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PRN1032 Client-Centered Care I Final Exam | LATEST 2026/2027 | Comprehensive Questions with Verified Questions and Answers and Detailed Rationales | Rasmussen University CCC1 Practical Nursing Final Prep | Get HighScore | Instant Download

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INSTANT PDF DOWNLOAD — This is the comprehensive exam preparation guide for the PRN1032 Client-Centered Care I (CCC1) Final Exam 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 cumulative final examination. The guide is meticulously aligned with the current Rasmussen University PRN1032 curriculum, covering essential topics including Maslow's Hierarchy of Needs, fluid and electrolyte imbalances, immobility complications, elimination patterns, nutrition, and client-centered care principles . This verified resource provides comprehensive coverage of key PRN1032 Client-Centered Care I Final Exam topics, including: Maslow's Hierarchy of Needs: Physiological Needs (Level 1) : Rest, sleep, nutrition, hydration, elimination - these are the first priority in nursing care Safety and Security (Level 2) : Resting and comfort, safe environment, physical and psychological safety Love and Belonging (Level 3) : Family, friendship, sexual intimacy, being surrounded by supportive people Esteem Needs (Level 4) : Motivation, positivity, self-love, encouragement, recognition, respect Self-Actualization (Level 5) : Finding identity, self-respect, achieving full potential Priority Nursing Application: Physiological needs (rest, sleep, nutrition, elimination) are addressed first, followed by safety and security needs Fluid and Electrolyte Balance: Dehydration (Fluid Deficit) : 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 Normal Urine Output: At least 30 mL per hour; normal voiding frequency for adults is 5-10 times per day Urine Characteristics: Normal urine is almost clear to light yellow; dark yellow-amber indicates dehydration; too clear indicates excessive fluids Kidney Function: Urine is produced by the kidneys; urine comes from each kidney through the ureters to the bladder then urethra Decreased Kidney Perfusion: Can be caused by shock or dehydration, resulting in no urine production Diabetes and Water Requirements: More water is needed to help regulate blood glucose levels Elimination Patterns: Normal Voiding Frequency: 5-10 times per day with volume of at least 30 mL per hour Urinary Tract Infection (UTI) Signs in Older Adults: Confusion is the most common symptom; other signs include pain while urinating, frequent urination, fever, odor, urgency E. coli and UTI: E. coli bacteria (from stool) is the most common cause of UTI Occult Blood: Blood that cannot be seen in the stool but is positive on a fecal occult blood test Stool Color Indicators: Bright red stool indicates lower GI bleed (hemorrhoids); dark red stool indicates upper GI bleed; black tarry stool indicates internal bleeding with foul odor Immobility Complications: Priority Complications for Immobility: DVT (deep vein thrombosis), UTI, pneumonia, pressure ulcers Cardiovascular Effects: Decreased circulation, increased heart rate, increased risk of venous stasis/DVT Respiratory Effects: Pneumonia, increased congestion in airways, increased secretions, decreased lung expansion, atelectasis GI Effects: Constipation, paralytic ileus, diminished appetite, slow digestion, decreased peristalsis, delayed gastric emptying GU Effects: UTIs, decreased bladder tone, renal calculi Muscle Changes: Decreased muscle mass, atrophy, loss of muscle tone Repositioning Frequency: Every 2 hours to prevent pressure sores Diet Teaching for Immobile Patients: Eat protein, fiber, and water 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 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) Obesity Classification: Class 1 obese: BMI 30-35; Class 2 obese: BMI 35-40; Class 3 obese: BMI 40 Recommended Diet for Older Adults: Slightly more protein, B12 foods, and higher fiber foods Recommended Diet for Diabetic Patients: Nutrient-rich, low-fat, low-carb, low added sugar, reduced calories My Plate Program: Government program to help people eat healthy; provides guidance on how to plan a nutritious balanced diet Riboflavin-Rich Foods: Cereal, almonds, beef liver, chicken liver, soybeans, milk, yogurt Vitamin A Functions: Vision and immunity; deficiency can cause

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PRN1032 Client-Centered Care I Final Exam 2026/2027 |

Questions with Verified Answers and Detailed Rationales

Grade A | Rasmussen University




Question 1

What often causes pressure ulcers?

A. Excessive bathing and moisturizing

B. Immobility, with shearing also playing a role

C. High protein diet

D. Frequent position changes

Correct Answer: B. Immobility, with shearing also playing a role

Rationale: Pressure ulcers often occur due to immobility, which leads to prolonged

pressure on tissues. Shearing forces can also contribute to tissue damage.



Question 2

What are risk factors for pressure ulcers? (Select all that apply.)

A. Moisture

,2|Page


B. Malnutrition

C. Altered sensory perception

D. Regular exercise

E. Adequate hydration

Correct Answer: A. Moisture, B. Malnutrition, C. Altered sensory perception

Rationale: Risk factors for pressure ulcers include moisture (from incontinence or

sweating), malnutrition (impaired tissue repair), and altered sensory perception

(inability to feel pressure).



Question 3

What are interventions to prevent skin breakdown? (Select all that apply.)

A. Keep skin dry and clean

B. Avoid friction and shear

C. Position the patient every 2 hours

D. Apply alcohol to bony prominences

E. Massage reddened areas vigorously

Correct Answer: A. Keep skin dry and clean, B. Avoid friction and shear, C.

Position the patient every 2 hours

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Rationale: Prevention of skin breakdown includes keeping skin clean and dry,

avoiding friction and shear forces, and repositioning patients at least every 2 hours.



Question 4

What is cellulitis?

A. A fungal infection of the skin

B. A skin disorder caused by infection of the dermis and subcutaneous tissue,

usually caused by Staphylococcus

C. An autoimmune skin disorder

D. A viral skin infection

Correct Answer: B. A skin disorder caused by infection of the dermis and

subcutaneous tissue, usually caused by Staphylococcus

Rationale: Cellulitis is a bacterial infection of the dermis and subcutaneous tissue,

commonly caused by Staphylococcus or Streptococcus.



Question 5

What are characteristics of candidiasis (fungal infection)? (Select all that

apply.)

A. Affects the mouth, esophagus, and vagina

B. Yellow or white patches in the mouth

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