HESI LPN-ADN Entrance Exam Mobility Focus 2026/2027 – Elsevier Evolve – Comprehensive Mobility & Safe Patient Handling Competency Assessment for LPN-to-ADN Transition

HESI LPN-ADN Entrance Exam
Mobility Focus 2026/2027 – Elsevier
Evolve – Comprehensive Mobility &
Safe Patient Handling Competency
Assessment for LPN-to-ADN
Transition
Topic 1 — Mobility, Body Mechanics & Safe Transfers
(Questions 1–30)

1. A nurse is assisting a patient with left-sided weakness to
transfer from the bed to a wheelchair. Where should the
nurse position the wheelchair?

 A. Parallel to the bed on the patient’s weak side
 B. Parallel to the bed on the patient’s strong side
 C. At the foot of the bed
 D. Facing away from the bed

Correct Answer: B
Rationale: Positioning the wheelchair on the strong side allows
the patient to pivot toward the stronger leg and push up with the
stronger arm, making the transfer safer and more stable. Placing it
on the weak side would make the pivot more difficult and
increase fall risk.

,2. Which gait pattern is most appropriate for a patient with
weakness in both legs and poor coordination?

 A. Two-point gait
 B. Four-point gait
 C. Swing-to gait
 D. Three-point gait

Correct Answer: B
Rationale: A four-point gait provides maximum stability because
it keeps three points of contact with the ground at all times. It is
ideal for patients with bilateral weakness or poor coordination,
although it does require the patient to be able to perform an
alternating pattern.




3. A patient with a right below-knee amputation (BKA) is
learning to use crutches. Which gait should the nurse teach
for weight bearing on the left leg only?

 A. Two-point gait
 B. Three-point gait
 C. Four-point gait
 D. Swing-to gait

Correct Answer: B
Rationale: A three-point gait uses both crutches and the
unaffected leg to bear weight, with the affected leg lifted. This
pattern is appropriate for a patient who cannot bear weight on
one leg.

,4. A patient with Parkinson’s disease has a shuffling gait.
Which instruction should the nurse give to improve safety?

 A. Walk with a wide base and lift feet deliberately
 B. Take short, rapid steps
 C. Look at the floor while walking
 D. Use a wheelchair at all times

Correct Answer: A
Rationale: Consciously lifting the feet and using a wide base of
support helps overcome the freezing episodes and shuffling gait
seen in Parkinson’s disease. Visual cues and deliberate stepping
improve safety.




5. Which assistive device provides the greatest stability?

 A. Single-point cane
 B. Quad cane
 C. Walker
 D. Crutches

Correct Answer: C
Rationale: A walker provides the greatest stability because it
offers a wide base of support and allows the patient to bear
weight through both upper extremities.

, 6. A nurse is teaching a patient about using a cane. Which
statement indicates correct understanding?

 A. “I will hold the cane on my weak side.”
 B. “I will move the cane forward at the same time as my weak
leg.”
 C. “I will hold the cane on my strong side and move it with
my weak leg.”
 D. “I will hold the cane on my weak side and move it with my
strong leg.”

Correct Answer: C
Rationale: The cane is held on the strong side to support the
weak leg. The cane moves forward with the weak leg to provide
stability.




7. To prevent plantar flexion contractures in a patient on
strict bed rest, the nurse should:

 A. Place a pillow under the knees
 B. Apply a footboard or high-top sneakers
 C. Remove all bedding from the feet
 D. Perform range of motion once a week

Correct Answer: B
Rationale: Footboards or sneakers maintain dorsiflexion,
preventing foot drop (plantar flexion contracture). Pillows under
the knees increase the risk of flexion contracture.