MARYVILLE UNIVERSITY NUR 324 REHABILITATION
NURSING EXAM3|QUESTIONS AND VERIFIED
ANSWERS|2026 UPDATE|GRADED A+
Unit 1: Advanced Neurological Rehabilitation (1–20)
1. A patient post-right hemisphere stroke exhibits impulsivity and poor judgment. The
nurse should:
a) Provide a structured, supervised environment
b) Encourage unsupervised mobility
c) Ignore behavior
d) Restrain patient continuously
Answer: a
Rationale: Structured supervision ensures safety and supports functional recovery.
2. Spasticity after spinal cord injury is managed with:
a) Stretching exercises, medications, and positioning
b) Immobilization only
c) Ignoring limb stiffness
d) High-intensity strength exercises
Answer: a
Rationale: Proper interventions prevent contractures and improve function.
3. For hemiplegic patients, which therapy promotes functional independence?
a) Task-specific training with affected limb
b) Passive ROM only
c) Bed rest exclusively
d) Avoid use of affected limb
Answer: a
Rationale: Active use of the affected limb enhances motor recovery and ADL
performance.
4. Dysphagia post-stroke is best managed by:
a) Referral to a speech-language pathologist and modified diet
b) Encouraging all foods unrestricted
c) Avoiding therapy
d) Relying on patient self-feeding
, Answer: a
Rationale: Professional assessment prevents aspiration and ensures adequate nutrition.
5. Which neurorehabilitation principle improves cognitive recovery?
a) Repetition and structured activities
b) Sporadic, unsupervised tasks
c) Avoiding stimulation
d) Restricting engagement
Answer: a
Rationale: Repetitive, structured tasks enhance neuroplasticity and learning.
6. Mirror therapy is used for:
a) Reducing phantom limb pain and improving motor function
b) Increasing contractures
c) Preventing mobility
d) Ignoring limb function
Answer: a
Rationale: Mirror therapy provides visual feedback to aid recovery.
7. Functional Independence Measure (FIM) assesses:
a) Level of independence in daily activities
b) Only cognitive function
c) Only muscle strength
d) Nutrition status
Answer: a
Rationale: FIM measures both motor and cognitive aspects of functional ability.
8. Patient with TBI exhibits agitation. Best intervention:
a) Calm environment with consistent routine
b) Force participation in all tasks
c) Ignore agitation
d) Isolate patient entirely
Answer: a
Rationale: Predictable, calm settings reduce agitation and enhance participation.
9. Left-sided neglect interventions include:
a) Cueing patient to attend to neglected side
b) Focus only on the intact side
c) Avoid therapy
d) Restrain unaffected side
, Answer: a
Rationale: Rehabilitation strategies improve spatial awareness and function.
10. Which intervention prevents pressure ulcers in immobile neurological patients?
a) Frequent repositioning and pressure-relieving devices
b) Prolonged bed rest
c) Daily inspection only
d) Use of soft bedding exclusively
Answer: a
Rationale: Regular movement and supportive surfaces prevent skin breakdown.
11. Optimal positioning for hemiplegia includes:
a) Support limbs in neutral, extended positions
b) Continuous flexion of joints
c) Complete immobilization
d) Random limb placement
Answer: a
Rationale: Proper positioning prevents contractures and spasticity.
12. Aphasia management requires:
a) Clear, simple instructions and speech therapy
b) Rapid, complex verbal communication
c) Avoiding interaction
d) Written instructions only
Answer: a
Rationale: Simplified communication and therapy improve comprehension and
expression.
13. Cognitive deficits after right hemisphere stroke may cause:
a) Impulsivity and poor judgment
b) Aphasia exclusively
c) Memory loss only
d) Decreased sensation on right side
Answer: a
Rationale: Right hemisphere damage affects perception, attention, and judgment.
14. ROM exercises in paralysis prevent:
a) Muscle atrophy and joint stiffness
b) Increased spasticity only
c) Cognitive decline
NURSING EXAM3|QUESTIONS AND VERIFIED
ANSWERS|2026 UPDATE|GRADED A+
Unit 1: Advanced Neurological Rehabilitation (1–20)
1. A patient post-right hemisphere stroke exhibits impulsivity and poor judgment. The
nurse should:
a) Provide a structured, supervised environment
b) Encourage unsupervised mobility
c) Ignore behavior
d) Restrain patient continuously
Answer: a
Rationale: Structured supervision ensures safety and supports functional recovery.
2. Spasticity after spinal cord injury is managed with:
a) Stretching exercises, medications, and positioning
b) Immobilization only
c) Ignoring limb stiffness
d) High-intensity strength exercises
Answer: a
Rationale: Proper interventions prevent contractures and improve function.
3. For hemiplegic patients, which therapy promotes functional independence?
a) Task-specific training with affected limb
b) Passive ROM only
c) Bed rest exclusively
d) Avoid use of affected limb
Answer: a
Rationale: Active use of the affected limb enhances motor recovery and ADL
performance.
4. Dysphagia post-stroke is best managed by:
a) Referral to a speech-language pathologist and modified diet
b) Encouraging all foods unrestricted
c) Avoiding therapy
d) Relying on patient self-feeding
, Answer: a
Rationale: Professional assessment prevents aspiration and ensures adequate nutrition.
5. Which neurorehabilitation principle improves cognitive recovery?
a) Repetition and structured activities
b) Sporadic, unsupervised tasks
c) Avoiding stimulation
d) Restricting engagement
Answer: a
Rationale: Repetitive, structured tasks enhance neuroplasticity and learning.
6. Mirror therapy is used for:
a) Reducing phantom limb pain and improving motor function
b) Increasing contractures
c) Preventing mobility
d) Ignoring limb function
Answer: a
Rationale: Mirror therapy provides visual feedback to aid recovery.
7. Functional Independence Measure (FIM) assesses:
a) Level of independence in daily activities
b) Only cognitive function
c) Only muscle strength
d) Nutrition status
Answer: a
Rationale: FIM measures both motor and cognitive aspects of functional ability.
8. Patient with TBI exhibits agitation. Best intervention:
a) Calm environment with consistent routine
b) Force participation in all tasks
c) Ignore agitation
d) Isolate patient entirely
Answer: a
Rationale: Predictable, calm settings reduce agitation and enhance participation.
9. Left-sided neglect interventions include:
a) Cueing patient to attend to neglected side
b) Focus only on the intact side
c) Avoid therapy
d) Restrain unaffected side
, Answer: a
Rationale: Rehabilitation strategies improve spatial awareness and function.
10. Which intervention prevents pressure ulcers in immobile neurological patients?
a) Frequent repositioning and pressure-relieving devices
b) Prolonged bed rest
c) Daily inspection only
d) Use of soft bedding exclusively
Answer: a
Rationale: Regular movement and supportive surfaces prevent skin breakdown.
11. Optimal positioning for hemiplegia includes:
a) Support limbs in neutral, extended positions
b) Continuous flexion of joints
c) Complete immobilization
d) Random limb placement
Answer: a
Rationale: Proper positioning prevents contractures and spasticity.
12. Aphasia management requires:
a) Clear, simple instructions and speech therapy
b) Rapid, complex verbal communication
c) Avoiding interaction
d) Written instructions only
Answer: a
Rationale: Simplified communication and therapy improve comprehension and
expression.
13. Cognitive deficits after right hemisphere stroke may cause:
a) Impulsivity and poor judgment
b) Aphasia exclusively
c) Memory loss only
d) Decreased sensation on right side
Answer: a
Rationale: Right hemisphere damage affects perception, attention, and judgment.
14. ROM exercises in paralysis prevent:
a) Muscle atrophy and joint stiffness
b) Increased spasticity only
c) Cognitive decline
