HESI LPN-ADN MOBILITY Questions
And Answers Practice Questions with
Solutions Newest | Already Graded
A+
Mobility & Body Mechanics
1. A nurse is assisting a patient with left-sided weakness to
transfer from bed to wheelchair. Where should the nurse
position the wheelchair?
o A) Parallel to the bed on the patient's strong side
o B) Parallel to the bed on the patient's weak side
o C) At the foot of the bed
o D) Facing away from the bed
Correct Answer: A
Rationale: Positioning the wheelchair on the patient's stronger
side allows them to pivot and bear weight on their stronger leg
during the transfer, which is safer and more stable.
2. Which assistive device provides the greatest stability?
o A) Single-point cane
o B) Quad cane (wide base)
o C) Walker (standard or rolling)
o D) Crutches
,Correct Answer: C
Rationale: A walker provides the most support because it has a
wide base of support and allows for weight distribution across all
four points of contact. However, it does require adequate upper
body strength to use effectively.
3. Which gait pattern is appropriate for a patient with
weakness in both legs and poor coordination?
o A) Two-point gait
o B) Four-point gait (walker or crutches: weight bearing in all
four points)
o C) Swing-to gait
o D) Three-point gait
Correct Answer: B
Rationale: The four-point gait offers maximum stability because
three points of contact are maintained with the floor at all times.
This makes it suitable for patients who need a high degree of
support but can still bear some weight on both legs.
4. A patient with Parkinson's disease has a shuffling gait.
The nurse should instruct the patient to:
o A) Walk with a wide base and lift feet deliberately
o B) Take short, rapid steps
o C) Look at the floor while walking
o D) Use a wheelchair at all times
Correct Answer: A
Rationale: Teaching the patient to consciously lift their feet and
use visual cues (like focusing on a point ahead or stepping over
lines on the floor) can help overcome the "freezing" episodes
common in Parkinson's disease.
, 5. A patient with a right below-knee amputation (BKA) is
learning to use crutches. Which gait should the nurse
teach for weight bearing on the left leg only?
o A) Two-point gait
o B) Three-point gait (crutches + unaffected leg)
o C) Four-point gait
o D) Swing-to gait
Correct Answer: B
Rationale: The three-point gait is used when the patient cannot
bear weight on one leg. The crutches and the unaffected leg
move forward together, providing a stable base of support.
🩺 Post-Operative Care
6. The LPN/LVN is preparing to ambulate a postoperative
client after cardiac surgery. The nurse plans to do which
to enable the client to best tolerate the ambulation?
o A) Provide the client with a walker
o B) Remove the telemetry equipment
o C) Encourage the client to cough and deep breathe
o D) Premedicate the client with an analgesic before
ambulating
Correct Answer: D
Rationale: Premedicating with an analgesic before ambulation
helps manage postoperative pain. Effective pain control is crucial,
as pain can limit mobility and increase physiological stress on the
heart, allowing the client to participate more effectively in the
activity.
, 7. An older client who had a colon resection 8 days ago is
straining at stool. The practical nurse (PN) observes
sudden spillage of serosanguinous drainage from the
client's wound followed by appearance of bowel on the
skin. Which complication has occurred?
o A) Hemorrhage
o B) Dehiscence
o C) Infection
o D) Evisceration
Correct Answer: D
Rationale: Evisceration is the protrusion of internal organs
through a surgical incision following wound separation. This is a
surgical emergency. The immediate actions are to cover the
exposed organs with a sterile, moist dressing and notify the
surgeon promptly.
8. 36 hours after delivery, the nurse determines a client's
fundus is just above the umbilicus and displaced to the
right of midline. What action should the nurse take first?
o A) Massage the fundus firmly
o B) Check for lochia and clots
o C) Palpate the bladder for distention
o D) Notify the healthcare provider
Correct Answer: C
Rationale: A displaced, elevated fundus that is not midline is a
classic sign of a distended bladder. The nurse should first palpate
to check for bladder distention and encourage the client to void,
as a full bladder can prevent the uterus from contracting properly.
And Answers Practice Questions with
Solutions Newest | Already Graded
A+
Mobility & Body Mechanics
1. A nurse is assisting a patient with left-sided weakness to
transfer from bed to wheelchair. Where should the nurse
position the wheelchair?
o A) Parallel to the bed on the patient's strong side
o B) Parallel to the bed on the patient's weak side
o C) At the foot of the bed
o D) Facing away from the bed
Correct Answer: A
Rationale: Positioning the wheelchair on the patient's stronger
side allows them to pivot and bear weight on their stronger leg
during the transfer, which is safer and more stable.
2. Which assistive device provides the greatest stability?
o A) Single-point cane
o B) Quad cane (wide base)
o C) Walker (standard or rolling)
o D) Crutches
,Correct Answer: C
Rationale: A walker provides the most support because it has a
wide base of support and allows for weight distribution across all
four points of contact. However, it does require adequate upper
body strength to use effectively.
3. Which gait pattern is appropriate for a patient with
weakness in both legs and poor coordination?
o A) Two-point gait
o B) Four-point gait (walker or crutches: weight bearing in all
four points)
o C) Swing-to gait
o D) Three-point gait
Correct Answer: B
Rationale: The four-point gait offers maximum stability because
three points of contact are maintained with the floor at all times.
This makes it suitable for patients who need a high degree of
support but can still bear some weight on both legs.
4. A patient with Parkinson's disease has a shuffling gait.
The nurse should instruct the patient to:
o A) Walk with a wide base and lift feet deliberately
o B) Take short, rapid steps
o C) Look at the floor while walking
o D) Use a wheelchair at all times
Correct Answer: A
Rationale: Teaching the patient to consciously lift their feet and
use visual cues (like focusing on a point ahead or stepping over
lines on the floor) can help overcome the "freezing" episodes
common in Parkinson's disease.
, 5. A patient with a right below-knee amputation (BKA) is
learning to use crutches. Which gait should the nurse
teach for weight bearing on the left leg only?
o A) Two-point gait
o B) Three-point gait (crutches + unaffected leg)
o C) Four-point gait
o D) Swing-to gait
Correct Answer: B
Rationale: The three-point gait is used when the patient cannot
bear weight on one leg. The crutches and the unaffected leg
move forward together, providing a stable base of support.
🩺 Post-Operative Care
6. The LPN/LVN is preparing to ambulate a postoperative
client after cardiac surgery. The nurse plans to do which
to enable the client to best tolerate the ambulation?
o A) Provide the client with a walker
o B) Remove the telemetry equipment
o C) Encourage the client to cough and deep breathe
o D) Premedicate the client with an analgesic before
ambulating
Correct Answer: D
Rationale: Premedicating with an analgesic before ambulation
helps manage postoperative pain. Effective pain control is crucial,
as pain can limit mobility and increase physiological stress on the
heart, allowing the client to participate more effectively in the
activity.
, 7. An older client who had a colon resection 8 days ago is
straining at stool. The practical nurse (PN) observes
sudden spillage of serosanguinous drainage from the
client's wound followed by appearance of bowel on the
skin. Which complication has occurred?
o A) Hemorrhage
o B) Dehiscence
o C) Infection
o D) Evisceration
Correct Answer: D
Rationale: Evisceration is the protrusion of internal organs
through a surgical incision following wound separation. This is a
surgical emergency. The immediate actions are to cover the
exposed organs with a sterile, moist dressing and notify the
surgeon promptly.
8. 36 hours after delivery, the nurse determines a client's
fundus is just above the umbilicus and displaced to the
right of midline. What action should the nurse take first?
o A) Massage the fundus firmly
o B) Check for lochia and clots
o C) Palpate the bladder for distention
o D) Notify the healthcare provider
Correct Answer: C
Rationale: A displaced, elevated fundus that is not midline is a
classic sign of a distended bladder. The nurse should first palpate
to check for bladder distention and encourage the client to void,
as a full bladder can prevent the uterus from contracting properly.
