HESI LPN-TO-ADN ENTRANCE EXAM MOBILITY FOCUS – ELSEVIER EVOLVE
COMPREHENSIVE MOBILITY & SAFE PATIENT HANDLING COMPETENCY
ASSESSMENT COMPLETE PRACTICE TEST BANK QUESTIONS AND ANSWERS |
VERIFIED SOLUTIONS | UPDATED 2026/2027 STUDY GUIDE
Examiner/Administrator: Elsevier Evolve
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
HESI LPN-TO-ADN ENTRANCE EXAM MOBILITY FOCUS – SAFE PATIENT HANDLING
& PATIENT MOBILITY COMPETENCY ASSESSMENT
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
120 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 75%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Patient Mobility Assessment
Safe Patient Handling Principles
Transfer Techniques
Assistive Devices & Equipment
Fall Prevention & Risk Reduction
Body Mechanics & Ergonomics
Neurological & Musculoskeletal Considerations
Postoperative Mobility Management
Interprofessional Communication
Patient Safety & Clinical Judgment
ELSEVIER EVOLVE COMPETENCY ASSESSMENT PROGRAM || ALIGNED WITH CURRENT
NURSING EDUCATION MOBILITY STANDARDS || SAFE PATIENT HANDLING
PRINCIPLES || PROFESSIONAL STUDY GUIDE || 100% VERIFIED | GRADED A+ ||
COMPREHENSIVE EXAM PREPARATION || PREPARED FOR LPN-TO-ADN TRANSITION ||
PROFESSIONAL EXAMINATION USE
,PATIENT MOBILITY ASSESSMENT & SAFE PATIENT HANDLING
Q1. A nurse is preparing to assist a hospitalized patient from bed to chair. The patient
can bear weight on one leg but becomes fatigued quickly. Which action best reflects
appropriate mobility assessment before transfer?
A. Transfer the patient independently because one leg can bear weight.
B. Assess strength, balance, cognition, and weight-bearing status before selecting a
transfer method.
C. Use a mechanical lift for all transfers regardless of assessment findings.
D. Ask the patient whether assistance is needed and proceed accordingly.
Correct Answer: 🔴 B. Assess strength, balance, cognition, and weight-bearing
status before selecting a transfer method.
Explanation: 🔹 Comprehensive mobility assessment is the foundation of safe patient
handling. Nurses must evaluate physical strength, balance, cognition, ability to follow
instructions, and weight-bearing capacity before choosing a transfer technique. Option
A ignores critical assessment factors. Option C may result in unnecessary equipment
use. Option D relies solely on patient perception rather than objective assessment.
Q2. A patient recovering from a stroke has right-sided weakness and requires
assistance moving from bed to wheelchair. Which placement of the wheelchair is
most appropriate?
A. On the patient's weak side
B. At the foot of the bed
C. On the patient's strong side with brakes locked
D. Several feet away to encourage independence
Correct Answer: 🔴 C. On the patient's strong side with brakes locked
Explanation: 🔹 Positioning the wheelchair on the stronger side maximizes the patient's
remaining functional ability and reduces fall risk. Locked brakes prevent movement
,during transfer. Placement on the weak side increases difficulty and instability. Distance
from the bed creates unnecessary hazards.
Q3. Which patient presents the highest risk for mobility-related injury during
transfer?
A. Alert patient with partial weight-bearing status
B. Ambulatory patient with a cane
C. Confused patient unable to follow commands and unable to bear weight
D. Patient recovering from minor surgery
Correct Answer: 🔴 C. Confused patient unable to follow commands and unable to
bear weight
Explanation: 🔹 Inability to follow directions combined with inability to bear weight
creates significant safety concerns. Such patients frequently require advanced lifting
equipment and multiple caregivers. The other patients retain some degree of mobility
or cognitive function that lowers transfer risk.
Q4. A nurse identifies a patient as a high fall risk. Which intervention is most effective
in preventing injury during mobility activities?
A. Encouraging the patient to ambulate independently
B. Removing assistive devices from the room
C. Implementing a mobility plan tailored to the patient's assessed abilities
D. Restricting all movement
Correct Answer: 🔴 C. Implementing a mobility plan tailored to the patient's
assessed abilities
Explanation: 🔹 Individualized mobility planning balances safety and mobility
promotion. Restricting movement can lead to deconditioning. Independent ambulation
without support increases risk. Assistive devices often enhance safety rather than
compromise it.
, Q5. During assessment, a patient reports dizziness when standing. What should the
nurse do first?
A. Proceed with ambulation using a gait belt
B. Document the complaint after ambulation
C. Assess orthostatic tolerance and delay ambulation if instability persists
D. Encourage the patient to walk despite symptoms
Correct Answer: 🔴 C. Assess orthostatic tolerance and delay ambulation if
instability persists
Explanation: 🔹 Dizziness may indicate orthostatic hypotension or impaired perfusion.
Assessment must occur before mobility activities. Ambulating a symptomatic patient
increases fall risk. Documentation alone does not address immediate safety concerns.
Q6. Which assessment finding most strongly indicates the need for a mechanical lift?
A. Independent standing ability
B. Partial assistance requirement
C. Non-weight-bearing status with inability to assist in transfer
D. Mild postoperative discomfort
Correct Answer: 🔴 C. Non-weight-bearing status with inability to assist in transfer
Explanation: 🔹 Mechanical lifts are indicated when patients cannot safely contribute
to the transfer process. This protects both patient and staff from injury. Patients who
can assist may be appropriate for other transfer methods.
Q7. A patient has a Mobility Assessment Score indicating moderate assistance is
required. Which intervention is most appropriate?
A. Independent ambulation
B. Transfer with one trained caregiver and appropriate equipment
COMPREHENSIVE MOBILITY & SAFE PATIENT HANDLING COMPETENCY
ASSESSMENT COMPLETE PRACTICE TEST BANK QUESTIONS AND ANSWERS |
VERIFIED SOLUTIONS | UPDATED 2026/2027 STUDY GUIDE
Examiner/Administrator: Elsevier Evolve
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
HESI LPN-TO-ADN ENTRANCE EXAM MOBILITY FOCUS – SAFE PATIENT HANDLING
& PATIENT MOBILITY COMPETENCY ASSESSMENT
2026/2027 EDITION
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
COMPLETE PRACTICE EXAM
120 MULTIPLE-CHOICE QUESTIONS
PASSING SCORE: 75%
TESTING TIME: 120 MINUTES
━━━━━━━━━━━━━━━━━━━━━━━━━━━━
TABLE OF CONTENTS
Patient Mobility Assessment
Safe Patient Handling Principles
Transfer Techniques
Assistive Devices & Equipment
Fall Prevention & Risk Reduction
Body Mechanics & Ergonomics
Neurological & Musculoskeletal Considerations
Postoperative Mobility Management
Interprofessional Communication
Patient Safety & Clinical Judgment
ELSEVIER EVOLVE COMPETENCY ASSESSMENT PROGRAM || ALIGNED WITH CURRENT
NURSING EDUCATION MOBILITY STANDARDS || SAFE PATIENT HANDLING
PRINCIPLES || PROFESSIONAL STUDY GUIDE || 100% VERIFIED | GRADED A+ ||
COMPREHENSIVE EXAM PREPARATION || PREPARED FOR LPN-TO-ADN TRANSITION ||
PROFESSIONAL EXAMINATION USE
,PATIENT MOBILITY ASSESSMENT & SAFE PATIENT HANDLING
Q1. A nurse is preparing to assist a hospitalized patient from bed to chair. The patient
can bear weight on one leg but becomes fatigued quickly. Which action best reflects
appropriate mobility assessment before transfer?
A. Transfer the patient independently because one leg can bear weight.
B. Assess strength, balance, cognition, and weight-bearing status before selecting a
transfer method.
C. Use a mechanical lift for all transfers regardless of assessment findings.
D. Ask the patient whether assistance is needed and proceed accordingly.
Correct Answer: 🔴 B. Assess strength, balance, cognition, and weight-bearing
status before selecting a transfer method.
Explanation: 🔹 Comprehensive mobility assessment is the foundation of safe patient
handling. Nurses must evaluate physical strength, balance, cognition, ability to follow
instructions, and weight-bearing capacity before choosing a transfer technique. Option
A ignores critical assessment factors. Option C may result in unnecessary equipment
use. Option D relies solely on patient perception rather than objective assessment.
Q2. A patient recovering from a stroke has right-sided weakness and requires
assistance moving from bed to wheelchair. Which placement of the wheelchair is
most appropriate?
A. On the patient's weak side
B. At the foot of the bed
C. On the patient's strong side with brakes locked
D. Several feet away to encourage independence
Correct Answer: 🔴 C. On the patient's strong side with brakes locked
Explanation: 🔹 Positioning the wheelchair on the stronger side maximizes the patient's
remaining functional ability and reduces fall risk. Locked brakes prevent movement
,during transfer. Placement on the weak side increases difficulty and instability. Distance
from the bed creates unnecessary hazards.
Q3. Which patient presents the highest risk for mobility-related injury during
transfer?
A. Alert patient with partial weight-bearing status
B. Ambulatory patient with a cane
C. Confused patient unable to follow commands and unable to bear weight
D. Patient recovering from minor surgery
Correct Answer: 🔴 C. Confused patient unable to follow commands and unable to
bear weight
Explanation: 🔹 Inability to follow directions combined with inability to bear weight
creates significant safety concerns. Such patients frequently require advanced lifting
equipment and multiple caregivers. The other patients retain some degree of mobility
or cognitive function that lowers transfer risk.
Q4. A nurse identifies a patient as a high fall risk. Which intervention is most effective
in preventing injury during mobility activities?
A. Encouraging the patient to ambulate independently
B. Removing assistive devices from the room
C. Implementing a mobility plan tailored to the patient's assessed abilities
D. Restricting all movement
Correct Answer: 🔴 C. Implementing a mobility plan tailored to the patient's
assessed abilities
Explanation: 🔹 Individualized mobility planning balances safety and mobility
promotion. Restricting movement can lead to deconditioning. Independent ambulation
without support increases risk. Assistive devices often enhance safety rather than
compromise it.
, Q5. During assessment, a patient reports dizziness when standing. What should the
nurse do first?
A. Proceed with ambulation using a gait belt
B. Document the complaint after ambulation
C. Assess orthostatic tolerance and delay ambulation if instability persists
D. Encourage the patient to walk despite symptoms
Correct Answer: 🔴 C. Assess orthostatic tolerance and delay ambulation if
instability persists
Explanation: 🔹 Dizziness may indicate orthostatic hypotension or impaired perfusion.
Assessment must occur before mobility activities. Ambulating a symptomatic patient
increases fall risk. Documentation alone does not address immediate safety concerns.
Q6. Which assessment finding most strongly indicates the need for a mechanical lift?
A. Independent standing ability
B. Partial assistance requirement
C. Non-weight-bearing status with inability to assist in transfer
D. Mild postoperative discomfort
Correct Answer: 🔴 C. Non-weight-bearing status with inability to assist in transfer
Explanation: 🔹 Mechanical lifts are indicated when patients cannot safely contribute
to the transfer process. This protects both patient and staff from injury. Patients who
can assist may be appropriate for other transfer methods.
Q7. A patient has a Mobility Assessment Score indicating moderate assistance is
required. Which intervention is most appropriate?
A. Independent ambulation
B. Transfer with one trained caregiver and appropriate equipment
