HESI LPN–ADN Entrance Exam Mobility
Practice exam- Question and Answers
with Rationales Latest Version
1. A nurse is assessing a client who has been on bed rest for several
days. Which finding is most concerning for a complication of
immobility?
A. Increased appetite
B. Orthostatic hypotension
C. Increased muscle strength
D. Increased bowel sounds
Answer: B. Orthostatic hypotension
Rationale: Prolonged bed rest causes cardiovascular deconditioning and
reduced venous return. When the client moves from lying to standing,
blood pressure may fall, causing dizziness or syncope. Gradual position
changes help prevent this complication.
2. Which intervention is most appropriate when helping a weak
client move from the bed to a chair?
A. Pull the client by the arms.
B. Have the client stand on the bed.
C. Apply a gait belt before transferring.
D. Keep the chair several feet from the bed.
Answer: C. Apply a gait belt before transferring.
,Rationale: A gait belt provides the nurse with a secure point of contact
and helps stabilize a client during transfers. The nurse should avoid
pulling on the client's arms because this can cause injury.
3. A client reports dizziness immediately after standing. What
should the nurse do first?
A. Encourage the client to walk quickly.
B. Return the client to a safe sitting or lying position.
C. Give the client water.
D. Ask the client to perform leg exercises.
Answer: B. Return the client to a safe sitting or lying position.
Rationale: Safety is the priority. The client may be experiencing
orthostatic hypotension. Returning the client to a safe position reduces
the risk of falling and injury.
4. Which finding is commonly associated with prolonged
immobility?
A. Increased muscle mass
B. Improved balance
C. Muscle atrophy
D. Increased bone density
Answer: C. Muscle atrophy
Rationale: Lack of activity causes skeletal muscles to decrease in size
and strength. Regular movement, active or passive range-of-motion
exercises, and appropriate activity help reduce muscle loss.
,5. A nurse is teaching a client how to use a cane. Which instruction
is correct?
A. Hold the cane on the weaker side.
B. Hold the cane on the stronger side.
C. Move the strong leg first, then the cane.
D. Keep the cane several feet away from the body.
Answer: B. Hold the cane on the stronger side.
Rationale: The cane is generally held on the stronger side to provide
support while the weaker leg moves. The cane and affected leg are
advanced appropriately together before the stronger leg.
6. A client uses a walker. Which action indicates correct technique?
A. The client lifts the walker and carries it while walking.
B. The client places the walker forward and then steps into it.
C. The client pulls the walker backward while walking.
D. The client places the walker behind the body before stepping.
Answer: B. The client places the walker forward and then steps into
it.
Rationale: The walker should be moved a short distance forward,
placed securely on all four legs, and then the client should step into the
walker. This provides stability and reduces fall risk.
7. Which exercise is classified as a range-of-motion exercise?
A. Walking on a treadmill
B. Flexing and extending the elbow
, C. Running upstairs
D. Lifting heavy weights
Answer: B. Flexing and extending the elbow
Rationale: Range-of-motion exercises move a joint through its available
movement. Flexion and extension of the elbow are examples of ROM
exercises.
8. A nurse is performing passive range-of-motion exercises for a
client with paralysis. What is the primary purpose?
A. Increase body weight
B. Prevent joint contractures
C. Increase blood glucose
D. Eliminate the need for repositioning
Answer: B. Prevent joint contractures
Rationale: Passive ROM helps maintain joint flexibility, reduce
stiffness, and prevent contractures when the client cannot independently
move the affected extremity.
9. Which client is at greatest risk for developing pressure injuries
because of immobility?
A. A client who walks independently
B. A client who changes position frequently
C. A client who is unable to reposition independently
D. A client who exercises twice daily
Answer: C. A client who is unable to reposition independently
Practice exam- Question and Answers
with Rationales Latest Version
1. A nurse is assessing a client who has been on bed rest for several
days. Which finding is most concerning for a complication of
immobility?
A. Increased appetite
B. Orthostatic hypotension
C. Increased muscle strength
D. Increased bowel sounds
Answer: B. Orthostatic hypotension
Rationale: Prolonged bed rest causes cardiovascular deconditioning and
reduced venous return. When the client moves from lying to standing,
blood pressure may fall, causing dizziness or syncope. Gradual position
changes help prevent this complication.
2. Which intervention is most appropriate when helping a weak
client move from the bed to a chair?
A. Pull the client by the arms.
B. Have the client stand on the bed.
C. Apply a gait belt before transferring.
D. Keep the chair several feet from the bed.
Answer: C. Apply a gait belt before transferring.
,Rationale: A gait belt provides the nurse with a secure point of contact
and helps stabilize a client during transfers. The nurse should avoid
pulling on the client's arms because this can cause injury.
3. A client reports dizziness immediately after standing. What
should the nurse do first?
A. Encourage the client to walk quickly.
B. Return the client to a safe sitting or lying position.
C. Give the client water.
D. Ask the client to perform leg exercises.
Answer: B. Return the client to a safe sitting or lying position.
Rationale: Safety is the priority. The client may be experiencing
orthostatic hypotension. Returning the client to a safe position reduces
the risk of falling and injury.
4. Which finding is commonly associated with prolonged
immobility?
A. Increased muscle mass
B. Improved balance
C. Muscle atrophy
D. Increased bone density
Answer: C. Muscle atrophy
Rationale: Lack of activity causes skeletal muscles to decrease in size
and strength. Regular movement, active or passive range-of-motion
exercises, and appropriate activity help reduce muscle loss.
,5. A nurse is teaching a client how to use a cane. Which instruction
is correct?
A. Hold the cane on the weaker side.
B. Hold the cane on the stronger side.
C. Move the strong leg first, then the cane.
D. Keep the cane several feet away from the body.
Answer: B. Hold the cane on the stronger side.
Rationale: The cane is generally held on the stronger side to provide
support while the weaker leg moves. The cane and affected leg are
advanced appropriately together before the stronger leg.
6. A client uses a walker. Which action indicates correct technique?
A. The client lifts the walker and carries it while walking.
B. The client places the walker forward and then steps into it.
C. The client pulls the walker backward while walking.
D. The client places the walker behind the body before stepping.
Answer: B. The client places the walker forward and then steps into
it.
Rationale: The walker should be moved a short distance forward,
placed securely on all four legs, and then the client should step into the
walker. This provides stability and reduces fall risk.
7. Which exercise is classified as a range-of-motion exercise?
A. Walking on a treadmill
B. Flexing and extending the elbow
, C. Running upstairs
D. Lifting heavy weights
Answer: B. Flexing and extending the elbow
Rationale: Range-of-motion exercises move a joint through its available
movement. Flexion and extension of the elbow are examples of ROM
exercises.
8. A nurse is performing passive range-of-motion exercises for a
client with paralysis. What is the primary purpose?
A. Increase body weight
B. Prevent joint contractures
C. Increase blood glucose
D. Eliminate the need for repositioning
Answer: B. Prevent joint contractures
Rationale: Passive ROM helps maintain joint flexibility, reduce
stiffness, and prevent contractures when the client cannot independently
move the affected extremity.
9. Which client is at greatest risk for developing pressure injuries
because of immobility?
A. A client who walks independently
B. A client who changes position frequently
C. A client who is unable to reposition independently
D. A client who exercises twice daily
Answer: C. A client who is unable to reposition independently
