HESI LPN-ADN MOBILITY Questions
And Answers Practice Questions with
Solutions Newest | Already Graded
A+
Q1. A nurse is assisting a patient with left-sided weakness to transfer from
bed to a wheelchair. Where should the nurse position the wheelchair?
A) Parallel to the bed on the patient's strong side
B) Parallel to the bed on the patient's weak side
C) At the foot of the bed
D) Facing away from the bed
✅A) Parallel to the bed on the patient's strong side (Right side).
Rationale: Positioning the wheelchair on the strong (right) side allows the
patient to pivot toward the stronger leg and push up with the stronger arm,
making the transfer safer and more stable. Placing it on the weak side
would make the pivot more difficult and increase the risk of a fall.
Q2. Which gait pattern is most appropriate for a patient with weakness in
both legs and poor coordination?
A) Two-point gait
B) Four-point gait
C) Swing-to gait
D) Three-point gait
, ✅B) Four-point gait.
Rationale: A four-point gait, typically using a walker or crutches, provides
maximum stability because it keeps at least three points of contact with the
ground at all times.
Q3. A patient with Parkinson's disease has a shuffling gait. What instruction
should the nurse provide to help improve their mobility?
A) "Walk with a wide base of support and lift your feet deliberately."
B) "Take short, rapid steps."
C) "Look at the floor while walking."
D) "Use a wheelchair for all mobility."
✅A) "Walk with a wide base of support and lift your feet deliberately."
Rationale: Consciously lifting the feet and focusing on visual cues like
stepping over a line or a marker on the floor can help overcome "freezing"
episodes, a common symptom in Parkinson's disease.
Medical-Surgical & Cardiac Nursing
Q4. The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. Which action is most important to help the client best
tolerate the activity?
A) Provide the client with a walker.
B) Remove the telemetry equipment.
C) Encourage the client to cough and deep breathe.
D) Premedicate the client with an analgesic.
✅D) Premedicate the client with an analgesic.
Rationale: Premedicating with an analgesic before ambulation effectively
, manages postoperative pain. Adequate pain control allows the client to
participate more effectively in the activity and reduces the physiological
stress on the heart, which is crucial after cardiac surgery.
Q5. A client is wearing a continuous cardiac monitor that begins to alarm.
The nurse sees no electrocardiographic (ECG) complexes on the screen.
What is the nurse's priority action?
A) Call a code blue.
B) Call the healthcare provider.
C) Check the client's status and lead placement.
D) Press the recorder button on the ECG console.
✅C) Check the client's status and lead placement.
Rationale: The priority is to assess the client and check the lead placement.
A flatline on the monitor is more likely to indicate a lead disconnection or
equipment issue than a cardiac arrest. A quick client assessment will
determine if they are stable and guide the next steps.
Q6. A client diagnosed with thrombophlebitis one day ago suddenly
complains of chest pain and shortness of breath and is visibly anxious.
What life-threatening complication should the LPN/LVN suspect?
A) Pneumonia
B) Pulmonary edema
C) Pulmonary embolism
D) Myocardial infarction
✅C) Pulmonary embolism.
Rationale: Sudden onset of chest pain and shortness of breath in a client
with known thrombophlebitis is highly suspicious for a pulmonary
, embolism (PE). A PE occurs when a blood clot, typically from a deep vein
thrombosis in the leg, travels to the lungs, obstructing blood flow and
creating a life-threatening emergency.
OB & Maternal-Newborn
Q7. A 26-year-old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation and is one hour post dilation and curettage (D&C). The client
begins to cry softly. How should the nurse intervene?
A) Remind the client that miscarriage is common and she can try again.
B) Encourage the client to focus on her physical recovery.
C) Express sorrow for the client's grief and offer to sit with her.
D) Notify the healthcare provider of the client's emotional state.
✅C) Express sorrow for the client's grief and offer to sit with her.
Rationale: The most therapeutic and compassionate response is to
acknowledge the client's loss and provide presence. This validates her
feelings of grief and offers support without minimizing her loss.
Q8. A 26-year-old primigravida who delivered a 7-pound male infant 26
hours ago tells the nurse that she is confused about when she and her
husband can return to having sexual intercourse. What information should
the nurse reinforce?
A) They can have intercourse when the client feels physically and
emotionally ready.
B) They can have intercourse when the episiotomy is healed and the lochial
flow has stopped.
C) They should wait until the six-week postpartum checkup.
And Answers Practice Questions with
Solutions Newest | Already Graded
A+
Q1. A nurse is assisting a patient with left-sided weakness to transfer from
bed to a wheelchair. Where should the nurse position the wheelchair?
A) Parallel to the bed on the patient's strong side
B) Parallel to the bed on the patient's weak side
C) At the foot of the bed
D) Facing away from the bed
✅A) Parallel to the bed on the patient's strong side (Right side).
Rationale: Positioning the wheelchair on the strong (right) side allows the
patient to pivot toward the stronger leg and push up with the stronger arm,
making the transfer safer and more stable. Placing it on the weak side
would make the pivot more difficult and increase the risk of a fall.
Q2. Which gait pattern is most appropriate for a patient with weakness in
both legs and poor coordination?
A) Two-point gait
B) Four-point gait
C) Swing-to gait
D) Three-point gait
, ✅B) Four-point gait.
Rationale: A four-point gait, typically using a walker or crutches, provides
maximum stability because it keeps at least three points of contact with the
ground at all times.
Q3. A patient with Parkinson's disease has a shuffling gait. What instruction
should the nurse provide to help improve their mobility?
A) "Walk with a wide base of support and lift your feet deliberately."
B) "Take short, rapid steps."
C) "Look at the floor while walking."
D) "Use a wheelchair for all mobility."
✅A) "Walk with a wide base of support and lift your feet deliberately."
Rationale: Consciously lifting the feet and focusing on visual cues like
stepping over a line or a marker on the floor can help overcome "freezing"
episodes, a common symptom in Parkinson's disease.
Medical-Surgical & Cardiac Nursing
Q4. The LPN/LVN is preparing to ambulate a postoperative client after
cardiac surgery. Which action is most important to help the client best
tolerate the activity?
A) Provide the client with a walker.
B) Remove the telemetry equipment.
C) Encourage the client to cough and deep breathe.
D) Premedicate the client with an analgesic.
✅D) Premedicate the client with an analgesic.
Rationale: Premedicating with an analgesic before ambulation effectively
, manages postoperative pain. Adequate pain control allows the client to
participate more effectively in the activity and reduces the physiological
stress on the heart, which is crucial after cardiac surgery.
Q5. A client is wearing a continuous cardiac monitor that begins to alarm.
The nurse sees no electrocardiographic (ECG) complexes on the screen.
What is the nurse's priority action?
A) Call a code blue.
B) Call the healthcare provider.
C) Check the client's status and lead placement.
D) Press the recorder button on the ECG console.
✅C) Check the client's status and lead placement.
Rationale: The priority is to assess the client and check the lead placement.
A flatline on the monitor is more likely to indicate a lead disconnection or
equipment issue than a cardiac arrest. A quick client assessment will
determine if they are stable and guide the next steps.
Q6. A client diagnosed with thrombophlebitis one day ago suddenly
complains of chest pain and shortness of breath and is visibly anxious.
What life-threatening complication should the LPN/LVN suspect?
A) Pneumonia
B) Pulmonary edema
C) Pulmonary embolism
D) Myocardial infarction
✅C) Pulmonary embolism.
Rationale: Sudden onset of chest pain and shortness of breath in a client
with known thrombophlebitis is highly suspicious for a pulmonary
, embolism (PE). A PE occurs when a blood clot, typically from a deep vein
thrombosis in the leg, travels to the lungs, obstructing blood flow and
creating a life-threatening emergency.
OB & Maternal-Newborn
Q7. A 26-year-old gravida-4, para-0 had a spontaneous abortion at 9 weeks
gestation and is one hour post dilation and curettage (D&C). The client
begins to cry softly. How should the nurse intervene?
A) Remind the client that miscarriage is common and she can try again.
B) Encourage the client to focus on her physical recovery.
C) Express sorrow for the client's grief and offer to sit with her.
D) Notify the healthcare provider of the client's emotional state.
✅C) Express sorrow for the client's grief and offer to sit with her.
Rationale: The most therapeutic and compassionate response is to
acknowledge the client's loss and provide presence. This validates her
feelings of grief and offers support without minimizing her loss.
Q8. A 26-year-old primigravida who delivered a 7-pound male infant 26
hours ago tells the nurse that she is confused about when she and her
husband can return to having sexual intercourse. What information should
the nurse reinforce?
A) They can have intercourse when the client feels physically and
emotionally ready.
B) They can have intercourse when the episiotomy is healed and the lochial
flow has stopped.
C) They should wait until the six-week postpartum checkup.
