, PRN 1032 Client-Centered Care I | Rasmussen College |
Academic Year 2026/2027 | Examination 1 Comprehensive
Examination | 50 Verified Questions and Correct Answer
Rationales | | just released .
INTRODUCTION
This document contains exactly 50 original questions organized across four core
domains: Domain 1: Basic Needs, Comfort, and Vital Signs (13 questions) ; Domain 2:
Safety, Infection Control, and Hygiene (13 questions) ; Domain 3: Communication, Patient
Education, and Cultural Competence (12 questions) ; and Domain 4: Foundational
Nursing Skills, Documentation, and Legal/Ethical Principles (12 questions) . The content is
original and designed to reinforce the official PRN 1032 Client-Centered Care I Examination 1
course objectives for actual exam readiness and clinical proficiency, aligned to Academic
Year 2026/2027. Each item applies foundational nursing methodology, client-centered
communication, and patient-safety logic.
DOMAIN 1: BASIC NEEDS, COMFORT, AND VITAL SIGNS (13 QUESTIONS)
Question 1
Which client need should the nurse address FIRST?
A. Diaphoresis and trembling with a blood glucose of 52 mg/dL
B. A request to discuss room decoration
C. Concern about missing a favorite television program
D. Loneliness while awaiting an afternoon visitor
CorreCt Answer: A ✓
rAtionAle: Acute hypoglycemia threatens neurologic function and is a physiologic priority.
Immediate assessment and treatment take precedence over nonurgent psychosocial
preferences.
Question 2
A client smiles while reporting incisional pain of 8 on a 0-to-10 scale. What is the nurse's best
response?
A. Ask a family member to choose the pain rating.
B. Delay pain care until the client begins crying.
, C. Accept the rating and assess the pain's location, quality, pattern, and effect on function.
D. Record no pain because the client is smiling.
CorreCt Answer: C ✓
rAtionAle: Pain is subjective, and the client's report is the most reliable indicator when
communication is possible. A focused assessment guides individualized relief measures and
later reassessment.
Question 3
A postoperative client reports discomfort when coughing. Which nursing action is an appropriate
nonpharmacologic comfort measure?
A. Apply a heating pad directly over the fresh incision.
B. Teach the client to splint the incision with a pillow while coughing.
C. Restrict all position changes regardless of comfort.
D. Tell the client to avoid coughing for the remainder of the day.
CorreCt Answer: B ✓
rAtionAle: Splinting supports the incision and can reduce movement-related discomfort
while allowing airway clearance. Comfort measures supplement prescribed analgesia and
require follow-up assessment.
Question 4
An unconscious client requires a temperature measurement. Which action is safest?
A. Leave an oral probe unattended in the mouth.
B. Place a glass thermometer under the tongue.
C. Ask the client to hold an oral probe in place.
D. Use an approved nonoral route based on the client's condition and facility policy.
CorreCt Answer: D ✓
rAtionAle: An unconscious client cannot safely retain an oral probe and may bite or aspirate
it. Route selection must account for level of consciousness, condition, equipment, and
policy.
Question 5
Which assessment finding indicates that a client's pain management intervention has been
effective?
A. The client reports pain decreased from 8 to 3 on a 0-to-10 scale.
B. The client is sleeping through the night.
C. The client is able to ambulate with assistance.
D. All of the above
Academic Year 2026/2027 | Examination 1 Comprehensive
Examination | 50 Verified Questions and Correct Answer
Rationales | | just released .
INTRODUCTION
This document contains exactly 50 original questions organized across four core
domains: Domain 1: Basic Needs, Comfort, and Vital Signs (13 questions) ; Domain 2:
Safety, Infection Control, and Hygiene (13 questions) ; Domain 3: Communication, Patient
Education, and Cultural Competence (12 questions) ; and Domain 4: Foundational
Nursing Skills, Documentation, and Legal/Ethical Principles (12 questions) . The content is
original and designed to reinforce the official PRN 1032 Client-Centered Care I Examination 1
course objectives for actual exam readiness and clinical proficiency, aligned to Academic
Year 2026/2027. Each item applies foundational nursing methodology, client-centered
communication, and patient-safety logic.
DOMAIN 1: BASIC NEEDS, COMFORT, AND VITAL SIGNS (13 QUESTIONS)
Question 1
Which client need should the nurse address FIRST?
A. Diaphoresis and trembling with a blood glucose of 52 mg/dL
B. A request to discuss room decoration
C. Concern about missing a favorite television program
D. Loneliness while awaiting an afternoon visitor
CorreCt Answer: A ✓
rAtionAle: Acute hypoglycemia threatens neurologic function and is a physiologic priority.
Immediate assessment and treatment take precedence over nonurgent psychosocial
preferences.
Question 2
A client smiles while reporting incisional pain of 8 on a 0-to-10 scale. What is the nurse's best
response?
A. Ask a family member to choose the pain rating.
B. Delay pain care until the client begins crying.
, C. Accept the rating and assess the pain's location, quality, pattern, and effect on function.
D. Record no pain because the client is smiling.
CorreCt Answer: C ✓
rAtionAle: Pain is subjective, and the client's report is the most reliable indicator when
communication is possible. A focused assessment guides individualized relief measures and
later reassessment.
Question 3
A postoperative client reports discomfort when coughing. Which nursing action is an appropriate
nonpharmacologic comfort measure?
A. Apply a heating pad directly over the fresh incision.
B. Teach the client to splint the incision with a pillow while coughing.
C. Restrict all position changes regardless of comfort.
D. Tell the client to avoid coughing for the remainder of the day.
CorreCt Answer: B ✓
rAtionAle: Splinting supports the incision and can reduce movement-related discomfort
while allowing airway clearance. Comfort measures supplement prescribed analgesia and
require follow-up assessment.
Question 4
An unconscious client requires a temperature measurement. Which action is safest?
A. Leave an oral probe unattended in the mouth.
B. Place a glass thermometer under the tongue.
C. Ask the client to hold an oral probe in place.
D. Use an approved nonoral route based on the client's condition and facility policy.
CorreCt Answer: D ✓
rAtionAle: An unconscious client cannot safely retain an oral probe and may bite or aspirate
it. Route selection must account for level of consciousness, condition, equipment, and
policy.
Question 5
Which assessment finding indicates that a client's pain management intervention has been
effective?
A. The client reports pain decreased from 8 to 3 on a 0-to-10 scale.
B. The client is sleeping through the night.
C. The client is able to ambulate with assistance.
D. All of the above
