PRN1032 Client-Centered Care I Exam 2 | NEW 2026/2027 | Exam Questions with Verified Questions and Answers and Detailed Rationales | Rasmussen University Practical Nursing CCC1 Prep | Get HighScore

INSTANT PDF DOWNLOAD — This is the comprehensive exam preparation guide for the PRN1032 Client-Centered Care I (CCC1) Exam 2 for the 2026/2027 academic year, featuring verified questions and answers with detailed rationales including multiple-choice and select-all-that-apply (SATA) question formats. Designed for Practical Nursing students enrolled in the PRN1032 course at Rasmussen University, this resource consolidates the critical nursing fundamentals concepts required to achieve a top score on the second examination. The guide is meticulously aligned with the current Rasmussen University PRN1032 curriculum, covering essential topics including nutritional concepts, immobility complications, electrolyte imbalances, vitamin deficiencies, infection control, sterile technique, musculoskeletal disorders, sensory disorders, and client-centered care principles . This verified resource provides comprehensive coverage of key PRN1032 Client-Centered Care I Exam 2 topics, including: Nutritional Concepts: Basal Metabolic Rate (BMR) : The sum of all internal activities of the body while at total rest; the amount of energy needed to maintain the body at rest Energy Sources: Humans obtain energy from outside sources, primarily food; energy is required to sustain life Nutrient Density vs Energy Density: Nutrient-dense foods are high in nutrients in a smaller volume (vegetables, fruits, legumes, whole grains, lean protein); energy-dense foods have high concentration of energy in a small amount of food (butter, oil, French fries, fried meats, ice cream) My Plate Program: Government program to help people eat healthy; provides guidance on how to plan a nutritious balanced diet Five Dietary Guidelines: 1) Follow a healthy eating pattern across the lifespan, 2) Focus on variety, nutrient density, and amount, 3) Limit calories from added sugars and saturated fats, and reduce sodium intake, 4) Shift to healthier food and beverage choices, 5) Support healthy eating patterns for all Dietary Recommendations for Special Populations: Older adults require slightly more protein, B12 foods, and higher fiber foods; diabetic patients require nutrient-rich, low-fat, low-carb, low added sugar, reduced calories Obesity Classification: Class 1 obese: BMI 30-35; Class 2 obese: BMI 35-40; Class 3 obese: BMI 40 Riboflavin-Rich Foods: Cereal, almonds, beef liver, chicken liver, soybeans, milk, yogurt Vitamin A Functions: Vision and immunity; deficiency can cause night blindness, failure to grow (children), infection/sickness, xerophthalmia (ocular diseases), Bitot's spots Vitamin C Critical Function: Antioxidant Vitamin E Benefits: Antioxidant, helps stabilize cell membranes, immune function, reproduction Thiamine Deficiency and Alcohol Use: Patients who use alcohol are at risk for thiamine deficiency Pro-Vitamin Definition: A substance that an organism can transform into a vitamin Vitamin Definition: A compound which an organism requires but is unable to synthesize in sufficient quantities, so must obtain through its diet Most Important Nutrient for Humans: Water Percentage of Water Intake from Food: 9% Dehydration: First symptom is thirst; serious symptoms include disorientation, irritability, no urine output, rapid pulse, complete exhaustion; manifestations include poor skin turgor, weight loss, weakness, dizziness, postural hypotension, decreased urine output, dark concentrated urine, dry cracked lips and tongue, dry mucous membranes, flat neck veins when lying down, rapid weak thready pulse, elevated temperature 100.6°F Fluid Overload Risk Factors: Any patient with cardiac problems such as congestive heart failure, older adult patients receiving large amounts of intravenous fluids, patients with kidney conditions, patients with liver conditions, pregnancy Furosemide (Lasix) : A loop diuretic medication that treats fluid build-up; if a patient takes too much, it can pull out too much water and electrolytes, causing increased urination and potentially dehydration Diabetes and Water Requirements: More water needed to help regulate blood glucose levels Electrolyte Imbalances: Normal Sodium Levels: 135-145 mEq/L; sodium and chloride work together to maintain water balance Normal Potassium Levels: 3.5-5.0 mEq/L Normal Calcium Levels: 8.4-10.6 mg/dL Normal Magnesium Levels: 1.3-2.1 mEq/L Normal Phosphate Levels: 3.0-4.5 mg/dL Normal Chloride Levels: 96-106 mEq/L Normal Bicarbonate Levels: 22-26 mEq/L Hypophosphatemia: Low phosphate; causes include Vitamin D deficiency, hyperparathyroidism, or use of aluminum-containing antacids; symptoms include confusion, seizures, numbness, weakness, possible coma; chronic state: rickets and osteomalacia Hyperphosphatemia: High phosphate; causes include renal insufficiency; symptoms include anorexia, nausea, vomiting; nursing interventions include assessing for restlessness, confusion, chest pain, cyanosis, monitoring respirations, checking all electrolyte levels Chvostek's Sign: Tap on zygomatic bone (cheek) results in twitching of the ipsilateral (same side only) facial muscles; indicates hypocalcemia Immobility Complications: Musculoskeletal System Functions: Support body and produce movement; protect internal organs from mechanical injury; protect bone marrow; store excess calcium in bones; muscles produce heat Complications Related to Immobility: Pressure sores, constipation, joint pain, weakness, contractures, ankylosis (permanent fixation of a joint), loss of muscle tone, decreased muscle mass, atrophy Priority Complications for Immobility: DVT (deep vein thrombosis), UTI, pneumonia, pressure ulcers Cardiovascular Effects of Immobility: Decreased circulation, increased heart rate, increased risk of venous stasis/DVT Respiratory Effects of Immobility: Pneumonia, increased congestion in airways, increased secretions, decreased lung expansion, atelectasis GI Effects of Immobility: Constipation, paralytic ileus, diminished appetite, slow digestion, decreased peristalsis, delayed gastric emptying GU Effects of Immobility: UTIs, decreased bladder tone, renal calculi Repositioning Frequency: Every 2 hours to prevent pressure sores Diet Teaching for Immobile Patients: Eat protein, fiber, and water Priority Complication Reduced from Lateral Rotating Bed: Pulmonary embolism Musculoskeletal System: Bone Types: Long bones (arms, legs, hands, feet - include diaphysis and epiphyses); Short bones (wrists and ankles); Flat bones (ribs, shoulder blades, hipbones, cranial bones); Irregular bones (vertebrae and facial bones) Periosteum: Covers the rest of the bone (outer surface except joints) Articular Cartilage: Covers joint surfaces Tendons: Inelastic fibrous tissue that connects muscle to bone Ligaments: Connect bone to bone Elbow Joint Type: Hinge joint Infection Control and Sterile Technique: SARS Reporting Rationale: Planning and evaluating control and prevention strategies; determining public health priorities; ensuring proper medical treatment; monitoring for common-source outbreaks Pertussis Plan of Care: Wear a mask when providing care within 3 feet of the client; place a surgical mask on the client if transportation to another department is unavoidable