HESI LPN-ADN MOBILITY ENTRANCE
EXAM 2027 QUESTIONS AND ANSWERS
1. A client who underwent a total hip arthroplasty is being prepared for discharge. Which
statement by the client indicates a need for further instruction regarding home safety?
A. I will use a raised toilet seat to avoid bending my hip too far.
B. I will remove all throw rugs from my hallways and living areas.
C. I will keep my legs crossed while sitting to maintain stability.
D. I will use a long-handled reacher to pick up items from the floor.
Answer: C
Conceptual Explanation: Crossing the legs after a total hip arthroplasty is contraindicated
as it causes adduction and increases the risk of hip prosthesis dislocation. Proper
precautions include avoiding hip flexion greater than 90 degrees and avoiding adduction.
2. The nurse is assessing a client with a long leg cast. Which finding should be reported to the
healthcare provider immediately?
A. Capillary refill of 2 seconds in the toes.
B. Inability to move the toes and intense pain on passive extension.
,C. Generalized itching under the cast material.
D. Occasional muscle spasms in the affected limb.
Answer: B
Conceptual Explanation: Inability to move toes and pain on passive extension are
hallmark signs of compartment syndrome, a surgical emergency. Delayed treatment can
lead to permanent nerve and muscle damage.
3. A client is using crutches for the first time following a knee injury. Which instruction should
the nurse include regarding the use of crutches when ascending stairs?
A. Lead with the unaffected leg, followed by the crutches and the affected leg.
B. Lead with the affected leg and the crutches simultaneously.
C. Place both crutches on the step above before moving either leg.
D. Lead with the crutches, followed by the unaffected leg.
Answer: A
Conceptual Explanation: The correct sequence for ascending stairs with crutches is ‘up
with the good’—the unaffected leg leads, followed by the crutches and the affected leg
together.
4. A nurse is caring for a client in Buck’s traction. Which nursing action is a priority for
maintaining the effectiveness of the traction?
A. Removing the weights every 4 hours to assess skin integrity.
, B. Ensuring the weights hang freely and do not touch the floor.
C. Tending to the client’s position so the feet touch the footboard.
D. Applying a heating pad to the affected limb to reduce spasms.
Answer: B
Conceptual Explanation: For traction to be effective, weights must hang freely. Touching
the floor or the bed frame interrupts the continuous pull required to align the bone or
reduce spasms.
5. A client with osteoporosis is prescribed Alendronate. What instruction is most important
for the nurse to provide?
A. Take the medication right before bedtime with a full snack.
B. Crush the tablet if it is difficult to swallow.
C. Sit or stand upright for at least 30 minutes after taking the medication.
D. Take the medication with a glass of milk to increase calcium absorption.
Answer: C
Conceptual Explanation: Alendronate can cause severe esophageal irritation and
ulceration. Clients must remain upright for at least 30 minutes and take it with a full glass
of water on an empty stomach to prevent these complications.
EXAM 2027 QUESTIONS AND ANSWERS
1. A client who underwent a total hip arthroplasty is being prepared for discharge. Which
statement by the client indicates a need for further instruction regarding home safety?
A. I will use a raised toilet seat to avoid bending my hip too far.
B. I will remove all throw rugs from my hallways and living areas.
C. I will keep my legs crossed while sitting to maintain stability.
D. I will use a long-handled reacher to pick up items from the floor.
Answer: C
Conceptual Explanation: Crossing the legs after a total hip arthroplasty is contraindicated
as it causes adduction and increases the risk of hip prosthesis dislocation. Proper
precautions include avoiding hip flexion greater than 90 degrees and avoiding adduction.
2. The nurse is assessing a client with a long leg cast. Which finding should be reported to the
healthcare provider immediately?
A. Capillary refill of 2 seconds in the toes.
B. Inability to move the toes and intense pain on passive extension.
,C. Generalized itching under the cast material.
D. Occasional muscle spasms in the affected limb.
Answer: B
Conceptual Explanation: Inability to move toes and pain on passive extension are
hallmark signs of compartment syndrome, a surgical emergency. Delayed treatment can
lead to permanent nerve and muscle damage.
3. A client is using crutches for the first time following a knee injury. Which instruction should
the nurse include regarding the use of crutches when ascending stairs?
A. Lead with the unaffected leg, followed by the crutches and the affected leg.
B. Lead with the affected leg and the crutches simultaneously.
C. Place both crutches on the step above before moving either leg.
D. Lead with the crutches, followed by the unaffected leg.
Answer: A
Conceptual Explanation: The correct sequence for ascending stairs with crutches is ‘up
with the good’—the unaffected leg leads, followed by the crutches and the affected leg
together.
4. A nurse is caring for a client in Buck’s traction. Which nursing action is a priority for
maintaining the effectiveness of the traction?
A. Removing the weights every 4 hours to assess skin integrity.
, B. Ensuring the weights hang freely and do not touch the floor.
C. Tending to the client’s position so the feet touch the footboard.
D. Applying a heating pad to the affected limb to reduce spasms.
Answer: B
Conceptual Explanation: For traction to be effective, weights must hang freely. Touching
the floor or the bed frame interrupts the continuous pull required to align the bone or
reduce spasms.
5. A client with osteoporosis is prescribed Alendronate. What instruction is most important
for the nurse to provide?
A. Take the medication right before bedtime with a full snack.
B. Crush the tablet if it is difficult to swallow.
C. Sit or stand upright for at least 30 minutes after taking the medication.
D. Take the medication with a glass of milk to increase calcium absorption.
Answer: C
Conceptual Explanation: Alendronate can cause severe esophageal irritation and
ulceration. Clients must remain upright for at least 30 minutes and take it with a full glass
of water on an empty stomach to prevent these complications.
