HESI Mobility Exam||Questions And
correct Answers||
Mr. Matthew tells the nurse that he has never been hospitalized. He appears anxious
and frequently turns to his wife for reassurance. What is the best response by the
nurse?
A. "Is there anything you would like to ask your healthcare provider?"
B. "What concerns do you have about being hospitalized."
C. "We give good care to all our clients in the hospital."
D. "Your healthcare provider the chosen the best hospital in the city." -CORRECT
ANSWER B. "What concerns do you have about being hospitalized?"
Rationale: This response utilizes principles of therapeutic communication. It is an open-
ended question designed to allow Mr. Matthew to verbalize any concerns about
hospitalization that might be contributing to his anxiety.
Mr. Matthew tells the nurse, "My sweetheart and I have never been apart during our 55-
year marriage." What action should the nurse implement to help reduce Mr. Matthew's
anxiety during the admission process?
A. Explain the room environment to Mr. and Mrs. Matthew.
B. Ask Mrs. Matthew if she would like to rest in the waiting room.
C. Ask Mr. Matthew if he would like a prescription for an antianxiety medication.
D. Reassure Mr. and Mrs. Matthew that everything will be okay. -CORRECT ANSWER
A. Explain the room environment to Mr. and Mrs. Matthew.
Rationale: This action will reduce the client's anxiety by including the spouse and
orientating them both to the room.
Mr. Matthew states the pain level in his right foot is 8 on a scale of 1-10. He says he has
been favoring his foot by staying in bed the past week. In planning his care, which
nursing diagnosis should take priority?
A. Risk for caregiver role strain.
B. Risk for social isolation.
C. Impaired physical mobility.
D. Imbalanced nutrition: more than body requirements. -CORRECT ANSWER C.
Impaired physical mobility.
Rationale: Mr. Matthew's limited activities support this nursing diagnosis. Improving
mobility is a nursing priority to prevent the many potential complications.
, In developing a plan of care, the nurse consults with Mr. Matthew to identify a short-
term goal. Which goal is correct for Mr. Matthew's diagnosis for impaired mobility?
A. The client will demonstrate better mobility by time of discharge.
B. The nurse will reposition the client every 2 hours while awake.
C. The client will sit in the chair for each meal beginning on the day of admission.
D. The nurse will assist the client to ambulate in the hall by the second hospital day. -
CORRECT ANSWER C. The client will sit in the chair for each meal beginning on the
day of admission.
Rationale: This is a correctly stated goal. The client is always the subject of the goal,
and the action is always measurable. This goal includes what Mr. Matthew is to achieve
and sets a realistic deadline. "A" is wrong because it is an uncompleted goal. "B" and
"C" are wrong because they are nursing actions and not a client goal.
Mr. Matthew is reluctant to move in the bed or move to the chair. He likes his wife to
place a pillow under his knee. The nurse performs a physical assessment, which
reveals diminished dorsalis pedis pulses bilaterally. Which instruction(s) should the
nurse convey to help prevent venous thromboembolism (VTE) in Mr. Matthew's legs?
(Select all that apply)
A. Encourage Mr. Matthew to cough and breathe deeply 10 times an hour.
B. Teach Mr. Matthew to dorsal flew and planter flex his feet while in the bed and chair.
C. Instruct Mr. Matthew to change positions every 2 hours in the bed or chair.
D. Advise Mr. Matthew to eat well-balanced meals and between-meals snacks.
E. Explain enoxaparin (Lovenox) injections will be administered routinely. -CORRECT
ANSWER B. Teach Mr. Matthew to dorsal flex and plantar flex his feet while in the bed
and chair.
Rationale: This action stimulates circulation by contracting calf muscles, which
increases the venous return of blood to the heart. This decreases pooling of blood in the
legs, which helps prevent venous thromboembolism in the legs.
E. Explain enoxaparin (Lovenox) injections will be administered routinely.
Rationale: Lovenox is an anticoagulant administered to reduce the risk of venous
thromboembolism.
"A" is not right because this action helps prevent pneumonia, not venous return. "C" is
not right because this action is more specific for preventing skin breakdown and
pneumonia than venous thromboembolism formation in the legs. "D" is not right
because it will not prevent thromboembolism.
6. How should the nurse document the completed client teaching?
correct Answers||
Mr. Matthew tells the nurse that he has never been hospitalized. He appears anxious
and frequently turns to his wife for reassurance. What is the best response by the
nurse?
A. "Is there anything you would like to ask your healthcare provider?"
B. "What concerns do you have about being hospitalized."
C. "We give good care to all our clients in the hospital."
D. "Your healthcare provider the chosen the best hospital in the city." -CORRECT
ANSWER B. "What concerns do you have about being hospitalized?"
Rationale: This response utilizes principles of therapeutic communication. It is an open-
ended question designed to allow Mr. Matthew to verbalize any concerns about
hospitalization that might be contributing to his anxiety.
Mr. Matthew tells the nurse, "My sweetheart and I have never been apart during our 55-
year marriage." What action should the nurse implement to help reduce Mr. Matthew's
anxiety during the admission process?
A. Explain the room environment to Mr. and Mrs. Matthew.
B. Ask Mrs. Matthew if she would like to rest in the waiting room.
C. Ask Mr. Matthew if he would like a prescription for an antianxiety medication.
D. Reassure Mr. and Mrs. Matthew that everything will be okay. -CORRECT ANSWER
A. Explain the room environment to Mr. and Mrs. Matthew.
Rationale: This action will reduce the client's anxiety by including the spouse and
orientating them both to the room.
Mr. Matthew states the pain level in his right foot is 8 on a scale of 1-10. He says he has
been favoring his foot by staying in bed the past week. In planning his care, which
nursing diagnosis should take priority?
A. Risk for caregiver role strain.
B. Risk for social isolation.
C. Impaired physical mobility.
D. Imbalanced nutrition: more than body requirements. -CORRECT ANSWER C.
Impaired physical mobility.
Rationale: Mr. Matthew's limited activities support this nursing diagnosis. Improving
mobility is a nursing priority to prevent the many potential complications.
, In developing a plan of care, the nurse consults with Mr. Matthew to identify a short-
term goal. Which goal is correct for Mr. Matthew's diagnosis for impaired mobility?
A. The client will demonstrate better mobility by time of discharge.
B. The nurse will reposition the client every 2 hours while awake.
C. The client will sit in the chair for each meal beginning on the day of admission.
D. The nurse will assist the client to ambulate in the hall by the second hospital day. -
CORRECT ANSWER C. The client will sit in the chair for each meal beginning on the
day of admission.
Rationale: This is a correctly stated goal. The client is always the subject of the goal,
and the action is always measurable. This goal includes what Mr. Matthew is to achieve
and sets a realistic deadline. "A" is wrong because it is an uncompleted goal. "B" and
"C" are wrong because they are nursing actions and not a client goal.
Mr. Matthew is reluctant to move in the bed or move to the chair. He likes his wife to
place a pillow under his knee. The nurse performs a physical assessment, which
reveals diminished dorsalis pedis pulses bilaterally. Which instruction(s) should the
nurse convey to help prevent venous thromboembolism (VTE) in Mr. Matthew's legs?
(Select all that apply)
A. Encourage Mr. Matthew to cough and breathe deeply 10 times an hour.
B. Teach Mr. Matthew to dorsal flew and planter flex his feet while in the bed and chair.
C. Instruct Mr. Matthew to change positions every 2 hours in the bed or chair.
D. Advise Mr. Matthew to eat well-balanced meals and between-meals snacks.
E. Explain enoxaparin (Lovenox) injections will be administered routinely. -CORRECT
ANSWER B. Teach Mr. Matthew to dorsal flex and plantar flex his feet while in the bed
and chair.
Rationale: This action stimulates circulation by contracting calf muscles, which
increases the venous return of blood to the heart. This decreases pooling of blood in the
legs, which helps prevent venous thromboembolism in the legs.
E. Explain enoxaparin (Lovenox) injections will be administered routinely.
Rationale: Lovenox is an anticoagulant administered to reduce the risk of venous
thromboembolism.
"A" is not right because this action helps prevent pneumonia, not venous return. "C" is
not right because this action is more specific for preventing skin breakdown and
pneumonia than venous thromboembolism formation in the legs. "D" is not right
because it will not prevent thromboembolism.
6. How should the nurse document the completed client teaching?
