ALL QUESTIONS AND CORRECT
DETAILED ANSWERS OF HESI LPN-
ADN MOBILITY PRACTICE EXAM 2026
ALREADY A+ GRADED |NEW AND
REVISED
Section 1: Fundamentals & Medical-Surgical Nursing
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 and help prevent
clot formation. Leg massage can dislodge existing clots, a
pillow under the knees impairs circulation, and fluid
restriction can lead to dehydration and increased blood
viscosity.
2. 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: The abdomen is the preferred site for
subcutaneous heparin injections due to its consistent
subcutaneous tissue layer and ease of access.
3. A client reports pain of 8 on a 0–10 scale. The LPN
administers morphine 2 mg IV. When should the LPN reassess
pain?
A) 5 minutes after administration
B) 15 minutes after administration
C) 1 hour after administration
D) At the end of the shift
Answer: B) 15 minutes after administration
Rationale: IV opioids peak in 15–30 minutes. Reassessment
at 15 minutes allows the nurse to evaluate the drug's
effectiveness and monitor for side effects.
Section 2: Mobility, Body Mechanics & Safe Transfers
4. A nurse is assisting a patient with left-sided weakness to
transfer from the bed to a wheelchair. Where should the
nurse position the wheelchair?
A) Parallel to the bed on the patient's weak side
, B) Parallel to the bed on the patient's strong side
C) At the foot of the bed
D) Facing away from the bed
Answer: B) Parallel to the bed on the patient's strong side
Rationale: Positioning the wheelchair on the strong side
allows the patient to pivot toward their stronger leg and push
up with their stronger arm, making the transfer safer and
more stable.
5. A nurse is preparing to ambulate a postoperative client 12
hours after cardiac surgery. Based on Enhanced Recovery
After Surgery (ERAS) principles, which action should the
nurse take FIRST to ensure the client tolerates the procedure?
A) Provide a standard walker and gait belt for safety
B) Disconnect the continuous telemetry monitor to prevent
tripping
C) Administer the prescribed opioid-sparing analgesic 30
minutes prior to ambulation
D) Instruct the client to perform deep breathing exercises
during the walk
Answer: C) Administer the prescribed opioid-sparing
analgesic 30 minutes prior to ambulation
Rationale: Pain is the primary barrier to early mobilization.
Pre-medicating with analgesia approximately 30 minutes
before activity manages incisional pain, reduces sympathetic
stress, and optimizes the patient's functional capacity to
participate in ambulation.
, 6. Which gait pattern is most appropriate for a patient with
weakness in both legs and poor coordination?
A) Two-point gait
B) Four-point gait
C) Swing-to gait
D) Three-point gait
Answer: B) Four-point gait
Rationale: A four-point gait provides maximum stability
because it keeps three points of contact with the ground at
all times. It is ideal for patients with bilateral weakness or
poor coordination.
Section 3: Lab Values & Critical Thinking
7. A male client admitted the morning of his scheduled
surgery tells the nurse that he drank a glass of water during
the night. What intervention will the nurse implement first?
A) Cancel the surgery
B) Determine the amount of water and exact time it was
taken
C) Notify the surgeon immediately
D) Document the information in the chart
Answer: B) Determine the amount of water and exact time it
was taken
Rationale: The first step is to gather more information to
assess the risk. The amount and time of ingestion will
DETAILED ANSWERS OF HESI LPN-
ADN MOBILITY PRACTICE EXAM 2026
ALREADY A+ GRADED |NEW AND
REVISED
Section 1: Fundamentals & Medical-Surgical Nursing
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 and help prevent
clot formation. Leg massage can dislodge existing clots, a
pillow under the knees impairs circulation, and fluid
restriction can lead to dehydration and increased blood
viscosity.
2. 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: The abdomen is the preferred site for
subcutaneous heparin injections due to its consistent
subcutaneous tissue layer and ease of access.
3. A client reports pain of 8 on a 0–10 scale. The LPN
administers morphine 2 mg IV. When should the LPN reassess
pain?
A) 5 minutes after administration
B) 15 minutes after administration
C) 1 hour after administration
D) At the end of the shift
Answer: B) 15 minutes after administration
Rationale: IV opioids peak in 15–30 minutes. Reassessment
at 15 minutes allows the nurse to evaluate the drug's
effectiveness and monitor for side effects.
Section 2: Mobility, Body Mechanics & Safe Transfers
4. A nurse is assisting a patient with left-sided weakness to
transfer from the bed to a wheelchair. Where should the
nurse position the wheelchair?
A) Parallel to the bed on the patient's weak side
, B) Parallel to the bed on the patient's strong side
C) At the foot of the bed
D) Facing away from the bed
Answer: B) Parallel to the bed on the patient's strong side
Rationale: Positioning the wheelchair on the strong side
allows the patient to pivot toward their stronger leg and push
up with their stronger arm, making the transfer safer and
more stable.
5. A nurse is preparing to ambulate a postoperative client 12
hours after cardiac surgery. Based on Enhanced Recovery
After Surgery (ERAS) principles, which action should the
nurse take FIRST to ensure the client tolerates the procedure?
A) Provide a standard walker and gait belt for safety
B) Disconnect the continuous telemetry monitor to prevent
tripping
C) Administer the prescribed opioid-sparing analgesic 30
minutes prior to ambulation
D) Instruct the client to perform deep breathing exercises
during the walk
Answer: C) Administer the prescribed opioid-sparing
analgesic 30 minutes prior to ambulation
Rationale: Pain is the primary barrier to early mobilization.
Pre-medicating with analgesia approximately 30 minutes
before activity manages incisional pain, reduces sympathetic
stress, and optimizes the patient's functional capacity to
participate in ambulation.
, 6. Which gait pattern is most appropriate for a patient with
weakness in both legs and poor coordination?
A) Two-point gait
B) Four-point gait
C) Swing-to gait
D) Three-point gait
Answer: B) Four-point gait
Rationale: A four-point gait provides maximum stability
because it keeps three points of contact with the ground at
all times. It is ideal for patients with bilateral weakness or
poor coordination.
Section 3: Lab Values & Critical Thinking
7. A male client admitted the morning of his scheduled
surgery tells the nurse that he drank a glass of water during
the night. What intervention will the nurse implement first?
A) Cancel the surgery
B) Determine the amount of water and exact time it was
taken
C) Notify the surgeon immediately
D) Document the information in the chart
Answer: B) Determine the amount of water and exact time it
was taken
Rationale: The first step is to gather more information to
assess the risk. The amount and time of ingestion will
