HESI LPN-ADN Entrance Exam Mobility
Focus ACTUAL EXAM 2026/2027 |
Comprehensive Mobility & Safe Patient
Handling | Verified Q&A | Pass
Guaranteed - A+ Graded
[Section 1: Principles of Safe Patient Handling & Body Mechanics]
Q1: A 72-year-old patient with right-sided weakness is being transferred from bed to chair. The nurse
applies the brakes on the bed and chair, raises the bed to elbow height, and instructs the patient to
assist. Which principle of body mechanics is the nurse primarily demonstrating?
A. Keeping the load close to the center of gravity
B. Using the patient's body weight as a counterbalance
C. Maintaining a wide base of support and keeping the back straight. [CORRECT]
D. Rotating the trunk instead of pivoting the feet
Correct Answer: C
Rationale: The nurse is demonstrating proper body mechanics by maintaining a wide base of support
and keeping the back straight, which reduces strain on the lumbar spine and prevents injury during
patient transfers.
Q2: An LPN is working on a med-surg unit and must reposition a 280-lb patient who is unable to assist.
The nurse has access to a ceiling lift and two coworkers. Which action by the LPN indicates
understanding of safe patient handling principles?
A. Requesting the two coworkers to manually lift the patient together to save time
B. Using the ceiling lift with a full-body sling and a two-person assist. [CORRECT]
C. Sliding the patient to the side of the bed using a draw sheet alone
D. Asking the patient to bear weight on the left leg while pulling upward
Correct Answer: B
,Rationale: Using the ceiling lift with a full-body sling and a two-person assist follows safe patient
handling protocols by eliminating manual lifting, reducing the risk of musculoskeletal injury to staff and
ensuring patient safety.
Q3: A nurse is preparing to move a patient up in bed. The nurse places the bed in Trendelenburg
position, places a friction-reducing sheet under the patient, and asks the patient to flex the knees and
push with the heels on the count of three. Which principle is the nurse applying?
A. Utilizing gravity to assist movement and encouraging patient participation. [CORRECT]
B. Using momentum to overcome patient resistance
C. Applying sustained traction to reduce friction
D. Distributing the patient's weight evenly across the bed surface
Correct Answer: A
Rationale: The nurse is using gravity (Trendelenburg position) to assist movement and encouraging
patient participation by having the patient push with the heels, which reduces the force required by
staff and promotes patient autonomy.
Q4: During a transfer from bed to wheelchair using a stand-pivot technique, a patient suddenly becomes
dizzy and says, "I feel like I'm going to fall." The nurse is standing on the patient's weak side. What is the
nurse's immediate priority?
A. Lowering the patient to the nearest surface while maintaining a wide base of support. [CORRECT]
B. Calling for additional staff to assist with the transfer
C. Instructing the patient to sit back down on the bed independently
D. Continuing the transfer quickly to minimize the patient's anxiety
Correct Answer: A
Rationale: The nurse's immediate priority is to lower the patient to the nearest surface while
maintaining a wide base of support to prevent a fall and protect both the patient and the nurse from
injury.
Q5: A nurse is caring for a patient with a 50-lb weight-bearing restriction on the left leg. When applying
a gait belt for ambulation, where should the nurse position the belt?
A. Around the patient's chest to provide upper body support
B. Around the patient's waist, over clothing, with the buckle in the front or side. [CORRECT]
C. Around the patient's hips to prevent pelvic tilting
, D. Around the patient's thighs to stabilize the lower extremities
Correct Answer: B
Rationale: The gait belt should be positioned around the patient's waist, over clothing, with the buckle in
the front or side to provide a secure handhold for the nurse while allowing the patient to maintain
proper posture and balance during ambulation.
Q6: An LPN is working in a long-term care facility and notices a coworker manually lifting a patient from
the floor to the bed without assistive devices. The coworker states, "I've been doing this for 20 years."
What is the LPN's best next action?
A. Reporting the coworker to the state board of nursing immediately
B. Offering to help the coworker manually lift the patient
C. Reminding the coworker of the facility's no-lift policy and offering to obtain a mechanical lift.
[CORRECT]
D. Documenting the incident in the patient's medical record
Correct Answer: C
Rationale: Reminding the coworker of the facility's no-lift policy and offering to obtain a mechanical lift
promotes a culture of safety, protects staff from injury, and aligns with evidence-based safe patient
handling practices.
Q7: A nurse is preparing to logroll a patient with a spinal cord injury. The patient is supine, and the nurse
has three coworkers available. Which positioning of staff members is correct for this procedure?
A. One nurse at the head, one at the torso, and one at the legs, all on the same side of the bed
B. Two nurses on the side toward which the patient will roll, one at the head and one at the torso, with
the third nurse placing a pillow behind the back. [CORRECT]
C. One nurse at the head, one at the feet, and one at the side pulling the draw sheet
D. All three nurses on opposite sides of the bed pulling the patient toward them
Correct Answer: B
Rationale: Two nurses on the side toward which the patient will roll (one at the head and one at the
torso) with the third nurse placing a pillow behind the back ensures the patient is moved as a single unit
without twisting the spine, maintaining spinal alignment.
Q8: A patient who weighs 190 lbs and is partially weight-bearing is being transferred from a chair to a
bed using a slide board. The nurse has placed the board under the patient's buttocks and is preparing to
assist. Which action by the nurse demonstrates proper technique?
Focus ACTUAL EXAM 2026/2027 |
Comprehensive Mobility & Safe Patient
Handling | Verified Q&A | Pass
Guaranteed - A+ Graded
[Section 1: Principles of Safe Patient Handling & Body Mechanics]
Q1: A 72-year-old patient with right-sided weakness is being transferred from bed to chair. The nurse
applies the brakes on the bed and chair, raises the bed to elbow height, and instructs the patient to
assist. Which principle of body mechanics is the nurse primarily demonstrating?
A. Keeping the load close to the center of gravity
B. Using the patient's body weight as a counterbalance
C. Maintaining a wide base of support and keeping the back straight. [CORRECT]
D. Rotating the trunk instead of pivoting the feet
Correct Answer: C
Rationale: The nurse is demonstrating proper body mechanics by maintaining a wide base of support
and keeping the back straight, which reduces strain on the lumbar spine and prevents injury during
patient transfers.
Q2: An LPN is working on a med-surg unit and must reposition a 280-lb patient who is unable to assist.
The nurse has access to a ceiling lift and two coworkers. Which action by the LPN indicates
understanding of safe patient handling principles?
A. Requesting the two coworkers to manually lift the patient together to save time
B. Using the ceiling lift with a full-body sling and a two-person assist. [CORRECT]
C. Sliding the patient to the side of the bed using a draw sheet alone
D. Asking the patient to bear weight on the left leg while pulling upward
Correct Answer: B
,Rationale: Using the ceiling lift with a full-body sling and a two-person assist follows safe patient
handling protocols by eliminating manual lifting, reducing the risk of musculoskeletal injury to staff and
ensuring patient safety.
Q3: A nurse is preparing to move a patient up in bed. The nurse places the bed in Trendelenburg
position, places a friction-reducing sheet under the patient, and asks the patient to flex the knees and
push with the heels on the count of three. Which principle is the nurse applying?
A. Utilizing gravity to assist movement and encouraging patient participation. [CORRECT]
B. Using momentum to overcome patient resistance
C. Applying sustained traction to reduce friction
D. Distributing the patient's weight evenly across the bed surface
Correct Answer: A
Rationale: The nurse is using gravity (Trendelenburg position) to assist movement and encouraging
patient participation by having the patient push with the heels, which reduces the force required by
staff and promotes patient autonomy.
Q4: During a transfer from bed to wheelchair using a stand-pivot technique, a patient suddenly becomes
dizzy and says, "I feel like I'm going to fall." The nurse is standing on the patient's weak side. What is the
nurse's immediate priority?
A. Lowering the patient to the nearest surface while maintaining a wide base of support. [CORRECT]
B. Calling for additional staff to assist with the transfer
C. Instructing the patient to sit back down on the bed independently
D. Continuing the transfer quickly to minimize the patient's anxiety
Correct Answer: A
Rationale: The nurse's immediate priority is to lower the patient to the nearest surface while
maintaining a wide base of support to prevent a fall and protect both the patient and the nurse from
injury.
Q5: A nurse is caring for a patient with a 50-lb weight-bearing restriction on the left leg. When applying
a gait belt for ambulation, where should the nurse position the belt?
A. Around the patient's chest to provide upper body support
B. Around the patient's waist, over clothing, with the buckle in the front or side. [CORRECT]
C. Around the patient's hips to prevent pelvic tilting
, D. Around the patient's thighs to stabilize the lower extremities
Correct Answer: B
Rationale: The gait belt should be positioned around the patient's waist, over clothing, with the buckle in
the front or side to provide a secure handhold for the nurse while allowing the patient to maintain
proper posture and balance during ambulation.
Q6: An LPN is working in a long-term care facility and notices a coworker manually lifting a patient from
the floor to the bed without assistive devices. The coworker states, "I've been doing this for 20 years."
What is the LPN's best next action?
A. Reporting the coworker to the state board of nursing immediately
B. Offering to help the coworker manually lift the patient
C. Reminding the coworker of the facility's no-lift policy and offering to obtain a mechanical lift.
[CORRECT]
D. Documenting the incident in the patient's medical record
Correct Answer: C
Rationale: Reminding the coworker of the facility's no-lift policy and offering to obtain a mechanical lift
promotes a culture of safety, protects staff from injury, and aligns with evidence-based safe patient
handling practices.
Q7: A nurse is preparing to logroll a patient with a spinal cord injury. The patient is supine, and the nurse
has three coworkers available. Which positioning of staff members is correct for this procedure?
A. One nurse at the head, one at the torso, and one at the legs, all on the same side of the bed
B. Two nurses on the side toward which the patient will roll, one at the head and one at the torso, with
the third nurse placing a pillow behind the back. [CORRECT]
C. One nurse at the head, one at the feet, and one at the side pulling the draw sheet
D. All three nurses on opposite sides of the bed pulling the patient toward them
Correct Answer: B
Rationale: Two nurses on the side toward which the patient will roll (one at the head and one at the
torso) with the third nurse placing a pillow behind the back ensures the patient is moved as a single unit
without twisting the spine, maintaining spinal alignment.
Q8: A patient who weighs 190 lbs and is partially weight-bearing is being transferred from a chair to a
bed using a slide board. The nurse has placed the board under the patient's buttocks and is preparing to
assist. Which action by the nurse demonstrates proper technique?
