,2026 HESI BSN Fundamentals Exam Prep | 3
Practice Exams & NGN Case Scenarios with
Verified Answers & Detailed Rationales |
Nightingale College | Updated 2026/2027 Edition
| Instant Digital Download
Domain Topic Area Questions
I Nursing Process & Clinical Judgment 1–25
II Safety & Infection Control 26–50
III Medication Administration & Pharmacology Basics 51–75
IV Patient Hygiene, Mobility & Comfort 76–95
V Nutrition, Elimination & Oxygenation 96–120
VI Communication, Documentation & Legal/Ethical 121–140
VII NGN Case Scenarios – Clinical Judgment 141–170
VIII NGN Case Scenarios – Prioritization & Delegation 171–200
✅ FULL 200-QUESTION PRACTICE EXAM
PRACTICE EXAM 1: NURSING PROCESS & CLINICAL JUDGMENT
(Questions 1–25)
,Question 1
A nurse is caring for a client who reports pain rated 8/10. The nurse administers the
prescribed analgesic. Which step of the nursing process is the nurse implementing?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: D
Rationale: Implementation is the step of the nursing process where the nurse carries
out the planned interventions, including administering medications. Assessment (A) is
data collection. Diagnosis (B) is identifying the problem. Planning (C) is developing goals
and interventions.
Question 2
A nurse is assessing a client's vital signs. The nurse documents blood pressure 140/90
mmHg, heart rate 88 bpm, and respiratory rate 22 breaths/min. Which step of the
nursing process does this represent?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: A
Rationale: Assessment is the systematic collection of data, including vital signs, health
history, and physical examination findings.
Question 3
A nurse identifies that a client's wound is not healing as expected. The nurse modifies
the plan of care to include a wound care consult. This action represents which step of
the nursing process?
A. Assessment
, B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: D
Rationale: Evaluation involves reassessing the client's response to interventions and
modifying the plan of care as needed. The nurse is evaluating the effectiveness of the
current plan and revising it.
Question 4
A nurse is using the SBAR communication tool to report a client's change in status to
the provider. What does "B" stand for in SBAR?
A. Behavior
B. Background
C. Baseline
D. Brief
Correct Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
"Background" includes the client's relevant history, admitting diagnosis, and recent
changes.
Question 5
A nurse is developing a care plan for a client with impaired mobility. Which outcome
statement is correctly written?
A. "The client will walk in the hallway by tomorrow."
B. "The client will ambulate 50 feet with a walker within 3 days."
C. "The client will be able to walk better."
D. "The client will improve mobility."
Correct Answer: B
Rationale: A well-written outcome statement is specific, measurable, achievable,
realistic, and time-bound (SMART). Option B includes a specific distance, assistive
device, and time frame.
Practice Exams & NGN Case Scenarios with
Verified Answers & Detailed Rationales |
Nightingale College | Updated 2026/2027 Edition
| Instant Digital Download
Domain Topic Area Questions
I Nursing Process & Clinical Judgment 1–25
II Safety & Infection Control 26–50
III Medication Administration & Pharmacology Basics 51–75
IV Patient Hygiene, Mobility & Comfort 76–95
V Nutrition, Elimination & Oxygenation 96–120
VI Communication, Documentation & Legal/Ethical 121–140
VII NGN Case Scenarios – Clinical Judgment 141–170
VIII NGN Case Scenarios – Prioritization & Delegation 171–200
✅ FULL 200-QUESTION PRACTICE EXAM
PRACTICE EXAM 1: NURSING PROCESS & CLINICAL JUDGMENT
(Questions 1–25)
,Question 1
A nurse is caring for a client who reports pain rated 8/10. The nurse administers the
prescribed analgesic. Which step of the nursing process is the nurse implementing?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: D
Rationale: Implementation is the step of the nursing process where the nurse carries
out the planned interventions, including administering medications. Assessment (A) is
data collection. Diagnosis (B) is identifying the problem. Planning (C) is developing goals
and interventions.
Question 2
A nurse is assessing a client's vital signs. The nurse documents blood pressure 140/90
mmHg, heart rate 88 bpm, and respiratory rate 22 breaths/min. Which step of the
nursing process does this represent?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: A
Rationale: Assessment is the systematic collection of data, including vital signs, health
history, and physical examination findings.
Question 3
A nurse identifies that a client's wound is not healing as expected. The nurse modifies
the plan of care to include a wound care consult. This action represents which step of
the nursing process?
A. Assessment
, B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: D
Rationale: Evaluation involves reassessing the client's response to interventions and
modifying the plan of care as needed. The nurse is evaluating the effectiveness of the
current plan and revising it.
Question 4
A nurse is using the SBAR communication tool to report a client's change in status to
the provider. What does "B" stand for in SBAR?
A. Behavior
B. Background
C. Baseline
D. Brief
Correct Answer: B
Rationale: SBAR stands for Situation, Background, Assessment, and Recommendation.
"Background" includes the client's relevant history, admitting diagnosis, and recent
changes.
Question 5
A nurse is developing a care plan for a client with impaired mobility. Which outcome
statement is correctly written?
A. "The client will walk in the hallway by tomorrow."
B. "The client will ambulate 50 feet with a walker within 3 days."
C. "The client will be able to walk better."
D. "The client will improve mobility."
Correct Answer: B
Rationale: A well-written outcome statement is specific, measurable, achievable,
realistic, and time-bound (SMART). Option B includes a specific distance, assistive
device, and time frame.
