CBIS Certified Brain Injury Specialist Exam
2026/2027 Test Bank Version 2 Questions
And Answers (Verified Answers), 100%
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1. Which mechanism of injury is the leading cause of
traumatic brain injury (TBI)-related hospitalizations in older
adults (≥65 years)?
A) Motor vehicle accidents
B) Assaults
C) Falls
D) Sports-related impacts
Answer: C) Falls
Rationale: Falls are the primary cause of TBI in older adults
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due to age-related balance issues, medication effects, and
frailty.
2. A 22-year-old male sustains a TBI from a high-speed
MVA. Which prevention strategy would have been most
effective?
A) Airbag deployment
B) Seatbelt use
C) Helmet use
D) Speed reduction cameras
Answer: B) Seatbelt use
Rationale: Seatbelts reduce the risk of TBI by 50–60% in
MVAs. Airbags are supplemental.
3. (Select all that apply) Which are primary prevention
strategies for TBI?
A) Installing grab bars in bathrooms
B) Using childproof locks on cabinets
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C) Providing post-acute rehabilitation
D) Enforcing bicycle helmet laws
Answer: A, B, D
Rationale: Primary prevention prevents injury occurrence. Post-
acute rehab is tertiary prevention.
4. Scenario: A school nurse notices a student with frequent
headaches, memory lapses, and irritability after a fall from
playground equipment 2 weeks ago. What should the nurse
do first?
A) Refer for neuropsychological testing
B) Contact parents and recommend medical evaluation
C) Place the student on homebound instruction
D) Observe for another week
Answer: B) Contact parents and recommend medical
evaluation
Rationale: Delayed symptoms after fall suggest possible TBI
requiring medical clearance.
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5. Which system of care model is most effective for reducing
rehospitalization after TBI?
A) Fee-for-service acute care
B) Managed care without case management
C) Integrated care coordination with rehabilitation
D) Emergency department-only follow-up
Answer: C) Integrated care coordination with rehabilitation
Rationale: Coordinated care reduces fragmentation and
addresses medical, cognitive, and psychosocial needs.
6. What percentage of all TBIs in the U.S. are classified as
mild (mTBI)?
A) 25-35%
B) 50-60%
C) 70-80%
D) 85-95%