HESI LPN-ADN MOBILITY PRACTICE
EXAM QUESTIONS AND ANSWERS
1. A nurse is caring for a patient with a diagnosis of heart failure who is prescribed
furosemide. Which laboratory value should the nurse monitor most closely?
A. Serum potassium
B. Serum sodium
C. Serum calcium
D. Serum magnesium
Answer: A
Conceptual Explanation: Furosemide is a loop diuretic that causes the excretion of
potassium. Hypokalemia is a significant risk, which can lead to cardiac arrhythmias.
2. The nurse is assessing a patient with suspected appendicitis. Which clinical manifestation
should the nurse expect to find?
A. Pain in the left lower quadrant
B. Pain relieved by coughing
C. Hyperactive bowel sounds in all quadrants
,D. Rebound tenderness at McBurney’s point
Answer: D
Conceptual Explanation: Rebound tenderness at McBurney’s point (right lower quadrant)
is a classic sign of appendicitis.
3. A patient is receiving a continuous intravenous infusion of heparin. Which laboratory test
should the nurse monitor to evaluate the effectiveness of the therapy?
A. Prothrombin time (PT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Activated partial thromboplastin time (aPTT)
Answer: D
Conceptual Explanation: aPTT is used to monitor heparin therapy, while PT and INR are
used to monitor warfarin therapy.
4. The nurse is preparing to administer digoxin to a patient. Which action should the nurse
take first?
A. Check the patient’s blood pressure
B. Check the patient’s serum potassium level
C. Assess the apical pulse for one full minute
D. Monitor the patient’s urine output
, Answer: C
Conceptual Explanation: The nurse must assess the apical pulse for one full minute; if it is
less than 60 beats per minute, the medication should be withheld and the provider notified.
5. A patient has been diagnosed with Type 1 Diabetes Mellitus. Which symptom is most
indicative of hyperglycemia?
A. Diaphoresis
B. Extreme hunger
C. Increased thirst and frequent urination
D. Tremors
Answer: C
Conceptual Explanation: Polydipsia (increased thirst) and polyuria (frequent urination)
are hallmark symptoms of hyperglycemia.
6. Which action is a priority for a nurse caring for a patient who just underwent a total hip
arthroplasty?
A. Encouraging the patient to cross their legs for comfort
B. Assisting the patient to flex the hip greater than 90 degrees
C. Keeping an abduction pillow between the patient’s legs
D. Allowing the patient to sit in a low chair
Answer: C
EXAM QUESTIONS AND ANSWERS
1. A nurse is caring for a patient with a diagnosis of heart failure who is prescribed
furosemide. Which laboratory value should the nurse monitor most closely?
A. Serum potassium
B. Serum sodium
C. Serum calcium
D. Serum magnesium
Answer: A
Conceptual Explanation: Furosemide is a loop diuretic that causes the excretion of
potassium. Hypokalemia is a significant risk, which can lead to cardiac arrhythmias.
2. The nurse is assessing a patient with suspected appendicitis. Which clinical manifestation
should the nurse expect to find?
A. Pain in the left lower quadrant
B. Pain relieved by coughing
C. Hyperactive bowel sounds in all quadrants
,D. Rebound tenderness at McBurney’s point
Answer: D
Conceptual Explanation: Rebound tenderness at McBurney’s point (right lower quadrant)
is a classic sign of appendicitis.
3. A patient is receiving a continuous intravenous infusion of heparin. Which laboratory test
should the nurse monitor to evaluate the effectiveness of the therapy?
A. Prothrombin time (PT)
B. International Normalized Ratio (INR)
C. Platelet count
D. Activated partial thromboplastin time (aPTT)
Answer: D
Conceptual Explanation: aPTT is used to monitor heparin therapy, while PT and INR are
used to monitor warfarin therapy.
4. The nurse is preparing to administer digoxin to a patient. Which action should the nurse
take first?
A. Check the patient’s blood pressure
B. Check the patient’s serum potassium level
C. Assess the apical pulse for one full minute
D. Monitor the patient’s urine output
, Answer: C
Conceptual Explanation: The nurse must assess the apical pulse for one full minute; if it is
less than 60 beats per minute, the medication should be withheld and the provider notified.
5. A patient has been diagnosed with Type 1 Diabetes Mellitus. Which symptom is most
indicative of hyperglycemia?
A. Diaphoresis
B. Extreme hunger
C. Increased thirst and frequent urination
D. Tremors
Answer: C
Conceptual Explanation: Polydipsia (increased thirst) and polyuria (frequent urination)
are hallmark symptoms of hyperglycemia.
6. Which action is a priority for a nurse caring for a patient who just underwent a total hip
arthroplasty?
A. Encouraging the patient to cross their legs for comfort
B. Assisting the patient to flex the hip greater than 90 degrees
C. Keeping an abduction pillow between the patient’s legs
D. Allowing the patient to sit in a low chair
Answer: C
