HESI LPN-ADN ENTRANCE EXAM
MOBILITY FOCUS
2026/2027
75 Questions | Complete Exam-Style Questions with Detailed Rationales
100% Verified | Graded A+
Comprehensive Mobility & Safe Patient Handling Competency Assessment for LPN-to-ADN Transition
Elsevier Evolve / NCSBN Clinical Judgment Measurement Model Alignment
Total Testing Time: 90 Minutes | Passing Score: 850 HESI Score (75-80%)
Computer-Based, Proctored Format via Elsevier Evolve Testing Platform
Examination Overview
Domain Questions Key Topics Weight
Body Mechanics & 10 Proper Lifting Techniques, Base of Support, 13%
Ergonomics Center of Gravity, Leverage Principles, Injury
Prevention for Nurses
Assistive Devices & Gait 13 Canes/Walkers/Crutches Fitting & Use, Gait 17%
Training Patterns (2-point/3-point/4-point), Weight-
Bearing Status, Patient Education
Transfer Techniques & 12 Bed-to-Chair/Wheelchair/Stretcher Transfers, 16%
Safe Patient Handling Mechanical Lifts, Slide Sheets, Team Transfer
Coordination
Immobility 14 Pressure Injury Prevention, DVT Prophylaxis, 19%
Complications & Atelectasis/Pneumonia Prevention,
Prevention Contracture Prevention, Skin Integrity
Range of Motion & 10 Active/Passive/Active-Assistive ROM, Joint 13%
Therapeutic Exercise Movement Terminology, Exercise Progression,
Contraindications
Fall Risk Assessment & 10 Morse Fall Scale, Hendrich II, Environmental 13%
Prevention Modifications, Patient Education, Restraint
Alternatives
Mobility Assessment & 6 Gait Assessment, Strength Testing, Functional 8%
Scenario Application Mobility Scales, Multi-Domain Integration,
Clinical Prioritization
,Exam Structure
• Exact official question count: 75 multiple-choice questions (MCQ) per commonly cited HESI LPN-
ADN Mobility specifications and verified Elsevier Evolve documentation.
• All questions presented in MCQ format with four options (A, B, C, D), single-best-answer unless
otherwise specified as SATA.
• Item types include: Standard MCQ, Select-All-That-Apply (SATA) clearly marked, mobility scenario
vignettes, assistive device application items, and clinical judgment application scenarios.
• Focus on evidence-based mobility nursing interventions, safe patient handling principles, and
professional judgment aligned with NCSBN NCLEX-RN test plan.
• Total testing time: 90 minutes (computer-based, proctored format via Elsevier Evolve testing
platform or institutional learning management system).
• Passing score: Typically 850 HESI score or 75-80% required for ADN program progression per
nursing program policy (56-60/75 correct).
Domain: Body Mechanics & Ergonomics
Key Topics: Proper Lifting Techniques, Base of Support, Center of Gravity, Leverage Principles,
Injury Prevention for Nurses | Questions: 10 | Weight: 13%
1. Which principle of body mechanics should the nurse apply when preparing to lift a
heavy object from the floor?
A. Bend at the waist with legs straight to reach the object
B. Keep feet close together to maintain balance
C. Bend at the knees and hips, keeping the back straight, and use leg muscles to lift
D. Twist the torso while lifting to generate momentum
Correct Answer: 2
Rationale: Proper body mechanics require bending at the knees and hips while keeping the back
straight to use the strong leg muscles for lifting, rather than straining the vulnerable back muscles.
Keeping feet close together narrows the base of support and reduces stability. Bending at the waist
places excessive stress on lumbar vertebrae. Twisting while lifting increases risk of disc injury. These
ergonomic principles protect both the nurse and patient during mobility care activities.
2. Select All That Apply: Which actions demonstrate proper body mechanics when
assisting a client to ambulate?
A. Positioning oneself on the client's weak side with a wide base of support
B. Using a gait belt to provide secure handhold and control
C. Pulling the client forward by the arms to initiate movement
D. Keeping the client close to the nurse's center of gravity during transfer
Correct Answer: A,B,D
Rationale: Proper body mechanics for ambulation assistance include: positioning on the weak side
with wide base of support for stability and safety; using a gait belt for secure control without
grabbing limbs; and keeping the client close to the nurse's center of gravity to reduce leverage strain.
Pulling by the arms risks shoulder injury to the client and strains the nurse's back. These principles
align with OSHA safe patient handling guidelines and prevent musculoskeletal injuries in healthcare
workers.
3. The nurse is about to reposition a client up in bed. Which technique best protects the
nurse from injury?
A. Placing the bed in the lowest position and pulling the client from the head of the bed
B. Placing the bed at waist height, using a friction-reducing device, and pushing with
the legs
C. Lifting the client entirely off the bed using arm strength alone
D. Asking one nurse to push from the side while another pulls from the top
Correct Answer: 1
Rationale: Placing the bed at the nurse's waist height prevents bending and reaching, using a
friction-reducing device (slide sheet or transfer board) decreases the force needed, and pushing with
the legs utilizes the strongest muscle groups. Pulling from the head of the bed in a low position forces
the nurse into an awkward posture. Lifting with arms alone neglects the stronger leg muscles.
, Pushing from one side while pulling from the top creates opposing forces that can injure both nurses
and the client.
4. Which statement best describes the relationship between base of support and
stability?
A. A narrower base of support increases stability
B. A wider base of support increases stability
C. Base of support does not affect stability
D. Stability depends only on the height of the center of gravity
Correct Answer: 1
Rationale: A wider base of support increases stability by providing a larger area over which the
body's weight is distributed, making it more difficult to lose balance. This is a fundamental principle
of body mechanics: the wider the base, the more stable the object or person. A narrow base decreases
stability. While a lower center of gravity also enhances stability, the base of support independently
affects stability regardless of height alone.
5. When pushing a heavy object, the nurse should apply force in which direction?
A. Away from the body at arm's length
B. Close to the body, using the weight of the body and leg muscles
C. From above the level of the shoulders
D. Using only the arms and upper back muscles
Correct Answer: 1
Rationale: When pushing, the nurse should keep the force application close to the body and use
body weight and leg muscles to generate force. This reduces strain on the back and arms and uses
the body's largest muscle groups. Pushing at arm's length increases leverage and strain. Pushing
from above shoulder height requires awkward positioning and increases injury risk. Using only
upper body muscles neglects the stronger leg muscles and increases fatigue.
6. Which principle explains why a nurse should keep the feet apart when performing
client care?
A. It increases the base of support, lowering the center of gravity and enhancing
stability
B. It allows the nurse to move faster between tasks
C. It reduces the need to bend the knees
D. It positions the nurse closer to the client
Correct Answer: 0
Rationale: Keeping the feet apart increases the base of support, which enhances stability by
lowering the center of gravity relative to the support area. This fundamental body mechanics
principle helps prevent falls and musculoskeletal injuries during patient care. Speed, knee bending,
and proximity to the client are not the primary reasons for widening the base of support.
7. The nurse is assisting a client to stand from a seated position. Which action best uses
proper body mechanics?
A. Bending at the waist and pulling the client upward
B. Rocking the client forward (nose over toes), then standing while using leg muscles
C. Lifting the client under the arms from behind
D. Asking the client to cross their legs before standing
Correct Answer: 1
Rationale: Rocking the client forward shifts the center of gravity over the base of support (feet),
allowing momentum and the strong leg muscles to facilitate standing. This technique uses body
mechanics principles rather than pure lifting force. Pulling from the waist strains the nurse's back.
Lifting under the arms risks shoulder injury for the client. Crossing legs before standing narrows the
base of support and reduces stability.
8. Select All That Apply: Which factors increase the risk of musculoskeletal injury for
nurses during patient handling?
A. Lifting with the back instead of the legs
B. Repeating the same lifting motion frequently without breaks
C. Using mechanical lift devices for all transfers
D. Twisting the spine while carrying a load
MOBILITY FOCUS
2026/2027
75 Questions | Complete Exam-Style Questions with Detailed Rationales
100% Verified | Graded A+
Comprehensive Mobility & Safe Patient Handling Competency Assessment for LPN-to-ADN Transition
Elsevier Evolve / NCSBN Clinical Judgment Measurement Model Alignment
Total Testing Time: 90 Minutes | Passing Score: 850 HESI Score (75-80%)
Computer-Based, Proctored Format via Elsevier Evolve Testing Platform
Examination Overview
Domain Questions Key Topics Weight
Body Mechanics & 10 Proper Lifting Techniques, Base of Support, 13%
Ergonomics Center of Gravity, Leverage Principles, Injury
Prevention for Nurses
Assistive Devices & Gait 13 Canes/Walkers/Crutches Fitting & Use, Gait 17%
Training Patterns (2-point/3-point/4-point), Weight-
Bearing Status, Patient Education
Transfer Techniques & 12 Bed-to-Chair/Wheelchair/Stretcher Transfers, 16%
Safe Patient Handling Mechanical Lifts, Slide Sheets, Team Transfer
Coordination
Immobility 14 Pressure Injury Prevention, DVT Prophylaxis, 19%
Complications & Atelectasis/Pneumonia Prevention,
Prevention Contracture Prevention, Skin Integrity
Range of Motion & 10 Active/Passive/Active-Assistive ROM, Joint 13%
Therapeutic Exercise Movement Terminology, Exercise Progression,
Contraindications
Fall Risk Assessment & 10 Morse Fall Scale, Hendrich II, Environmental 13%
Prevention Modifications, Patient Education, Restraint
Alternatives
Mobility Assessment & 6 Gait Assessment, Strength Testing, Functional 8%
Scenario Application Mobility Scales, Multi-Domain Integration,
Clinical Prioritization
,Exam Structure
• Exact official question count: 75 multiple-choice questions (MCQ) per commonly cited HESI LPN-
ADN Mobility specifications and verified Elsevier Evolve documentation.
• All questions presented in MCQ format with four options (A, B, C, D), single-best-answer unless
otherwise specified as SATA.
• Item types include: Standard MCQ, Select-All-That-Apply (SATA) clearly marked, mobility scenario
vignettes, assistive device application items, and clinical judgment application scenarios.
• Focus on evidence-based mobility nursing interventions, safe patient handling principles, and
professional judgment aligned with NCSBN NCLEX-RN test plan.
• Total testing time: 90 minutes (computer-based, proctored format via Elsevier Evolve testing
platform or institutional learning management system).
• Passing score: Typically 850 HESI score or 75-80% required for ADN program progression per
nursing program policy (56-60/75 correct).
Domain: Body Mechanics & Ergonomics
Key Topics: Proper Lifting Techniques, Base of Support, Center of Gravity, Leverage Principles,
Injury Prevention for Nurses | Questions: 10 | Weight: 13%
1. Which principle of body mechanics should the nurse apply when preparing to lift a
heavy object from the floor?
A. Bend at the waist with legs straight to reach the object
B. Keep feet close together to maintain balance
C. Bend at the knees and hips, keeping the back straight, and use leg muscles to lift
D. Twist the torso while lifting to generate momentum
Correct Answer: 2
Rationale: Proper body mechanics require bending at the knees and hips while keeping the back
straight to use the strong leg muscles for lifting, rather than straining the vulnerable back muscles.
Keeping feet close together narrows the base of support and reduces stability. Bending at the waist
places excessive stress on lumbar vertebrae. Twisting while lifting increases risk of disc injury. These
ergonomic principles protect both the nurse and patient during mobility care activities.
2. Select All That Apply: Which actions demonstrate proper body mechanics when
assisting a client to ambulate?
A. Positioning oneself on the client's weak side with a wide base of support
B. Using a gait belt to provide secure handhold and control
C. Pulling the client forward by the arms to initiate movement
D. Keeping the client close to the nurse's center of gravity during transfer
Correct Answer: A,B,D
Rationale: Proper body mechanics for ambulation assistance include: positioning on the weak side
with wide base of support for stability and safety; using a gait belt for secure control without
grabbing limbs; and keeping the client close to the nurse's center of gravity to reduce leverage strain.
Pulling by the arms risks shoulder injury to the client and strains the nurse's back. These principles
align with OSHA safe patient handling guidelines and prevent musculoskeletal injuries in healthcare
workers.
3. The nurse is about to reposition a client up in bed. Which technique best protects the
nurse from injury?
A. Placing the bed in the lowest position and pulling the client from the head of the bed
B. Placing the bed at waist height, using a friction-reducing device, and pushing with
the legs
C. Lifting the client entirely off the bed using arm strength alone
D. Asking one nurse to push from the side while another pulls from the top
Correct Answer: 1
Rationale: Placing the bed at the nurse's waist height prevents bending and reaching, using a
friction-reducing device (slide sheet or transfer board) decreases the force needed, and pushing with
the legs utilizes the strongest muscle groups. Pulling from the head of the bed in a low position forces
the nurse into an awkward posture. Lifting with arms alone neglects the stronger leg muscles.
, Pushing from one side while pulling from the top creates opposing forces that can injure both nurses
and the client.
4. Which statement best describes the relationship between base of support and
stability?
A. A narrower base of support increases stability
B. A wider base of support increases stability
C. Base of support does not affect stability
D. Stability depends only on the height of the center of gravity
Correct Answer: 1
Rationale: A wider base of support increases stability by providing a larger area over which the
body's weight is distributed, making it more difficult to lose balance. This is a fundamental principle
of body mechanics: the wider the base, the more stable the object or person. A narrow base decreases
stability. While a lower center of gravity also enhances stability, the base of support independently
affects stability regardless of height alone.
5. When pushing a heavy object, the nurse should apply force in which direction?
A. Away from the body at arm's length
B. Close to the body, using the weight of the body and leg muscles
C. From above the level of the shoulders
D. Using only the arms and upper back muscles
Correct Answer: 1
Rationale: When pushing, the nurse should keep the force application close to the body and use
body weight and leg muscles to generate force. This reduces strain on the back and arms and uses
the body's largest muscle groups. Pushing at arm's length increases leverage and strain. Pushing
from above shoulder height requires awkward positioning and increases injury risk. Using only
upper body muscles neglects the stronger leg muscles and increases fatigue.
6. Which principle explains why a nurse should keep the feet apart when performing
client care?
A. It increases the base of support, lowering the center of gravity and enhancing
stability
B. It allows the nurse to move faster between tasks
C. It reduces the need to bend the knees
D. It positions the nurse closer to the client
Correct Answer: 0
Rationale: Keeping the feet apart increases the base of support, which enhances stability by
lowering the center of gravity relative to the support area. This fundamental body mechanics
principle helps prevent falls and musculoskeletal injuries during patient care. Speed, knee bending,
and proximity to the client are not the primary reasons for widening the base of support.
7. The nurse is assisting a client to stand from a seated position. Which action best uses
proper body mechanics?
A. Bending at the waist and pulling the client upward
B. Rocking the client forward (nose over toes), then standing while using leg muscles
C. Lifting the client under the arms from behind
D. Asking the client to cross their legs before standing
Correct Answer: 1
Rationale: Rocking the client forward shifts the center of gravity over the base of support (feet),
allowing momentum and the strong leg muscles to facilitate standing. This technique uses body
mechanics principles rather than pure lifting force. Pulling from the waist strains the nurse's back.
Lifting under the arms risks shoulder injury for the client. Crossing legs before standing narrows the
base of support and reduces stability.
8. Select All That Apply: Which factors increase the risk of musculoskeletal injury for
nurses during patient handling?
A. Lifting with the back instead of the legs
B. Repeating the same lifting motion frequently without breaks
C. Using mechanical lift devices for all transfers
D. Twisting the spine while carrying a load
