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PRN1032 Client-Centered Care I Exam 2 2026/2027 |
Comprehensive Questions with Verified Answers and
Detailed Rationales Grade A | Rasmussen University
Question 1
The Electronic Health Record (EHR) was set up as a goal of the 2009 American
Recovery and Reinvestment Act for the purpose of providing a:
A. basic record of a patient's current admission only
B. comprehensive record of a patient's history and care across all facilities and
admissions
C. billing record for insurance reimbursement
D. legal document for malpractice defense
Correct Answer: B. comprehensive record of a patient's history and care across all
facilities and admissions
Rationale: The EHR was designed to provide a comprehensive, longitudinal record of a
patient's health history and care across all healthcare facilities and admissions.
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Question 2
A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of
chili with jalapenos. An inappropriate communication block with a judgmental tone by
the nurse would be:
A. "Spicy foods can irritate ulcers. Let's talk about dietary choices."
B. "I don't think that was a smart thing for you to do considering your ulcer."
C. "What made you choose to eat chili with your ulcer history?"
D. "Let's review your dietary restrictions together."
Correct Answer: B. "I don't think that was a smart thing for you to do considering
your ulcer."
Rationale: This statement is judgmental and critical, which blocks therapeutic
communication. It uses a blaming tone that may damage the nurse-patient relationship.
Question 3
A patient needs to have a triangular bandage applied. The nurse should position the
sling so that the hand is _____ inch(es) below the elbow.
A. 1
B. 2
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C. 3
D. 4
Correct Answer: D. 4
Rationale: When applying a triangular bandage sling, the hand should be positioned
approximately 4 inches below the elbow to ensure proper support and comfort.
Question 4
A clinic nurse is documenting in a patient medical record about the pain that brought
the patient to seek medical attention. The best description is:
A. "Patient complains of stomach pain"
B. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after
lunch. No relief from antacids."
C. "Patient has severe abdominal pain"
D. "Abdomen hurts, probably from something he ate"
Correct Answer: B. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours,
started 2 hours after lunch. No relief from antacids."
Rationale: This documentation is objective, specific, and includes pain location, quality,
intensity, duration, onset, and aggravating/relieving factors, following best
documentation practices.
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Question 5
The nurse has selected an outcome for the patient to eat all of the food on the
breakfast tray each day. Assessing that the patient has eaten all of the breakfast, the
nurse would give positive feedback by saying:
A. "Good job."
B. "You finally ate everything."
C. "Hurray! You finished your whole meal! What would you like for tomorrow?"
D. "It's about time you ate everything."
Correct Answer: C. "Hurray! You finished your whole meal! What would you like
for tomorrow?"
Rationale: This response provides specific, positive reinforcement and engages the
patient in future planning, which promotes continued success.
Question 6
The best way for a nurse to reinforce learning during a return demonstration by the
patient is for the nurse to:
A. correct every mistake immediately
B. give recognition and praise for the parts the patient does well and to assist or teach
PRN1032 Client-Centered Care I Exam 2 2026/2027 |
Comprehensive Questions with Verified Answers and
Detailed Rationales Grade A | Rasmussen University
Question 1
The Electronic Health Record (EHR) was set up as a goal of the 2009 American
Recovery and Reinvestment Act for the purpose of providing a:
A. basic record of a patient's current admission only
B. comprehensive record of a patient's history and care across all facilities and
admissions
C. billing record for insurance reimbursement
D. legal document for malpractice defense
Correct Answer: B. comprehensive record of a patient's history and care across all
facilities and admissions
Rationale: The EHR was designed to provide a comprehensive, longitudinal record of a
patient's health history and care across all healthcare facilities and admissions.
,2|Page
Question 2
A home health patient with a bleeding ulcer informs the nurse that she ate a bowl of
chili with jalapenos. An inappropriate communication block with a judgmental tone by
the nurse would be:
A. "Spicy foods can irritate ulcers. Let's talk about dietary choices."
B. "I don't think that was a smart thing for you to do considering your ulcer."
C. "What made you choose to eat chili with your ulcer history?"
D. "Let's review your dietary restrictions together."
Correct Answer: B. "I don't think that was a smart thing for you to do considering
your ulcer."
Rationale: This statement is judgmental and critical, which blocks therapeutic
communication. It uses a blaming tone that may damage the nurse-patient relationship.
Question 3
A patient needs to have a triangular bandage applied. The nurse should position the
sling so that the hand is _____ inch(es) below the elbow.
A. 1
B. 2
,3|Page
C. 3
D. 4
Correct Answer: D. 4
Rationale: When applying a triangular bandage sling, the hand should be positioned
approximately 4 inches below the elbow to ensure proper support and comfort.
Question 4
A clinic nurse is documenting in a patient medical record about the pain that brought
the patient to seek medical attention. The best description is:
A. "Patient complains of stomach pain"
B. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours, started 2 hours after
lunch. No relief from antacids."
C. "Patient has severe abdominal pain"
D. "Abdomen hurts, probably from something he ate"
Correct Answer: B. "Periumbilical sharp pain at pain level of 7 to 8 for last 3 hours,
started 2 hours after lunch. No relief from antacids."
Rationale: This documentation is objective, specific, and includes pain location, quality,
intensity, duration, onset, and aggravating/relieving factors, following best
documentation practices.
, 4|Page
Question 5
The nurse has selected an outcome for the patient to eat all of the food on the
breakfast tray each day. Assessing that the patient has eaten all of the breakfast, the
nurse would give positive feedback by saying:
A. "Good job."
B. "You finally ate everything."
C. "Hurray! You finished your whole meal! What would you like for tomorrow?"
D. "It's about time you ate everything."
Correct Answer: C. "Hurray! You finished your whole meal! What would you like
for tomorrow?"
Rationale: This response provides specific, positive reinforcement and engages the
patient in future planning, which promotes continued success.
Question 6
The best way for a nurse to reinforce learning during a return demonstration by the
patient is for the nurse to:
A. correct every mistake immediately
B. give recognition and praise for the parts the patient does well and to assist or teach
