CRRN TEST 1 (CERTIFICATION TEST)2023-2024
ACTUAL EXAM 300 QUESTIONS AND CORRECT
DETAILED ANSWERS WITH RATIONALES (VERIFIED
ANSWERS) | ALREADY GRADED A
Incomplete injury with preservation of sensation throughout the cord, including S4-5. –
….ANSWER….ASIA-B
Incomplete injury with motor function intact below the level of the lesion, though the
muscle strength is a grade 2 or lower, functional gain may not be significant due to
weakness. – ….ANSWER….ASIA-C
Incomplete injury with motor function intact below the level of the lesion, muscle
strength is a grade 3 or higher, functional gains are usually significant. –
….ANSWER….ASIA-D
Drowsy state, Pt can awaken, but not completely to stimulation, may also follow
commands but his responses may be slow and inattentive – ….ANSWER….Lethargy
Pt is difficult to arouse and needs constant stimulus to follow commands; may verbally
respond to stimuli with a few words but drifts back to sleep when stimulus is removed –
….ANSWER….Obtundation
Pt arouses to vigorus and continuous stimulation which is typically painful in nature;
may moan briefly but does not follow commands; only response may be withdrawal
from the painful stimulus – ….ANSWER….Stupor
Does not respond to continuous or painful stimulus; no movement except for reflex
actions and does not verbalize. – ….ANSWER….Coma
Mild brain injury – ….ANSWER….loss of concious <30min
GCS 13-15
negative neuroimaging
moderate brain injury – ….ANSWER….GCS 9-12
abn CT
coma lasting <24hrs
Lydia Hall’s theory – ….ANSWER….Aspects of Nursing are Core, Care and Cure
Imogene King – ….ANSWER….Systems Framework Theory is the personal,
interpersonal and social systems
Keystone to Imogene King’s theory – ….ANSWER….Mutuality achieved through
perceptional congruence
Imogene King – ….ANSWER….views the person as an open system
Imogene King – ….ANSWER….states that a person has intrinsic worth
Imogene King – ….ANSWER….defines health as a dynamic life cycle
Imogene King – ….ANSWER….sees nursing as an interactive endeavor in which nurse
and client share information in the nursing situation
Imogene King – ….ANSWER….states that the goal of nursing is to help individuals
maintain their health so they can function in their roles
Imogene King – ….ANSWER….believes that goal setting is not a one time event but
rather an ongoing process
Dorothea Orem – ….ANSWER….Self Care AGency, Self Care Demands make up the
Self Care Theory
Dorothea Orem – ….ANSWER….Views health as a state of wholeness or integrity
Dorothea Orem – ….ANSWER….Theorist who states that when self care demands
exceed self care agency, nursing may intervene
Dorothea Orem – ….ANSWER….Defines people outside the healthcare system upon
whom the client may depend to meet self care demands as “dependent care agents”
Dorothea Orem – ….ANSWER….Theorist that state that nurses form a supportiveeducational system during rehabilation
Martha Rogers – ….ANSWER….Science of Unitary Human Beings theory that focuses
on people and their worlds in a pandimensional universe.
Martha Rogers – ….ANSWER….views human beings as wholes not parts
Martha Rogers – ….ANSWER….States that humans and environment are energy fields
that are intertwined and irreducible
Martha Rogers – ….ANSWER….Defines integrality as the concept that humans and the
environment are intertwined and irreducible
Martha Rogers – ….ANSWER….views nursing as “knowing rather than doing”
Martha Rogers – ….ANSWER….considers nursing to be an abstract body of knowledge
Martha Rogers – ….ANSWER….describes nursing as a learned profession with the goal
of promoting health and well being
Margaret Newman – ….ANSWER….Theorist whose theory focuses on community and
family centered rehabiliation nursing
Margaret Newman – ….ANSWER….views the meaning of life and health in terms of an
evolving process of expanding consciousness
Margaret Newman – ….ANSWER….States that the pattern of the whole contains the
individual as an open system, the family as an open system and the community as an
open system…all systems are interacting with one another
Margaret Newman – ….ANSWER….believes that changes in the health status of an
individual or family result in changes in the pattern as related to the whole community
Neal theory of Home Health Nursing – ….ANSWER….Theory that states “In the practice
of community centered care, nurses proceed through a three stage process toward
autonomy in the role
Stage One of Neals Home Health Theory – ….ANSWER….Dependence on others for
help with clinical and logistical aspects of community centered care
Stage Two of Neals Home Health Theory – ….ANSWER….Nurses in this stage are
moderately independant but still need help with office procedures, reimbursement
issues and factors that restrict their autonomy
Stage Three of Neal’s Home Health Theory – ….ANSWER….AFter approximately two
years, the nurse moves into this stage and feels autonomous with regard to logistical
and clinical aspects of community centered nursing
Neal – ….ANSWER….Theorist who believes the ability to adapt is necessary to move
through stages
Bandura’s Learning Theory of Self Efficacy – ….ANSWER….people learn from one
another, via observation, imitation, and modeling.
Dorothea Orem’s view of the person – ….ANSWER….a biological, symbolic and social
unit
Collaborative model – ….ANSWER….Model for provision of services that is assumed in
all rehab models
Betty Neuman – ….ANSWER….developed a health care systems model in which the
person is viewed as an open system in interaction with the environment
Jacqueline Fawcett – ….ANSWER….identified four central concepts that provide the
foundation for nursing theories: person, environment, health and nursing
Marjory Gordon – ….ANSWER….developed a data collection system comprised of 10
functional health patterns necessary for assessment of a patients life experiences
Sister Calista Roy – ….ANSWER….drew her theory from the adaptation theory
physics – ….ANSWER….What Martha Rogers theory is based on
Defines health as a value laden term imposed by society – ….ANSWER….Martha
Rogers “definition” of health
Dynamic life experiences and adjustment to stress – ….ANSWER….Imogene King’s
definition of health
Levine’s Conservation Theory – ….ANSWER….Teaches patient ways to limit energy
expenditure during activities of daily living and assisting them in planning rest breaks
Olfactory – ….ANSWER….1 or I smell
Optic – ….ANSWER….2 or II vision
Oculomotor – ….ANSWER….3 or III eye movement eyes moving in and out, constricting
pupils, accommodating for light
Trochlear – ….ANSWER….4 or IV eye movement down and outward.
Trigeminal – ….ANSWER….5 or IV chewing, sensations of the face, scalp and teeth
Abducens – ….ANSWER….6 or VI outward eye movements
Facial – ….ANSWER….7 or VII facial expression, taste, salivation, crying
Acoustic – ….ANSWER….8 or VIII hearing and equilibrium
Glossopharyngeal – ….ANSWER….9 or IX secretes saliva, swallowing, controls gag
reflex, sensation in the throat, and taste