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CCRN REVIEW SHEETS
QUESTIONS WITH
ACCURATE ANSWERS
Adaptation Model correct answer Roy Advocacy correct answer Stand up for patient Advocate correct answer In order to do this well, the nurse must know the patient's wishes and desires well enough to be an effective and true representative American Spinal Injury Association Classification (ASIA) of Spinal Cord Injuries (SCI) ASIA A correct answer Complete Injury; no sensory or motor function preserved in sacral S4-S American Spinal Injury Association Classification (ASIA) of Spinal Cord Injuries (SCI) ASIA B correct answer Incomplete injury; sensory function preserved below the level of neurological injury and extends in sacral segments S4-S American Spinal Injury Association Classification (ASIA) of Spinal Cord Injuries (SCI) ASIA C correct answer Incomplete injury; motor function is preserved below the neurological level of injury and the majority of muscles are at Grade 2 or lower (nonfunctional) American Spinal Injury Association Classification (ASIA) of Spinal Cord Injuries (SCI)
ASIA D correct answer Incomplete injury: motor function is preserved below the neurological level of injury and majority of muscles are Grade 3 or higher American Spinal Injury Association Classification (ASIA) of Spinal Cord Injuries (SCI) ASIA E correct answer Normal sensory and motor function Americans with Disabilities Act correct answer 1990 anarthria correct answer damage to the brain stem causing total loss of speech; language comprehension, reading and writing are intact Anosognosia correct answer Severe denial of disability and impairments Anterior Cord Syndrome correct answer Injury from an infarct of the anterior artery leaving position, vibratory, and touch intact but impairing other motor and sensory functions Anterior corticospinal tract correct answer Fine tuning of muscle tone Anterior spinothalamic tract correct answer Transmission of light touch, sensation and some pain Anterograde amnesia correct answer Loss of memory following the trauma; part of posttraumatic amnesia (PTA); not able to learn due to defective memory Aphasia correct answer Difficulty with the comprehension of production of speech with a loss of symbol recognition apraxia correct answer Inability to perform skilled motor activities when there is enough muscle strength, coordination, and sensation Architectural Barriers Act correct answer 1968
Brain Injury - Ranchos Los Amigos Levels of Cognitive Functioning Scale Level IX correct answer Purposeful, appropriate (stand by assistance) - patient aware and acknowledges impairment; initiates and carries out steps to complete tasks Brain Injury - Ranchos Los Amigos Levels of Cognitive Functioning Scale Level V correct answer Confused, nonagitated - able to attend to environment BUT very distractible; requires constant redirection; difficulty with new task Brain Injury - Ranchos Los Amigos Levels of Cognitive Functioning Scale Level VI correct answer Confused, appropriate, - robot-like, more aware; need to learn to self correct behavior; needs anger management skills; inconsistent orientation, recent memory impaired; beginning to recall past; follows simple instructions Brain Injury - Ranchos Los Amigos Levels of Cognitive Functioning Scale Level VII correct answer Automatic, appropriate - able to do higher cognitive tasks; able to do ADLs in a familiar environment Brain Injury - Ranchos Los Amigos Levels of Cognitive Functioning Scale Level VIII correct answer Purposeful, appropriate - consistent in exhibiting purposeful behavior; appropriate to the situation Brain Injury - Ranchos Los Amigos Levels of Cognitive Functioning Scale Level X correct answer Purposeful, appropriate (modified independent) - Independently initiates and carries out steps to complete familiar tasks; may need more time
Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Active in controlling levels of consciousness, damage results in a coma, major role in attention and concentration, establishes "selective attention" correct answer (RAS) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Affects motivation and attention correct answer (LS) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) All motor fibers converge here correct answer (IC) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Contains centers that work with the hypothalamus to control body temperature correct answer (M) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Contains swallowing and vomiting centers correct answer (M)
Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Important in storage of memory correct answer (LS) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Important role in primitive behaviors: (fight, flight, food and sexual arousal correct answer (LS) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Initial recognition of sensory information: pain, touch and pressure correct answer (T) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Injury to this area may result in hyperarousal correct answer (LS) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Injury to this area will result in rigidity and Bradykinesia (Parkinson's) correct answer (BG) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS)
Regulations of vegetative functions via control of the autonomic nervous system correct answer (H) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Relay station for sensory information, routing to correct area of brain correct answer (T) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Satiety center correct answer (H) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Secretion of anti-diuretic hormone correct answer (H) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Smooths out movement and makes postural adjustments correct answer (BG) Brain's Internal Structures - Identify what internal brain structure performs the following function: Hypothalamus (H), Basal Ganglia (BG), Thalamus (T), Limbic system (LS), Internal Capsule (IC), Medulla (M), Pons (P), Reticular activating system (RAS) Works with the hypothalamus and autonomic nervous system to regulate hunger, thirst, and sleep/wake cycle correct answer (M)
Collaborator correct answer Effective and efficient care results from the efforts of all team members working together to be creative, problem solve and functional gain in each patient. Coma correct answer State of unconsciousness in which there is no arousal or awareness and no response to stimulation; score is 8 or less on the Glasgow Coma Scale Community and Family Centered correct answer Margaret Newman constructional apraxia correct answer unable to produce or copy two or three dimensional designs Conus Medullaris Syndrome correct answer Damage to the sacral levels of the cord and the lumbar nerve roots leading to areflexic bladder, bowel and lower extremities Coordinator correct answer The rehab nurse has responsibility for the patient around the clock. Practicing skills repeatedly throughout the day, in a coordinated and consistent manner, will help patients acquire effective problem-solving skills and become experts in their own care. Counselor correct answer Together, the team facilitates positive coping and assists patients and families to plan, practice and problem solve issues related to the challenge of community reintegration Dressing apraxia correct answer Altered special perceptions interfere with ability to dress self dysarthria correct answer Articulation defects from alteration in control of speech muscles due to damage to brain stem , cerebellum or cranial nerves; comprehension, reading and writing are in tact Dysphagia - Esophageal Phase correct answer Burping, indigestion, substernal pain from esophageal reflux, complaints of bad taste in mouth, bad breath, coughing, wheezing, high incidence of dental cavities Dysphagia - Oral Phase correct answer drooling on weak side, asymmetry of face, pocketing of food, altered lip closure and inability to close lips, weak or absent gag reflex, extended periods of time required to finish eating, chewing problems, altered oral sensation
Dysphagia - Pharyngeal Phase correct answer delayed or absent swallow, coughing, history of aspiration pneumonia, weight loss, fear of eating/drinking, wet sounding voice while eating or drinking, frequent clearing of throat, complaints of something sticking or burning the back of throat Dysphagia - preventive measures to decrease aspiration correct answer Incentive spirometry, deep breathing, coughing, postural drainage PRN, administering meds via pudding or yogurt, temperature of food - hot or cold, cohesive bolus, avoid straws; position - OOB in chair Education of All Handicapped Person's Act correct answer 1975 Educator correct answer This is one of the primary roles the nurse has in a rehab setting. One of the basic principles is that every nursing encounter is a potential teaching opportunity. Erickson's Stages Adolescent correct answer Identify vs Role Confusion Erickson's Stages Geriatric correct answer Generativity vs Stagnation Erickson's Stages Infant correct answer Trust vs Mistrust Erickson's Stages Preschool correct answer Initiate vs Guilt
Global aphasia correct answer Damage to the frontal lobe and temporal lobes resulting in impaired reception and expression of speech Health Care Systems Model correct answer Neuman Home Based Care correct answer Needs are intermittent. Focus is on the safety, functional skills, education and management of chronic problems in the community homonymous hemianopsia correct answer Visual impairments of the nasal half of one visual field and the temporal half of the other due to damage to the optic nerve ideational apraxia correct answer failure to understand concepts related to the skill, unable to associate words and images with the performance of a motor task Identify if the activity is performed in the Right (R) or Left (L) side of the brain. Analytical Skills correct answer L Identify if the activity is performed in the Right (R) or Left (L) side of the brain. Constructional Skills correct answer R Identify if the activity is performed in the Right (R) or Left (L) side of the brain. left/Right Discrimination correct answer R Identify if the activity is performed in the Right (R) or Left (L) side of the brain. Proprioception correct answer R
Identify if the activity is performed in the Right (R) or Left (L) side of the brain. Spatial Perception correct answer R Identify if the activity is performed in the Right (R) or Left (L) side of the brain. Speech and Language correct answer L Identify if the disease or problem is: Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance ALS correct answer (R) Identify if the disease or problem is: Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Asthma correct answer (O) Identify if the disease or problem is:
Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Emphysema correct answer (O) Identify if the disease or problem is: Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Guillan Barre correct answer (R) Identify if the disease or problem is: Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Interstitial pulmonary fibrosis correct answer (R) Identify if the disease or problem is:
Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Multiple Sclerosis correct answer (R) Identify if the disease or problem is: Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Parkinson's Disease correct answer (R) Identify if the disease or problem is: Obstructive Pulmonary Disease (O) - increased resistance to the passage of air into and out of the lungs secondary to narrowing of the bronchial tubes Restrictive Pulmonary Disease (R) - limits lung expansion by loss of lung tissue, loss of functioning alveoli or decreased lung and chest wall compliance Sarcoidosis correct answer (R) Identify if the disease or problem is:
Gastric Secretion correct answer P Identify if the functions are sympathetic (S) or parasympathetic (P) Increased heart rate correct answer S Identify if the functions are sympathetic (S) or parasympathetic (P) Mobilization of the liver's glycogen store correct answer S Identify if the functions are sympathetic (S) or parasympathetic (P) Pupil dilatation correct answer S Identify if the functions are sympathetic (S) or parasympathetic (P) Relaxation of bronchial airways correct answer S Identify if the functions are sympathetic (S) or parasympathetic (P) Secretion of saliva correct answer P Identify if the functions are sympathetic (S) or parasympathetic (P) Slowing of heart rate correct answer P Identify if the functions are sympathetic (S) or parasympathetic (P)
Stimulation of sweat glands correct answer S Identify if the functions are sympathetic (S) or parasympathetic (P) Vasoconstriction of the genitalia correct answer S Identify if the functions are sympathetic (S) or parasympathetic (P) Vasodilatation of the genitalia correct answer P Identify if: upper motor neuron (UMN) - reflexive, spastic lower motor neuron (LMN) - autonomous, areflexive, flaccid Uninhibited (I) Areflexic correct answer LMN Identify if: upper motor neuron (UMN) - reflexive, spastic lower motor neuron (LMN) - autonomous, areflexive, flaccid Uninhibited (I) Autonomous correct answer LMN Identify if: upper motor neuron (UMN) - reflexive, spastic lower motor neuron (LMN) - autonomous, areflexive, flaccid Uninhibited (I)
