Practice Question
Which situation indicates a need for the nurse to discuss the use of mitten restraints with the healthcare provider?
Answer Choices:
Correct Answer:
A family member expresses concern about their relative -picking" at the nasal gastric tube (NG) tube.
Rationale:
🔷Mitten restraints are used to prevent clients from removing medical devices such as NG tubes, IVs, or catheters.
🔷This type of restraint limits hand use but is less restrictive than wrist restraints.
🔷It is considered when less restrictive interventions (distraction, covering the tube) are unsuccessful.
🔷The decision must be discussed with the provider and documented thoroughly.
🔷Client safety and device integrity are the guiding principles.
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This question is from PN Hesi Exit-2025 Exam 2 which contains 117 questions.
More Questions from This Exam
The nurse leading a care team on a medical surgical unit is assigning client care to a practical nurse (PN) and an unlicensed assistive personnel (UAP). Which activity should the nurse delegate to the UAP?
Answer Choices:
A. Monitor an IV infusion rate on an established schedule.
B. Prepare the sterile field for a urinary catheter insertion.
C. Anchor an inserted urinary catheter in place with tape.
D. Begin wound care for a client after an appendectomy.
A client with Alzheimer's disease (AD) is receiving trazodone. a recently prescribed atypical antidepressant. The caregiver tells the home health nurse that the client's mood and sleep patterns are improved, but there is no in cognitive How should the nurse respond to this information?
Answer Choices:
A. Confirm that the desired effect of the medication has been achieved.
B. Evaluate when and how the medication is being administered to the client.
C. Notify the healthcare provider that a change in dosage may be needed.
D. Explain that it may take several weeks for the medication to be effective.
The nurse is assessing a client who is experiencing overwhelming anxiety and difficulty performing self-care. Which question should the nurse ask first?
Answer Choices:
A. "Would you like me to sit with you for a while?"
B. "Have you experienced changes in your life recently?"
C. "Are you the type of person who shares your problems easily?"
D. "What do you think is your primary goal to achieve this time?"
After administering an antipyretic medication, which intervention should the nurse implement?
Answer Choices:
A. Encourage the client to eat a bland diet.
B. Cover the client with warm blankets.
C. Use fans to provide external cooling.
D. Encouraging liberal fluid intake.
A client received a thrombolytic medication following a myocardial infarction. When the client has a bowel movement. Which action should the nurse implement?
Answer Choices:
A. Observe the stool for a clay-colored appearance.
B. Obtain a specimen for culture and sensitivity analysis.
C. Send a stool sample to the lab for a guaiac test.
D. Assess for fatty yellow streaks in the client's stool.
Question Details
- Category: LPN Nursing Exam(s)
- Subcategory: LPN HESI Exit Exam(s)
- Domain: LPN HESI Exit-2025
- Answer Choices: 4