10 free, exam-style Certified Brain Injury Specialist (CBIS) practice questions with answers and
explanations. No signup required. Work through them below, then take the
full free CBIS practice test to study every exam domain.
These 10 free CBIS questions are organized by exam domain, so you can see how each part of the Certified Brain Injury Specialist blueprint is tested. Reveal the answer and explanation under each question.
Domain 1: Brain Injury Overview
Question 1
A rehabilitation professional is documenting a client whose brain injury resulted from a near-drowning event with prolonged oxygen deprivation. How should this injury be classified?
- Acquired, non-traumatic brain injury
- Traumatic brain injury caused by an external force
- Congenital brain injury present from birth
- Degenerative brain injury that worsens over time
- Focal traumatic brain injury from direct impact
Show answer & explanation
Correct answer: A - Acquired, non-traumatic brain injury
Question 2
A patient is admitted to the emergency department with a Glasgow Coma Scale (GCS) score of 7. Based on this score alone, the injury severity is classified as:
- Mild
- Moderate
- Severe
- Complicated mild
- Indeterminate until imaging is completed
Show answer & explanation
Correct answer: C - Severe
Question 3
The 1999 U.S. Supreme Court decision establishing that unjustified segregation of people with disabilities is a form of discrimination, and supporting community-based rather than institutional services, is known as:
- The Rehabilitation Act ruling
- The Americans with Disabilities mandate
- The Olmstead decision
- The Ticket to Work provision
- The Individuals with Disabilities Education ruling
Show answer & explanation
Correct answer: C - The Olmstead decision
Domain 2: Neuroanatomy and Neuroplasticity
Question 4
Widespread shearing and stretching of axons throughout the white matter, commonly caused by rapid acceleration-deceleration or rotational forces, best describes:
- A coup-contrecoup contusion
- An epidural hematoma
- A subarachnoid hemorrhage
- A focal penetrating injury
- Diffuse axonal injury
Show answer & explanation
Correct answer: E - Diffuse axonal injury
Question 5
A clinician explains to a family that, after injury, the brain can form new connections and reorganize function partly in response to rehabilitation activities. This capacity is best described as:
- Neuroplasticity
- Neurogenesis
- Diaschisis
- Neuroprotection
- Myelination
Show answer & explanation
Correct answer: A - Neuroplasticity
Domain 3: Medical and Physical Consequences
Question 6
Several weeks after a severe brain injury, a client develops warmth, swelling, and reduced range of motion around the hip, and imaging reveals bone forming within the surrounding soft tissue. This complication is most consistent with:
- Deep vein thrombosis in the affected limb
- A fixed joint contracture from immobility
- Increased spasticity of the hip flexors
- Heterotopic ossification
- A stage-three pressure injury over the joint
Show answer & explanation
Correct answer: D - Heterotopic ossification
Question 7
During the acute phase of a severe brain injury, a client has recurring episodes of elevated heart rate, high blood pressure, fever, heavy sweating, and rigid posturing, and infection has been ruled out as a cause. This presentation is most characteristic of:
- A focal motor seizure originating in the cortex
- Autonomic storming
- A pulmonary embolism blocking blood flow
- Serotonin syndrome from medication interaction
- Communicating hydrocephalus with rising pressure
Show answer & explanation
Correct answer: B - Autonomic storming
Domain 4: Cognitive, Neuropsychiatric, Psychosocial, and Neurobehavioral Consequences
Question 8
A client emerging from coma is now alert but disoriented, has a very short attention span, and displays frequent bizarre, non-purposeful, and sometimes aggressive behavior. On the Rancho Los Amigos scale, this presentation is most consistent with:
- Level II - Generalized Response
- Level III - Localized Response
- Level IV - Confused, Agitated
- Level VI - Confused, Appropriate
- Level VIII - Purposeful, Appropriate
Show answer & explanation
Correct answer: C - Level IV - Confused, Agitated
Question 9
A client cannot reliably store new memories, so the team teaches consistent use of a smartphone calendar with alarms and a written daily planner to support independence. This intervention is best described as a:
- Restorative approach that rebuilds the impaired skill
- Metacognitive remediation approach
- Reality orientation approach
- Errorless learning drill
- Compensatory approach
Show answer & explanation
Correct answer: E - Compensatory approach
Question 10
A behavior plan directs staff to give brief praise only after a client independently initiates a hygiene task, rather than every single time the behavior occurs. This reinforcement schedule is best described as:
- Continuous reinforcement after every occurrence
- Negative reinforcement
- Intermittent reinforcement
- Positive punishment
- Extinction
Show answer & explanation
Correct answer: C - Intermittent reinforcement
The rest of the CBIS blueprint
The CBIS exam also covers these domains. Drill them in the full free practice test:
- Domain 5: Rehabilitation Philosophy, Cultural Competency, and Participation
- Domain 6: Neurorehabilitation Practices and Outcomes
- Domain 7: Special Populations
- Domain 8: Special Considerations
- Domain 9: Families, Legal & Ethical Considerations, and Care Management