HESI MOBILITY EXAM 2026–2027 | (50 QUESTIONS AND
CORRECT ANSWERS) | ALREADY GRADED A+ | 100%
VERIFIED
Nursing & Clinical Specialties | Health Education Systems, Inc. (HESI) / Elsevier | Key Domains:
Safe Patient Handling, Fall Prevention, Musculoskeletal Assessment, Mobility Aids, Transfer
Techniques, Neurological Mobility Implications, and Patient/Family Education | Expert-
Aligned Structure | Exam-Ready Format
Introduction
This structured practice examination for 2026-2027 provides the complete layout for
generating high-quality exam-style questions with correct answers and rationales. It
emphasizes foundational nursing principles related to patient mobility, evidence-based safe
handling protocols, fall risk mitigation, and clinical reasoning critical to professional nursing
practice and successful HESI specialty examination performance. DISCLAIMER: This
document contains ORIGINAL practice questions developed for study purposes aligned to
HESI Mobility domains. It does NOT contain actual confidential HESI exam items and is not
affiliated with Elsevier/HESI.
Answer Format & STRICT RANDOMIZATION PROTOCOL
All correct answers appear in bold and cyan, accompanied by concise rationales explaining
safety/clinical reasoning, protocol adherence, and why alternative options are less
appropriate. The placement of the correct choice (A, B, C, or D) is strictly and unpredictably
randomized for every single question with an even distribution across all options to
guarantee an authentic exam simulation.
Question 1: The nurse is preparing to move a 90-kg client who has left-sided
weakness from the bed to a chair. The client can partially bear weight. What is the
nurse's priority action before initiating the transfer?
A. Lift the client under the arms to provide support
B. Place the chair on the client's affected (left) side
C. Lock the bed and chair wheels after the client is standing
D. Assess the client's ability to bear weight, upper body strength, and understanding of
instructions
Correct Answer: D – Assess the client's ability to bear weight, upper body strength,
and understanding of instructions
,Rationale: Assessment is first step of safe handling per ANA/OSHA. Determines
device/personnel needs. Locking after standing is unsafe; lifting under arms risks brachial
plexus injury; chair should be on strong side.
Question 2: A client with severe osteoporosis is on bedrest. The UAP asks how to
reposition safely. Which instruction should the nurse provide?
A. Use a friction-reducing drawsheet with at least 2 staff and avoid pulling on limbs
B. Grasp the client's arms and pull quickly to minimize discomfort
C. Elevate head of bed to 90 degrees to slide client up using gravity
D. Logroll by twisting the spine to maintain alignment
Correct Answer: A – Use a friction-reducing drawsheet with at least 2 staff and avoid
pulling on limbs
Rationale: Osteoporotic bones fracture easily. Friction-reducing sheet + 2 staff reduces
shear/force. Pulling arms causes fractures/tears. Logroll means keeping straight, never
twisting. 90-degree elevation increases shear.
Question 3: Which client requires a full-body mechanical sling lift rather than a
stand-assist lift?
A. Can bear partial weight and follow commands to stand
B. Non-weight bearing, bilateral knee contractures, weighs 115 kg
C. Recovering from hip replacement allowed toe-touch weight bearing
D. Needs minimal assistance and has good upper body strength
Correct Answer: B – Non-weight bearing, bilateral knee contractures, weighs 115 kg
Rationale: Full sling for non-weight bearing, cannot cooperate, contractures. Stand-assist
requires partial weight bearing and trunk control. Other options meet lesser assist criteria.
Question 4: The nurse is teaching safe patient handling ergonomics. Which principle
should be included?
A. Lift as quickly as possible to reduce time under load
B. Keep knees locked and bend at waist to use back muscles
, C. Hold breath while lifting to stabilize core
D. Keep the load close, maintain wide base, avoid twisting trunk
Correct Answer: D – Keep the load close, maintain wide base, avoid twisting trunk
Rationale: Close load reduces torque; wide base improves stability; no twisting prevents
disc injury per NIOSH. Locked knees/bending at waist unsafe. Breath-holding increases
intrathoracic pressure. Slow controlled moves safer.
Question 5: A nurse with history of lumbar disc herniation is assigned to client
requiring q2h repositioning. Most appropriate action?
A. Skip repositioning if client sleeping to protect back
B. Reposition alone every 2 hours to avoid burdening colleagues
C. Request assistance, use friction-reducing device, follow safe handling policy
D. Use gait belt around chest to pull client up
Correct Answer: C – Request assistance, use friction-reducing device, follow safe
handling policy
Rationale: Policy requires assistive devices/team; protects nurse and meets pressure
injury prevention. Solo reposition increases injury. Skipping violates bundle. Gait belt not
for bed repositioning nor at chest.
Question 6: What is primary purpose of friction-reducing lateral slide sheet?
A. Reduce shear and friction during transfers, decreasing tissue injury and staff exertion
B. Provide warmth during mobility activities
C. Restrain client at risk for falling out of bed
D. Elevate legs to prevent dependent edema during transfer
Correct Answer: A – Reduce shear and friction during transfers, decreasing tissue
injury and staff exertion
Rationale: Sheet lowers friction coefficient, decreasing shear causing pressure injury and
reducing pull force >60%. Not a restraint. Not for edema or warmth.
CORRECT ANSWERS) | ALREADY GRADED A+ | 100%
VERIFIED
Nursing & Clinical Specialties | Health Education Systems, Inc. (HESI) / Elsevier | Key Domains:
Safe Patient Handling, Fall Prevention, Musculoskeletal Assessment, Mobility Aids, Transfer
Techniques, Neurological Mobility Implications, and Patient/Family Education | Expert-
Aligned Structure | Exam-Ready Format
Introduction
This structured practice examination for 2026-2027 provides the complete layout for
generating high-quality exam-style questions with correct answers and rationales. It
emphasizes foundational nursing principles related to patient mobility, evidence-based safe
handling protocols, fall risk mitigation, and clinical reasoning critical to professional nursing
practice and successful HESI specialty examination performance. DISCLAIMER: This
document contains ORIGINAL practice questions developed for study purposes aligned to
HESI Mobility domains. It does NOT contain actual confidential HESI exam items and is not
affiliated with Elsevier/HESI.
Answer Format & STRICT RANDOMIZATION PROTOCOL
All correct answers appear in bold and cyan, accompanied by concise rationales explaining
safety/clinical reasoning, protocol adherence, and why alternative options are less
appropriate. The placement of the correct choice (A, B, C, or D) is strictly and unpredictably
randomized for every single question with an even distribution across all options to
guarantee an authentic exam simulation.
Question 1: The nurse is preparing to move a 90-kg client who has left-sided
weakness from the bed to a chair. The client can partially bear weight. What is the
nurse's priority action before initiating the transfer?
A. Lift the client under the arms to provide support
B. Place the chair on the client's affected (left) side
C. Lock the bed and chair wheels after the client is standing
D. Assess the client's ability to bear weight, upper body strength, and understanding of
instructions
Correct Answer: D – Assess the client's ability to bear weight, upper body strength,
and understanding of instructions
,Rationale: Assessment is first step of safe handling per ANA/OSHA. Determines
device/personnel needs. Locking after standing is unsafe; lifting under arms risks brachial
plexus injury; chair should be on strong side.
Question 2: A client with severe osteoporosis is on bedrest. The UAP asks how to
reposition safely. Which instruction should the nurse provide?
A. Use a friction-reducing drawsheet with at least 2 staff and avoid pulling on limbs
B. Grasp the client's arms and pull quickly to minimize discomfort
C. Elevate head of bed to 90 degrees to slide client up using gravity
D. Logroll by twisting the spine to maintain alignment
Correct Answer: A – Use a friction-reducing drawsheet with at least 2 staff and avoid
pulling on limbs
Rationale: Osteoporotic bones fracture easily. Friction-reducing sheet + 2 staff reduces
shear/force. Pulling arms causes fractures/tears. Logroll means keeping straight, never
twisting. 90-degree elevation increases shear.
Question 3: Which client requires a full-body mechanical sling lift rather than a
stand-assist lift?
A. Can bear partial weight and follow commands to stand
B. Non-weight bearing, bilateral knee contractures, weighs 115 kg
C. Recovering from hip replacement allowed toe-touch weight bearing
D. Needs minimal assistance and has good upper body strength
Correct Answer: B – Non-weight bearing, bilateral knee contractures, weighs 115 kg
Rationale: Full sling for non-weight bearing, cannot cooperate, contractures. Stand-assist
requires partial weight bearing and trunk control. Other options meet lesser assist criteria.
Question 4: The nurse is teaching safe patient handling ergonomics. Which principle
should be included?
A. Lift as quickly as possible to reduce time under load
B. Keep knees locked and bend at waist to use back muscles
, C. Hold breath while lifting to stabilize core
D. Keep the load close, maintain wide base, avoid twisting trunk
Correct Answer: D – Keep the load close, maintain wide base, avoid twisting trunk
Rationale: Close load reduces torque; wide base improves stability; no twisting prevents
disc injury per NIOSH. Locked knees/bending at waist unsafe. Breath-holding increases
intrathoracic pressure. Slow controlled moves safer.
Question 5: A nurse with history of lumbar disc herniation is assigned to client
requiring q2h repositioning. Most appropriate action?
A. Skip repositioning if client sleeping to protect back
B. Reposition alone every 2 hours to avoid burdening colleagues
C. Request assistance, use friction-reducing device, follow safe handling policy
D. Use gait belt around chest to pull client up
Correct Answer: C – Request assistance, use friction-reducing device, follow safe
handling policy
Rationale: Policy requires assistive devices/team; protects nurse and meets pressure
injury prevention. Solo reposition increases injury. Skipping violates bundle. Gait belt not
for bed repositioning nor at chest.
Question 6: What is primary purpose of friction-reducing lateral slide sheet?
A. Reduce shear and friction during transfers, decreasing tissue injury and staff exertion
B. Provide warmth during mobility activities
C. Restrain client at risk for falling out of bed
D. Elevate legs to prevent dependent edema during transfer
Correct Answer: A – Reduce shear and friction during transfers, decreasing tissue
injury and staff exertion
Rationale: Sheet lowers friction coefficient, decreasing shear causing pressure injury and
reducing pull force >60%. Not a restraint. Not for edema or warmth.
