CRRN Practice Questions Graded A 2023

Loss of visual fields in the left half of each eye - Left Homonymous hemianopsia is evidenced by: a.Loss of visual fields in the left half of each eye b. Significant right sided neglect c. Loss of visual fields in the nasal half of the left eye d. Spatial perceptual deficits Pocketing of food and wet voice during meals. - Which requires a swallowing evaluation? a. Pocketing of food and wet voice during meals b. Temperature elevation shortly after eating c. Increased thickness of secretions within 30 minutes of drinking milk d. Complaints about quality and taste of food Sensory function is preserved below the level of injury and extends through S4-5 - The chart indicates that your patient has an ASIA B injury at T6-7, which means: a. Motor function is preserved below the level of injury with most muscles a Grade 3 or higher b. Motor function is preserved below the level of injury with most muscles a Grade 3 or below c. There is no sensory or motor function preserved below the level of injury d. Sensory function is preserved below the level of injury and extends through S4-5 Visual perception - The occipital area of the brain is responsible for: a. Balance and co-ordination b. Perception of time passage c. Visual perception d. Writing, reading, and math skills Right hemisphere stroke - Which of the following patients is at higher risk for self-injury because of her diagnosis; a. Lacunar infarct b. Basilar artery infarct c. Left hemisphere stroke d. Right hemisphere stroke Establishing a change relationship - In your role as a change agent, you will assist your patient by: a. Establishing a change relationship b. Establishing barriers and assisting the patient in defining his challenges c. Assisting to maintain the status quo d. Functioning as a restrain force to control movement Temporal lobe - Auditory association and the sense of time are associated with the: a. Frontal lobe b. Temporal lobe c. Parietal lobe d. Occipital lobe Consistent time of day associated with the gastrocolic reflex, triggering of reflex emptying with suppositories or digital stimulation - Which bowel program is most appropriate for a patient who has had a spinal cord injury at C5-6: a. Enemas given daily in the morning to prevent incontinence during the day b. Consistent time of day associated with the gastrocolic reflex, triggering of reflex emptying with suppositories or digital stimulation c. Administration of laxatives and suppositories every evening timed within 6 hours of laxative administration d. Bulk fiber products used to form stool with toileting time at a consistent time of the day associated with the gastro-colic reflex maintenance of continence - Which of the following is NOT a primary goal of a bladder program? a. maintenance of continence b. Preservation of upper urinary tracts c. Prevention of infection d. Establishment of an effective method of emptying the bladder Flushing below the level of the lesion - Which of the following is not generally a symptom of an autonomic dysreflexia? a. Pounding headache b. Flushing below the level of the lesion c. Nasal congestion d. Feeling of apprehension and doom Relaxation of the bladder wall - Sympathetic stimulation of the detrusor results in: a. Relaxation of the bladder neck b. Contraction of the bladder wall c. Relaxation of the bladder wall d. Relation of the external sphincter A high incidence of right side neglect - Expressions of sexuality may be impaired in patients who have had a stroke due to all of the following EXCEPT: a. Communication deficits b. A high incidence of right side neglect c. Depression d. Apraxia Remove/avoid pressure - The first action is to be taken when a red area is noted is: a. Remove/avoid pressure b. Apply protective lotion c. Massage the area d. Apply a protective dressing Proper and supportive positioning - One of the most important interventions for preventing subluxation of a joint in a flaccid extremity is: a. Proper and supportive positioning b. Aggressive range of motion c. Administration of etidronate disodium (Didronel) d. Weight bearing on the affected extremity Three - The developmental milestone of alternating feet while going up and down stairs is usually achieved at age: a. one b. two c. Three d. Four Difficulty making skilled movements - Apraxia is demonstrated as: a. Severe tremor b. Neglect of the affected side of the body c. Difficulty making skilled movements d. Inappropriate interpretation of sensations Feeding and grooming with specially adapted equipment - A patient with motor and sensory impairment at the C7 level will be independent in: a. Upper and lower extremity dressing b. Ambulation c. Floor to chair transfers d. Feeding and grooming with specially adapted equipment Storing medications, alcohol and other harmful substances in a secured area - You are assisting the parents of a twelve year old with a brain injury and significant cognitive limitations to prepare for discharge to home. What safety interventions will you include? a. Serving hot food and beverages as soon as possible to improve palatability b. Storing medications, alcohol and other harmful substances in a secured area c. Placing all small appliances in the same location d. Lowering the temperature of the water heater to 140 degrees to avoid accidental burning.