MOBILITY HESI CASE STUDY EXAM
2025 QUESTIONS AND ANSWERS
Meet the Client - ANS An older adult pt is treated in the ED for an infected wound on his R-
foot. The pt states he was walking barefoot & stepped on something sharp that cut his foot. He
treated it with topical antibiotics, but it appears red & inflamed, c̅ purulent drainage. The pt is
admitted to the med-surg unit for in-pt wound care tx & prescribed an antibiotic & pain med.
Section 1
Nursing Diagnosis - ANS The pt states the pain level in his right foot is 8/10. He says he has
been favoring his foot by staying in bed the past week.
Before giving the initial dose of pain med or antibiotic, which action should the RN take first?
O Ask the client what liquid he would like to drink to swallow the pill.
O Teach the client the side effects of the medication.
O Ask the client if he is aware of any allergies to medications.
O Instruct the client to sit upright to swallow the medication. - ANS Ask the client if he is
aware of any allergies to medications.
This takes priority because it is the initial dose of a new med.
#1 should still be taken, another action takes priority.
#2 is important, but doesn't have immediate priority.
#4 is important, but is the last step.
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, When the client's foot pain is controlled, which nursing problem should take priority?
O Risk for caregiver role strain.
O Risk for social isolation.
O Impaired physical mobility.
O Imbalanced nutrition: more than body requirements. - ANS Impaired physical mobility.
The pt's limited activity support this. This is a nursing priority to prevent many complications.
#1 exists for pt's wife, not priority.
#2 can occur, but not the priority.
#4 has no supporting evidence.
Which goal is correct for the client's problem of impaired physical mobility?
O The client will transfer to the chair with assist of one person.
O The nurse will reposition the client every hour while the client is awake.
O The client will sit in the chair for each meal beginning on the day of admission.
O The nurse will assist the client to ambulate in the hall by second hospital day. - ANS The
client will sit in the chair for each meal beginning on the day of admission.
This is a pt goal: what pt is to achieve & sets a realistic deadline. Subject = pt; action =
measurable.
#1 is an incomplete goal.
#2 is a nursing action, not a measurable goal.
#4 is a nursing action, not a pt goal.
Section 2
Prevention of Venous Thrombosis - ANS The pt is reluctant to move in bed or to chair. He
likes spouse to place pillow beneath knee. The RN informs them that the PCP ordered
enoxaparin injsterm-4 & antiembolic stockings. The RN performs a focused PA, revealing
diminished dorsalis pedis pulses BIL.
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
2025 QUESTIONS AND ANSWERS
Meet the Client - ANS An older adult pt is treated in the ED for an infected wound on his R-
foot. The pt states he was walking barefoot & stepped on something sharp that cut his foot. He
treated it with topical antibiotics, but it appears red & inflamed, c̅ purulent drainage. The pt is
admitted to the med-surg unit for in-pt wound care tx & prescribed an antibiotic & pain med.
Section 1
Nursing Diagnosis - ANS The pt states the pain level in his right foot is 8/10. He says he has
been favoring his foot by staying in bed the past week.
Before giving the initial dose of pain med or antibiotic, which action should the RN take first?
O Ask the client what liquid he would like to drink to swallow the pill.
O Teach the client the side effects of the medication.
O Ask the client if he is aware of any allergies to medications.
O Instruct the client to sit upright to swallow the medication. - ANS Ask the client if he is
aware of any allergies to medications.
This takes priority because it is the initial dose of a new med.
#1 should still be taken, another action takes priority.
#2 is important, but doesn't have immediate priority.
#4 is important, but is the last step.
1|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
, When the client's foot pain is controlled, which nursing problem should take priority?
O Risk for caregiver role strain.
O Risk for social isolation.
O Impaired physical mobility.
O Imbalanced nutrition: more than body requirements. - ANS Impaired physical mobility.
The pt's limited activity support this. This is a nursing priority to prevent many complications.
#1 exists for pt's wife, not priority.
#2 can occur, but not the priority.
#4 has no supporting evidence.
Which goal is correct for the client's problem of impaired physical mobility?
O The client will transfer to the chair with assist of one person.
O The nurse will reposition the client every hour while the client is awake.
O The client will sit in the chair for each meal beginning on the day of admission.
O The nurse will assist the client to ambulate in the hall by second hospital day. - ANS The
client will sit in the chair for each meal beginning on the day of admission.
This is a pt goal: what pt is to achieve & sets a realistic deadline. Subject = pt; action =
measurable.
#1 is an incomplete goal.
#2 is a nursing action, not a measurable goal.
#4 is a nursing action, not a pt goal.
Section 2
Prevention of Venous Thrombosis - ANS The pt is reluctant to move in bed or to chair. He
likes spouse to place pillow beneath knee. The RN informs them that the PCP ordered
enoxaparin injsterm-4 & antiembolic stockings. The RN performs a focused PA, revealing
diminished dorsalis pedis pulses BIL.
2|P a g e C o p y r i g h t © 2 0 2 5 T H E B R I G H T A L L R I G H T S R E S E R V E D
