, HESI LPN-ADN HESI ENTRANCE EXAM (2026/2027)
MOBILITY EXAMS GRADED A 100% VERIFIED
Question 1
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The
nurse plans to do which to enable the client to best tolerate the ambulation?
A) Provide the client with a walker
B) Remove the telemetry equipment
C) Encourage the client to cough and deep breathe
D) Premedicate the client with an analgesic before ambulating
Correct Answer: D) Premedicate the client with an analgesic before ambulating
Rationale: Premedicating the client with an analgesic before ambulation reduces pain,
allowing for better participation and tolerance of the activity. Pain control is essential for
successful postoperative mobilization.
Question 2
A patient with right-sided hemiplegia following a cerebrovascular accident requires
transferring from bed to wheelchair. Based on biomechanical safety standards, which
placement of the wheelchair is most appropriate?
A) On the patient's left side (strong side)
B) On the patient's right side (weak side)
C) At the foot of the bed
D) Perpendicular to the bed
Correct Answer: A) On the patient's left side (strong side)
Rationale: The wheelchair should be placed on the patient's strong side to allow safe
pivoting and weight-bearing on the stronger leg.
,Question 3
A patient with left-sided weakness is learning to use a cane. The nurse should instruct
the patient to hold the cane:
A) On the left side (weak side)
B) On the right side (strong side)
C) In both hands
D) Behind the body
Correct Answer: B) On the right side (strong side)
Rationale: The patient should hold the cane on the stronger side. This allows the cane and
the weaker leg to move together, distributing weight more effectively.
Question 4
A patient is using axillary crutches. The nurse observes the patient resting their axillae on
the crutch pads. What complication is the patient at risk for developing?
A) Muscle atrophy
B) Brachial plexus injury (crutch palsy)
C) Hip dislocation
D) Skin breakdown in the axillae
Correct Answer: B) Brachial plexus injury (crutch palsy)
Rationale: Resting the axillae on the crutch pads can compress the brachial plexus nerves,
leading to "crutch palsy"—weakness or paralysis of the arm and hand. Weight should be
borne through the hands, not the axillae.
Question 5
A patient is learning to use a walker. Which gait pattern is correct?
A) Advance the walker, then step with the weak leg, then step with the strong leg
B) Step with the strong leg, then advance the walker, then step with the weak leg
C) Advance the walker, then step with both feet together
D) Step with the weak leg, then advance the walker, then step with the strong leg
, Correct Answer: A) Advance the walker, then step with the weak leg, then step
with the strong leg
Rationale: The correct sequence is to advance the walker forward, then step forward with
the weak leg, then bring the strong leg forward to meet the weak leg. The walker should
remain close to the patient for stability.
Question 6
A postoperative patient complains that the walker feels "too wide" to fit through the
bathroom doorway. What should the nurse teach the patient?
A) Instruct the patient to use a cane instead of a walker
B) Obtain a bariatric (extra-wide) walker
C) Suggest a narrower rolling walker with smaller wheels
D) Teach the patient to turn the walker sideways to pass through the doorway
Correct Answer: D) Teach the patient to turn the walker sideways to pass through
the doorway
Rationale: Teaching the patient to turn the walker sideways to fit through the doorway is a
safe and common adaptation. Switching to a cane prematurely may increase fall risk.
Question 7
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) Walk with a wide base and lift feet deliberately
Rationale: Patients with Parkinson's disease should be instructed to walk with a wide base
of support and lift their feet deliberately to reduce the risk of falls and compensate for the
shuffling gait pattern.
MOBILITY EXAMS GRADED A 100% VERIFIED
Question 1
The LPN/LVN is preparing to ambulate a postoperative client after cardiac surgery. The
nurse plans to do which to enable the client to best tolerate the ambulation?
A) Provide the client with a walker
B) Remove the telemetry equipment
C) Encourage the client to cough and deep breathe
D) Premedicate the client with an analgesic before ambulating
Correct Answer: D) Premedicate the client with an analgesic before ambulating
Rationale: Premedicating the client with an analgesic before ambulation reduces pain,
allowing for better participation and tolerance of the activity. Pain control is essential for
successful postoperative mobilization.
Question 2
A patient with right-sided hemiplegia following a cerebrovascular accident requires
transferring from bed to wheelchair. Based on biomechanical safety standards, which
placement of the wheelchair is most appropriate?
A) On the patient's left side (strong side)
B) On the patient's right side (weak side)
C) At the foot of the bed
D) Perpendicular to the bed
Correct Answer: A) On the patient's left side (strong side)
Rationale: The wheelchair should be placed on the patient's strong side to allow safe
pivoting and weight-bearing on the stronger leg.
,Question 3
A patient with left-sided weakness is learning to use a cane. The nurse should instruct
the patient to hold the cane:
A) On the left side (weak side)
B) On the right side (strong side)
C) In both hands
D) Behind the body
Correct Answer: B) On the right side (strong side)
Rationale: The patient should hold the cane on the stronger side. This allows the cane and
the weaker leg to move together, distributing weight more effectively.
Question 4
A patient is using axillary crutches. The nurse observes the patient resting their axillae on
the crutch pads. What complication is the patient at risk for developing?
A) Muscle atrophy
B) Brachial plexus injury (crutch palsy)
C) Hip dislocation
D) Skin breakdown in the axillae
Correct Answer: B) Brachial plexus injury (crutch palsy)
Rationale: Resting the axillae on the crutch pads can compress the brachial plexus nerves,
leading to "crutch palsy"—weakness or paralysis of the arm and hand. Weight should be
borne through the hands, not the axillae.
Question 5
A patient is learning to use a walker. Which gait pattern is correct?
A) Advance the walker, then step with the weak leg, then step with the strong leg
B) Step with the strong leg, then advance the walker, then step with the weak leg
C) Advance the walker, then step with both feet together
D) Step with the weak leg, then advance the walker, then step with the strong leg
, Correct Answer: A) Advance the walker, then step with the weak leg, then step
with the strong leg
Rationale: The correct sequence is to advance the walker forward, then step forward with
the weak leg, then bring the strong leg forward to meet the weak leg. The walker should
remain close to the patient for stability.
Question 6
A postoperative patient complains that the walker feels "too wide" to fit through the
bathroom doorway. What should the nurse teach the patient?
A) Instruct the patient to use a cane instead of a walker
B) Obtain a bariatric (extra-wide) walker
C) Suggest a narrower rolling walker with smaller wheels
D) Teach the patient to turn the walker sideways to pass through the doorway
Correct Answer: D) Teach the patient to turn the walker sideways to pass through
the doorway
Rationale: Teaching the patient to turn the walker sideways to fit through the doorway is a
safe and common adaptation. Switching to a cane prematurely may increase fall risk.
Question 7
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) Walk with a wide base and lift feet deliberately
Rationale: Patients with Parkinson's disease should be instructed to walk with a wide base
of support and lift their feet deliberately to reduce the risk of falls and compensate for the
shuffling gait pattern.
