Rasmussen College | PRN 1032 Client-Centered Care I
PRN 1032 Client-Centered Care I Exam 1
Comprehensive Examination 2026/2027 |
Verified Questions
Rasmussen College | PRN 1032 Client-Centered Care I | University-Level Nursing Students
50 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Rasmussen College | PRN 1032 Client-Centered Care I
Examination 1 Actual Exam | Academic Year 2026/2027
PRN 1032 Client-Centered Care I Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains exactly 50 original questions organized across four core domains: Domain 1, Basic Needs,
Comfort, and Vital Signs (13); Domain 2, Safety, Infection Control, and Hygiene (13); Domain 3, Communication,
Patient Education, and Cultural Competence (12); and Domain 4, Foundational Nursing Skills, Documentation,
and Legal/Ethical Principles (12). 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.
ACTUAL QUESTIONS
Domain 1: Basic Needs, Comfort, and Vital Signs
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.
PRN 1032 Client-Centered Care I Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
, Question 5. The radial pulse is irregular during a vital-sign assessment. What should the nurse do
next?
A. Count the apical pulse for a full minute and note rhythm and rate.
B. Measure temperature instead of verifying the pulse.
C. Document a regular pulse without further assessment.
D. Estimate the rate from ten seconds and stop.
Correct Answer: A
Rationale: An irregular peripheral pulse may not reflect every ventricular contraction. A full-minute apical
count improves rate and rhythm accuracy and supports comparison for a pulse deficit when indicated.
Question 6. Which technique produces the most accurate resting respiratory rate for an adult?
A. Count only one breath and multiply by sixty.
B. Tell the client to breathe faster before counting.
C. Ask the client to speak continuously during the count.
D. Continue holding the wrist after counting the pulse and quietly observe chest movement.
Correct Answer: D
Rationale: Awareness of observation can alter breathing. Quietly counting a sufficient interval while noting
rhythm, depth, and effort gives a more representative resting measurement.
Question 7. A blood-pressure cuff bladder is too narrow for the client's upper arm. How will this
most likely affect the reading?
A. It eliminates the systolic sound.
B. It always produces a falsely low temperature.
C. It may produce a falsely high blood pressure.
D. It has no effect on measurement accuracy.
Correct Answer: C
Rationale: A cuff that is too small requires excess pressure to occlude the artery and can overestimate blood
pressure. Cuff width and length should match the measured arm circumference.
Question 8. A client becomes pale and dizzy while standing for orthostatic vital signs. What is the
nurse's immediate action?
A. Assist the client to sit or lie down and protect the client from falling.
B. Leave the client standing until all measurements are obtained.
C. Turn away to retrieve paperwork before providing support.
D. Ask the client to walk independently in the hallway.
Correct Answer: A
Rationale: Symptoms during position change signal reduced cerebral perfusion and an immediate fall risk.
Safety comes first, followed by reassessment, documentation, and communication of the findings.
Question 9. A client without respiratory distress has a pulse-oximeter reading of 84 percent on a
cold, poorly perfused finger. What should the nurse do first?
A. Turn off the monitor without another measurement.
B. Assess the client, warm or reposition the extremity, and verify the reading at a suitable site.
C. Apply dark nail polish to improve the signal.
D. Ignore the client and record the value as unquestionably accurate.
Correct Answer: B
Rationale: Cold tissue and weak peripheral perfusion can reduce signal quality and create an unreliable value.
The nurse integrates clinical assessment with sensor placement and verifies an unexpected reading promptly.
Question 10. A client is short of breath while lying flat. Which position should the nurse use to
promote lung expansion?
A. Prone position with the face in the mattress
B. Flat supine position
C. Trendelenburg position
D. High Fowler position
Correct Answer: D
Rationale: An upright position lowers pressure from abdominal contents on the diaphragm and improves
thoracic expansion. The nurse also assesses oxygenation, respiratory effort, and the cause of dyspnea.
PRN 1032 Client-Centered Care I Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
PRN 1032 Client-Centered Care I Exam 1
Comprehensive Examination 2026/2027 |
Verified Questions
Rasmussen College | PRN 1032 Client-Centered Care I | University-Level Nursing Students
50 Verified Questions | 4 Core Domains | Academic Year 2026/2027
Prepared by
Rasmussen College | PRN 1032 Client-Centered Care I
Examination 1 Actual Exam | Academic Year 2026/2027
PRN 1032 Client-Centered Care I Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
,INTRODUCTION
This document contains exactly 50 original questions organized across four core domains: Domain 1, Basic Needs,
Comfort, and Vital Signs (13); Domain 2, Safety, Infection Control, and Hygiene (13); Domain 3, Communication,
Patient Education, and Cultural Competence (12); and Domain 4, Foundational Nursing Skills, Documentation,
and Legal/Ethical Principles (12). 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.
ACTUAL QUESTIONS
Domain 1: Basic Needs, Comfort, and Vital Signs
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.
PRN 1032 Client-Centered Care I Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
, Question 5. The radial pulse is irregular during a vital-sign assessment. What should the nurse do
next?
A. Count the apical pulse for a full minute and note rhythm and rate.
B. Measure temperature instead of verifying the pulse.
C. Document a regular pulse without further assessment.
D. Estimate the rate from ten seconds and stop.
Correct Answer: A
Rationale: An irregular peripheral pulse may not reflect every ventricular contraction. A full-minute apical
count improves rate and rhythm accuracy and supports comparison for a pulse deficit when indicated.
Question 6. Which technique produces the most accurate resting respiratory rate for an adult?
A. Count only one breath and multiply by sixty.
B. Tell the client to breathe faster before counting.
C. Ask the client to speak continuously during the count.
D. Continue holding the wrist after counting the pulse and quietly observe chest movement.
Correct Answer: D
Rationale: Awareness of observation can alter breathing. Quietly counting a sufficient interval while noting
rhythm, depth, and effort gives a more representative resting measurement.
Question 7. A blood-pressure cuff bladder is too narrow for the client's upper arm. How will this
most likely affect the reading?
A. It eliminates the systolic sound.
B. It always produces a falsely low temperature.
C. It may produce a falsely high blood pressure.
D. It has no effect on measurement accuracy.
Correct Answer: C
Rationale: A cuff that is too small requires excess pressure to occlude the artery and can overestimate blood
pressure. Cuff width and length should match the measured arm circumference.
Question 8. A client becomes pale and dizzy while standing for orthostatic vital signs. What is the
nurse's immediate action?
A. Assist the client to sit or lie down and protect the client from falling.
B. Leave the client standing until all measurements are obtained.
C. Turn away to retrieve paperwork before providing support.
D. Ask the client to walk independently in the hallway.
Correct Answer: A
Rationale: Symptoms during position change signal reduced cerebral perfusion and an immediate fall risk.
Safety comes first, followed by reassessment, documentation, and communication of the findings.
Question 9. A client without respiratory distress has a pulse-oximeter reading of 84 percent on a
cold, poorly perfused finger. What should the nurse do first?
A. Turn off the monitor without another measurement.
B. Assess the client, warm or reposition the extremity, and verify the reading at a suitable site.
C. Apply dark nail polish to improve the signal.
D. Ignore the client and record the value as unquestionably accurate.
Correct Answer: B
Rationale: Cold tissue and weak peripheral perfusion can reduce signal quality and create an unreliable value.
The nurse integrates clinical assessment with sensor placement and verifies an unexpected reading promptly.
Question 10. A client is short of breath while lying flat. Which position should the nurse use to
promote lung expansion?
A. Prone position with the face in the mattress
B. Flat supine position
C. Trendelenburg position
D. High Fowler position
Correct Answer: D
Rationale: An upright position lowers pressure from abdominal contents on the diaphragm and improves
thoracic expansion. The nurse also assesses oxygenation, respiratory effort, and the cause of dyspnea.
PRN 1032 Client-Centered Care I Exam 1 Comprehensive Examination 2026/2027 | Verified Questions
