Page 1 of 97
PRN1409 Client-Centered Care III EXAM 1 QUESTIONS AND
CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR –
JUST RELEASED
Brief Exam Coverage
• Fundamentals of client-centered nursing care
• Prioritization, safety, and clinical judgment
• Medication administration and monitoring
• Infection prevention and standard precautions
• Assessment, documentation, and reporting changes
• Basic pharmacology and common nursing interventions
• Communication, teaching, and therapeutic relationships
• Chronic and acute condition management
• Delegation, legal/ethical care, and teamwork
• Patient education and discharge planning
:
1.
, Page 2 of 97
A practical nursing student is caring for an older adult with confusion, weakness, and poor oral
intake; which action best reflects client-centered care?
A. Focus only on the physician’s written diagnosis during the shift
B. Individualize care by assessing hydration, safety, comfort, and communication needs
C. Delay all nursing care until family members arrive to give preferences
D. Use the same routine care plan used for all older adult clients
Answer: B
Rationale: Client-centered care means tailoring nursing interventions to the client’s current
needs, preferences, safety risks, and functional status.
2.
Which nursing action is most appropriate when a client states, “I do not understand why I need
this new medication”?
A. Tell the client to take it because the provider ordered it
B. Document refusal before offering any additional explanation
C. Provide clear education about the medication’s purpose and expected effects
D. Ask another client to explain how the medication works
Answer: C
Rationale: Client-centered care includes education that supports understanding, informed
participation, and adherence to treatment.
3.
, Page 3 of 97
A nurse is preparing to administer medications to four clients; which client should the nurse
assess first based on priority principles?
A. A client requesting a blanket before bedtime
B. A client reporting new shortness of breath after receiving an opioid
C. A client asking when dinner trays will arrive
D. A client wanting help to reposition a pillow
Answer: B
Rationale: New shortness of breath after opioid administration may indicate respiratory
depression and requires immediate assessment.
4.
Which finding should the nurse report first when caring for a postoperative client during the
early recovery period?
A. Pain rated 4 out of 10 at the incision site
B. Blood pressure 88/54 mm Hg with cool, pale skin
C. Client asking for water because of dry mouth
D. Dressing with a small amount of old drainage
Answer: B
Rationale: Hypotension with cool, pale skin may indicate shock or bleeding and requires urgent
intervention.
5.
, Page 4 of 97
A nurse is reinforcing teaching about infection prevention with a client recovering from surgery;
which statement by the client shows correct understanding?
A. “I only need to wash my hands when they look dirty.”
B. “I should avoid touching my incision unless my hands are clean first.”
C. “Gloves replace the need for hand hygiene in most situations.”
D. “My visitors do not need to clean their hands if they feel well.”
Answer: B
Rationale: Proper hand hygiene before touching a surgical incision is an essential infection
prevention measure.
6.
Which documentation entry by the nurse is the most accurate and legally appropriate?
A. Client doing okay and resting comfortably now
B. Client seems upset and probably angry about treatment
C. Client reports pain 7/10 in lower abdomen; grimacing noted; provider notified
D. Client had a bad morning and did not cooperate with care
Answer: C
Rationale: Good documentation is objective, specific, measurable, and includes actions taken
when needed.
7.
PRN1409 Client-Centered Care III EXAM 1 QUESTIONS AND
CORRECT VERIFIED SOLUTIONS LATEST UPDATE THIS YEAR –
JUST RELEASED
Brief Exam Coverage
• Fundamentals of client-centered nursing care
• Prioritization, safety, and clinical judgment
• Medication administration and monitoring
• Infection prevention and standard precautions
• Assessment, documentation, and reporting changes
• Basic pharmacology and common nursing interventions
• Communication, teaching, and therapeutic relationships
• Chronic and acute condition management
• Delegation, legal/ethical care, and teamwork
• Patient education and discharge planning
:
1.
, Page 2 of 97
A practical nursing student is caring for an older adult with confusion, weakness, and poor oral
intake; which action best reflects client-centered care?
A. Focus only on the physician’s written diagnosis during the shift
B. Individualize care by assessing hydration, safety, comfort, and communication needs
C. Delay all nursing care until family members arrive to give preferences
D. Use the same routine care plan used for all older adult clients
Answer: B
Rationale: Client-centered care means tailoring nursing interventions to the client’s current
needs, preferences, safety risks, and functional status.
2.
Which nursing action is most appropriate when a client states, “I do not understand why I need
this new medication”?
A. Tell the client to take it because the provider ordered it
B. Document refusal before offering any additional explanation
C. Provide clear education about the medication’s purpose and expected effects
D. Ask another client to explain how the medication works
Answer: C
Rationale: Client-centered care includes education that supports understanding, informed
participation, and adherence to treatment.
3.
, Page 3 of 97
A nurse is preparing to administer medications to four clients; which client should the nurse
assess first based on priority principles?
A. A client requesting a blanket before bedtime
B. A client reporting new shortness of breath after receiving an opioid
C. A client asking when dinner trays will arrive
D. A client wanting help to reposition a pillow
Answer: B
Rationale: New shortness of breath after opioid administration may indicate respiratory
depression and requires immediate assessment.
4.
Which finding should the nurse report first when caring for a postoperative client during the
early recovery period?
A. Pain rated 4 out of 10 at the incision site
B. Blood pressure 88/54 mm Hg with cool, pale skin
C. Client asking for water because of dry mouth
D. Dressing with a small amount of old drainage
Answer: B
Rationale: Hypotension with cool, pale skin may indicate shock or bleeding and requires urgent
intervention.
5.
, Page 4 of 97
A nurse is reinforcing teaching about infection prevention with a client recovering from surgery;
which statement by the client shows correct understanding?
A. “I only need to wash my hands when they look dirty.”
B. “I should avoid touching my incision unless my hands are clean first.”
C. “Gloves replace the need for hand hygiene in most situations.”
D. “My visitors do not need to clean their hands if they feel well.”
Answer: B
Rationale: Proper hand hygiene before touching a surgical incision is an essential infection
prevention measure.
6.
Which documentation entry by the nurse is the most accurate and legally appropriate?
A. Client doing okay and resting comfortably now
B. Client seems upset and probably angry about treatment
C. Client reports pain 7/10 in lower abdomen; grimacing noted; provider notified
D. Client had a bad morning and did not cooperate with care
Answer: C
Rationale: Good documentation is objective, specific, measurable, and includes actions taken
when needed.
7.
