Exam (elaborations)
CRRN Post Test - Questions With Complete Solutions
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- CRRN - CERTIFIED REHABILITATION REGISTERED NURSE
CRRN Post Test - Questions With Complete Solutions
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CRRN Post Test - Questions With Complete SolutionsWhat criteria must be met in order for a patient to qualify for Medicaid?
Correct Ans - 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 Ans - 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 Ans -
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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans -
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 Ans
- 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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans - 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 Ans - Stairs (Walkers are not safe on stairs)
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