HESI LPN–ADN ENTRANCE EXAM 2026/2027
MOBILITY SECTION PRACTICE TEST |
VERIFIED Q&A WITH DETAILED RATIONALES
| A+ GRADED HESI A2 PREP
• This practice test contains 200 carefully curated HESI LPN–ADN Entrance Exam
questions for the Mobility Section, designed to mirror the actual exam format with
verified answers and detailed EXPERT RATIONALE to strengthen your
understanding.
• Study tip: Work through each question independently before checking the correct
answer and EXPERT RATIONALE — use the EXPERT RATIONALE to reinforce why
the answer is correct, not just what it is.
HESI LPN–ADN ENTRANCE EXAM 2026/2027 MOBILITY SECTION PRACTICE TEST
| 200 QUESTIONS
1. A nurse is caring for a client who has been on bed rest for 5 days. Which
finding is the earliest sign of a pressure injury?
A. Blister formation over the sacrum
B. Open wound with necrotic tissue
C. Pale, blanched skin over a bony prominence
D. Non-blanchable redness over a bony prominence
E. Deep tissue discoloration with purple hue
CORRECT ANSWER: D. Non-blanchable redness over a bony prominence
EXPERT RATIONALE: Non-blanchable erythema (redness that does not turn
white when pressed) is the hallmark of a Stage 1 pressure injury, the earliest
identifiable stage. It indicates tissue damage has begun but the skin remains intact.
2. A client is being assisted to ambulate for the first time after surgery. The
client begins to feel faint. What is the nurse's priority action?
,A. Call for help immediately
B. Have the client sit down in a chair
C. Lower the client to the floor safely
D. Return the client to bed immediately
E. Encourage the client to take deep breaths and continue walking
CORRECT ANSWER: C. Lower the client to the floor safely
EXPERT RATIONALE: If a client begins to faint during ambulation, the priority is
to prevent injury by lowering the client gently to the floor. Attempting to return the
client to bed or chair risks a fall. Safety is always the priority.
3. Which position is most appropriate for a client following a total hip
replacement?
A. Prone with legs abducted
B. Side-lying with knees flexed past 90 degrees
C. Supine with legs crossed at the ankles
D. Semi-Fowler's with legs elevated
E. Supine with legs abducted using an abductor pillow
CORRECT ANSWER: E. Supine with legs abducted using an abductor pillow
EXPERT RATIONALE: After total hip replacement, the hip must be kept
abducted and not flexed beyond 90 degrees to prevent dislocation. An abductor
pillow maintains proper alignment and reduces dislocation risk.
4. A nurse is teaching a client how to use axillary crutches. Which instruction
is correct regarding stair climbing going up?
A. Lead with the crutches, then bring both feet up together
B. Lead with the weaker leg, then bring the crutches up
,C. Lead with the stronger leg, then bring the crutches and weaker leg up
D. Place both crutches on the upper step first, then move both legs
E. Alternate legs with each step just as in normal walking
CORRECT ANSWER: C. Lead with the stronger leg, then bring the crutches
and weaker leg up
EXPERT RATIONALE: The mnemonic "up with the good, down with the bad"
applies here. When going up stairs, the stronger (unaffected) leg leads to bear the
body weight, followed by the crutches and weaker leg.
5. A client has a new prescription for a walker. Which client action indicates
correct use of the walker?
A. The client lifts the walker and places it 12 inches ahead, then steps into it
B. The client slides the walker forward and shuffles feet to meet it
C. The client lifts all four legs of the walker simultaneously and moves it forward
D. The client leans heavily on the walker and drags feet forward
E. The client moves the walker to the side to provide lateral support
CORRECT ANSWER: A. The client lifts the walker and places it 12 inches
ahead, then steps into it
EXPERT RATIONALE: Correct walker use involves lifting and advancing the
walker approximately 12 inches, then stepping into the walker — weak leg first,
then strong leg. Sliding or dragging reduces stability and increases fall risk.
6. The nurse is assessing a client's gait. Which observation indicates an
abnormal gait pattern?
A. Smooth heel-to-toe movement bilaterally
B. Equal arm swing on both sides
, C. Upright posture with slight forward lean
D. Circumduction of one lower extremity
E. Step length equal on both sides
CORRECT ANSWER: D. Circumduction of one lower extremity
EXPERT RATIONALE: Circumduction — swinging the leg outward in a circular
motion — is abnormal and is commonly seen in clients with hemiplegia or
spasticity. It compensates for the inability to flex the hip or knee adequately.
7. A nurse is performing range-of-motion (ROM) exercises on a client. Which
principle should guide the nurse's actions?
A. Move each joint as quickly as possible to complete the exercises efficiently
B. Move each joint to the point of pain to ensure maximum benefit
C. Support the joint above and below when performing ROM exercises
D. Perform ROM exercises only on the affected limbs
E. Avoid performing ROM on joints with mild stiffness
CORRECT ANSWER: C. Support the joint above and below when performing
ROM exercises
EXPERT RATIONALE: Supporting the joint proximally and distally during ROM
prevents injury, reduces discomfort, and ensures proper joint mechanics. ROM
should be performed to the point of resistance, not pain.
8. A client is prescribed bed rest. Which complication is the nurse most
concerned about related to immobility?
A. Hypertension
B. Deep vein thrombosis (DVT)
C. Increased muscle mass
MOBILITY SECTION PRACTICE TEST |
VERIFIED Q&A WITH DETAILED RATIONALES
| A+ GRADED HESI A2 PREP
• This practice test contains 200 carefully curated HESI LPN–ADN Entrance Exam
questions for the Mobility Section, designed to mirror the actual exam format with
verified answers and detailed EXPERT RATIONALE to strengthen your
understanding.
• Study tip: Work through each question independently before checking the correct
answer and EXPERT RATIONALE — use the EXPERT RATIONALE to reinforce why
the answer is correct, not just what it is.
HESI LPN–ADN ENTRANCE EXAM 2026/2027 MOBILITY SECTION PRACTICE TEST
| 200 QUESTIONS
1. A nurse is caring for a client who has been on bed rest for 5 days. Which
finding is the earliest sign of a pressure injury?
A. Blister formation over the sacrum
B. Open wound with necrotic tissue
C. Pale, blanched skin over a bony prominence
D. Non-blanchable redness over a bony prominence
E. Deep tissue discoloration with purple hue
CORRECT ANSWER: D. Non-blanchable redness over a bony prominence
EXPERT RATIONALE: Non-blanchable erythema (redness that does not turn
white when pressed) is the hallmark of a Stage 1 pressure injury, the earliest
identifiable stage. It indicates tissue damage has begun but the skin remains intact.
2. A client is being assisted to ambulate for the first time after surgery. The
client begins to feel faint. What is the nurse's priority action?
,A. Call for help immediately
B. Have the client sit down in a chair
C. Lower the client to the floor safely
D. Return the client to bed immediately
E. Encourage the client to take deep breaths and continue walking
CORRECT ANSWER: C. Lower the client to the floor safely
EXPERT RATIONALE: If a client begins to faint during ambulation, the priority is
to prevent injury by lowering the client gently to the floor. Attempting to return the
client to bed or chair risks a fall. Safety is always the priority.
3. Which position is most appropriate for a client following a total hip
replacement?
A. Prone with legs abducted
B. Side-lying with knees flexed past 90 degrees
C. Supine with legs crossed at the ankles
D. Semi-Fowler's with legs elevated
E. Supine with legs abducted using an abductor pillow
CORRECT ANSWER: E. Supine with legs abducted using an abductor pillow
EXPERT RATIONALE: After total hip replacement, the hip must be kept
abducted and not flexed beyond 90 degrees to prevent dislocation. An abductor
pillow maintains proper alignment and reduces dislocation risk.
4. A nurse is teaching a client how to use axillary crutches. Which instruction
is correct regarding stair climbing going up?
A. Lead with the crutches, then bring both feet up together
B. Lead with the weaker leg, then bring the crutches up
,C. Lead with the stronger leg, then bring the crutches and weaker leg up
D. Place both crutches on the upper step first, then move both legs
E. Alternate legs with each step just as in normal walking
CORRECT ANSWER: C. Lead with the stronger leg, then bring the crutches
and weaker leg up
EXPERT RATIONALE: The mnemonic "up with the good, down with the bad"
applies here. When going up stairs, the stronger (unaffected) leg leads to bear the
body weight, followed by the crutches and weaker leg.
5. A client has a new prescription for a walker. Which client action indicates
correct use of the walker?
A. The client lifts the walker and places it 12 inches ahead, then steps into it
B. The client slides the walker forward and shuffles feet to meet it
C. The client lifts all four legs of the walker simultaneously and moves it forward
D. The client leans heavily on the walker and drags feet forward
E. The client moves the walker to the side to provide lateral support
CORRECT ANSWER: A. The client lifts the walker and places it 12 inches
ahead, then steps into it
EXPERT RATIONALE: Correct walker use involves lifting and advancing the
walker approximately 12 inches, then stepping into the walker — weak leg first,
then strong leg. Sliding or dragging reduces stability and increases fall risk.
6. The nurse is assessing a client's gait. Which observation indicates an
abnormal gait pattern?
A. Smooth heel-to-toe movement bilaterally
B. Equal arm swing on both sides
, C. Upright posture with slight forward lean
D. Circumduction of one lower extremity
E. Step length equal on both sides
CORRECT ANSWER: D. Circumduction of one lower extremity
EXPERT RATIONALE: Circumduction — swinging the leg outward in a circular
motion — is abnormal and is commonly seen in clients with hemiplegia or
spasticity. It compensates for the inability to flex the hip or knee adequately.
7. A nurse is performing range-of-motion (ROM) exercises on a client. Which
principle should guide the nurse's actions?
A. Move each joint as quickly as possible to complete the exercises efficiently
B. Move each joint to the point of pain to ensure maximum benefit
C. Support the joint above and below when performing ROM exercises
D. Perform ROM exercises only on the affected limbs
E. Avoid performing ROM on joints with mild stiffness
CORRECT ANSWER: C. Support the joint above and below when performing
ROM exercises
EXPERT RATIONALE: Supporting the joint proximally and distally during ROM
prevents injury, reduces discomfort, and ensures proper joint mechanics. ROM
should be performed to the point of resistance, not pain.
8. A client is prescribed bed rest. Which complication is the nurse most
concerned about related to immobility?
A. Hypertension
B. Deep vein thrombosis (DVT)
C. Increased muscle mass
