HESI LPN-ADN ENTRANCE EXAM MOBILITY
2026/2027 | Complete Study Guide | Verified
Questions & Correct Answers with Detailed
Rationales | Latest HESI Admission Exam
Prep
====================================================================
========== HESI LPN-ADN ENTRANCE EXAM MOBILITY 2026/2027 | COMPLETE
STUDY GUIDE
DOCUMENT OVERVIEW:
• This comprehensive study guide contains verified practice questions with detailed
rationales designed to prepare you for the Mobility section of the HESI LPN-ADN
Entrance Exam, covering anatomy, pathology, nursing interventions, and clinical
applications.
• Study this material by reviewing each question carefully, attempting to answer
before checking the rationale, and focusing on understanding the 'why' behind
each correct answer to master mobility-related nursing concepts.
====================================================================
==========
QUESTION 1
A patient is admitted with a suspected femoral fracture. Which of the
following is the most important initial nursing assessment for this patient?
A) Checking the patient's vital signs
B) Assessing capillary refill and peripheral pulses distal to the fracture site
C) Measuring the patient's pain level on a scale of 1-10
D) Evaluating the patient's ability to move their toes
E) Documenting the mechanism of injury
CORRECT ANSWER: B) Assessing capillary refill and peripheral pulses distal to
the fracture site
,RATIONALE: Assessing capillary refill and peripheral pulses distal to the fracture is
critical because it determines tissue perfusion and viability. A fractured femur can
damage blood vessels, leading to compartment syndrome or permanent tissue
damage. This takes priority over pain assessment or vital signs alone. Checking
circulation, sensation, and movement (the five Ps of fracture assessment) must be
done immediately to prevent complications.
====================================================================
==========
QUESTION 2
Which of the following best describes the primary function of cartilage in the
musculoskeletal system?
A) To produce red blood cells and platelets
B) To store minerals and provide structural support to bones
C) To reduce friction between bones and absorb shock at joints
D) To contract and produce movement of the skeleton
E) To transmit nerve impulses throughout the body
CORRECT ANSWER: C) To reduce friction between bones and absorb shock at
joints
RATIONALE: Cartilage is a smooth, firm connective tissue that covers the ends of
bones at joints. Its primary functions are to reduce friction between articulating
bones and to absorb shock during movement. This allows smooth, pain-free
movement. While bones store minerals and cartilage provides structural support to
certain areas, the main distinctive function is friction reduction and shock
absorption at joints.
====================================================================
==========
QUESTION 3
,A 65-year-old patient is prescribed calcium and Vitamin D supplements for
osteoporosis. Which statement by the patient indicates a need for further
teaching?
A) "I will take my calcium supplement with orange juice to enhance absorption"
B) "I should take my supplements with a full meal to prevent stomach upset"
C) "I will increase my weight-bearing exercise to strengthen my bones"
D) "I need to take calcium and iron supplements at the same time for better results"
E) "I will maintain adequate vitamin D intake through sunlight exposure"
CORRECT ANSWER: D) "I need to take calcium and iron supplements at the
same time for better results"
RATIONALE: Calcium and iron compete for absorption in the GI tract and should be
taken at different times. Taking them together will reduce the absorption of both
minerals. The correct interventions include taking calcium with vitamin C-rich foods
(orange juice), taking it with meals if GI upset occurs, maintaining weight-bearing
exercise, and getting adequate vitamin D from sun exposure or supplements. This
is a critical medication interaction for LPN/ADN practice.
====================================================================
==========
QUESTION 4
A patient with a fractured tibia is placed in Buck's traction. What is the
primary purpose of this type of traction?
A) To realign the fracture fragments and maintain proper alignment
B) To completely immobilize the affected limb
C) To apply manual reduction of the fracture
D) To stretch the muscles around the fracture site
E) To reduce pain by elevating the affected limb
, CORRECT ANSWER: A) To realign the fracture fragments and maintain proper
alignment
RATIONALE: Buck's traction is a type of skin traction (skeletal traction) that uses
gravity and the patient's body weight to apply a pulling force. It helps to realign
fracture fragments and maintain proper alignment while the fracture heals. It
prevents muscle spasms and reduces pain by maintaining alignment. While it does
stretch muscles and reduce pain, the primary purpose is maintaining alignment to
promote proper healing. Complete immobilization is achieved through casts or
internal fixation, not traction.
====================================================================
==========
QUESTION 5
When caring for a patient in skeletal traction, what is the most important
nursing intervention?
A) Removing the traction for 30 minutes every 2 hours to prevent skin breakdown
B) Keeping the traction weights hanging freely and ensuring the ropes are not
obstructed
C) Turning the patient every 2 hours to all positions to prevent pressure ulcers
D) Releasing the traction weights if the patient experiences pain
E) Placing pillows under the traction to provide comfort
CORRECT ANSWER: B) Keeping the traction weights hanging freely and
ensuring the ropes are not obstructed
RATIONALE: For traction to be effective, the weights must hang freely without
touching the floor or any surface. Any obstruction reduces the pulling force and
compromises the therapeutic effect. The ropes must be unobstructed and aligned
with the long axis of the bone. While preventing pressure ulcers is important, the
traction should NOT be removed—instead, other measures like frequent skin
assessment and padding are used. Pain management should not involve releasing
traction weights without physician order.
2026/2027 | Complete Study Guide | Verified
Questions & Correct Answers with Detailed
Rationales | Latest HESI Admission Exam
Prep
====================================================================
========== HESI LPN-ADN ENTRANCE EXAM MOBILITY 2026/2027 | COMPLETE
STUDY GUIDE
DOCUMENT OVERVIEW:
• This comprehensive study guide contains verified practice questions with detailed
rationales designed to prepare you for the Mobility section of the HESI LPN-ADN
Entrance Exam, covering anatomy, pathology, nursing interventions, and clinical
applications.
• Study this material by reviewing each question carefully, attempting to answer
before checking the rationale, and focusing on understanding the 'why' behind
each correct answer to master mobility-related nursing concepts.
====================================================================
==========
QUESTION 1
A patient is admitted with a suspected femoral fracture. Which of the
following is the most important initial nursing assessment for this patient?
A) Checking the patient's vital signs
B) Assessing capillary refill and peripheral pulses distal to the fracture site
C) Measuring the patient's pain level on a scale of 1-10
D) Evaluating the patient's ability to move their toes
E) Documenting the mechanism of injury
CORRECT ANSWER: B) Assessing capillary refill and peripheral pulses distal to
the fracture site
,RATIONALE: Assessing capillary refill and peripheral pulses distal to the fracture is
critical because it determines tissue perfusion and viability. A fractured femur can
damage blood vessels, leading to compartment syndrome or permanent tissue
damage. This takes priority over pain assessment or vital signs alone. Checking
circulation, sensation, and movement (the five Ps of fracture assessment) must be
done immediately to prevent complications.
====================================================================
==========
QUESTION 2
Which of the following best describes the primary function of cartilage in the
musculoskeletal system?
A) To produce red blood cells and platelets
B) To store minerals and provide structural support to bones
C) To reduce friction between bones and absorb shock at joints
D) To contract and produce movement of the skeleton
E) To transmit nerve impulses throughout the body
CORRECT ANSWER: C) To reduce friction between bones and absorb shock at
joints
RATIONALE: Cartilage is a smooth, firm connective tissue that covers the ends of
bones at joints. Its primary functions are to reduce friction between articulating
bones and to absorb shock during movement. This allows smooth, pain-free
movement. While bones store minerals and cartilage provides structural support to
certain areas, the main distinctive function is friction reduction and shock
absorption at joints.
====================================================================
==========
QUESTION 3
,A 65-year-old patient is prescribed calcium and Vitamin D supplements for
osteoporosis. Which statement by the patient indicates a need for further
teaching?
A) "I will take my calcium supplement with orange juice to enhance absorption"
B) "I should take my supplements with a full meal to prevent stomach upset"
C) "I will increase my weight-bearing exercise to strengthen my bones"
D) "I need to take calcium and iron supplements at the same time for better results"
E) "I will maintain adequate vitamin D intake through sunlight exposure"
CORRECT ANSWER: D) "I need to take calcium and iron supplements at the
same time for better results"
RATIONALE: Calcium and iron compete for absorption in the GI tract and should be
taken at different times. Taking them together will reduce the absorption of both
minerals. The correct interventions include taking calcium with vitamin C-rich foods
(orange juice), taking it with meals if GI upset occurs, maintaining weight-bearing
exercise, and getting adequate vitamin D from sun exposure or supplements. This
is a critical medication interaction for LPN/ADN practice.
====================================================================
==========
QUESTION 4
A patient with a fractured tibia is placed in Buck's traction. What is the
primary purpose of this type of traction?
A) To realign the fracture fragments and maintain proper alignment
B) To completely immobilize the affected limb
C) To apply manual reduction of the fracture
D) To stretch the muscles around the fracture site
E) To reduce pain by elevating the affected limb
, CORRECT ANSWER: A) To realign the fracture fragments and maintain proper
alignment
RATIONALE: Buck's traction is a type of skin traction (skeletal traction) that uses
gravity and the patient's body weight to apply a pulling force. It helps to realign
fracture fragments and maintain proper alignment while the fracture heals. It
prevents muscle spasms and reduces pain by maintaining alignment. While it does
stretch muscles and reduce pain, the primary purpose is maintaining alignment to
promote proper healing. Complete immobilization is achieved through casts or
internal fixation, not traction.
====================================================================
==========
QUESTION 5
When caring for a patient in skeletal traction, what is the most important
nursing intervention?
A) Removing the traction for 30 minutes every 2 hours to prevent skin breakdown
B) Keeping the traction weights hanging freely and ensuring the ropes are not
obstructed
C) Turning the patient every 2 hours to all positions to prevent pressure ulcers
D) Releasing the traction weights if the patient experiences pain
E) Placing pillows under the traction to provide comfort
CORRECT ANSWER: B) Keeping the traction weights hanging freely and
ensuring the ropes are not obstructed
RATIONALE: For traction to be effective, the weights must hang freely without
touching the floor or any surface. Any obstruction reduces the pulling force and
compromises the therapeutic effect. The ropes must be unobstructed and aligned
with the long axis of the bone. While preventing pressure ulcers is important, the
traction should NOT be removed—instead, other measures like frequent skin
assessment and padding are used. Pain management should not involve releasing
traction weights without physician order.
