Certified Rehabilitation Registered Nurse (CRRN) Practice Exam

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A patient with left hemiplegia is most likely to present with:

  1. Muscle atrophy

  2. Perceptual deficits

  3. Speech difficulties

  4. Severe pain

The correct answer is: Perceptual deficits

A patient with left hemiplegia presents with motor impairment on the left side of the body, typically caused by damage to the right hemisphere of the brain. In such cases, perceptual deficits are common due to the role of the right hemisphere in spatial awareness and visual perception. These deficits can manifest as difficulties in recognizing objects or navigating through space, which are particularly affected in patients with left hemiplegia. While it's true that muscle atrophy, speech difficulties, and severe pain can occur in affected individuals, they are not as directly linked to the condition of hemiplegia itself as perceptual deficits are, especially related to the involvement of the right hemisphere in processing information from the left side of the body. Thus, perceptual deficits are a prominent and critical concern for patients experiencing this type of hemiplegia, making it the most likely presentation in this scenario.