Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

A patient with a C7 level impairment will be independent in which of the following activities?

1. Upper and lower extremity dressing

2. Ambulation

3. Floor to chair transfers

4. Feeding and grooming with specially adapted equipment

The correct answer is: Feeding and grooming with specially adapted equipment

Individuals with a C7 level spinal cord injury have functional movement in their shoulders, arms, and hands but may still experience some limitations in dexterity and strength. They typically retain the ability to perform upper extremity movements, which allows for greater independence in daily activities compared to those with higher-level injuries. The ability to feed and groom oneself using specially adapted equipment aligns well with the capabilities of someone with a C7 injury. These adaptations often include tools designed to assist in gripping or manipulating objects, allowing the individual to perform tasks that would otherwise be challenging due to limited hand function. This promotes independence and enables the individual to manage personal care effectively. While some patients with a C7 injury may be able to perform lower extremity dressing, the degree of independence can vary significantly, and the complexity of dressing both upper and lower extremities without assistance may prove difficult. Similarly, ambulation is typically not possible for individuals with this injury level, as it requires lower extremity strength and coordination that they do not possess. Floor to chair transfers can be quite challenging without support, requiring considerable upper body strength and balance, often necessitating assistance from a caregiver or assistive devices. Thus, demonstrating independence in feeding and grooming with adapted tools is indicative of the functional capabilities