- | P a g e
CRRN TEST 1 (CERTIFICATION TEST) ACTUAL
EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWER S WITH RATIONALES
(VERIFIED ANSWER S) | ALREADY GRADED A
1. The INITIAL purpose of stump wrapping is to:
Answer : aid in venous return and reduce swelling
Feedback: Accurate. Stump wrapping post-amputation
promotes venous return and controls edema, shaping the residual limb for prosthetic fitting.
- What is an important travel tip for people with COPD?
Answer : avoid elevation above 4000 feet unless in a
pressurized cabin
Feedback: Accurate. High altitudes reduce oxygen
availability, exacerbating COPD symptoms; pressurized cabins maintain adequate oxygen levels.
- What produces esophageal speech?
Answer : burping to exert pressure and produce vibration
Feedback: Accurate. Esophageal speech, used post-
laryngectomy, involves swallowing air and releasing it (burping) to vibrate the esophagus for sound.
- What is not included in a patient’s occupational history?
- | P a g e
Answer : past learning difficulties
Feedback: Accurate. Occupational history focuses on work
roles, exposures, and duration, not educational challenges, which belong in developmental or educational history.
- Blindness of the nasal half of one eye and the temporal half of
the other is known as:
Answer : homonymous hemianopsia
Feedback: Accurate. This visual field defect, often from stroke
or brain injury, affects the same side (left or right) of both eyes due to optic tract or occipital lobe damage.
- The terms perceived "susceptibility," "perceived threat," and
"cues to action" are important concepts in which nursing theory?
Answer : health belief model
Feedback: Accurate. The Health Belief Model explains health
behavior via perceived risks, severity, and triggers to action.
- What bladder disorder will MOST likely be present in a
patient with a CVA?
Answer : uninhibited neurogenic bladder
Feedback: Accurate. CVA often disrupts cortical inhibition,
leading to an uninhibited neurogenic bladder with urgency and incontinence.
- | P a g e
- What is the legal definition of blindness?
Answer : visual field restriction of up to 20 degrees or central
visual acuity in the better eye of no more than 20/200
Feedback: Accurate. This aligns with the U.S. legal standard
(20/200 acuity or ≤20° field with correction).
9. Pursed lip breathing improves oxygenation because it:
Answer : keeps the alveoli open longer
Feedback: Accurate. Pursed lip breathing prolongs exhalation,
maintaining positive pressure to keep alveoli open, enhancing gas exchange in COPD.
- What is a result of injury to the satiety center?
Answer : overeating
Feedback: Accurate. The satiety center (ventromedial
hypothalamus) regulates hunger; injury leads to uncontrolled eating and obesity.
- Tardive dyskinesia, associated with the prolonged use of
psychotropic drugs, may be assessed by instructing the patient
to:
Answer : grimace, smile, frown, pucker, and chew
- | P a g e
Feedback: Accurate. These facial movements reveal
involuntary motions (e.g., tongue protrusion, lip smacking) typical of tardive dyskinesia.
12. With normal capillary perfusion, the color will return within:
Answer : 3 seconds
Feedback: Accurate. Capillary refill time ≤3 seconds indicates
normal perfusion; longer suggests circulatory compromise.
- What is an appropriate nursing intervention for a pt.
experiencing physiological and/or psychosocial disturbances who has recently been transferred from one environment to another?
Answer : encourage pt’s verbalization of feelings
Feedback: Accurate. Verbalizing feelings helps address stress
and adaptation to environmental changes, per psychosocial nursing principles.
- A patient who is unwilling to discuss his disability or to
touch or look at his involved body parts may have a nursing