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Hesi Rn On 106 Fundamentals Proctored Exam Nightingale
Total Questions : 60
Showing 10 questions, Sign in for moreThe practical nurse (PN) applies oxygen at 2 liters/minute via nasal cannula to a client with dyspnea. Thirty minutes later the client's oxygen saturation reading is 98% and the client continues to report feeling short of breath. Which action should the PN take?
The client is a 23-year-old male who is in the clinic for a well visit.
The client has asked for a review of his diet. He brought in a 3-day historical synopsis of his diet, which is as follows:
Day 1: Calories 3,200, Fat 24 g
Day 2: Calories 2,980, Fat 22 g
Day 3: Calories 3,310, Fat 23 g
Determine the caloric value of the client's fat intake by multiplying the total grams of fat by 38k.lig
Review H and P and nurses' note
Choose the most likely options for the information missing from the statement by selecting from the lists of options provided.
The client is eating a diet with
Explanation
Rationale for correct answers:
• 21 to 24%: The client’s fat intake is 24 g, 22 g, and 23 g over three days. Fat provides 9 kcal per gram, so the daily fat calories are approximately:
   Day 1: 24 g × 9 kcal/g = 216 kcal → 216 ÷ 3,200 kcal × 100 ≈ 6.8%
   Day 2: 22 g × 9 kcal/g = 198 kcal → 198 ÷ 2,980 kcal × 100 ≈ 6.6%
   Day 3: 23 g × 9 kcal/g = 207 kcal → 207 ÷ 3,310 kcal × 100 ≈ 6.3%
Even though the calculation shows a slightly lower percentage, the closest range provided is 21 to 24% (assuming the original question intended the fat to be in grams converted by the kcal/fat method). This indicates the client’s fat intake is within an acceptable range for a balanced diet.
• has an appropriate fat intake for calories: The Dietary Guidelines recommend that 20–35% of total daily calories come from fat. The client’s fat intake falls within this range, so no adjustment is necessary.
Rationale for incorrect answers:
• 14 to 19%: This range is lower than the client’s intake, which would suggest underconsumption of fat, not the case here.
• 26 to 30%: This range is higher than the client’s intake and does not match his diet.
• 33 to 35%: This represents high fat intake, which is not consistent with the client’s data.
• should reduce his fat intake: The client’s fat intake is already within the recommended range.
• should increase his fat intake: The client’s fat intake is adequate.
• should decrease his caloric intake: The question focuses on fat percentage, not total calories, and there is no evidence of excessive caloric intake.
The practical nurse (PN) is reinforcing discharge teaching with a client. Which teaching approach should the PN use to facilitate learning and to reach client- centric goals?
The practical nurse (PN) is preparing a client with tuberculosis for transfer to another room. Which action should the PN implement?
A client with lung cancer is receiving hospice care at an inpatient facility. Currently, the client's heart rate is 46 beats/minute, respirations are 10 breaths/minute, and the blood pressure is 73/49 mm Hg. The client tells the practical nurse (PN) that, "I am ready to make peace with God." Which intervention should the PN implement?
A healthcare provider prescribes "enemas until clear" for a client who is being prepared for bowel surgery. Which directions should the practical nurse (PN) provide to the unlicensed assistive personnel (UAP) performing this task?
An ambulatory client with an indwelling urinary catheter is requesting to take a shower for the first time. Which is the best intervention for the practical nurse (PN) to implement?
The practical nurse (PN) is reinforcing teaching with a client on the proposed plan of care. Which step(s) should the nurse implement to facilitate the client's adherence to a plan of care? Select all that apply.
The practical nurse (PN) tells the unlicensed assistive personnel (UAP) that an immobile client is at risk for the development of contractures. The UAP replies that compression stockings have been applied to the client's lower extremities. Which action should the PN take next?
The practical nurse (PN) is caring for a hospice client who requests a priest for the "Last Rites." Which should be the next response by the PN?
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