HESI MOBILITY EXAM / MOBILITY HESI EXAM 2 UPDATED
VERSIONS (V1 AND V2) COMPLETE ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED ANSWERS WITH
RATIONALES (CORRECT VERIFIED ANSWERS) LATEST
UPDATES 2024 |GUARANTEED PASS. (BRAND NEW!!)
HESI MOBILITY VERSION 1 (V1)
Which information is most important for the nurse to
obtain in the initial assessment? - Answer-"Tell me about
concerns you have about being hospitalized."
What action should the nurse implement to help reduce
Mr. Mathis' anxiety during the admission process? -
Answer-Explain the room environment to Mr. and Mrs.
Mathis.
When care is planned for Mr. Mathis, which nursing
diagnosis should take priority? - Answer-Impaired
physical mobility.
Which goal is correct for Mr. Mathis' diagnosis of
impaired physical mobility? - Answer-The client will sit in
,the chair for each meal beginning on the day of
admission.
Which instructions should the nurse convey to help
prevent venous thromboembolism (VTE) in Mr. Mathis'
legs? - Answer--Teach Mr. Mathis to dorsal flex and
plantar flex his feet while in the bed and chair.
-Instruct Mr. Mathis to wear sequential compression
stockings.
-Explain that enoxaparin injections will be administered
routinely.
The nurse is observing a student nurse perform a
peripheral assessment on Mr. Mathis. Which action
requires the nurse to intervene? - Answer-Assessing the
Homan's sign in bilateral extremities.
The HCP has prescribed thigh-high antiembolic hose for
Mr. Mathis. The nurse assesses the client's legs every 8
hours. Which assessment finding reflects signs of
possible thrombophlebitis that should be reported to the
HCP? - Answer-Unilateral calf edema.
,Which instruction should the nurse give to the
unlicensed assistive personnel (UAP) for positioning Mr.
Mathis' legs? - Answer-Use two pillows and place one
lengthwise under each calf.
Which nursing diagnosis best applies to Mr. Mathis'
nutritional assessment? - Answer-Imbalanced nutrition:
less than body requirements.
The nurse instructs Mr. Mathis to increase his intake of
which foods to prevent a decrease in bone density? -
Answer-Calcium rich foods.
Which foods should the nurse encourage? - Answer-Milk,
oatmeal, and an orange.
How should the nurse teach the UAP to position the chair
to ensure a safe transfer? - Answer-Position the chair at a
45 degree angle to the bed on Mr. Mathis' left side.
, What is the priority nursing action? - Answer-Gently
lower Mr. Mathis to the floor.
How does the UAP assess for orthostatic hypotension? -
Answer-Take the client's blood pressure and pulse while
the client is in the lying, sitting, and standing positions.
Which action should the nurse implement? - Answer-
Teach Mr. Mathis to take ten deep breaths an hour while
awake.
What is the best response by the nurse? - Answer-Help
the client perform the correct technique for deep
breathing exercises.
The nurse explains to the UAP that the Braden Scale is
used to measure which client parameter? - Answer-Risk
for pressure sores.
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