1
HESI LPN-ADN Entrance Exam
(Mobility Exam) 2025/2026 – Actual
Practice Questions with Verified
Answers | A+
Section 1: Delegation and Scope of Practice
1. Which task can an LPN delegate to a certified nursing assistant (CNA)?
a) Administering oral medications
b) Assisting with ambulation
c) Developing a care plan
d) Performing a sterile dressing change
Rationale: CNAs are trained to assist with activities of daily living, such as ambulation,
which falls within their scope of practice. Administering medications, developing care
plans, and performing sterile procedures are beyond a CNA’s scope and require an LPN
or RN.
2. An LPN is supervising a CNA. Which action by the CNA requires immediate
intervention?
a) Taking a patient’s vital signs
b) Giving a patient oral medication
c) Helping a patient with hygiene
d) Documenting fluid intake
Rationale: Administering medications is outside a CNA’s scope of practice and poses a
safety risk. The LPN must intervene to ensure compliance with scope of practice and
patient safety.
3. The RN assigns an LPN to monitor a patient’s IV site. What should the LPN do if the site
shows signs of infiltration?
a) Continue monitoring without action
b) Discontinue the IV and notify the RN
c) Adjust the IV flow rate
d) Apply a warm compress
Rationale: Infiltration requires discontinuing the IV to prevent tissue damage and
notifying the RN for further orders, as this is within an LPN’s scope but requires RN
oversight.
4. Which task is appropriate for an LPN to perform under RN supervision?
a) Initiating a patient teaching plan
b) Administering IV push medications
c) Evaluating patient outcomes
, 2
d) Diagnosing a patient’s condition
Rationale: LPNs can administer certain IV medications under RN supervision,
depending on state regulations. Initiating teaching plans, evaluating outcomes, and
diagnosing are RN responsibilities.
5. The LPN is delegating tasks to a CNA. Which task is inappropriate?
a) Measuring a patient’s temperature
b) Assessing a patient’s pain level
c) Assisting with feeding
d) Repositioning a bedridden patient
Rationale: Assessing pain is a nursing responsibility requiring clinical judgment, which
is outside a CNA’s scope. The other tasks are appropriate for CNAs.
Section 2: Mobility and Patient Positioning
6. A patient with a hip fracture is at risk for complications. Which position should the LPN
avoid?
a) Supine with legs elevated
b) Adduction of the affected leg
c) Semi-Fowler’s position
d) Side-lying on the unaffected side
Rationale: Adduction of the affected leg can displace the hip fracture, increasing pain
and complications. Other positions are generally safe unless contraindicated.
7. How often should an LPN reposition a bedridden patient to prevent pressure ulcers?
a) Every 4 hours
b) Every 2 hours
c) Every 6 hours
d) Once per shift
Rationale: Repositioning every 2 hours redistributes pressure, reducing the risk of
pressure ulcers in immobile patients.
8. A patient with a recent stroke is being transferred from bed to wheelchair. What should
the LPN do?
a) Use a gait belt and stand on the patient’s weaker side
b) Transfer without assistive devices
c) Stand on the patient’s stronger side
d) Use a mechanical lift alone
Rationale: A gait belt ensures safety, and standing on the weaker side provides support
to the affected side during transfer.
9. Which intervention promotes safe ambulation for a patient with a walker?
a) Encouraging fast walking to build strength
b) Ensuring the walker is at waist level and the floor is clear
c) Allowing the patient to lean backward
d) Using slippers with no traction
, 3
Rationale: The walker should be at waist level for stability, and a clear floor prevents
tripping. Leaning backward or using non-traction footwear increases fall risk.
10. A patient with limited mobility is at risk for deep vein thrombosis (DVT). What should
the LPN encourage?
a) Prolonged bed rest
b) Leg exercises and ambulation as tolerated
c) Crossing legs while seated
d) Avoiding hydration
Rationale: Leg exercises and ambulation promote circulation, reducing DVT risk.
Crossing legs or prolonged immobility increases risk.
Section 3: Infection Control
11. What is the most effective way to prevent the spread of infection in a healthcare setting?
a) Wearing gloves at all times
b) Performing hand hygiene before and after patient contact
c) Using alcohol wipes on equipment daily
d) Isolating all patients
Rationale: Hand hygiene is the most effective way to prevent healthcare-associated
infections, per CDC guidelines.
12. A patient is on contact precautions for MRSA. What should the LPN wear when entering
the room?
a) Gloves and gown
b) Mask and goggles
c) Only gloves
d) Full face shield
Rationale: Contact precautions for MRSA require gloves and a gown to prevent skin and
clothing contamination.
13. When should the LPN use standard precautions?
a) Only for patients with known infections
b) For all patient care activities
c) Only during surgical procedures
d) When blood is visible
Rationale: Standard precautions apply to all patients to minimize infection risk,
assuming all bodily fluids may be infectious.
14. A patient with Clostridium difficile is on isolation. What cleaning agent should the LPN
use for equipment?
a) Alcohol-based cleaner
b) Bleach-based solution
c) Soap and water
d) Hydrogen peroxide
Rationale: Bleach-based solutions are required to kill C. difficile spores, which are
resistant to alcohol.
HESI LPN-ADN Entrance Exam
(Mobility Exam) 2025/2026 – Actual
Practice Questions with Verified
Answers | A+
Section 1: Delegation and Scope of Practice
1. Which task can an LPN delegate to a certified nursing assistant (CNA)?
a) Administering oral medications
b) Assisting with ambulation
c) Developing a care plan
d) Performing a sterile dressing change
Rationale: CNAs are trained to assist with activities of daily living, such as ambulation,
which falls within their scope of practice. Administering medications, developing care
plans, and performing sterile procedures are beyond a CNA’s scope and require an LPN
or RN.
2. An LPN is supervising a CNA. Which action by the CNA requires immediate
intervention?
a) Taking a patient’s vital signs
b) Giving a patient oral medication
c) Helping a patient with hygiene
d) Documenting fluid intake
Rationale: Administering medications is outside a CNA’s scope of practice and poses a
safety risk. The LPN must intervene to ensure compliance with scope of practice and
patient safety.
3. The RN assigns an LPN to monitor a patient’s IV site. What should the LPN do if the site
shows signs of infiltration?
a) Continue monitoring without action
b) Discontinue the IV and notify the RN
c) Adjust the IV flow rate
d) Apply a warm compress
Rationale: Infiltration requires discontinuing the IV to prevent tissue damage and
notifying the RN for further orders, as this is within an LPN’s scope but requires RN
oversight.
4. Which task is appropriate for an LPN to perform under RN supervision?
a) Initiating a patient teaching plan
b) Administering IV push medications
c) Evaluating patient outcomes
, 2
d) Diagnosing a patient’s condition
Rationale: LPNs can administer certain IV medications under RN supervision,
depending on state regulations. Initiating teaching plans, evaluating outcomes, and
diagnosing are RN responsibilities.
5. The LPN is delegating tasks to a CNA. Which task is inappropriate?
a) Measuring a patient’s temperature
b) Assessing a patient’s pain level
c) Assisting with feeding
d) Repositioning a bedridden patient
Rationale: Assessing pain is a nursing responsibility requiring clinical judgment, which
is outside a CNA’s scope. The other tasks are appropriate for CNAs.
Section 2: Mobility and Patient Positioning
6. A patient with a hip fracture is at risk for complications. Which position should the LPN
avoid?
a) Supine with legs elevated
b) Adduction of the affected leg
c) Semi-Fowler’s position
d) Side-lying on the unaffected side
Rationale: Adduction of the affected leg can displace the hip fracture, increasing pain
and complications. Other positions are generally safe unless contraindicated.
7. How often should an LPN reposition a bedridden patient to prevent pressure ulcers?
a) Every 4 hours
b) Every 2 hours
c) Every 6 hours
d) Once per shift
Rationale: Repositioning every 2 hours redistributes pressure, reducing the risk of
pressure ulcers in immobile patients.
8. A patient with a recent stroke is being transferred from bed to wheelchair. What should
the LPN do?
a) Use a gait belt and stand on the patient’s weaker side
b) Transfer without assistive devices
c) Stand on the patient’s stronger side
d) Use a mechanical lift alone
Rationale: A gait belt ensures safety, and standing on the weaker side provides support
to the affected side during transfer.
9. Which intervention promotes safe ambulation for a patient with a walker?
a) Encouraging fast walking to build strength
b) Ensuring the walker is at waist level and the floor is clear
c) Allowing the patient to lean backward
d) Using slippers with no traction
, 3
Rationale: The walker should be at waist level for stability, and a clear floor prevents
tripping. Leaning backward or using non-traction footwear increases fall risk.
10. A patient with limited mobility is at risk for deep vein thrombosis (DVT). What should
the LPN encourage?
a) Prolonged bed rest
b) Leg exercises and ambulation as tolerated
c) Crossing legs while seated
d) Avoiding hydration
Rationale: Leg exercises and ambulation promote circulation, reducing DVT risk.
Crossing legs or prolonged immobility increases risk.
Section 3: Infection Control
11. What is the most effective way to prevent the spread of infection in a healthcare setting?
a) Wearing gloves at all times
b) Performing hand hygiene before and after patient contact
c) Using alcohol wipes on equipment daily
d) Isolating all patients
Rationale: Hand hygiene is the most effective way to prevent healthcare-associated
infections, per CDC guidelines.
12. A patient is on contact precautions for MRSA. What should the LPN wear when entering
the room?
a) Gloves and gown
b) Mask and goggles
c) Only gloves
d) Full face shield
Rationale: Contact precautions for MRSA require gloves and a gown to prevent skin and
clothing contamination.
13. When should the LPN use standard precautions?
a) Only for patients with known infections
b) For all patient care activities
c) Only during surgical procedures
d) When blood is visible
Rationale: Standard precautions apply to all patients to minimize infection risk,
assuming all bodily fluids may be infectious.
14. A patient with Clostridium difficile is on isolation. What cleaning agent should the LPN
use for equipment?
a) Alcohol-based cleaner
b) Bleach-based solution
c) Soap and water
d) Hydrogen peroxide
Rationale: Bleach-based solutions are required to kill C. difficile spores, which are
resistant to alcohol.
