HESI LPN-ADN Entrance Exam Mobility
Focus Test Bank Questions and Answers
2026/2027 | Elsevier Evolve Comprehensive
Study Guide for Safe Patient Handling
Competency
• This question test bank mirrors the HESI LPN-ADN Entrance Exam with a
comprehensive focus on mobility, safe patient handling, and related clinical
competencies — use it by attempting each question independently before checking
the correct answer and EXPERT RATIONALE to maximize retention.
• Questions span body mechanics, assistive devices, transfers, positioning,
neurological and musculoskeletal conditions, fall prevention, rehabilitation, and
legal/ethical dimensions of safe patient handling as tested on the Elsevier Evolve
platform.
1. A nurse is preparing to assist a patient from the bed to a chair. Which
action best demonstrates correct body mechanics?
A. Twisting the torso while lifting the patient
B. Keeping the feet close together for balance
C. Bending at the knees and keeping the back straight
D. Holding the patient as far from the body as possible
E. Leaning forward at the waist to grip the patient
C. Bending at the knees and keeping the back straight
EXPERT RATIONALE: Bending at the knees uses the large leg muscles rather than
the weaker back muscles, reducing spinal strain and risk of injury during patient
transfers.
2. A nurse prepares to transfer a bariatric patient. Which resource is the
priority action?
A. Ask a single colleague for assistance
,B. Use a standard gait belt
C. Consult the facility's safe patient handling policy
D. Encourage the patient to perform the transfer independently
E. Use a draw sheet alone
C. Consult the facility's safe patient handling policy
EXPERT RATIONALE: Bariatric patients require specialized equipment and team
approaches. The facility's safe patient handling policy provides evidence-based
guidelines specific to this population, ensuring safety for both patient and staff.
3. Which positioning is most appropriate for a patient with dyspnea?
A. Prone position
B. Supine with legs elevated
C. Lateral recumbent
D. Fowler's position
E. Trendelenburg position
D. Fowler's position
EXPERT RATIONALE: Fowler's position (head of bed elevated 45–90°) allows
maximum lung expansion by using gravity to lower the diaphragm, improving
oxygenation in patients with respiratory difficulty.
4. A nurse is using a mechanical lift to transfer a patient. Which action is
correct?
A. Use the lift with only one staff member present
B. Ensure the sling is correctly sized and properly positioned under the patient
C. Elevate the patient rapidly to save time
,D. Remove the sling immediately after transfer is complete when the patient is
unstable
E. Attach the sling hooks facing inward toward the patient
B. Ensure the sling is correctly sized and properly positioned under the
patient
EXPERT RATIONALE: Correct sling size and positioning distribute the patient's
weight safely, preventing falls or injury during mechanical lift transfers. Incorrect
sizing is a leading cause of lift-related incidents.
5. Which patient is at greatest risk for a fall?
A. A 30-year-old post-appendectomy patient
B. A 75-year-old patient on antihypertensives with a recent history of dizziness
C. A 45-year-old patient recovering from knee arthroscopy
D. A 60-year-old patient with well-controlled diabetes
E. A 25-year-old patient with a fractured wrist
B. A 75-year-old patient on antihypertensives with a recent history of
dizziness
EXPERT RATIONALE: Advanced age, antihypertensive medication (which can cause
orthostatic hypotension), and a history of dizziness combine to significantly elevate
fall risk by multiple validated fall assessment criteria.
6. A nurse teaches a patient to use axillary crutches. Which instruction is
correct?
A. Rest body weight on the axillary pads
B. Keep crutches 12 inches to the side of each foot
C. Bear weight through the hands on the handgrips
, D. Advance both crutches simultaneously with both feet
E. Keep elbows fully extended while using crutches
C. Bear weight through the hands on the handgrips
EXPERT RATIONALE: Weight bearing through the axillary area compresses the
brachial plexus and can cause nerve damage. Weight must be supported through
the handgrips with slight elbow flexion of approximately 20–30 degrees.
7. The nurse is repositioning a patient in bed. Which technique prevents shear
injury?
A. Dragging the patient across the bed sheets
B. Elevating the head of the bed to 90 degrees during repositioning
C. Using a friction-reducing sheet or slide board
D. Positioning the patient without assistance
E. Repositioning every 4 hours
C. Using a friction-reducing sheet or slide board
EXPERT RATIONALE: Friction-reducing devices minimize the mechanical force of
shear against the skin during repositioning, directly reducing the risk of pressure
injury formation.
8. A patient has a left-sided weakness following a stroke. When assisting with
ambulation, where should the nurse stand?
A. Behind the patient
B. On the patient's right (strong) side
C. On the patient's left (weak) side
D. In front of the patient facing them
E. Position does not matter with a gait belt
Focus Test Bank Questions and Answers
2026/2027 | Elsevier Evolve Comprehensive
Study Guide for Safe Patient Handling
Competency
• This question test bank mirrors the HESI LPN-ADN Entrance Exam with a
comprehensive focus on mobility, safe patient handling, and related clinical
competencies — use it by attempting each question independently before checking
the correct answer and EXPERT RATIONALE to maximize retention.
• Questions span body mechanics, assistive devices, transfers, positioning,
neurological and musculoskeletal conditions, fall prevention, rehabilitation, and
legal/ethical dimensions of safe patient handling as tested on the Elsevier Evolve
platform.
1. A nurse is preparing to assist a patient from the bed to a chair. Which
action best demonstrates correct body mechanics?
A. Twisting the torso while lifting the patient
B. Keeping the feet close together for balance
C. Bending at the knees and keeping the back straight
D. Holding the patient as far from the body as possible
E. Leaning forward at the waist to grip the patient
C. Bending at the knees and keeping the back straight
EXPERT RATIONALE: Bending at the knees uses the large leg muscles rather than
the weaker back muscles, reducing spinal strain and risk of injury during patient
transfers.
2. A nurse prepares to transfer a bariatric patient. Which resource is the
priority action?
A. Ask a single colleague for assistance
,B. Use a standard gait belt
C. Consult the facility's safe patient handling policy
D. Encourage the patient to perform the transfer independently
E. Use a draw sheet alone
C. Consult the facility's safe patient handling policy
EXPERT RATIONALE: Bariatric patients require specialized equipment and team
approaches. The facility's safe patient handling policy provides evidence-based
guidelines specific to this population, ensuring safety for both patient and staff.
3. Which positioning is most appropriate for a patient with dyspnea?
A. Prone position
B. Supine with legs elevated
C. Lateral recumbent
D. Fowler's position
E. Trendelenburg position
D. Fowler's position
EXPERT RATIONALE: Fowler's position (head of bed elevated 45–90°) allows
maximum lung expansion by using gravity to lower the diaphragm, improving
oxygenation in patients with respiratory difficulty.
4. A nurse is using a mechanical lift to transfer a patient. Which action is
correct?
A. Use the lift with only one staff member present
B. Ensure the sling is correctly sized and properly positioned under the patient
C. Elevate the patient rapidly to save time
,D. Remove the sling immediately after transfer is complete when the patient is
unstable
E. Attach the sling hooks facing inward toward the patient
B. Ensure the sling is correctly sized and properly positioned under the
patient
EXPERT RATIONALE: Correct sling size and positioning distribute the patient's
weight safely, preventing falls or injury during mechanical lift transfers. Incorrect
sizing is a leading cause of lift-related incidents.
5. Which patient is at greatest risk for a fall?
A. A 30-year-old post-appendectomy patient
B. A 75-year-old patient on antihypertensives with a recent history of dizziness
C. A 45-year-old patient recovering from knee arthroscopy
D. A 60-year-old patient with well-controlled diabetes
E. A 25-year-old patient with a fractured wrist
B. A 75-year-old patient on antihypertensives with a recent history of
dizziness
EXPERT RATIONALE: Advanced age, antihypertensive medication (which can cause
orthostatic hypotension), and a history of dizziness combine to significantly elevate
fall risk by multiple validated fall assessment criteria.
6. A nurse teaches a patient to use axillary crutches. Which instruction is
correct?
A. Rest body weight on the axillary pads
B. Keep crutches 12 inches to the side of each foot
C. Bear weight through the hands on the handgrips
, D. Advance both crutches simultaneously with both feet
E. Keep elbows fully extended while using crutches
C. Bear weight through the hands on the handgrips
EXPERT RATIONALE: Weight bearing through the axillary area compresses the
brachial plexus and can cause nerve damage. Weight must be supported through
the handgrips with slight elbow flexion of approximately 20–30 degrees.
7. The nurse is repositioning a patient in bed. Which technique prevents shear
injury?
A. Dragging the patient across the bed sheets
B. Elevating the head of the bed to 90 degrees during repositioning
C. Using a friction-reducing sheet or slide board
D. Positioning the patient without assistance
E. Repositioning every 4 hours
C. Using a friction-reducing sheet or slide board
EXPERT RATIONALE: Friction-reducing devices minimize the mechanical force of
shear against the skin during repositioning, directly reducing the risk of pressure
injury formation.
8. A patient has a left-sided weakness following a stroke. When assisting with
ambulation, where should the nurse stand?
A. Behind the patient
B. On the patient's right (strong) side
C. On the patient's left (weak) side
D. In front of the patient facing them
E. Position does not matter with a gait belt
