BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A -
Nightingale 2026/2027 -- 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V1
(Latest Update 2026/2027) Questions
& Answers | 100% Correct | Grade A -
Nightingale 2026/2027 -- 2026/2027
Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Process & Clinical Judgment Medication Administration & Pharmacology
Patient Safety & Infection Control Patient Care & Comfort Measures
Health Assessment & Vital Signs Professional Standards & Ethics
COVER PAGE - 1
,SECTION 1 | Nursing Process & Professional Standards | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Official Exam
Q1 Question 1 of 75
A nurse in a medical-surgical unit receives a shift report on four patients. Which patient
should the nurse assess first? A patient with heart failure reporting sudden dyspnea after
walking to the bathroom, a patient with diabetes who has a fasting blood glucose of 180
mg/dL, a postoperative patient with incisional pain rated 4 out of 10, or a patient with
pneumonia who has a productive cough.
The patient with heart failure reporting sudden dyspnea after ambulating to the bathroom
The patient with diabetes whose fasting blood glucose is 180 mg/dL without symptoms
The postoperative patient with incisional pain rated 4 out of 10 after receiving analgesia
The patient with pneumonia who has a productive cough and is afebrile on antibiotics
Correct Answer: A
Rationale:
Sudden dyspnea in a heart failure patient indicates potential fluid overload or worsening cardiac status
requiring immediate assessment and intervention. The other findings, while important, are stable and
less time-critical than acute respiratory compromise in a cardiac patient.
Q2 Question 2 of 75
A nurse is caring for a patient who had a cerebrovascular accident and now has difficulty
swallowing liquids. The patient coughs frequently during meals and has a weak gag reflex.
Which nursing diagnosis should the nurse prioritize for this patient at this time?
Ineffective tissue perfusion related to cerebral vessel occlusion as evidenced by stroke
symptoms
Risk for aspiration related to impaired swallowing mechanism and weak gag reflex
Impaired physical mobility related to neuromuscular impairment from the cerebrovascular
accident
Acute confusion related to altered cerebral tissue perfusion following the stroke event
Correct Answer: B
Rationale:
Coughing during meals and a weak gag reflex place this patient at high risk for aspiration, which can
lead to fatal aspiration pneumonitis. Airway protection is the immediate priority over mobility, tissue
perfusion, or confusion, which are also relevant but less immediately life-threatening.
,SECTION 1 | Nursing Process & Professional Standards | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Official Exam
Q3 Question 3 of 75
A nurse is developing a care plan for a patient newly diagnosed with type 2 diabetes
mellitus who weighs 220 lb and is 5 ft 6 in tall. The patient states they want to lose weight.
Which goal is most appropriate for the nurse to include in the plan of care?
The patient will achieve a fasting blood glucose below 100 mg/dL within one week of hospital
discharge
The patient will decrease total daily caloric intake to 800 calories per day for rapid weight loss
The patient will lose 1 to 2 lb per week through dietary modification and walking 30 minutes
daily
The patient will eliminate all simple carbohydrates from their diet within three days of teaching
Correct Answer: C
Rationale:
A weight loss goal of 1 to 2 lb per week is realistic, measurable, and aligned with evidence-based
guidelines for sustainable weight management in diabetes. Restricting to 800 calories is unsafe,
normalizing glucose in one week is unrealistic for a new diagnosis, and eliminating all carbohydrates
is neither practical nor evidence-based.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Off
, SECTION 1 | Nursing Process & Professional Standards | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Official Exam
Q4 Question 4 of 75
A nurse on a busy medical unit is caring for multiple patients. A UAP has completed
competency training for vital signs and activities of daily living. Which task is most
appropriate for the nurse to delegate to this UAP?
Assessing a patient's surgical wound for signs of infection such as redness, warmth, or
drainage
Educating a patient newly diagnosed with hypertension about their prescribed medication
regimen
Evaluating a patient's pain level 30 minutes after administering an intravenous pain
medication
Obtaining a complete set of vital signs on a stable postoperative patient who had an
uneventful recovery
Correct Answer: D
Rationale:
Obtaining vital signs on a stable postoperative patient falls within the UAP authorized scope and does
not require nursing judgment. Assessment, patient education, and evaluation of medication
effectiveness all require the clinical knowledge and critical thinking of a licensed registered nurse and
cannot be delegated.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Off
Nightingale 2026/2027 -- 2026/2027 Official Exam
OBJECTIVE ASSESSMENT - EXAM
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V1
(Latest Update 2026/2027) Questions
& Answers | 100% Correct | Grade A -
Nightingale 2026/2027 -- 2026/2027
Official Exam
75 100% 2026/2027
QUESTIONS VERIFIED ANSWERS EDITION
TOPICS COVERED
Nursing Process & Clinical Judgment Medication Administration & Pharmacology
Patient Safety & Infection Control Patient Care & Comfort Measures
Health Assessment & Vital Signs Professional Standards & Ethics
COVER PAGE - 1
,SECTION 1 | Nursing Process & Professional Standards | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Official Exam
Q1 Question 1 of 75
A nurse in a medical-surgical unit receives a shift report on four patients. Which patient
should the nurse assess first? A patient with heart failure reporting sudden dyspnea after
walking to the bathroom, a patient with diabetes who has a fasting blood glucose of 180
mg/dL, a postoperative patient with incisional pain rated 4 out of 10, or a patient with
pneumonia who has a productive cough.
The patient with heart failure reporting sudden dyspnea after ambulating to the bathroom
The patient with diabetes whose fasting blood glucose is 180 mg/dL without symptoms
The postoperative patient with incisional pain rated 4 out of 10 after receiving analgesia
The patient with pneumonia who has a productive cough and is afebrile on antibiotics
Correct Answer: A
Rationale:
Sudden dyspnea in a heart failure patient indicates potential fluid overload or worsening cardiac status
requiring immediate assessment and intervention. The other findings, while important, are stable and
less time-critical than acute respiratory compromise in a cardiac patient.
Q2 Question 2 of 75
A nurse is caring for a patient who had a cerebrovascular accident and now has difficulty
swallowing liquids. The patient coughs frequently during meals and has a weak gag reflex.
Which nursing diagnosis should the nurse prioritize for this patient at this time?
Ineffective tissue perfusion related to cerebral vessel occlusion as evidenced by stroke
symptoms
Risk for aspiration related to impaired swallowing mechanism and weak gag reflex
Impaired physical mobility related to neuromuscular impairment from the cerebrovascular
accident
Acute confusion related to altered cerebral tissue perfusion following the stroke event
Correct Answer: B
Rationale:
Coughing during meals and a weak gag reflex place this patient at high risk for aspiration, which can
lead to fatal aspiration pneumonitis. Airway protection is the immediate priority over mobility, tissue
perfusion, or confusion, which are also relevant but less immediately life-threatening.
,SECTION 1 | Nursing Process & Professional Standards | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Official Exam
Q3 Question 3 of 75
A nurse is developing a care plan for a patient newly diagnosed with type 2 diabetes
mellitus who weighs 220 lb and is 5 ft 6 in tall. The patient states they want to lose weight.
Which goal is most appropriate for the nurse to include in the plan of care?
The patient will achieve a fasting blood glucose below 100 mg/dL within one week of hospital
discharge
The patient will decrease total daily caloric intake to 800 calories per day for rapid weight loss
The patient will lose 1 to 2 lb per week through dietary modification and walking 30 minutes
daily
The patient will eliminate all simple carbohydrates from their diet within three days of teaching
Correct Answer: C
Rationale:
A weight loss goal of 1 to 2 lb per week is realistic, measurable, and aligned with evidence-based
guidelines for sustainable weight management in diabetes. Restricting to 800 calories is unsafe,
normalizing glucose in one week is unrealistic for a new diagnosis, and eliminating all carbohydrates
is neither practical nor evidence-based.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Off
, SECTION 1 | Nursing Process & Professional Standards | Q1-Q15 | BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest
Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Official Exam
Q4 Question 4 of 75
A nurse on a busy medical unit is caring for multiple patients. A UAP has completed
competency training for vital signs and activities of daily living. Which task is most
appropriate for the nurse to delegate to this UAP?
Assessing a patient's surgical wound for signs of infection such as redness, warmth, or
drainage
Educating a patient newly diagnosed with hypertension about their prescribed medication
regimen
Evaluating a patient's pain level 30 minutes after administering an intravenous pain
medication
Obtaining a complete set of vital signs on a stable postoperative patient who had an
uneventful recovery
Correct Answer: D
Rationale:
Obtaining vital signs on a stable postoperative patient falls within the UAP authorized scope and does
not require nursing judgment. Assessment, patient education, and evaluation of medication
effectiveness all require the clinical knowledge and critical thinking of a licensed registered nurse and
cannot be delegated.
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1 (Latest Update 2026/2027) Questions & Answers | 100% Correct | Grade A - Nightingale 2026/2027 -- 2026/2027 Off
