HESI LPN-to-ADN Entrance Exam LPN-to-RN
Bridge Program Admission Assessment | Mobility
Exams with Verified Correct Answers (2026 Latest
Update) | Graded A+
1. The primary purpose of hand hygiene is to:
A. Improve comfort
B. Prevent infection
C. Save time
D. Reduce workload
Correct Answer: B. Prevent infection
Rationale: Hand hygiene is the single most effective method to prevent the spread of healthcare-
associated infections by removing transient microorganisms.
2. Which position best prevents aspiration?
A. Supine
B. Prone
C. Semi-Fowler's
D. Trendelenburg
Correct Answer: C. Semi-Fowler's
Rationale: Semi-Fowler's position (30-45 degrees) uses gravity to help keep stomach contents
down and reduces the risk of aspiration in patients at risk.
3. A footboard is used to prevent:
A. Edema
B. Foot drop
C. Pressure ulcers
D. Muscle strain
Correct Answer: B. Foot drop
Rationale: A footboard maintains the foot in a dorsiflexed position, preventing plantar flexion
contractures (foot drop) in immobile patients.
1
,4. Which finding requires immediate reporting?
A. BP 120/80
B. RR 10/min
C. Temp 37°C
D. Pulse 78
Correct Answer: B. RR 10/min
Rationale: A respiratory rate of 10 breaths/min is below the normal adult range (12-20) and
indicates bradypnea, which requires immediate assessment and reporting.
5. Proper body mechanics include:
A. Twisting at waist
B. Wide base of support
C. Locked knees
D. Bending at back
Correct Answer: B. Wide base of support
Rationale: A wide base of support increases stability and reduces the risk of injury when lifting
or moving patients.
6. Best site for IM injection in adult:
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
Correct Answer: B. Ventrogluteal
Rationale: The ventrogluteal site is preferred for IM injections in adults because it is free of
major nerves and blood vessels and has the least risk of injury.
7. The nurse should verify patient identity using:
A. Room number
B. Bed tag
C. Two identifiers
D. Family confirmation
2
,Correct Answer: C. Two identifiers
Rationale: The Joint Commission requires at least two patient identifiers (e.g., name and date of
birth) before administering care or medication.
8. Which indicates infection?
A. Bradycardia
B. Leukocytosis
C. Hypotension
D. Cyanosis
Correct Answer: B. Leukocytosis
Rationale: Leukocytosis (elevated white blood cell count) is a common laboratory finding
indicating the body's immune response to infection.
9. Standard precautions apply to:
A. Blood only
B. All patients
C. Isolation patients
D. Surgical cases
Correct Answer: B. All patients
Rationale: Standard precautions assume all patients may carry bloodborne or airborne pathogens
and must be applied to every patient regardless of diagnosis.
10. Best way to prevent pressure ulcers:
A. Massage skin
B. Reposition frequently
C. Apply heat
D. Limit fluids
Correct Answer: B. Reposition frequently
Rationale: Frequent repositioning (at least every 2 hours) relieves pressure on bony prominences
and is the most effective preventive measure for pressure ulcers.
11. Normal adult urine output is:
A. 10 mL/hr
B. 20 mL/hr
3
, C. 30 mL/hr
D. 60 mL/hr
Correct Answer: C. 30 mL/hr
Rationale: Normal adult urine output is at least 0.5 mL/kg/hr, approximately 30 mL/hr or 400-
600 mL per 8-hour shift.
12. First action when patient falls:
A. File report
B. Assess patient
C. Call family
D. Notify supervisor
Correct Answer: B. Assess patient
Rationale: The first priority after a fall is to assess the patient for injuries before notifying the
supervisor, filing an incident report, or calling family.
13. Oxygen is considered a:
A. Nutrient
B. Medication
C. Supplement
D. Vitamin
Correct Answer: B. Medication
Rationale: Oxygen is classified as a medication and requires a prescription, with specific
dosage, route, and monitoring parameters.
14. Which task can be delegated to UAP?
A. IV meds
B. Wound assessment
C. Vital signs
D. Patient teaching
Correct Answer: C. Vital signs
Rationale: Obtaining routine vital signs on stable patients is a task that can be delegated to
unlicensed assistive personnel (UAP) in most settings.
4
Bridge Program Admission Assessment | Mobility
Exams with Verified Correct Answers (2026 Latest
Update) | Graded A+
1. The primary purpose of hand hygiene is to:
A. Improve comfort
B. Prevent infection
C. Save time
D. Reduce workload
Correct Answer: B. Prevent infection
Rationale: Hand hygiene is the single most effective method to prevent the spread of healthcare-
associated infections by removing transient microorganisms.
2. Which position best prevents aspiration?
A. Supine
B. Prone
C. Semi-Fowler's
D. Trendelenburg
Correct Answer: C. Semi-Fowler's
Rationale: Semi-Fowler's position (30-45 degrees) uses gravity to help keep stomach contents
down and reduces the risk of aspiration in patients at risk.
3. A footboard is used to prevent:
A. Edema
B. Foot drop
C. Pressure ulcers
D. Muscle strain
Correct Answer: B. Foot drop
Rationale: A footboard maintains the foot in a dorsiflexed position, preventing plantar flexion
contractures (foot drop) in immobile patients.
1
,4. Which finding requires immediate reporting?
A. BP 120/80
B. RR 10/min
C. Temp 37°C
D. Pulse 78
Correct Answer: B. RR 10/min
Rationale: A respiratory rate of 10 breaths/min is below the normal adult range (12-20) and
indicates bradypnea, which requires immediate assessment and reporting.
5. Proper body mechanics include:
A. Twisting at waist
B. Wide base of support
C. Locked knees
D. Bending at back
Correct Answer: B. Wide base of support
Rationale: A wide base of support increases stability and reduces the risk of injury when lifting
or moving patients.
6. Best site for IM injection in adult:
A. Deltoid
B. Ventrogluteal
C. Dorsogluteal
D. Vastus lateralis
Correct Answer: B. Ventrogluteal
Rationale: The ventrogluteal site is preferred for IM injections in adults because it is free of
major nerves and blood vessels and has the least risk of injury.
7. The nurse should verify patient identity using:
A. Room number
B. Bed tag
C. Two identifiers
D. Family confirmation
2
,Correct Answer: C. Two identifiers
Rationale: The Joint Commission requires at least two patient identifiers (e.g., name and date of
birth) before administering care or medication.
8. Which indicates infection?
A. Bradycardia
B. Leukocytosis
C. Hypotension
D. Cyanosis
Correct Answer: B. Leukocytosis
Rationale: Leukocytosis (elevated white blood cell count) is a common laboratory finding
indicating the body's immune response to infection.
9. Standard precautions apply to:
A. Blood only
B. All patients
C. Isolation patients
D. Surgical cases
Correct Answer: B. All patients
Rationale: Standard precautions assume all patients may carry bloodborne or airborne pathogens
and must be applied to every patient regardless of diagnosis.
10. Best way to prevent pressure ulcers:
A. Massage skin
B. Reposition frequently
C. Apply heat
D. Limit fluids
Correct Answer: B. Reposition frequently
Rationale: Frequent repositioning (at least every 2 hours) relieves pressure on bony prominences
and is the most effective preventive measure for pressure ulcers.
11. Normal adult urine output is:
A. 10 mL/hr
B. 20 mL/hr
3
, C. 30 mL/hr
D. 60 mL/hr
Correct Answer: C. 30 mL/hr
Rationale: Normal adult urine output is at least 0.5 mL/kg/hr, approximately 30 mL/hr or 400-
600 mL per 8-hour shift.
12. First action when patient falls:
A. File report
B. Assess patient
C. Call family
D. Notify supervisor
Correct Answer: B. Assess patient
Rationale: The first priority after a fall is to assess the patient for injuries before notifying the
supervisor, filing an incident report, or calling family.
13. Oxygen is considered a:
A. Nutrient
B. Medication
C. Supplement
D. Vitamin
Correct Answer: B. Medication
Rationale: Oxygen is classified as a medication and requires a prescription, with specific
dosage, route, and monitoring parameters.
14. Which task can be delegated to UAP?
A. IV meds
B. Wound assessment
C. Vital signs
D. Patient teaching
Correct Answer: C. Vital signs
Rationale: Obtaining routine vital signs on stable patients is a task that can be delegated to
unlicensed assistive personnel (UAP) in most settings.
4
