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

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, vitamins and micronutrients, hydration and fluid balance, electrolyte imbalances, immobility complications, and elimination patterns . This verified resource provides comprehensive coverage of key PRN1032 Client-Centered Care I Exam 2 topics, including: Nutritional Concepts and Metabolism: 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 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 My Plate Program: Government program to help people eat healthy; provides guidance on how to plan a nutritious balanced diet 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 Vitamins and Micronutrients: Vitamin Definition: A compound which an organism requires but is unable to synthesize in sufficient quantities, so must obtain through its diet Pro-Vitamin Definition: A substance that an organism can transform into a vitamin 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 Most Important Nutrient for Humans: Water Percentage of Water Intake from Food: 9% Dehydration and Fluid Balance: First Symptom of Dehydration: Thirst Serious Symptoms of Dehydration: Disorientation, irritability, no urine output, rapid pulse, complete exhaustion Dehydration Manifestations: 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 Elimination Patterns: 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 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 Pressure Ulcer Prevention and Care: Pressure Ulcer Causes: Localized injury to the skin and underlying tissue from prolonged pressure, usually over a bony prominence Risk Factors for Pressure Ulcers: Immobility, poor nutrition, dehydration, incontinence, decreased sensation, advanced age Braden Scale: Assessment tool used to predict pressure ulcer risk (lower score = higher risk) Prevention Interventions: Reposition every 2 hours, use pressure redistribution surfaces, keep skin clean and dry, optimize nutrition and hydration 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 It features hundreds of exam-style questions including multiple choice, select-all-that-apply (SATA), and clinical scenario questions, each with verified answers and detailed rationales explaining the correct answer and clarifying common misconceptions . DOCUMENT ACCESS: This study guide is available as an instant digital download (PDF) immediately upon purchase. Fully text-searchable, printable, and accessible anytime through your user account. Trusted by thousands of Rasmussen University Practical Nursing students for PRN1032 CCC1 Exam 2 success and nursing program advancement . PRN1032 Client-Centered Care I Exam 2 2026/2027 Exam Questions with Verified Questions and Answers and Detailed Rationales Rasmussen University CCC1 Practical Nursing Prep Get HighScore PRN1032 Exam 2 Study Guide Client-Centered Care I Nutrition and Hydration Basal Metabolic Rate BMR Definition Energy Source Five Dietary Guidelines Healthy Eating Pattern My Plate Program Nutritional Guidance Nutrient Density vs Energy Density Comparison Obesity Classification BMI Classes Older Adult Diet Protein B12 Fiber Diabetic Diet Low Carb Low Sugar Low Fat Riboflavin Rich Foods Milk Yogurt Almonds Cereal Vitamin A Night Blindness Immunity Xerophthalmia Vitamin C Antioxidant Function Vitamin E Cell Membrane Stabilization Thiamine Deficiency Alcohol Use Water Most Important Nutrient for Humans Dehydration Symptoms Thirst Poor Skin Turgor Dark Urine Fluid Overload Risk Factors Heart Failure Kidney Disease Furosemide Lasix Loop Diuretic Dehydration Risk Normal Electrolyte Levels Sodium Potassium Calcium Magnesium Phosphate Chloride Bicarbonate Hypophosphatemia Causes Vitamin D Deficiency Antacids Hyperphosphatemia Renal Insufficiency Chvostek's Sign Hypocalcemia Facial Twitching Immobility Complications DVT UTI Pneumonia Pressure Ulcers Musculoskeletal System Functions Bone Types Periosteum Articular Cartilage Tendons Ligaments Elbow Joint Hinge Joint Type Normal Urine Output 30 mL per Hour UTI in Older Adults Confusion Most Common Symptom E. coli Urinary Tract Infection Cause Occult Blood Fecal Occult Blood Test Stool Color Bright Red Dark Red Black Tarry Pressure Ulcer Prevention Reposition Every 2 Hours Braden Scale Risk Assessment Pertussis Plan of Care Mask Precautions SARS Reporting Public Health Priorities Rasmussen Practical Nursing Program PRN1032 Downloadable PDF Study Guide PRN1032 Exam 2 A+ Guaranteed Pass