HESI LPN-ADN Entrance Exam (Mobility)
Questions And Answers Plus Rationales
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Section 1: Fundamentals of Nursing (Questions 1–25)
1. A client is on strict bed rest. Which intervention helps prevent
deep vein thrombosis (DVT)?
a) Massage the calves daily
b) Apply sequential compression devices (SCDs)
c) Place a pillow under the knees
d) Restrict fluid intake
Answer: b) Apply sequential compression devices (SCDs)
Rationale: SCDs promote venous return; leg massage can dislodge
clots; pillow under knees impairs circulation.
2. The LPN is measuring a client’s blood pressure and obtains a
reading of 150/92 mm Hg. Which action should the LPN take first?
a) Report to the RN immediately
b) Retake the BP in the opposite arm
,c) Document the reading as normal
d) Administer a PRN antihypertensive
Answer: b) Retake the BP in the opposite arm
Rationale: Verify an abnormal reading before reporting; ensure
correct technique.
3. A client with an indwelling urinary catheter complains of bladder
fullness and no urine output in 2 hours. Which intervention is most
appropriate?
a) Irrigate the catheter with 30 mL saline
b) Check for kinks or obstruction in tubing
c) Increase fluid intake to 3 L/day
d) Remove the catheter immediately
Answer: b) Check for kinks or obstruction in tubing
Rationale: Tubing obstruction is common; irrigation requires an
order; never remove without order.
4. The LPN is preparing to administer a subcutaneous injection of
heparin. Which site is preferred?
a) Deltoid
b) Ventrogluteal
c) Abdomen
d) Vastus lateralis
,Answer: c) Abdomen
Rationale: Abdomen has consistent fat layer, less muscle, better
absorption for heparin.
5. A client receiving a blood transfusion develops chills, fever, and
back pain. What should the LPN do first?
a) Slow the transfusion rate
b) Stop the transfusion
c) Administer acetaminophen
d) Notify the provider
Answer: b) Stop the transfusion
Rationale: Suspected hemolytic reaction – stop transfusion first,
then notify, maintain IV line.
6. Which finding in a client with a tracheostomy requires immediate
action?
a) Small amount of blood-tinged suctioning
b) Crackles in lung bases
c) Difficulty passing suction catheter
d) Dry crusted secretions at stoma
Answer: c) Difficulty passing suction catheter
Rationale: May indicate mucus plug or obstruction; can lead to
respiratory arrest.
7. A client is on fall precautions. Which intervention is most
important?
, a) Keep bed in high position
b) Place all four side rails up
c) Ensure call light within reach
d) Apply wrist restraints at night
Answer: c) Ensure call light within reach
Rationale: Least restrictive; promotes independence and safety; high
bed increases fall risk.
8. The LPN is changing a surgical dressing and notes purulent
drainage. What should the LPN do?
a) Cover with clean dressing and document
b) Culture the drainage with a sterile swab (if ordered)
c) Apply antibiotic ointment
d) Irrigate with hydrogen peroxide
Answer: b) Culture the drainage with a sterile swab (if ordered)
Rationale: Purulence suggests infection; culture identifies organism;
requires order.
9. A client with a nasogastric (NG) tube to low intermittent suction
has dry mucous membranes and poor skin turgor. Which electrolyte
imbalance is most likely?
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hypercalcemia
Questions And Answers Plus Rationales
Instant Pdf Download
Section 1: Fundamentals of Nursing (Questions 1–25)
1. A client is on strict bed rest. Which intervention helps prevent
deep vein thrombosis (DVT)?
a) Massage the calves daily
b) Apply sequential compression devices (SCDs)
c) Place a pillow under the knees
d) Restrict fluid intake
Answer: b) Apply sequential compression devices (SCDs)
Rationale: SCDs promote venous return; leg massage can dislodge
clots; pillow under knees impairs circulation.
2. The LPN is measuring a client’s blood pressure and obtains a
reading of 150/92 mm Hg. Which action should the LPN take first?
a) Report to the RN immediately
b) Retake the BP in the opposite arm
,c) Document the reading as normal
d) Administer a PRN antihypertensive
Answer: b) Retake the BP in the opposite arm
Rationale: Verify an abnormal reading before reporting; ensure
correct technique.
3. A client with an indwelling urinary catheter complains of bladder
fullness and no urine output in 2 hours. Which intervention is most
appropriate?
a) Irrigate the catheter with 30 mL saline
b) Check for kinks or obstruction in tubing
c) Increase fluid intake to 3 L/day
d) Remove the catheter immediately
Answer: b) Check for kinks or obstruction in tubing
Rationale: Tubing obstruction is common; irrigation requires an
order; never remove without order.
4. The LPN is preparing to administer a subcutaneous injection of
heparin. Which site is preferred?
a) Deltoid
b) Ventrogluteal
c) Abdomen
d) Vastus lateralis
,Answer: c) Abdomen
Rationale: Abdomen has consistent fat layer, less muscle, better
absorption for heparin.
5. A client receiving a blood transfusion develops chills, fever, and
back pain. What should the LPN do first?
a) Slow the transfusion rate
b) Stop the transfusion
c) Administer acetaminophen
d) Notify the provider
Answer: b) Stop the transfusion
Rationale: Suspected hemolytic reaction – stop transfusion first,
then notify, maintain IV line.
6. Which finding in a client with a tracheostomy requires immediate
action?
a) Small amount of blood-tinged suctioning
b) Crackles in lung bases
c) Difficulty passing suction catheter
d) Dry crusted secretions at stoma
Answer: c) Difficulty passing suction catheter
Rationale: May indicate mucus plug or obstruction; can lead to
respiratory arrest.
7. A client is on fall precautions. Which intervention is most
important?
, a) Keep bed in high position
b) Place all four side rails up
c) Ensure call light within reach
d) Apply wrist restraints at night
Answer: c) Ensure call light within reach
Rationale: Least restrictive; promotes independence and safety; high
bed increases fall risk.
8. The LPN is changing a surgical dressing and notes purulent
drainage. What should the LPN do?
a) Cover with clean dressing and document
b) Culture the drainage with a sterile swab (if ordered)
c) Apply antibiotic ointment
d) Irrigate with hydrogen peroxide
Answer: b) Culture the drainage with a sterile swab (if ordered)
Rationale: Purulence suggests infection; culture identifies organism;
requires order.
9. A client with a nasogastric (NG) tube to low intermittent suction
has dry mucous membranes and poor skin turgor. Which electrolyte
imbalance is most likely?
a) Hyperkalemia
b) Hypokalemia
c) Hypernatremia
d) Hypercalcemia
