Fundamentals of Nursing
Exam V1
Practice Exam Rated A | Latest 2026/27
Questions & Answers Plus Rationales
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, BSN 225 HESI RN
SECTION 1: NURSING PROCESS & CRITICAL THINKING (Questions 1–
20)
Question 1
What is the first step of the nursing process?
A) Planning
B) Implementation
C) Assessment
D) Evaluation
Answer: C) Assessment
Rationale: Assessment is the first step of the nursing process, during which
the nurse collects comprehensive data about the patient's health status. All
subsequent steps depend on accurate assessment data.
Question 2
Which type of nursing diagnosis describes a response to an actual health
problem?
A) Risk nursing diagnosis
B) Actual nursing diagnosis
C) Health promotion nursing diagnosis
D) Syndrome nursing diagnosis
Answer: B) Actual nursing diagnosis
Rationale: An actual nursing diagnosis describes a human response to a
health problem that is currently present. Risk diagnoses describe problems
that may develop, and health promotion diagnoses describe motivation to
improve well-being.
, BSN 225 HESI RN
Question 3
What is the primary purpose of the evaluation phase of the nursing process?
A) To identify patient problems
B) To determine if patient outcomes have been met
C) To implement nursing interventions
D) To collect patient data
Answer: B) To determine if patient outcomes have been met
Rationale: Evaluation is the final step of the nursing process, during which
the nurse determines whether the patient's goals and outcomes have been
achieved. This guides decisions about continuing, modifying, or
terminating the plan of care.
Question 4
What is the most important reason for documenting nursing care?
A) To meet legal requirements
B) To communicate with other health care team members
C) To provide a record for billing
D) To satisfy accreditation standards
Answer: B) To communicate with other health care team members
Rationale: Documentation ensures continuity of care through
communication among health care team members. While legal and billing
purposes are also important, communication is the primary purpose of
nursing documentation.
, BSN 225 HESI RN
Question 5
What is the purpose of a nursing diagnosis?
A) To identify medical diseases
B) To describe patient responses to health problems
C) To prescribe medications
D) To order diagnostic tests
Answer: B) To describe patient responses to health problems
Rationale: A nursing diagnosis describes a patient's response to a health
problem or life process. Unlike medical diagnoses, which identify disease
processes, nursing diagnoses focus on the patient's response.
Question 6
What is the difference between a nursing diagnosis and a medical diagnosis?
A) Nursing diagnoses focus on patient responses; medical diagnoses focus on
disease processes
B) Nursing diagnoses are always independent; medical diagnoses require
physician orders
C) There is no difference
D) Nursing diagnoses are less important
Answer: A) Nursing diagnoses focus on patient responses; medical
diagnoses focus on disease processes
Rationale: Nursing diagnoses describe patient responses to health
problems, while medical diagnoses identify disease processes. Both are
important and complementary in patient care.