Mobility HESI Exam Questions and
Answers 100% Pass
The client states the pain level in his right foot is 8 on a scale of 1 to 10. He says
he has been favoring his foot by staying in bed the past week. Client was
prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed for
moderate to severe pain. Morphine is available in parenteral dose of 2mg/mL.
How much medication should the nurse draw up for administration? (Patient
weighs 140 lbs on admission). (Enter the numerical value only. If rounding is
necessary, round to the nearest tenth). - ANSWER-1.6 mL
2.2 lbs in a kilogram
140lbs /2.2kg = 63kg
63kg x 0.05 mg = 3.15 mg
3.15mg /2 mL = 1.575 mL
rounded to nearest tenth = 1.6mL
Before giving the initial dose of pain medication or antibiotic, which action should
the nurse take first?
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,A. Ask the client what liquid he would like to drink to swallow the pill.
B. Teach the client the side effects of the medication.
C. Ask the client if he is aware of any allergies to medications.
D. Instruct the client to sit upright to swallow the medication. - ANSWER-C. Ask
the client if he is aware of any allergies to medications.
This action should be taken first since this is the initial dose of a new medication.
It is important to verify any allergies. Clients sometimes recall additional allergies
after the initial admission history has been taken.
When the client's foot pain is controlled, which nursing diagnosis should take
priority ?
A. Risk for caregiver role strain.
B. Risk for social isolation.
C. Impaired physical mobility.
D. Imbalanced nutrition: more than body requirements. - ANSWER-C. Impaired
physical mobility.
The client's limited activities support this nursing diagnosis. Improving mobility is
a nursing priority to prevent the many potential complications of immobility.
Which goal is correct for the client's diagnosis of impaired physical mobility?
A. The client will transfer to the chair with assist of one person.
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, B. The nurse will reposition the client every hour while the client is awake.
C. The nurse will assist the client to ambulate in the hall by the second hospital
day.
D. The client will sit in the chair for each meal beginning on the day of admission.
- ANSWER-D. The client will sit in the chair for each meal beginning on the day
of admission.
This is a correctly stated goal. The client is always the subject of the goal, and the
action is always measurable. This goal includes what the client is to achieve and
sets a realistic deadline.
The client is reluctant to move in the bed or move to the chair. He likes his wife to
place a pillow under his knee. The nurse informs the client and his wife that the
primary care physician (PCP) has ordered enoxaparin injections and antiembolic
stockings. The nurse then performs a physical assessment, which reveals
diminished dorsalis pedis pulses bilaterally. Which instructions should the nurse
convey to help prevent venous thromboembolism (VTE) in the client's legs?
(Select all that apply)
A. Encourage the client to use the incentive spirometer 10 times an hour while
awake.
B. Teach the client to dorsal flex and plantar flex his feet while in the bed and
chair.
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Answers 100% Pass
The client states the pain level in his right foot is 8 on a scale of 1 to 10. He says
he has been favoring his foot by staying in bed the past week. Client was
prescribed morphine IV 0.05mg/kg/dose now and every 2 hours as needed for
moderate to severe pain. Morphine is available in parenteral dose of 2mg/mL.
How much medication should the nurse draw up for administration? (Patient
weighs 140 lbs on admission). (Enter the numerical value only. If rounding is
necessary, round to the nearest tenth). - ANSWER-1.6 mL
2.2 lbs in a kilogram
140lbs /2.2kg = 63kg
63kg x 0.05 mg = 3.15 mg
3.15mg /2 mL = 1.575 mL
rounded to nearest tenth = 1.6mL
Before giving the initial dose of pain medication or antibiotic, which action should
the nurse take first?
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
,A. Ask the client what liquid he would like to drink to swallow the pill.
B. Teach the client the side effects of the medication.
C. Ask the client if he is aware of any allergies to medications.
D. Instruct the client to sit upright to swallow the medication. - ANSWER-C. Ask
the client if he is aware of any allergies to medications.
This action should be taken first since this is the initial dose of a new medication.
It is important to verify any allergies. Clients sometimes recall additional allergies
after the initial admission history has been taken.
When the client's foot pain is controlled, which nursing diagnosis should take
priority ?
A. Risk for caregiver role strain.
B. Risk for social isolation.
C. Impaired physical mobility.
D. Imbalanced nutrition: more than body requirements. - ANSWER-C. Impaired
physical mobility.
The client's limited activities support this nursing diagnosis. Improving mobility is
a nursing priority to prevent the many potential complications of immobility.
Which goal is correct for the client's diagnosis of impaired physical mobility?
A. The client will transfer to the chair with assist of one person.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
, B. The nurse will reposition the client every hour while the client is awake.
C. The nurse will assist the client to ambulate in the hall by the second hospital
day.
D. The client will sit in the chair for each meal beginning on the day of admission.
- ANSWER-D. The client will sit in the chair for each meal beginning on the day
of admission.
This is a correctly stated goal. The client is always the subject of the goal, and the
action is always measurable. This goal includes what the client is to achieve and
sets a realistic deadline.
The client is reluctant to move in the bed or move to the chair. He likes his wife to
place a pillow under his knee. The nurse informs the client and his wife that the
primary care physician (PCP) has ordered enoxaparin injections and antiembolic
stockings. The nurse then performs a physical assessment, which reveals
diminished dorsalis pedis pulses bilaterally. Which instructions should the nurse
convey to help prevent venous thromboembolism (VTE) in the client's legs?
(Select all that apply)
A. Encourage the client to use the incentive spirometer 10 times an hour while
awake.
B. Teach the client to dorsal flex and plantar flex his feet while in the bed and
chair.
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 3
