OBJECTIVE ASSESSMENT - EXAM
HESI LPN-ADN HESI
ENTRANCE EXAM (2026/2027)
MOBILITY EXAMS GRADED A
100% VERIFIED 2026/2027
A+ Verified Edition: 2026/2027 Passing Score: 80%
COVER PAGE - 1
,SECTIONS COVERED
Section 1: Body Mechanics and Safe Patient Handling (Questions 1-10)
Section 2: Assistive Devices and Ambulation (Questions 11-20)
Section 3: Fall Prevention and Safety (Questions 21-30)
Section 4: Positioning, Transferring, and Bed Mobility (Questions 31-40)
Section 5: Special Populations and Complex Scenarios (Questions 41-50)
This examination assesses foundational knowledge of patient mobility, body mechanics, assistive devices, and fall
prevention required for LPN-to-ADN bridge program admission. Each question presents a realistic clinical scenario
requiring application and analysis of mobility principles. Select the best answer for each question.
Section 1: Body Mechanics and Safe Patient Handling
Question 1
Q1. A 78-year-old client with severe osteoarthritis needs to be moved up in bed. The nurse assigns a
newly hired nursing assistant to perform the task with another staff member. When observing the
transfer, the nurse notes that the assistant is bending at the waist to grasp the drawsheet with knees
fully extended. The nurse should intervene because this posture places excessive stress on which
anatomical structure?
A. The cervical vertebrae
B. The lumbar vertebrae
C. The shoulder girdle
D. The knee joints
Correct Answer: D
Rationale: Bending at the waist with knees fully extended transfers the entire load through the knee joints in a
hyperextended position, concentrating stress on the posterior cruciate ligament and joint capsule. While the lumbar spine is
also at risk, the described posture with locked knees specifically endangers the knee joints by eliminating the
shock-absorbing function of the lower extremities.
, Question 2
Q2. During a busy evening shift, a licensed practical nurse must reposition a 220-lb unconscious client
in the intensive care unit. The bed is at an inappropriate height, and the nurse is working alone. Which
action by the nurse best demonstrates adherence to safe body mechanics principles?
A. Requesting assistance from another staff member before beginning the repositioning
B. Using a friction-reducing slide sheet while keeping the bed at its current height
C. Asking the client to assist by pushing with their feet during the turn
D. Repositioning the client quickly to minimize time spent in an awkward posture
Correct Answer: A
Rationale: Safe patient handling guidelines emphasize that no single caregiver should manually lift or reposition clients who
cannot assist, especially when weight exceeds safe limits. Requesting assistance aligns with ergonomic safety standards.
Keeping the bed at an inappropriate height violates body mechanics, and an unconscious client cannot assist with
movement.
Question 3
Q3. A nurse is educating a group of home health aides about proper body mechanics when lifting
objects from the floor. The nurse emphasizes that the lifter should keep the object close to the body
throughout the lift. What is the primary rationale for this instruction?
A. It reduces the amount of oxygen consumed during the activity
B. It decreases the lever arm and reduces torque on the spinal column
C. It prevents the object from slipping out of the hands during transfer
D. It allows the lifter to maintain visual contact with the object at all times
Correct Answer: C
Rationale: Keeping the load close to the body centers the weight within the lifter's base of support, which prevents the
object from slipping or shifting during the lift and ensures a secure grip. While reducing spinal load is important, grip
security and load stability are the primary safety rationales for this instruction.