CRRN Practice Questions (2026) — Free Sample Questions with Answers

Answer: B

Wholly compensatory system: In the wholly compensatory system the nurse performs all self-care for a patient who cannot take part, such as an unconscious patient.

Supportive-educative system: Correct. In the supportive-educative system the patient can carry out self-care, and the nurse supports decision-making, teaches and guides.

Partly compensatory system: In the partly compensatory system the nurse and patient share the care measures, with the nurse doing some of them for the patient.

Systems-of-care continuum: This is not one of Orem's three nursing systems.

Orem's nursing systems: wholly compensatory (nurse does all), partly compensatory (shared), supportive-educative (patient performs, nurse teaches and guides). Rehabilitation aims to move patients toward supportive-educative care.

Answer: A

Ask questions that can be answered yes or no and allow extra time: Correct. This is expressive (Broca's) aphasia with comprehension largely intact. Yes/no questions, patience, gestures and communication boards reduce frustration and support participation.

Speak louder and finish the patient's sentences to save effort: The patient is not hearing-impaired, and finishing sentences takes away practice and autonomy.

Use long, detailed explanations so nothing is misunderstood: Long, complex messages are unnecessary because comprehension is intact, and they do not address the expressive deficit.

Avoid conversation until speech therapy has fully restored speech: Withholding communication isolates the patient and wastes chances for practice and engagement.

Broca's (expressive) aphasia: comprehension largely intact, nonfluent speech. Wernicke's (receptive) aphasia: fluent but meaningless speech with poor comprehension. Adapt strategies to which deficit is present.

Answer: C

Give the prescribed PRN nifedipine right away: Medication is used if SBP stays at or above about 150 mm Hg after the cause has been looked for and removed. Positioning and finding the trigger come first.

Lay the patient flat and elevate the legs: Lying flat with legs raised increases venous return and worsens hypertension; it is the opposite of what is needed.

Sit upright with legs lowered; loosen clothing: Correct. Sitting upright with legs dependent causes orthostatic pooling that lowers BP. Then loosen tight clothing and devices, monitor BP every 2 to 5 minutes, and check the bladder (most common cause), then the bowel and skin.

Perform digital rectal stimulation to empty the bowel: Bowel checks come after bladder assessment and should use an anesthetic lubricant; stimulating the rectum first can worsen the episode.

Autonomic dysreflexia (injury at T6 or above): sit up, loosen constrictions, check BP often, find and remove the trigger (bladder, bowel, skin). Use a fast-acting antihypertensive if SBP stays at or above about 150 mm Hg.

Answer: D

Multidisciplinary team: In a multidisciplinary team, each discipline works in parallel toward its own goals, with little shared goal-setting or role overlap.

Interdisciplinary team: Interdisciplinary teams set shared goals and collaborate closely, but each discipline still delivers its own interventions.

Intradisciplinary team: An intradisciplinary team is made up of members of a single discipline (e.g., several nurses), not several professions.

Transdisciplinary team: Correct. Transdisciplinary teams cross discipline boundaries: members share knowledge and skills (role release), and one primary provider carries out the integrated plan.

Team models: multidisciplinary (parallel, discipline-specific goals), interdisciplinary (shared goals, collaborative), transdisciplinary (role release, one primary provider).

Answer: C

Plan: Plan is when the team defines the objective, predicts results and designs the test, before carrying it out.

Do: Do is carrying out the small-scale test (the 4 weeks of rounding) and collecting data.

Study: Correct. Study is analyzing the data, comparing results with predictions and baseline, and summarizing what was learned.

Act: Act is deciding to adopt, adapt or abandon the change based on what was learned, and planning the next cycle.

PDSA: Plan (objective, prediction), Do (small test, collect data), Study (analyze against prediction), Act (adopt, adapt or abandon, then the next cycle).

Answer: B

The Health Insurance Portability and Accountability Act (HIPAA): HIPAA sets privacy, security and portability rules for health information, not standardized post-acute assessment data.

The Improving Medicare Post-Acute Care Transformation Act: Correct. The IMPACT Act of 2014 requires the four post-acute care settings to report standardized patient assessment data and quality measures, allowing comparison across settings.

The Individuals with Disabilities Education Act (IDEA): IDEA governs special education and early intervention services for children with disabilities.

The Omnibus Budget Reconciliation Act (OBRA) of 1987: OBRA 1987 created nursing home reform standards and the MDS for nursing homes, not cross-setting standardized data for all four PAC settings.

IMPACT Act (2014): standardized assessment data (e.g., Section GG function, cognition, skin integrity) across IRFs, SNFs, LTCHs and home health, used in quality reporting programs.