HESI LPN-ADN HESI ENTRANCE EXAM (2025/2026)MOBILITY ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES (ALREADY GRADED A+) || GUARANTEED PASS|| NEWEST VERSION

HESI LPN-ADN HESI ENTRANCE EXAM (2025/2026)MOBILITY ACTUAL EXAM QUESTIONS AND CORRECT VERIFIED ANSWERS WITH RATIONALES (ALREADY GRADED A+) || GUARANTEED PASS|| NEWEST VERSION The LPN/LVN is caring for a client with Myasthenia Gravis. What time of day is best for the nurse to schedule physical exercises with the physical therapy department? - ANSWER A. Before bedtime, at 2000 B. After breakfast C. Before the evening meal D. After lunch B. After breakfast The LPN/LVN is planning to ambulate client who has been on bed rest for 24 hours following a Colon Resection. To ambulate this client safely, which intervention should the nurse implement first? - ANSWER A. Place non-skid shoes on the client B. Show the client how to use the call light C. Use a gait belt to support the client D. Assist the client to a bedside sitting position D. Assist the client to a bedside sitting position A Client is admitted to the hospital with second and third-degree burns to the face and neck. How should the nurse best position the client to maximize the function of the neck and face and prevent contracture? - ANSWER A. The neck extended backward using a rolled towel behind the neck B. Prone position using pillows to support both arms outward from the torso C. Side-lying position using pillows to support the abdomen and back D. The neck forward using pillows under the head and sandbags on both sides A. The neck extended backward using a rolled towel behind the neck A client receives a new prescription for the angiotensin II receptor antagonist losartan (Cozaar). Which client instruction should the nurse encourage this client to follow? - ANSWER A. Move slowly when getting up to prevent sudden dizziness B. Take this medication with or after meals C. Do not stop this medication until all of the tablets are gone D. Keep the dietary log during initial therapy A. Move slowly when getting up to prevent sudden dizziness The healthcare provider prescribes erythromycin (ilosone) 300 mg PO QID. The medication label reads, "ilosone 100mg/5mL" How many mL should the nurse administer at each dose? (Enter the numeric value only) - ANSWER 15 The LPN/LVN is monitoring a client with an IV infusion in the left antecubital fossae. The infusion pump is functioning without alarms at the prescribed rate of 100mL/hour. The site is warm, red and without swelling. What conclusion should these findings indicate to the nurse? - ANSWER A. The IV fluids are infusing into the subcutaneous tissues and the pump should be stopped B. The infusion pump is functioning properly and the IV site is healthy C. The insertion date should be verified and the IV discontinued D. The site is inflamed and should be reported to the RN for placement in another site D. The site is inflamed and should be reported to the RN for placement in another site The LPN/LVN reviews the laboratory results of a client whose serum pH is 7.38 on the pH scale what does this value imply about the clients homeostasis - ANSWER A. Alkalosis B. Acidosis C. Normal serum PH D. Incompatible with life C. Normal serum PH The LPN/LVN plans to assess a newborn and to check the infant's Moro reflex. In assessing this reflex, the nurse is evaluating which parameter? - ANSWER A. Neurological integrity B. Renal functioning C. Thermogenic regulation D. Respiratory adequacy A. Neurological integrity The LPN/LVN assigns an unlicensed assistive personnel (UAP) to feed a client who is at risk for aspirations. To ensure that the task is safely delegated what action should the nurse implement? - ANSWER A. Inform the UAP that the suction is available at the bedside B. Instruct the UAP to notify the PN if the client begins to choke C. Observe the UAP's ability to implement precautions during feed D. Ask the UAP about previous experience performing this skill C. Observe the UAP's ability to implement precautions during feed The unlicensed assistive personnel (UAP) reports to the nurse that a client refused to bathe for the third consecutive day. What action is best for the nurse to take? - ANSWER A. Ask the client why the bath was refused B. Ask family members to encourage the client to bathe C. Explain the importance of good hygiene to the client D. Reschedule the bath for the following day A. Ask the client why the bath was refused An adult female client is admitted to the psychiatric unit with diagnosis of major depression. After 2 weeks of antidepressant medication therapy, the nurse notices the client has more energy, is giving her belongings away to her visitors, and is in an overall better mood. Which intervention is best for the nurse to implement? - ANSWER A. Tell the client to keep her belongings because she will need them at discharge B. Ask the client if she has had any recent thoughts of harming herself C. Reassure the client that the antidepressant drugs are apparently effective D. Support the client by telling her what wonderful progress she is making B. Ask the client if she has had any recent thoughts of harming herself In assisting a client perform pursed lip breathing, the nurse should ensure that the client performs which action? - ANSWER A. Inhale through the nose with the mouth closed and exhale through pursed lips B. Inhale through pursed lips then exhale with the mouth held open C. Inhale through pursed lips and then exhale through the nose with the mouth closed D. Inhale through the mouth puff the cheeks and exhale through pursed lips A. Inhale through the nose with the mouth closed and exhale through pursed lips A 3-year-old admitted with a fever of unknown origin (FUO) has begun vomiting in the past half hour. The child's temperature is 101.80 F, and the last dose of antipyretic medication was given 5 hours ago. The child has prescriptions of acetaminophen (Tylenol) 160 MG per 5 mL elixir or 160 mg suppositories PRN fever or pain. What action should the nurse take at this time? - ANSWER A. Make the child NPO and hold all medications until the vomiting has stopped B. Give acetaminophen elixir to ensure the child's cooperation with swallowing C. Notify the healthcare provider that the child's fever has become dangerously high D. Use an acetaminophen suppository for the fever since the child is vomiting A. Make the child NPO and hold all medications until the vomiting has stopped A client is having Radical Mastectomy. What is the position of choice during the immediate postoperative period? - ANSWER A. Side-lying on the operative side with the bed flat B. Supine with the arm on the operative side in a dependent position C. Semi-Fowler's position with the arm on the operative side elevated D. Sim's position with the arm on the operative side in a dependent position C. Semi-Fowler's position with the arm on the operative side elevated The LPN/LVN assesses the perineum of a client 12 hours after a normal vaginal delivery and finds that she has Perineal Hematomas. The nurse should prepare for which treatment? - ANSWER A. Heat lamp three times per day B. Insertion of vaginal packing C. Cold packs to the perineum D. Operative excision of the hematomas C. Cold packs to the perineum A client at 28 weeks gestation is admitted to the antepartum unit and is being treated for preterm labor. She has a prescription for brethine (Terbutaline) 250 micrograms subcutaneously q4h. The medication is available for injection in 1 mg per ML vials. How many mL should the nurse administer? - ANSWER A. 0.025 B. 0.0025 C. 0.25 D. 25.0 0.25 A school-aged child with AIDS is exposed to an active case of Varicella. The nurse should recommend that the family take which action? - ANSWER A. Obtain penicillin G 1000U weekly B. Obtain the varicella vaccine C. Enroll in a home school program D. Obtain the varicella zoster immune globulin D. Obtain the varicella zoster immune globulin The principle of client advocacy is best demonstrated when the nurse exhibits which behaviors on behalf of the client? - ANSWER A. Nurse who contacts child protective services to report a mother's decision to refuse vaccination for her firstborn infant B. Nurse refusing to care for a convicted rapist stating that personal discomfort would inhibit provision of quality of care C. Nurse who translates complaints for a Spanish-speaking client to the healthcare provider during rounds D. Nurse sharing information about life after death with a grieving family who just lost a loved one C. Nurse who translates complaints for a Spanish-speaking client to the healthcare provider during rounds The LPN/LVN is preparing a client for an Intravenous Pyelogram (IVP) scheduled for the following morning. What action is most important for the nurse to implement? - ANSWER A. Determine if the client has any allergies to shellfish B. Inform the client that an IV dye will be administered before the IVP C. Explain that dizziness may occur when the dye is given D. Administer a bowel prep the evening before the procedure A. Determine if the client has any allergies to shellfish A LPN/LVN refuses to perform a procedure because it is beyond the scope of practice for practical nurses. Which resource best defines the nurse's legal responsibility in regard to scope of practice? - ANSWER A. Nursing practice standards for Licensed Practical/Vocational Nurses B. State Nurse Practice Act C. Code of Ethics for Licensed Practical/Vocational Nurses D. Patients Bill of Rights B. State Nurse Practice Act While making the bed of a female client who is sitting in the bedside chair, the nurse observes the client seem anxious. To encourage verbalization by the client, what action should the nurse take? - ANSWER A. Continue to make the bed while conversing with the client B. Sit next to the client at a slight angle to continue the conversation C. Remain standing close enough to the client to hold her hand D. Bring a chair face-to-face with the client for further discussion B. Sit next to the client at a slight angle to continue the conversation A client is admitted for observation after experiencing a Transient Ischemic Attack (TIA). The nurse anticipates implementing care for which client problem? - ANSWER A. High risk for injury B. Altered breathing patterns C. Ineffective airway clearance D. High risk infection B. Altered breathing patterns An elderly postoperative client has the Nursing diagnosis, "Impaired mobility related to fear of falling." Which desired outcome best directs Nursing actions for this client? - ANSWER A. The physical therapist will instruct the client in the use of a walker B. The nurse will place a gait belt on the client prior to ambulation C. The client will ambulate with assistance q4h D. The client will use self-affirmation statements to decrease fear C. The client will ambulate with assistance q4h A female client complains to the nurse about being admitted to a semi-private room and expresses her displeasure because she requested a private room prior to admission. What response is best for the nurse to provide this client? - ANSWER A. Room assignments are based on client's acuity level, not necessarily by request B. I will place your name on the room request list for the next available private room C. Your healthcare provider must provide a written request to get you a private room D. There are no private rooms available, so you will have to stay here for the time being. C. Your healthcare provider must provide a written request to get you a private room During preoperative preparation, the nurse should offer the client which explanation about why deep breathing exercising with an incentive spirometer are necessary after surgery? - ANSWER A. "Deep breathing exercises using spirometer will help prevent postoperative complications." B. "failure to keep your lungs working may result in pneumonia and death." C. "Incentive spirometry is uncomfortable but necessary for your postoperative care." D. "You will use the spirometer for the first postoperative day only." A. "Deep breathing exercises using spirometer will help prevent postoperative complications." The LPN/LVN is caring for a client who had a total Laryngectomy, Left Radical Neck Dissection, and tracheostomy. The client is receiving Nasogastric (NG) tube feedings via an enteral pump. Today the rate of the feeding was increased from 50mL/hr to 75mL/hr. What parameter should the nurse evaluate the client's tolerance to the rate of feeding? - ANSWER A. Bowel sounds B. Urinary and stool outputs C. Gastric residual volumes D. Daily weight C. Gastric residual volumes A client is admitted with a fever of undermined origin (FUO). During rounds, the nurse finds the client diaphoretic, and the linens are damp. What should the nurse do first? - ANSWER A. Change the bed linen to prevent chilling B. Check the client's vital signs and pain scale C. Assess the client for urinary incontinence D. Determine fluid intake for the past 8 hours B. Check the client's vital signs and pain scale Which client should the nurse assign to an unlicensed assistive personnel (UAP)? - ANSWER A. An older male client with melena who is complaining of abdominal pain and needs a guaiac test of a stool sample B. A young adult experiencing flank pain and hematuria who needs all urine strained for stones C. A client who has regular heart rate and after a pacemaker replacement now needs to ambulate D. An elderly client with Right-Sided Hemiplegia and Receptive Aphasia who needs to be transferred to the wheelchair C. A client who has regular heart rate and after a pacemaker replacement now needs to ambulate The LPN/LVN is administering the shingles vaccine to an older male-client who asks why he should receive the immunization. Which information should the nurse provide? - ANSWER A. A history of chickenpox indicates that the harbors the dormant virus B. The client's last dose of adult immunizations was 10 years ago C. A recent outbreak of fever blisters indicates reactivation of the virus D. Multiple stressful personal experiences increase his risk of shingles A. A history of chickenpox indicates that the harbors the dormant virus In preparing a client for a lumbar puncture, what action should the nurse implement? - ANSWER A. Assist the client to the bathroom to void B. Apply a pulse oximeter to the client's finger C. Teach the client to cough and deep breathing exercises D. Ensure that the client has been NPO for six hours. C. Teach the client to cough and deep breathing exercises A client who had a lobectomy two days ago has 2 chest tubes, each attached to a water-sealed drainage system, Pleur-Evac. The nurse observes that in the last 8 hours the serosanguineous fluid has diminished to output in the drainage chamber. What is the most likely outcome of this observation? - ANSWER A. Removal of the lower chest tube, if a chest x-ray reveals no pleural accumulations B. Change the Pleur-Evac system and re-assess output in the empty chamber C. An increase in the prescribed suction force to facilitate-drainage of serosanguineous fluids D. Advance the chest tube to ensure proper placement of the tip to enhance drainage B. Change the Pleur-Evac system and re-assess output in the empty chamber While caring for a client who has been vomiting, the nurse notes that the client's breath has developed a fruity odor. What assessment should the nurse perform first? - ANSWER B. Determine the client's capillary glucose The LPN/LVN is preparing to assist an elderly client to the bathroom. The nurse knows that an elderly adult's center of gravity changes from the hips to another area of the body. Which area of the body is the center of gravity for the elderly client? - ANSWER A. Upper torso A 60 year-old client with cancer of the liver is in Hepatic Coma and unresponsive. What should the nurse say to family members who are inquiring about the condition of their loved one? - ANSWER A. "Your loved one's condition is very critical, and there has been no response in the last 24 hours" A client complains of kidney pain. The nurse understands that the kidneys are located where? - ANSWER A. On the retroperitoneal posterior abdominal wall at the costovertebral angle The LPN/LVN receives report on an adult client who has a central intravenous (IV) infusion. Where should the nurse observe when assessing the integrity of the access site? - ANSWER C. Chest wall below the clavicle The healthcare provider prescribes an IV solution of clindamycin (Cleocin) 850mg in 75 mL of D2W to infuse over 30 minutes. The drop factor is 15 gtt/mL. The nurse should regulate the IV to deliver how many gtt/ minute? (Enter numeric value only. if rounding is required round to the nearest whole number) - ANSWER 38 The LPN/LVN is administering a subcutaneous injection of epoetin (Epogen) to a client with Chronic Kidney Disease (CKD). This medication is being administered to treat which manifestation of CKD? - ANSWER A. Anemia The LPN/LVN is assigned to administer medications in a long-term care facility. A disoriented resident has no identification band or picture. Prior to administering medications to this resident, what is the best Nursing action? - ANSWER B. Ask a regular staff member to confirm the residents identity The LPN/LVN is assessing an older male client with Gastritis. He has been unable to eat for the past 48 hours and has been vomiting during this same period of time. Which finding can the nurse expect this client to exhibit? - ANSWER C. Dry skin and an increased heart rate An adult male client tells the nurse that he believes someone is trying to obtain his computer records, which his wife reports are recreational in nature. The client insists that an elaborate alarm system needs to be installed in his home. The nurse knows that this client is exhibiting which signs or symptom? - ANSWER A. Delusions of persecution The LPN/LVN enters a client's room to perform a sterile dressing change. The nurse observes that the client is "gurgling" on oral secretions and coughing. Which action should the nurse take first? - ANSWER C. Perform oral suctioning What length of blood pressure cuff should be the nurse use when obtaining a client's blood pressure? - ANSWER C. The cuff and its bladder should be nearly encircled in the extremity's circumference A LPN/LVN is assisting a client from the bathroom back to bed following a minor surgical procedure. The client, still not fully alert, reports feeling nauseated and begins to vomit. What is the first action the nurse should take? - ANSWER D. Place the client in a side-laying position The LPN/LVN is caring for a 10-year-old child with hemophilia who has recently been diagnosed as HIV positive. What precautions should the nurse take when interacting with the child and mother? - ANSWER A. No special precautions are needed 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 info should the nurse reinforce with this client? - ANSWER A. They can have intercourse when the episiotomy is healed and the lochial flow has stopped The healthcare provider tells the family of a 6-year old child with a malignant brain tumor that the tumor is metastasizing and the child's condition is terminal. How can the nurse best help the family cope with this news? - ANSWER C. Listen to the family's reactions and reflect and their fears and concerns