Free CRRN Practice Questions
10 free, exam-style Certified Rehabilitation Registered Nurse (CRRN) (CRRN) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free CRRN practice test to study every exam domain.
The CRRN exam has 175 questions and runs 3 hours.
Question 1
A patient with a T4 spinal cord injury suddenly develops a severe pounding headache, blood pressure of 214/110 mmHg, flushing above the shoulders, and profuse sweating. The nurse recognizes autonomic dysreflexia. What should the nurse do FIRST?
- Sit the patient upright and lower the legs to reduce blood pressure
- Perform a bladder scan and catheterize the patient for retained urine
- Administer the prescribed PRN antihypertensive medication right away
- Check the rectum for a fecal impaction and gently remove any stool
Show answer & explanation
Correct answer: A - Sit the patient upright and lower the legs to reduce blood pressure
Question 2
During neurological assessment of a patient with a spinal cord injury, motor function is preserved below the level of injury, but more than half of the key muscles below that level have a muscle grade of less than 3/5. Which ASIA Impairment Scale classification does this describe?
- ASIA A
- ASIA B
- ASIA C
- ASIA D
Show answer & explanation
Correct answer: C - ASIA C
Question 3
A patient recovering from a traumatic brain injury is heightened in activity, aggressive, and displays bizarre, non-purposeful behavior unrelated to the immediate environment. The patient cannot cooperate with care and has little awareness of the situation. Which Rancho Los Amigos Level of Cognitive Functioning is the patient MOST likely demonstrating?
- Level II - Generalized, inconsistent response to stimuli
- Level IV - Confused and agitated, non-purposeful behavior
- Level VI - Confused but appropriate, follows simple commands
- Level VIII - Purposeful and appropriate, largely independent
Show answer & explanation
Correct answer: B - Level IV - Confused and agitated, non-purposeful behavior
Question 4
A rehabilitation nurse assesses a sacral wound with full-thickness skin loss in which subcutaneous fat (adipose tissue) is clearly visible. Granulation tissue and rolled wound edges are present, but no muscle, tendon, or bone is exposed or palpable. Using NPIAP staging, this pressure injury is:
- Stage 2
- Stage 3
- Stage 4
- Unstageable
Show answer & explanation
Correct answer: B - Stage 3
Question 5
While scoring a patient on the Functional Independence Measure (FIM), the nurse observes that during dressing the patient performs about 80% of the effort and needs only incidental hands-on (touching) assistance. Which FIM level BEST reflects this performance?
- Level 5 - Supervision or setup only, with no physical contact given
- Level 4 - Minimal contact assistance, with the patient doing 75% or more
- Level 3 - Moderate assistance, with the patient doing about half
- Level 2 - Maximal assistance, with the helper doing most of the task
Show answer & explanation
Correct answer: B - Level 4 - Minimal contact assistance, with the patient doing 75% or more
Question 6
A patient who had a left-hemisphere stroke follows spoken and written commands correctly and clearly understands conversation, but speaks only in short, effortful, halting phrases and is visibly frustrated by the inability to get words out. This pattern is MOST consistent with:
- Wernicke's (receptive) aphasia, with fluent but meaningless speech
- Global aphasia, with loss of both comprehension and expression
- Dysarthria from weakness or poor coordination of the muscles used for speech
- Broca's (expressive) aphasia, with intact comprehension but effortful speech
Show answer & explanation
Correct answer: D - Broca's (expressive) aphasia, with intact comprehension but effortful speech
Question 7
A patient with a neurogenic bladder following spinal cord injury is being taught a long-term bladder management program. Compared with an indwelling urethral catheter, the PRIMARY advantage of a clean intermittent catheterization program is that it:
- Removes the need to monitor the patient's daily fluid intake and output
- Lowers the risk of urinary tract infection and helps preserve bladder function
- Guarantees that episodes of autonomic dysreflexia can never again occur
- Lets the bladder drain continuously so no voiding schedule is needed
Show answer & explanation
Correct answer: B - Lowers the risk of urinary tract infection and helps preserve bladder function
Question 8
A patient with dysphagia after a stroke is beginning an oral diet with the speech-language pathologist's recommendations in place. Which nursing action is MOST important to reduce the patient's risk of aspiration during meals?
- Position the patient upright at 90 degrees with the chin tucked toward the chest
- Offer thin liquids frequently to help wash food particles down the throat
- Encourage the patient to eat quickly while still alert and full of energy
- Have the patient recline slightly so gravity can assist the swallow
Show answer & explanation
Correct answer: A - Position the patient upright at 90 degrees with the chin tucked toward the chest
Question 9
A newly disabled patient tells the nurse, "If I just work really hard in therapy and do everything right, maybe God will let me walk again like before." According to the Kubler-Ross stages, the patient is MOST likely experiencing:
- Denial
- Bargaining
- Depression
- Acceptance
Show answer & explanation
Correct answer: B - Bargaining
Question 10
A patient with severe lower-extremity spasticity that has not responded to oral antispasmodics is being evaluated for an intrathecal baclofen pump. The nurse explains that the main benefit of delivering baclofen intrathecally rather than by mouth is that it:
- Delivers medication directly to the spinal cord with fewer systemic side effects
- Permanently cures the underlying neurological cause of the spasticity over time
- Eliminates the need for any further clinic follow-up, refills, or monitoring
- Is effective only when the patient's spasticity is mild and comes and goes
Show answer & explanation
Correct answer: A - Delivers medication directly to the spinal cord with fewer systemic side effects
What's on the CRRN exam
The Certified Rehabilitation Registered Nurse (CRRN) (CRRN) exam is organized into 4 knowledge domains. These free practice questions are drawn from across them so you can see where you're strong and where to study:
- Nursing Models and Theories 8% of exam
- Functional Health Patterns 53% of exam
- The Function of the Rehabilitation Team and Transitions of Care 12% of exam
- Legislative, Economic, Ethical, and Legal Issues 27% of exam