HESI LPN-RN ENTRANCE EXAM: MOBILITY &
TRANSITION TEST BANK 100% VERIFIED
QUESTIONS & ANSWERS GRADED A+
2026/2027 UPDATED | COMPLETE STUDY GUIDE
SECTION 1: MOBILITY AND IMMOBILITY COMPLICATIONS
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation?
A) Provide the client with a walker.
B) Remove the telemetry equipment.
C) Encourage the client to cough and deep breathe.
D) Premedicate the client with an analgesic before ambulating.
Answer: D
Rationale: Premedicating with an analgesic before ambulation reduces pain,
making the activity more tolerable and promoting successful mobilization. Pain
management is a priority before activity [citation:2].
2. A nurse is evaluating an immobile bedridden patient. Which clinical finding
serves as the earliest indicator of a developing Stage 1 pressure injury?
1
,A) Non-blanchable erythema over a bony prominence
B) Broken skin with visible subcutaneous fat
C) Scattered localized serous blisters
D) Deep, unblanchable purple discoloration
Answer: A
Rationale: Non-blanchable erythema indicates microvascular damage from
pressure and is the hallmark of a Stage 1 pressure injury. Stage 2 involves partial-
thickness skin loss; Stage 3 exposes subcutaneous fat [citation:5][citation:6].
3. During prolonged immobility, the hematocrit level of a patient rises due to
plasma volume shifts. This alteration increases the patient's risk for which
complication?
A) Severe localized muscle atrophy
B) Delayed dermal wound healing
C) Thrombus formation
D) Decreased immune response
Answer: C
Rationale: Immobility causes hemoconcentration and increased blood viscosity.
Combined with venous stasis (Virchow's triad), this significantly elevates the risk
for deep vein thrombosis and pulmonary embolism [citation:5][citation:6].
4. A patient on strict bed rest develops hypostatic pneumonia. Which
pathophysiological mechanism directly accounts for this condition?
2
,A) Decreased systemic perfusion to the pulmonary capillary beds
B) Pooling of secretions in dependent lung segments due to gravity
C) Spontaneous mechanical rupture of alveolar basement membranes
D) Excessive hyperventilation causing respiratory alkalosis
Answer: B
Rationale: Immobility reduces chest wall expansion and suppresses cough reflexes,
allowing respiratory secretions to pool in dependent areas of the lungs, creating a
breeding ground for bacterial pathogens [citation:5][citation:6].
5. An immobile patient with a spinal cord injury experiences a sudden rise in blood
pressure to 190/110 mmHg, a severe headache, and bradycardia. What is the
nurse's immediate priority action?
A) Administer a PRN intravenous narcotic for headache relief
B) Elevate the head of the bed to a high-Fowler's position
C) Perform a digital rectal examination to check for impaction
D) Check the patency of the patient's indwelling urinary catheter
Answer: B
Rationale: This is classic autonomic dysreflexia, a medical emergency. The
immediate priority is to sit the patient up (high-Fowler's) to utilize orthostatic
pooling to lower blood pressure before investigating the underlying noxious
stimuli [citation:5][citation:6][citation:8].
3
, 6. A patient immobilized in a traction splint reports a severe, burning pain in the
foot that is unrelieved by prescribed opioid analgesics. The nurse notes the foot is
pale and has an absent pedal pulse. What condition does the nurse suspect?
A) Deep vein thrombosis
B) Compartment syndrome
C) Diabetic peripheral neuropathy
D) Rheumatoid osteoarthropathy
Answer: B
Rationale: Severe, unrelieved pain with pallor and pulselessness in an immobilized
extremity suggests compartment syndrome, a surgical emergency requiring
immediate intervention [citation:6].
7. The LPN/LVN is collecting data from a client about medications being taken,
and the client tells the nurse that he is taking herbal supplements for the treatment
of varicose veins. The nurse understands that the client is most likely taking
which?
A) Bilberry
B) Ginseng
C) Feverfew
D) Evening primrose
Answer: A
Rationale: Bilberry is an herbal supplement commonly used to treat varicose veins
and other vascular conditions [citation:7].
4
TRANSITION TEST BANK 100% VERIFIED
QUESTIONS & ANSWERS GRADED A+
2026/2027 UPDATED | COMPLETE STUDY GUIDE
SECTION 1: MOBILITY AND IMMOBILITY COMPLICATIONS
1. The LPN/LVN is preparing to ambulate a postoperative client after cardiac
surgery. The nurse plans to do which to enable the client to best tolerate the
ambulation?
A) Provide the client with a walker.
B) Remove the telemetry equipment.
C) Encourage the client to cough and deep breathe.
D) Premedicate the client with an analgesic before ambulating.
Answer: D
Rationale: Premedicating with an analgesic before ambulation reduces pain,
making the activity more tolerable and promoting successful mobilization. Pain
management is a priority before activity [citation:2].
2. A nurse is evaluating an immobile bedridden patient. Which clinical finding
serves as the earliest indicator of a developing Stage 1 pressure injury?
1
,A) Non-blanchable erythema over a bony prominence
B) Broken skin with visible subcutaneous fat
C) Scattered localized serous blisters
D) Deep, unblanchable purple discoloration
Answer: A
Rationale: Non-blanchable erythema indicates microvascular damage from
pressure and is the hallmark of a Stage 1 pressure injury. Stage 2 involves partial-
thickness skin loss; Stage 3 exposes subcutaneous fat [citation:5][citation:6].
3. During prolonged immobility, the hematocrit level of a patient rises due to
plasma volume shifts. This alteration increases the patient's risk for which
complication?
A) Severe localized muscle atrophy
B) Delayed dermal wound healing
C) Thrombus formation
D) Decreased immune response
Answer: C
Rationale: Immobility causes hemoconcentration and increased blood viscosity.
Combined with venous stasis (Virchow's triad), this significantly elevates the risk
for deep vein thrombosis and pulmonary embolism [citation:5][citation:6].
4. A patient on strict bed rest develops hypostatic pneumonia. Which
pathophysiological mechanism directly accounts for this condition?
2
,A) Decreased systemic perfusion to the pulmonary capillary beds
B) Pooling of secretions in dependent lung segments due to gravity
C) Spontaneous mechanical rupture of alveolar basement membranes
D) Excessive hyperventilation causing respiratory alkalosis
Answer: B
Rationale: Immobility reduces chest wall expansion and suppresses cough reflexes,
allowing respiratory secretions to pool in dependent areas of the lungs, creating a
breeding ground for bacterial pathogens [citation:5][citation:6].
5. An immobile patient with a spinal cord injury experiences a sudden rise in blood
pressure to 190/110 mmHg, a severe headache, and bradycardia. What is the
nurse's immediate priority action?
A) Administer a PRN intravenous narcotic for headache relief
B) Elevate the head of the bed to a high-Fowler's position
C) Perform a digital rectal examination to check for impaction
D) Check the patency of the patient's indwelling urinary catheter
Answer: B
Rationale: This is classic autonomic dysreflexia, a medical emergency. The
immediate priority is to sit the patient up (high-Fowler's) to utilize orthostatic
pooling to lower blood pressure before investigating the underlying noxious
stimuli [citation:5][citation:6][citation:8].
3
, 6. A patient immobilized in a traction splint reports a severe, burning pain in the
foot that is unrelieved by prescribed opioid analgesics. The nurse notes the foot is
pale and has an absent pedal pulse. What condition does the nurse suspect?
A) Deep vein thrombosis
B) Compartment syndrome
C) Diabetic peripheral neuropathy
D) Rheumatoid osteoarthropathy
Answer: B
Rationale: Severe, unrelieved pain with pallor and pulselessness in an immobilized
extremity suggests compartment syndrome, a surgical emergency requiring
immediate intervention [citation:6].
7. The LPN/LVN is collecting data from a client about medications being taken,
and the client tells the nurse that he is taking herbal supplements for the treatment
of varicose veins. The nurse understands that the client is most likely taking
which?
A) Bilberry
B) Ginseng
C) Feverfew
D) Evening primrose
Answer: A
Rationale: Bilberry is an herbal supplement commonly used to treat varicose veins
and other vascular conditions [citation:7].
4
