NURSING MOBILITY COMPETENCY PRACTICE
WORKBOOK
Full Practice Exam for HESI LPN-ADN & RN
Bridge Transition Programs
WORKBOOK INSTRUCTIONS
Total Questions: 100
Format: Multiple Choice
Instructions: Select the BEST answer. Each question has one correct response.
Time Suggested: 100 minutes (1 minute per question)
Content Coverage: Body Mechanics, Transfers, Positioning, Assistive Devices,
Complications of Immobility, Fall Prevention, VTE Prophylaxis, Neurovascular
Assessment, Pressure Injuries, Hip Precautions, Delegation, Documentation, Clinical
Judgment
SECTION 1: BODY MECHANICS & ERGONOMICS (Questions 1-10)
1. The LPN is teaching a new graduate about proper body mechanics. Which statement by the
new graduate indicates correct understanding of the center of gravity?
A) "The center of gravity is located in the chest when standing."
B) "The center of gravity is located in the pelvic area when standing."
C) "The center of gravity is located in the head when standing."
D) "The center of gravity is located in the feet when standing."
Correct Answer: B
Rationale: The center of gravity is located in the pelvic area when standing. This is why bending
at the knees and keeping the load close to the body is important—it keeps the center of gravity
stable and prevents falls. The chest, head, and feet are not the center of gravity.
,2. The LPN is preparing to lift a box of supplies from the floor. Which action demonstrates
correct body mechanics?
A) Bend at the waist with knees straight
B) Squat down, keeping the back straight and the object close to the body
C) Bend forward with legs straight and object held at arm's length
D) Twist the body while lifting
Correct Answer: B
Rationale: Squatting with the back straight, bending at the knees, and keeping the load close to
the body are correct body mechanics. Bending at the waist, holding objects at arm's length, and
twisting increase the risk of back injury. The correct technique shifts the workload to the strong
leg muscles.
3. The LPN is repositioning a patient in bed. The bed should be at which height to prevent
back strain?
A) At the nurse's chest level
B) At the nurse's elbow or waist level
C) At the lowest position
D) At the highest position
Correct Answer: B
Rationale: The bed should be at elbow or waist height so the nurse's arms are at a comfortable
working angle. This minimizes shoulder and back strain. Chest height forces elevated shoulders;
the lowest position forces bending; the highest position causes overreaching.
4. The LPN is using proper body mechanics to move a patient. Which statement about the
base of support is correct?
A) The base of support should be narrow to allow quick movement
B) The base of support should be wide to provide stability
C) The base of support is determined by the patient's weight
D) The base of support is only important when lifting heavy objects
Correct Answer: B
Rationale: A wide base of support (feet shoulder-width apart) provides stability and lowers the
,center of gravity. A narrow base decreases stability. The base of support applies to all patient
handling activities, not just heavy lifts.
5. The LPN is teaching a patient's family about safe lifting techniques. Which instruction is
most important?
A) "Lift with your back muscles for maximum strength."
B) "Keep your back straight and bend at your knees."
C) "Twist your body to reduce the distance you need to reach."
D) "Hold the object as far away from your body as possible."
Correct Answer: B
Rationale: Keeping the back straight and bending at the knees protects the lumbar spine by
shifting the workload to the strong leg muscles. Twisting and holding objects away from the
body increase back strain; lifting with the back muscles is incorrect.
6. The LPN is pushing a heavy cart. Which body mechanic is correct?
A) Push with the arms fully extended and back bent forward
B) Push with the body weight centered, knees slightly bent, and use leg muscles
C) Pull the cart backward to use back muscles
D) Push with one hand only to maintain balance
Correct Answer: B
Rationale: Pushing should be done with the body's center of gravity over the midline, knees
slightly bent, and force generated from the legs. Bending forward, pulling, or using one hand
increases spinal strain and reduces control of the cart.
7. The LPN is moving a patient who has slid down in bed. Which equipment should the nurse
use to reduce friction and shear?
A) Gait belt
B) Friction-reducing slide sheet
C) Mechanical lift
D) Draw sheet without any additional devices
, Correct Answer: B
Rationale: A friction-reducing slide sheet reduces friction and shear forces on the patient's skin
while making repositioning easier for staff. A gait belt is for ambulation; a mechanical lift is for
transfers; a draw sheet alone does not reduce friction.
8. The LPN is teaching a colleague about body mechanics. Which statement by the colleague
indicates correct understanding?
A) "The wider my base of support, the more stable I am."
B) "The narrower my base of support, the more stable I am."
C) "My base of support does not affect my stability."
D) "My base of support is only important when I am lifting."
Correct Answer: A
Rationale: A wider base of support (feet shoulder-width apart) increases stability. A narrower
base decreases stability. The base of support is important for all activities, not just lifting.
9. The LPN is transferring a patient using a mechanical lift. Which body mechanic should the
nurse use while operating the lift?
A) Stand with feet together to save space
B) Stand with feet shoulder-width apart and use leg muscles to push
C) Bend at the waist while pulling the lift
D) Twist the body while moving the lift
Correct Answer: B
Rationale: Even when using equipment, the nurse should maintain a wide base of support and
use leg muscles. Feet together, bending at the waist, and twisting increase the risk of injury.
10. The LPN is moving a patient in bed. The nurse should keep the patient close to their body
to:
A) Reduce the force required to move the patient
B) Increase the force required to move the patient
C) Allow for better visualization of the patient
WORKBOOK
Full Practice Exam for HESI LPN-ADN & RN
Bridge Transition Programs
WORKBOOK INSTRUCTIONS
Total Questions: 100
Format: Multiple Choice
Instructions: Select the BEST answer. Each question has one correct response.
Time Suggested: 100 minutes (1 minute per question)
Content Coverage: Body Mechanics, Transfers, Positioning, Assistive Devices,
Complications of Immobility, Fall Prevention, VTE Prophylaxis, Neurovascular
Assessment, Pressure Injuries, Hip Precautions, Delegation, Documentation, Clinical
Judgment
SECTION 1: BODY MECHANICS & ERGONOMICS (Questions 1-10)
1. The LPN is teaching a new graduate about proper body mechanics. Which statement by the
new graduate indicates correct understanding of the center of gravity?
A) "The center of gravity is located in the chest when standing."
B) "The center of gravity is located in the pelvic area when standing."
C) "The center of gravity is located in the head when standing."
D) "The center of gravity is located in the feet when standing."
Correct Answer: B
Rationale: The center of gravity is located in the pelvic area when standing. This is why bending
at the knees and keeping the load close to the body is important—it keeps the center of gravity
stable and prevents falls. The chest, head, and feet are not the center of gravity.
,2. The LPN is preparing to lift a box of supplies from the floor. Which action demonstrates
correct body mechanics?
A) Bend at the waist with knees straight
B) Squat down, keeping the back straight and the object close to the body
C) Bend forward with legs straight and object held at arm's length
D) Twist the body while lifting
Correct Answer: B
Rationale: Squatting with the back straight, bending at the knees, and keeping the load close to
the body are correct body mechanics. Bending at the waist, holding objects at arm's length, and
twisting increase the risk of back injury. The correct technique shifts the workload to the strong
leg muscles.
3. The LPN is repositioning a patient in bed. The bed should be at which height to prevent
back strain?
A) At the nurse's chest level
B) At the nurse's elbow or waist level
C) At the lowest position
D) At the highest position
Correct Answer: B
Rationale: The bed should be at elbow or waist height so the nurse's arms are at a comfortable
working angle. This minimizes shoulder and back strain. Chest height forces elevated shoulders;
the lowest position forces bending; the highest position causes overreaching.
4. The LPN is using proper body mechanics to move a patient. Which statement about the
base of support is correct?
A) The base of support should be narrow to allow quick movement
B) The base of support should be wide to provide stability
C) The base of support is determined by the patient's weight
D) The base of support is only important when lifting heavy objects
Correct Answer: B
Rationale: A wide base of support (feet shoulder-width apart) provides stability and lowers the
,center of gravity. A narrow base decreases stability. The base of support applies to all patient
handling activities, not just heavy lifts.
5. The LPN is teaching a patient's family about safe lifting techniques. Which instruction is
most important?
A) "Lift with your back muscles for maximum strength."
B) "Keep your back straight and bend at your knees."
C) "Twist your body to reduce the distance you need to reach."
D) "Hold the object as far away from your body as possible."
Correct Answer: B
Rationale: Keeping the back straight and bending at the knees protects the lumbar spine by
shifting the workload to the strong leg muscles. Twisting and holding objects away from the
body increase back strain; lifting with the back muscles is incorrect.
6. The LPN is pushing a heavy cart. Which body mechanic is correct?
A) Push with the arms fully extended and back bent forward
B) Push with the body weight centered, knees slightly bent, and use leg muscles
C) Pull the cart backward to use back muscles
D) Push with one hand only to maintain balance
Correct Answer: B
Rationale: Pushing should be done with the body's center of gravity over the midline, knees
slightly bent, and force generated from the legs. Bending forward, pulling, or using one hand
increases spinal strain and reduces control of the cart.
7. The LPN is moving a patient who has slid down in bed. Which equipment should the nurse
use to reduce friction and shear?
A) Gait belt
B) Friction-reducing slide sheet
C) Mechanical lift
D) Draw sheet without any additional devices
, Correct Answer: B
Rationale: A friction-reducing slide sheet reduces friction and shear forces on the patient's skin
while making repositioning easier for staff. A gait belt is for ambulation; a mechanical lift is for
transfers; a draw sheet alone does not reduce friction.
8. The LPN is teaching a colleague about body mechanics. Which statement by the colleague
indicates correct understanding?
A) "The wider my base of support, the more stable I am."
B) "The narrower my base of support, the more stable I am."
C) "My base of support does not affect my stability."
D) "My base of support is only important when I am lifting."
Correct Answer: A
Rationale: A wider base of support (feet shoulder-width apart) increases stability. A narrower
base decreases stability. The base of support is important for all activities, not just lifting.
9. The LPN is transferring a patient using a mechanical lift. Which body mechanic should the
nurse use while operating the lift?
A) Stand with feet together to save space
B) Stand with feet shoulder-width apart and use leg muscles to push
C) Bend at the waist while pulling the lift
D) Twist the body while moving the lift
Correct Answer: B
Rationale: Even when using equipment, the nurse should maintain a wide base of support and
use leg muscles. Feet together, bending at the waist, and twisting increase the risk of injury.
10. The LPN is moving a patient in bed. The nurse should keep the patient close to their body
to:
A) Reduce the force required to move the patient
B) Increase the force required to move the patient
C) Allow for better visualization of the patient
