool, caused by damage to the reflexic arc.
Autonomous, areflexic, flaccid, or atonal bowel disorders
originate from spinal cord injuries at or below this level -
100%CORRET ANSWER-T12-S1
Signs and symptoms of Autonomic dysreflexia include -
100%CORRET ANSWER-Hypertension 20-40 mm hg above
baseline, bradycardia, flushing, perspiration above the level
of injury, gooseflesh (pimply state of the skin with the hairs
erect) above the level of the lesion, nasal congestion, and an
impending sense of doom.
Autonomic Dysreflexia occurs in 48-90% of those with spinal
cord injuries at or above this level - 100%CORRET ANSWER-
T6
Autonomic Dysreflexia is caused by - 100%CORRET ANSWER-
stimulation below the level of injury, also known as
hyperreflexia.
The cure for Autonomic Dysreflexia is - 100%CORRET
ANSWER-Quickly assess the stimulus causing the
hyperreflexia, then alleviate the cause. i.e., over distended
,bladder-catherize, fecal impaction-manually disimpact,
decubitus ulcer-alleviate pressure, restrictive shoes or
clothes-loosen.
Nursing interventions for bowel management programs
include - 100%CORRET ANSWER-Assess prior level of
function, and adapt the program to accommodate the
previous routine. Increase fluid, bulk, and fiber intake.
Monitor bowel sounds and abdominal distention. Avoid gas
causing foods. Encourage sitting up on toilet to promote
defecation reather than bedpans, provide appropriate
medications such as softeners, laxatives, suppositories, or
enemas. Encourage loose clothing and good hygiene.
Nursing interventions for bladder management programs
include - 100%CORRET ANSWER-Assess prior level of
function, provide adequate lighting for clients with nocturia.
Timed voiding to prevent incontinence. Assess medications
that contribute to incontinence (diuretics, sedatives,
anticholinergics, or antihypertensives). Provide adequate
hydration.
Which act allows children with disabilities appropriate
education, transition services, assistive technology, and
rehab counseling? - 100%CORRET ANSWER-Individuals with
Disabilities Education Act
, What is a SMALL number of people with complementary
skills who are equally commited to a common purpose, goals,
and working approach known as? - 100%CORRET ANSWER-
real team Participants in health care have combined widely
shared human beliefs about health and illness into four major
ethical principles. What obligation requires health care
providers to help people in need? - 100%CORRET ANSWER-
beneficence
What is nonmaleficence? - 100%CORRET ANSWER-the duty
to do no harm
What is the process of aligning and developing the capacity
of a team to create the results its members desire? -
100%CORRET ANSWERteam learning
Which of the following is a barrier to independent living for
the C4 spinal cord injured patient? - 100%CORRET ANSWER-
availability of affordable, accessible housing
Which method of paying health care providers shifts part of
the financial risk to hospitals by paying a fixed amount based
on admission diagnosis? - 100%CORRET ANSWER-prospective
payment
2024 QUESTIONS AND CORRECT DETAILED
100%CORRET ANSWERS|ALREADY GRADED A+
Severe constipation is defined as constipation that causes -
100%CORRET ANSWER-sympathetic systemic problems (e.g.,
sweating, nausea, irritability, acute abdominal discomfort,
and elevated blood pressure.)
Reflexic neurogenic bowel disorder related to spinal cord
injury involves - 100%CORRET ANSWER-Dysfunction in the
Upper Motor Neuron (UMN), the bowel is capable of
reflexive emptying of the rectum without cortical awareness
of the need to defecate.
Reflexic Bowel disorders are associated with Spinal Cord
Injury (SCI) above this level - 100%CORRET ANSWER-T12-S1
or damage to the cerebral cortex.
Autonomous, areflexic, flaccid, or atonal bowel disorders
involves - 100%CORRET ANSWER-Dysfunction in the Lower
Motor Neurons (LMN), there is no cortical control, lack of
,tone in the internal and external sphincters with frequent
oozing of stool, caused by damage to the reflexic arc.
Autonomous, areflexic, flaccid, or atonal bowel disorders
originate from spinal cord injuries at or below this level -
100%CORRET ANSWER-T12-S1
Signs and symptoms of Autonomic dysreflexia include -
100%CORRET ANSWER-Hypertension 20-40 mm hg above
baseline, bradycardia, flushing, perspiration above the level
of injury, gooseflesh (pimply state of the skin with the hairs
erect) above the level of the lesion, nasal congestion, and an
impending sense of doom.
Autonomic Dysreflexia occurs in 48-90% of those with spinal
cord injuries at or above this level - 100%CORRET ANSWER-
T6
Autonomic Dysreflexia is caused by - 100%CORRET ANSWER-
stimulation below the level of injury, also known as
hyperreflexia.
The cure for Autonomic Dysreflexia is - 100%CORRET
ANSWER-Quickly assess the stimulus causing the
hyperreflexia, then alleviate the cause. i.e., over distended
,bladder-catherize, fecal impaction-manually disimpact,
decubitus ulcer-alleviate pressure, restrictive shoes or
clothes-loosen.
Nursing interventions for bowel management programs
include - 100%CORRET ANSWER-Assess prior level of
function, and adapt the program to accommodate the
previous routine. Increase fluid, bulk, and fiber intake.
Monitor bowel sounds and abdominal distention. Avoid gas
causing foods. Encourage sitting up on toilet to promote
defecation reather than bedpans, provide appropriate
medications such as softeners, laxatives, suppositories, or
enemas. Encourage loose clothing and good hygiene.
Nursing interventions for bladder management programs
include - 100%CORRET ANSWER-Assess prior level of
function, provide adequate lighting for clients with nocturia.
Timed voiding to prevent incontinence. Assess medications
that contribute to incontinence (diuretics, sedatives,
anticholinergics, or antihypertensives). Provide adequate
hydration.
Which act allows children with disabilities appropriate
education, transition services, assistive technology, and
rehab counseling? - 100%CORRET ANSWER-Individuals with
Disabilities Education Act
, What is a SMALL number of people with complementary
skills who are equally commited to a common purpose, goals,
and working approach known as? - 100%CORRET ANSWER-
real team Participants in health care have combined widely
shared human beliefs about health and illness into four major
ethical principles. What obligation requires health care
providers to help people in need? - 100%CORRET ANSWER-
beneficence
What is nonmaleficence? - 100%CORRET ANSWER-the duty
to do no harm
What is the process of aligning and developing the capacity
of a team to create the results its members desire? -
100%CORRET ANSWERteam learning
Which of the following is a barrier to independent living for
the C4 spinal cord injured patient? - 100%CORRET ANSWER-
availability of affordable, accessible housing
Which method of paying health care providers shifts part of
the financial risk to hospitals by paying a fixed amount based
on admission diagnosis? - 100%CORRET ANSWER-prospective
payment
