HESI LPN-RN ENTRANCE EXAM: MOBILITY & TRANSITION
TEST BANK | 100% VERIFIED
SECTION 1: SAFE PATIENT HANDLING & MOBILITY
Body Mechanics & Transfer Techniques
Question 1
An LPN is preparing to transfer a patient from the bed to a wheelchair. Which action demonstrates correct body
mechanics to prevent injury to the nurse?
A) Bending at the waist to lift the patient
B) Keeping the feet close together for stability
C) Using the large muscles of the legs and keeping the back straight
D) Twisting the torso while moving the patient
Answer: C
Proper body mechanics require using the large muscles of the legs and keeping the back straight to prevent
musculoskeletal injury. Bending at the waist (A) places excessive strain on the lumbar spine. Feet should be
shoulder-width apart (B) for a wider base of support. Twisting (D) increases the risk of spinal injury.
Question 2
A patient who is 2 days post-operative following a hip replacement is being assisted to stand for the first time.
The LPN should perform which action first?
A) Place a gait belt around the patient's waist
B) Lower the bed to the lowest position
C) Assess the patient's vital signs and pain level
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,D) Instruct the patient to push up from the bed using the arms
Answer: C
Before any mobilization, the nurse must assess the patient's stability, including vital signs and pain level.
Hypotension, tachycardia, or severe pain could indicate that the patient is not ready to ambulate. The gait belt (A)
and bed position (B) are important but should follow the initial assessment.
Question 3
A patient with left-sided weakness from a stroke is being transferred from the bed to a chair. The LPN should
position the chair:
A) On the patient's left side
B) On the patient's right side (stronger side)
C) Directly in front of the bed
D) At the foot of the bed
Answer: B
When transferring a patient with unilateral weakness, the chair should be positioned on the patient's stronger
side. This allows the patient to use the stronger leg and arm to pivot and support the transfer. Placing the chair on
the weaker side (A) would increase the risk of a fall.
Question 4
An LPN is caring for a patient who is postoperative and has been on bed rest for 3 days. The patient complains of
calf pain and tenderness. Which action should the LPN take FIRST?
A) Encourage the patient to walk to improve circulation
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,B) Apply warm compresses to the calf
C) Notify the RN or healthcare provider immediately and avoid massaging the leg
D) Administer a prescribed anticoagulant
Answer: C
Calf pain and tenderness in a bedridden patient are classic signs of a possible deep vein thrombosis (DVT).
Massaging the leg (B) could dislodge a thrombus, causing a pulmonary embolism. The nurse must notify the
provider immediately and avoid any manipulation of the leg. Walking (A) is contraindicated until DVT is ruled out.
Question 5
A patient with a fractured femur is on strict bed rest. The LPN is repositioning the patient. Which action is most
important to prevent skin breakdown?
A) Reposition the patient every 4 hours
B) Use a draw sheet to lift the patient, avoiding friction and shearing
C) Place pillows only under the head
D) Keep the bed linens tight and smooth
Answer: B
Using a draw sheet to lift the patient reduces friction and shearing forces, which are major contributors to
pressure injury development. Repositioning should occur at least every 2 hours (A), not 4 hours. Pillows should be
used to offload pressure points (C). Linens should be smooth but not tight (D).
Question 6
What is the correct order of steps when using a mechanical lift to transfer a patient?
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, A) Position sling, assess patient, raise bed, attach sling to lift, transfer
B) Assess patient, position sling, raise bed, attach sling to lift, transfer
C) Raise bed, assess patient, attach sling, position sling, transfer
D) Attach sling to lift, assess patient, position sling, raise bed, transfer
Answer: B
The correct sequence is: assess the patient (ensure medical stability and cooperation), position the sling under the
patient, raise the bed to a comfortable working height, attach the sling to the mechanical lift, and then perform
the transfer. Safety and patient assessment must come first.
Question 7
An LPN is preparing to assist a patient with ambulation using a walker. The patient is weak and unsteady. The
nurse should position herself:
A) In front of the patient, facing the patient
B) Behind and to the patient's weaker side
C) Beside the patient on the stronger side
D) Directly behind the patient
Answer: B
When assisting a patient with a walker, the nurse should stand behind and slightly to the patient's weaker side.
This position allows the nurse to support the patient and catch them if they start to fall, while also keeping the
walker within the patient's reach for stability.
Question 8
4|Page
TEST BANK | 100% VERIFIED
SECTION 1: SAFE PATIENT HANDLING & MOBILITY
Body Mechanics & Transfer Techniques
Question 1
An LPN is preparing to transfer a patient from the bed to a wheelchair. Which action demonstrates correct body
mechanics to prevent injury to the nurse?
A) Bending at the waist to lift the patient
B) Keeping the feet close together for stability
C) Using the large muscles of the legs and keeping the back straight
D) Twisting the torso while moving the patient
Answer: C
Proper body mechanics require using the large muscles of the legs and keeping the back straight to prevent
musculoskeletal injury. Bending at the waist (A) places excessive strain on the lumbar spine. Feet should be
shoulder-width apart (B) for a wider base of support. Twisting (D) increases the risk of spinal injury.
Question 2
A patient who is 2 days post-operative following a hip replacement is being assisted to stand for the first time.
The LPN should perform which action first?
A) Place a gait belt around the patient's waist
B) Lower the bed to the lowest position
C) Assess the patient's vital signs and pain level
1|Page
,D) Instruct the patient to push up from the bed using the arms
Answer: C
Before any mobilization, the nurse must assess the patient's stability, including vital signs and pain level.
Hypotension, tachycardia, or severe pain could indicate that the patient is not ready to ambulate. The gait belt (A)
and bed position (B) are important but should follow the initial assessment.
Question 3
A patient with left-sided weakness from a stroke is being transferred from the bed to a chair. The LPN should
position the chair:
A) On the patient's left side
B) On the patient's right side (stronger side)
C) Directly in front of the bed
D) At the foot of the bed
Answer: B
When transferring a patient with unilateral weakness, the chair should be positioned on the patient's stronger
side. This allows the patient to use the stronger leg and arm to pivot and support the transfer. Placing the chair on
the weaker side (A) would increase the risk of a fall.
Question 4
An LPN is caring for a patient who is postoperative and has been on bed rest for 3 days. The patient complains of
calf pain and tenderness. Which action should the LPN take FIRST?
A) Encourage the patient to walk to improve circulation
2|Page
,B) Apply warm compresses to the calf
C) Notify the RN or healthcare provider immediately and avoid massaging the leg
D) Administer a prescribed anticoagulant
Answer: C
Calf pain and tenderness in a bedridden patient are classic signs of a possible deep vein thrombosis (DVT).
Massaging the leg (B) could dislodge a thrombus, causing a pulmonary embolism. The nurse must notify the
provider immediately and avoid any manipulation of the leg. Walking (A) is contraindicated until DVT is ruled out.
Question 5
A patient with a fractured femur is on strict bed rest. The LPN is repositioning the patient. Which action is most
important to prevent skin breakdown?
A) Reposition the patient every 4 hours
B) Use a draw sheet to lift the patient, avoiding friction and shearing
C) Place pillows only under the head
D) Keep the bed linens tight and smooth
Answer: B
Using a draw sheet to lift the patient reduces friction and shearing forces, which are major contributors to
pressure injury development. Repositioning should occur at least every 2 hours (A), not 4 hours. Pillows should be
used to offload pressure points (C). Linens should be smooth but not tight (D).
Question 6
What is the correct order of steps when using a mechanical lift to transfer a patient?
3|Page
, A) Position sling, assess patient, raise bed, attach sling to lift, transfer
B) Assess patient, position sling, raise bed, attach sling to lift, transfer
C) Raise bed, assess patient, attach sling, position sling, transfer
D) Attach sling to lift, assess patient, position sling, raise bed, transfer
Answer: B
The correct sequence is: assess the patient (ensure medical stability and cooperation), position the sling under the
patient, raise the bed to a comfortable working height, attach the sling to the mechanical lift, and then perform
the transfer. Safety and patient assessment must come first.
Question 7
An LPN is preparing to assist a patient with ambulation using a walker. The patient is weak and unsteady. The
nurse should position herself:
A) In front of the patient, facing the patient
B) Behind and to the patient's weaker side
C) Beside the patient on the stronger side
D) Directly behind the patient
Answer: B
When assisting a patient with a walker, the nurse should stand behind and slightly to the patient's weaker side.
This position allows the nurse to support the patient and catch them if they start to fall, while also keeping the
walker within the patient's reach for stability.
Question 8
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