HESI Mobility Exam LPN ADN Guaranteed A

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HESI Mobility Exam LPN ADN Guaranteed A+ Actual Questions and Answers, Complete 100%

Question 1: Mr. Matthew tells the nurse that he has never been

hospitalized. He appears anxious and frequently turns to his wife for reassurance. What is the best response by the nurse?

• "Is there anything you would like to ask your healthcare

provider?"

• "What concerns do you have about being hospitalized."
• "We give good care to all our clients in the hospital."
• "Your healthcare provider the chosen the best hospital in the

city."

CORRECT ANSWER : B. "What concerns do you have about

being hospitalized."

Question 2: Mr. Matthew tells the nurse, "My sweetheart and I

have never been apart during our 55-year marriage." What action should the nurse implement to help reduce Mr. Matthew's anxiety during the admission process?

• Explain the room environment to Mr. and Mrs. Matthew.
• Ask Mrs. Matthew if she would like to rest in the waiting

room.

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• Ask Mr. Matthew if he would like a prescription for an

antianxiety medication.

• Reassure Mr. and Mrs. Matthew that everything will be okay.

CORRECT ANSWER : A. Explain the room environment to Mr.

and Mrs. Matthew.

Question 3: Mr. Matthew states the pain level in his right foot is

• on a scale of 1-10. He says he has been favoring his foot by

staying in bed the past week. In planning his care, which nursing diagnosis should take priority?

• Risk for caregiver role strain.
• Risk for social isolation.
• Impaired physical mobility.

D. Imbalanced nutrition: more than body requirements.

CORRECT ANSWER: C. Impaired physical mobility.

Question 4: In developing a plan of care, the nurse consults with

Mr. Matthew to identify a short-term goal. Which goal is correct for Mr. Matthew's diagnosis for impaired mobility?

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• The client will demonstrate better mobility by time of

discharge.

• The nurse will reposition the client every 2 hours while

awake.

• The client will sit in the chair for each meal beginning on the

day of admission.

• The nurse will assist the client to ambulate in the hall by the

second hospital day.

CORRECT ANSWER : C. The client will sit in the chair for

each meal beginning on the day of admission.

Question 5: Mr. Matthew is reluctant to move in the bed or

move to the chair. He likes his wife to place a pillow under his knee. The nurse performs a physical assessment, which reveals diminished dorsalis pedis pulses bilaterally. Which instruction(s) should the nurse convey to help prevent venous thromboembolism (VTE) in Mr. Matthew's legs? (Select all that apply)

• Encourage Mr. Matthew to cough and breathe deeply 10

times an hour.

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• Teach Mr. Matthew to dorsal flew and planter flex his feet

while in the bed and chair.

• Instruct Mr. Matthew to change positions every 2 hours in the

bed or chair.

• Advise Mr. Matthew to eat well-balanced meals and

between-meals snacks.

• Explain enoxaparin (Lovenox) injections will be administered

routinely.

CORRECT ANSWER : B. Teach Mr. Matthew to dorsal flex and

plantar flex his feet while in the bed and chair.

CORRECT ANSWER : E. Explain enoxaparin (Lovenox)

injections will be administered routinely.

Question 6: How should the nurse document the completed

client teaching?

• Nurse demonstrated foot exercises to client to be done 10

times an hour in room. Tolerated teaching well.

• Nurse explained foot exercises to client and wife.
• Dorsal and plantar flexion demonstrated to client and

returned correctly. States he will perform 10 times an hour.