CRRN EXAM PRACTICE QUESTIONS – UPDATED

CRRN EXAM PRACTICE QUESTIONS – UPDATED

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CRRN EXAM PRACTICE QUESTIONS – UPDATED    

More Than 2000 Questions 

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SAMPLE QUESTIONS ARE BELOW

APHASIA HANNA CASSIM 15 TERMS

·         Behavioral Symptoms:

Impacts:
-fluency -motor output -comprehension -repetition -naming -reading -writing

·         Nonfluent Aphasias:

Injury to anterior (frontal) portion of brain
Includes:
-short/choppy phrases -slow,labored production -grammar errors -TELEGRAPHIC
Broca’s, Transcortical Motor Aphasia, Global Aphasia

·         Fluent Aphasias:

Injury to posterior/lateral (temporal/parietal) portion of brain
Includes:
-affected content of lang -flows well -adequate phrase length -smooth -easy -well paced
Wernicke’s, Transcortical Sencory, Conduction, Anomic

·         Broca’s Aphasia:

NONFLUENT APHASIA
Damage to Broca’s Area (inferior premotor planning strip) where intricate speech motor movements are planned and executed
Fluency and Motor:
-slowed, halted, labored speech -telegraphic/robot-like
-usually small phrase length (no more than 4/5 words) -melody/prosody affected -functional words omitted -AWARE OF ERRORS
Lang Comprehension (in both reading and auditory):
-usually better than expression -mild to moderate
Repetition:
-highly variable -reflect difficulty in spoken lang
Naming:
-mild to severe -usually phonemic paraphasias
Reading& Writing:
-parallels impact of verbal expression (DIFFERENTIATES AOS)
-reading aloud usually similar to spontaneous expression
-writing is effortful

Bladder Function Dysfunction By Emilynyers  17 Terms

·         pelvic n.

parasympathetic innervation to the bladder

·         pelvic n. (parasympathetic)

What nerve fibers carry sensory impulses detecting bladder distention?

sympathetic innervation to the bladder

·         β3 adrenergic: inhibitory to bladder wall
α1 adrenergic: excitatory to internal sphincter

types of SNS receptors that mediate bladder response to sympathetic stimulation

·         pudendal n.

somatic innervation to the bladder (external sphincter)

Bowel Tony Pasco 45 Terms

·         What is the main purpose of the small intestine?

Digestion, movt, and absorption

·         What is the function of large intestine?

Movt, absorption, and elimination

·         What factors effect bowel elimination?

Food, fluid, physical activity, bowel habits, meds, tests, patho conditions, surgery and pain

·         What do you inspect for in bowel?

Symmetry, discoloration, scarring, distention, bulging flanks, taut skin

·         Auscultating for?

High pitched irregular gurgles

Carnial Nerves By Jsgurnanos  16

1.       Cranial Nerve 1 – Olfactory.

Function: smell.
Dysfunction: decrease sense of smell; anosmia: absence of smell.
Interventions: hyposmia, often associated with impaired taste and weight loss, smell serves as warning for fire; maintain safety.

2.       Cranial Nerve – 2 Optic.

Function: vision.
Dysfunction: decrease visual acuity, decrease visual fields.
Interventions: reorient client to environment, position objects around client.

3.       Cranial Nerve 3 – Oculomotor

Function: eye movement, pupil constriction (midbrain).
Dysfunction: double vision, loss of eye movements, pupil dilated, nonreactive to light, ptosis (drooping of upper eyelid).
Intervention: intermittent eye patching; lubricate eyes to protect against corneal abrasions.

4.       Cranial Nerve 4 – Trochlear

Function: up & down movement of the eye (midbrain).
Dysfunction: double vision, impaired downward gaze.
Intervention: intermittent eye patching; lubricate eyes to protect against corneal abrasions.

Castle Test Questions Flash ByUtev 8 Terms

1)    BROWN-SEQUARD SYNDROME:

·         damage to one side of the cord
– loss of motor function and position sense on the same side as the damage
– loss of pain and temperature sensation of the opposite side

2)    ANTERIOR CORD SYNDROME:

·         caused by damage to the anterior artery
– affects the anterior 2/3 of the cord (necrosis of cord)
– produces paralysis and loss of pain, temperature and touch sensation below the lesion with preservation of position sense (often motor function intact)

3)    CONUSMEDULLARIS SYNDROMES:

·         damage to conus and lumbar nerve roots
– may produce areflexia in bladder, bowel and/or lower limbs

4)    CAUDA EQUINA SYNDROME:

·         damage to lumbar-sacral nerve roots
– may cause areflexia in bladder, bowel and/or lower extremities – flacid

CRANIAL NERVES-FUNCTION & INTERVENTION BY JSGUGANOS   16

·         CN 1 – OlfactorySensory.?

Function: Smell.
Intervention: Check R/L sense of smell with soap, cinnamon on cottonballs.

2)    CN 2 – OPTICSENSORY.?

Function: Vision.
Intervention: Check visual acuity w/ handheld cards, testing each eye individually; visual field perception; reorient client to environment, position objects around client.

3)    CN 3 – OCULOMOTORMOTOR.?

Function: Eye movement/pupil constriction.
Intervention: PERRLA; cardinal fields of gaze; intermittent eye patching; lubricate eyes to protect against corneal abrasions.

CRANIAL NERVES DETAILED BY LBOUZI  12 TERMS

1)    CRANIAL NERVE I:

Olfactory

Sensory, smell.

Passes through perforations in the cribiform plate of the ethmoid bone and terminate in the upper part of the nasal cavity.

Contains the afferant nerve fibers of the olfactory receptor neurons.

Test: coffee and other smells.

Lesions to the old factory nerve such as blunt trauma (coup-contra-coup), meningitis, and tumors of the frontal lobe.

2)    CRANIAL NERVE II:

Optic

Sensory, vision

Optic nerves from the right and left join to form the optic chiasma

Test:
1. Visual field testing – each I separately
2. Acuity – Snellen chart
3. Funduscopic exam
4. Pupillary light reflex (CN I & CN II)

CRRN BY JODIE THOMPSON   16

·         Rehabilitation and Goals.?

Rehab is the philosophy of practice and an attitude toward caring for people with disabilities and chronic heath problems. Goals are to improve quality of life and help people who have disabilities and chronic health problems.

·         Rehabilitation act of 1973.?

1973

·         ARN standards and scope of rehabilitation nursing practice.?

1976

·         Americans with Disability Act of 1990.?

*increased accessibility
*increased opportunity for employment, education, health care

CRRN By Laura Pepper 97 Terms

·         Agnosia

difficulty distinguishing doorbell and phone ring

·         Apraxia

problem with motor movement, motor planning

·         Dysarthria

D

·         Anomia

…

·         Persevation

Unintentional repetition of a word or phrase

CRRN BY LEIGH APV 223 TERMS

1)    TYPE OF MASSAGE THERAPY WHICH IS USUALLY DONE WITH RHYTHMIC, BROAD STROKES BEGINNING SOFTLY AND INCREASING IN INTENSITY TO RELAX THE PERSON AND IDENTIFY AREAS OF TIGHTNESS OR PAIN.

Effleurage

2)    PRESSURE IS APPLIED WITH A FINGER OR THUMB TO AREAS OF POINT TENDERNESS TO REDUCE SPASTICITY AND PAIN.

Trigger Point

3)    DEFINED IN 2000 BY THE ASSOCIATION OF REHABILITATION NURSES AS “THE DIAGNOSIS AND TREATMENT OF HUMAN RESPONSES OF INDIVIDUALS AND GROUPS TO ACTUAL OR POTENTIAL HEALTH PROBLEMS RELATIVE TO ALTERED FUNCTIONAL ABILITY AND LIFESTYLE”.

Rehabilitation Nursing

4)    FOUNDER OF THE RED CROSS.

Clara Barton

5)    YEAR WHEN SALK VACCINE WAS INTRODUCED.

1954

CRRN Exam Review Rehab Nursing By Luggl 12 Terms

·         Rehabilitation is

A philosophy
An attitude
An approach

·         Rehabilitation Act of 1973

prohibits discrimination on the basis of disability in programs conducted by Federal agencies, in programs receiving Federal financial assistance, in Federal employment, and in the employment practices of Federal contractors.

·         Education for all Handicapped Children Act 1975.

required public schools accepting federal funds to provide equal access to education for children with physical and mental disabilities

·         Americans With Disabilities Act 1990.

signed into law under President George H W Bush. It applies to all private and state-run businesses, employment agencies to make sure that no person with a disability is turned down for a job or promotion, or refused entry to a public-access area.

CRRN EXAMINATION BYSHILPA PATEL 74 TERMS

1)    WHICH TYPE OF MASSAGE THERAPY IS USUALLY DONE WITH RHYTHMIC, BROAD STROKES BEGINNING SOFTLY AND INCREASING IN INTENSITY TO RELAX THE PERSON AND IDENTIFY AREAS OF TIGHTNESS OR PAIN?

Effleurage

2)    PRESSURE IS APPLIED WITH A FINGER OR THUMB TO AREAS OF POINT TENDERNESS TO REDUCE SPASTICITY AND PAIN:

Trigger point

3)    KNEADING MASSAGE, USUALLY USED ON LARGE MUSCLE AREAS, SUCH AS THE CALF OR THIGH, TO INCREASE CIRCULATION:

Petrissage

4)    MASSAGE IN LINE WITH MUSCLE FIBERS OR ACROSS THE MUSCLE FIBERS TO CREATE STRETCHING AND TO REDUCE ADHESIONS AND SCARRING DURING HEALING:

Friction

CRRN HISTORY BYJMARIEZ 11 TERMS

1)    WHAT CHANGES CONTRIBUTED TO THE ORGANIZATION OF SERVICES FOR THE DISABLED ON THE 1800 AND EARLY 1900’S?

Caring for those who are less fortunate
Development of schools to provide vocational training for crippled, blind or deaf.
Start of Public Health causing improvement in hygiene.

2)    WHAT HISTORICAL EVENT IN THE EARLY 1900’S CREATED THE NEXT IMPACT ON THE DEVELOPMENT OF REHAB SERVICES AND WHY?

World War I because it brought focus to rehab for soldiers.
1917, Surgeon General developed physical reconstruction at Mass General hospital to treat wounded soldiers.
Frank Granger trained aides to treat war casualties.
First Rehab Act and Vocational Rehab law were passed due to providing vocational training for soldiers. VA was created.

3)    THE 1930’S BROUGHT LEGISLATIVE AND HEALTHCARE ISSUES TO THE FOREFRONT. THE SOCIAL SECURITY ACT PASSED IN 1935, CREATING AND IMPACTING MANY SERVICES FOR THOSE IN NEED. WHAT WAS THE IMPACT ON REHAB SERVICES AND WHY?

It expanded rehab strategies and defining the rehab process. The polio epidemic led to specialty hospitals
Sister Elizabeth used muscle manipulation and eliminated the use of rigid orthoses to manage polio.
Social Security Act of 1935 defined rehab as a process that helped disabled people become capable in engaging in financially compensated jobs.

CRRN RENAL BY BREANNAPALSIS    43

·         Normal urine output for adolescent, child, infant.

0.5, 1, 2 cc/kg/hr

·         Acute renal failure.

sudden reduction of renal function wit presence of azotemia,
BUN > 80
Cr > 1.5

·         Prerenal ARF.

most common cause of ARF in peds – good prognosis is recognized early
decreased renal perfusion
decreased renal blood flow
decreased GFR and decreased UO
can have oliguria or non oliguria.

·         Causes of prerenal failure.

altered cardiac function
vasodilation
altered vascular volume
altered renal blood supply (renal artery thrombosis)

CRRN SET 5 TERM BYAZTXRN 349

·         Frontal lobe.

Motor – Voluntary movement, social functioning, short term memory, impulsivity, emotion,
Creativity (right side)
Expressive language (left side) Broca Aphasia

·         Parietal Lobe.

Perception, Touch (pain & Temperature)
(Right side)
Neglect syndromes, denial of deficits, ability to draw
(Left side)
Sensation, reading & writing, calculations, R & L discrimination

·         Temporal Lobe.

Hearing, Longterm memory,
(Left Side) Verbal and written recognition memory, receptive memory
(Right side) Music, Initiation of verbal

·         Occipital Lobe.

Visual perception problems

CRRN Study Guide BY JMARIEZ  22 TERMS

·         Overall goal of rehabilitation.

is to improve quality of life and to help a person “reach the fullest physiological, social, vocational, avocational, and educational potential consistent with his or her physiologic or anatomic impairment, environmental limitation, and desires and life plans.” (Delia, Currie, & Martin, 1988)

·         When was Association of Rehab nursing started?

1974

·         The rehabilitation Act of 1973.

encouraged efforts to hire people with disabilities and prohibited unfair treatment of individuals with disabilities in activities supported in any way by federal funds.

·         What act required states to provide education free of cost to any school-aged child.

Education for all handicapped Children Act of 1975

·         What act required all public buildings and transportation be made accessible to all. Which also prohibits discrimination against people with disabilities in the workplace.

The Americans with Disabilities Act of 1990.

DOMAIN IV TASK-3  11 TERMS

·         Describe the importance of ethics to rehabilitation nursing.

As in every area of nursing, ethics can be used to guide decision making related to moral dilemmas encountered in rehabilitation nursing. It provides a framework for approaching difficult moral situations.

·         Describe the difference between virtue ethics and duty ethics.

Virtue ethics places less emphasis on learning specific rules and more emphasis on developing good character that leads to making proper decisions.
Duty ethics describe the obligation of individuals towards a higher power, oneself, and others; it focuses on avoiding wrong doing and treating everyone as equals.

·         Define situation ethics.

It acknowledges the unique characteristics of each individual and promotes making the best decision given the specific circumstances. Rehabilitation nurses sometimes must consider the unique aspects of a situation prior to making a decision.

·         Define utilitarianism.

It is a form of ethics that assumes that the end justifies the means. This is the belief that the best course of action is that which results in the most good for the most people and has the most utility or usefulness.

EXAM 3 BOWEL AND BLADDER FUNCTION (NURSING 1)

BY CMEGBU 87 TERMS

1.       Adults have the desire to urinate when it has ____ mL in the bladder.

250-450

2.       The average adults voids ___ times a day.

5

3.       The average adult experiences discomfort when the bladder is ___ full.

400-600

4.       The average infant voids ___ times a day.

20

5.       The average infant’s Daily output is ___mL.

250-500

LMN BYAARONMOCK  37 TERMS

·         Distal to proximal:

Which way do neuropathies progress?

·         Proximal to distal:

Which way do myopathies progress?

·         Flaccidity
Atrophy
Diminished DTR
No pathological reflexes:

4 signs of LMN diseases

·         Polio
ALS

2 diseases of the anterior horn?

·         Guilanbarre:
Charcot Marie tooth

2 axon diseases

MEDICARE BY RMS9NUVA  38 TERMS

·         What is Medicare?

Federal program that provides health insurance coverage to people ages 65 and older and younger people with permanent disabilities. The 4 part program covers all those who are eligible regardless of their health status, medical conditions, or incomes.

·         Center for Medicare and Medicaid Service.

Agency responsible for administering Medicare and Medicaid (macroorganization)

·         Fee for Service Medicare.

Part A and B

·         Federally Funded Program.

Equal benefits and equal access to all eligible and enrolled participants throughout the country – everyone gets the same thing regardless of where they live

MUSCLESKELETALDIORDERS CRRN BY  BURSKY 9 TERMS

1)      DRUGS THAT TXOSTEOPOROSIS.

calcium carbonate, HRT, vitamin d, raloxofen (evista), bisphosphonates (Fosamax, Actonel, Boniva)

2)      OSTEOARTHRITIS PATHOLOGY.

degeneration of cartilage, secondary inflammation of synovial membrane, osteophyte formation, all cartilage can be destroyed in advanced disease

3)      PHAMACOLOGICAL INTERVENTIONS FOR MSK.

tylenol, NSAIDs, and steroid injections 3/year

4)      RHEUMATOID.

chronic systemic disease characterized by resurrection inflammation of the diarthroidial joints and related structures

5)      RX MANAGEMENT FOR RA.

ASA, NAsaids, immunosuppressive agents (Imuran, Cytoxan, rheumatrex) & corticosteroid therapy

NEUROANATOMY BY JSGURGANOS  16

·         Frontal Lobe.?

controls emotions, personality, intelligence.
voluntary motor movements

·         Parietal Lobes.?

Receives and interprets sensory input such as pain, temperature, pressure, spacial orientation.

·         Occipital Lobe.?

Vision, depth perception

·         Temporal Lobe.?

Hearing, taste, smell

·         Limbic system.?

Includes structures in brain; involved in emotion, motivation, and emotional association with memory.

NURSE THEORIST MATCHING BY BRACKEN BATSON  24 TERMS

·         Nola Pender.

Health Promotion Model

·         Florence Nightingale.

First Recognized Theorist

·         Imogene King.

Theory of Goal Attainment

·         Virginia Henderson.

Nursing Need Theory

·         Jean Watson.

Theory of Human Caring

·         Hildegard Peplau.

Mother of Psychiatric Nursing

PARKINSONS DISEASE BY ABAIRD70  TERMS

·         Name 6 classes of drugs you could give to treat parksinsons disease:

Levadopa/Carbidopa
COMT inhbitiorsDopamine agonists
MAO-B inhibitors
Amantadine
Anticholinergics

·         Parkinson’s Disease is the ______ most common leading neurodegenerative Disorder:

2nd

·         The prevalence of Parkinson’s Disease increases with:

increasing age
1/100,000 in 30-39
93/100,000 in 70-79

·         Risk factors for developing Parkinson’s Disease:

Maleshispanics

Parkinsons Disease Myasthenia Gravis Transverse Myelitis Dementia AlzheimersAnd Shingles 52 terms

·         Parkinson’s Disease (Paralysis Agitans) Definition

A progressive disease affecting the basal ganglia that results in muscle rigidity, akinesia, involuntary tremor and dementia.

·         What group of conditions does PD belong to?

motor system disorders

·         Etiology of PD?

-Unknown
Dopamine serves as a chemical messenger
allowing communication between the substantia nigra and another area of the brain called the corpus striatum.

·         What does the Message between the Substance nigra and the corpus striatum do?

This communication coordinates smooth and balanced muscle movement.

·         S and Sx of PD

Muscle Rigidity- Resistance to passive stretch.
(frequently lead pipe rigidity)
-Akinesia
-Bradykinesia
-difficulty initiating movement
-Festinating gait
-Monotone voice
-Mask like face/drooling
-Dysphagia/Dysarthria
-May affect eye Movements.
-Resting Tremor

PIAGETS STAGES OF COGNITIVE DEVELOPMENT BY EFLS05      8

·         Sensorimotor: Birth-2 years.

-Uses sense and motor abilities to understand the world and coordinates sensorimotor skills; this period begins with reflexes.
-Develops schema.
-Begins to interact with environment.
-Learns object permanence, and begins to remember and imagine experiences.
-Develops thinking and goal-directed behavior.

·         Preoperational Thought: 2-6 years.

-Develops egocentric thinking (understands world from only one perspective-that of the self).
-Uses trial and error to discover new traits and characteristics.
-Conceptualizes time in present terms only.
-Uses symbols to represent objects.
-Develops more logical, intuitive thinking.
-Centers or focuses on a single aspect of an object, producing some distortion of reality.
-Gains in imaginative ability.
-Gradually begins to “decenter” (becomes less egocentric and understands other points of view).

·         Concrete Operational Thought: 7-11 years.

-Understands and applies logical operations or principles to help interpret specific experiences or perceptions.
-Has more realistic view; better understands other viewpoints.
-Improves use of memory.
-Focuses on more than one task; develops logical, socialized thoughts.
-Recognizes cause-and-effect relationships.
-Learns to identify behavior outcome.
-Understands basic ideas of conversation, number classification, and other concrete ideas.

·         Formal Operational Thought: 12+ years.

-Uses a systematic, scientific problem-solving approach.
-Recognizes past, present, and future.
-Is able to think about abstractions and hypothetical concepts and is able to move in thought “from the real to the possible”.
-Becomes more interested in ethics, politics, and all social and moral issues as ability to take a broader and more theoretic approach to experience increases.

REHAB OVERVIEW BY CLESSYEBS   27

Inpatient Rehab facility
hospital or part of hospital that provides intensive rehab to pts

Better pt outcomes from IRF vs. SNF

Admission Criteria:
1) be able to participate in rehab min 3 hr/day, 5day/week
2) 60 % rule

certified rehabilitation registered nurse

licensed vocational nurse

certified nurses aid

SCI BY LUCAS ARCHER  40 TERMS

1)      AUTONOMIC DYSREFLEXIA.

Hypertensive crisis (elevated systolic pressures of 160-300mm Hg), bradycardia, profuse sweating, severe headache, stroke or seizure activity – sudden onset of high BP.

2)      AUTONOMIC DYSREFLEXIA AFFECTS PEOPLE WITH A SCI ABOVE _____

T7

3)      TETRAPLEGIA.

Partial or total paralysis in all four extremities and trunk

4)      PARAPLEGIA.

paralysis of both legs and the lower part of the body

SPINAL CORD INJURY BYGURGANOS   40

·         Levels of Injury: C1-C3.Abilities: C3 – limited movement of head/neck.

Depends on ventilator; talking is difficult, limited, and sometimes impossible; assistive technology allows for independence with tasks; power wheelchair with head controls, mouth stick, or chin controls; power tilt wheelchair for independent pressure relief.

·         Level of Injury: C3-C4.Abilities: Head/neck control; C4 level may shrug shoulders.

Initially has ventilator then adjusts to full time breathing without ventilator; normal communication; limited independence with eating and operating adjustable bed with specialized equipment and adapted controls.

·         Level of Injury: C5 – Elbow Flexors. Abilities: Head/neck control; shrugs & controls shoulders; can bend elbows & turn palm.

Independent eating, drinking, face washing, brushing teeth, shaving face, hair care with specialized equipment; self assist coughs/pressure reliefs; may push manual chair – power chair with hand controls typical.

STROKE BY JSGURGANOS 25

·         What are the suddens of stroke?

Sudden numbness/weakness of the leg, sudden confusion/trouble understanding, sudden trouble seeing in one/both eyes, sudden trouble walking, sudden severe headache with no known cause, sudden loss of balance/coordination.

·         Symptoms of oncoming stroke.?

Face drooping, Arm weakness, Speech difficulty, Time to call 9-1-1

·         ?

Onset of a neurological dysfunction resulting from disruption of blood supply to the brain.
Causes: Thrombosis, embolism, hemorrhage.

4)    ISCHEMIC STROKES.?

Cerebral infarct.
Clinical manifestations: rapid onset of hemiplegia, frequent dysphagia, bruit over carotid artery, severe headache.
Types: Thrombosis, Embolism, Lacunar, TIA.

THOERIES FLASHCARDS BY JSGURGANOS     15

·         Kurt Lewin.?

Father of change; change is both a function of personality & environment and the interaction between the two are dynamic.

2)    THREE STAGES OF LEWIN THEORY OF CHANGE.?

Unfreezing: Becoming motivated to change.
Movement: Change what needs to be changed.
Refreezing: Making the change permanent.

3)    LOCUS OF CONTROL.?

An individual’s perception about the underlying main cause of events in his/her life. “Do you believe that your destiny is controlled by yourself or by external forces (fate, god, or powerful others)?”

4)    EXTERNAL LOCUS OF CONTROL.?

Person believes that his/her behavior is guided by fate, luck, or other external circumstances.

5)    INTERNAL LOCUS OF CONTROL.?

Person believes that his/her behavior is guided by his/her personal decisions and efforts.

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