HESI LPN-ADN ENTRANCE EXAM 2026 -
MOBILITY COMPREHENSIVE
1. A nurse is caring for a client who has been immobile for three days. Which assessment
finding is the most specific indicator of a developing deep vein thrombosis (DVT)?
A. Bilateral edema of the lower extremities
B. Unilateral calf tenderness and warmth
C. Coolness and pallor of the affected limb
D. Generalized muscle weakness in the legs
Answer: B
Conceptual Explanation: Unilateral calf pain, tenderness, warmth, and redness are classic
signs of DVT in an immobile patient. Bilateral edema usually suggests systemic issues like
heart failure.
2. When teaching a client how to use a cane for left-sided weakness, the nurse should instruct
the client to hold the cane in which hand?
A. Right hand
B. Left hand
,C. The hand that feels more comfortable
D. Both hands while leaning forward
Answer: A
Conceptual Explanation: The cane should be held on the stronger side (the unaffected
side) to provide support and better balance, which in this case is the right hand.
3. A client is being discharged with crutches after a right knee surgery. Which instruction
should the nurse include regarding going up stairs?
A. Lead with the right leg, then the left leg and crutches
B. Lead with the crutches, then the left leg
C. Lead with the left leg, then the right leg and crutches
D. Lead with both crutches and the right leg simultaneously
Answer: C
Conceptual Explanation: When going up stairs, the client should lead with the ‘good’ leg
(left) first, followed by the affected leg and the crutches.
4. The nurse is planning care for a client on prolonged bed rest. Which metabolic change
should the nurse monitor for?
A. Positive nitrogen balance
B. Decreased basal metabolic rate
C. Increased serum calcium levels
, D. Increased anabolic activity
Answer: C
Conceptual Explanation: Immobility causes calcium to be resorbed from the bones into
the blood, leading to hypercalcemia. It also typically causes a negative nitrogen balance due
to muscle breakdown.
5. Which nursing intervention is most effective in preventing foot drop in a client with long-
term immobility?
A. Support the feet in dorsiflexion with high-top sneakers
B. Use a trochanter roll against the hips
C. Place a pillow under the knees
D. Perform passive range of motion to the hips once daily
Answer: A
Conceptual Explanation: Maintaining the feet in dorsiflexion using footboards or high-top
sneakers prevents the permanent plantar flexion known as foot drop.
6. A nurse observes a client’s skin for signs of breakdown. Which area is most at risk when the
client is in the Supine position?
A. Trochanter
B. Ischial tuberosity
C. Sacrum
MOBILITY COMPREHENSIVE
1. A nurse is caring for a client who has been immobile for three days. Which assessment
finding is the most specific indicator of a developing deep vein thrombosis (DVT)?
A. Bilateral edema of the lower extremities
B. Unilateral calf tenderness and warmth
C. Coolness and pallor of the affected limb
D. Generalized muscle weakness in the legs
Answer: B
Conceptual Explanation: Unilateral calf pain, tenderness, warmth, and redness are classic
signs of DVT in an immobile patient. Bilateral edema usually suggests systemic issues like
heart failure.
2. When teaching a client how to use a cane for left-sided weakness, the nurse should instruct
the client to hold the cane in which hand?
A. Right hand
B. Left hand
,C. The hand that feels more comfortable
D. Both hands while leaning forward
Answer: A
Conceptual Explanation: The cane should be held on the stronger side (the unaffected
side) to provide support and better balance, which in this case is the right hand.
3. A client is being discharged with crutches after a right knee surgery. Which instruction
should the nurse include regarding going up stairs?
A. Lead with the right leg, then the left leg and crutches
B. Lead with the crutches, then the left leg
C. Lead with the left leg, then the right leg and crutches
D. Lead with both crutches and the right leg simultaneously
Answer: C
Conceptual Explanation: When going up stairs, the client should lead with the ‘good’ leg
(left) first, followed by the affected leg and the crutches.
4. The nurse is planning care for a client on prolonged bed rest. Which metabolic change
should the nurse monitor for?
A. Positive nitrogen balance
B. Decreased basal metabolic rate
C. Increased serum calcium levels
, D. Increased anabolic activity
Answer: C
Conceptual Explanation: Immobility causes calcium to be resorbed from the bones into
the blood, leading to hypercalcemia. It also typically causes a negative nitrogen balance due
to muscle breakdown.
5. Which nursing intervention is most effective in preventing foot drop in a client with long-
term immobility?
A. Support the feet in dorsiflexion with high-top sneakers
B. Use a trochanter roll against the hips
C. Place a pillow under the knees
D. Perform passive range of motion to the hips once daily
Answer: A
Conceptual Explanation: Maintaining the feet in dorsiflexion using footboards or high-top
sneakers prevents the permanent plantar flexion known as foot drop.
6. A nurse observes a client’s skin for signs of breakdown. Which area is most at risk when the
client is in the Supine position?
A. Trochanter
B. Ischial tuberosity
C. Sacrum
