KAPLAN FUNDAMENTALS OF NURSING EXAM |
Complete 300-Question Practice Test with
Verified Answers & Evidence-Based Rationales |
RN Nursing Fundamentals Comprehensive
Predictor | Graded A+ | 2026/2027 Edition
EXAM OVERVIEW
Component Details
Nursing Process, Basic Care, Safety, Infection Control, Mobility, Nutrition,
Focus Areas
Elimination, Documentation, Communication, Legal/Ethical Issues
Question Types Multiple Choice, Select All That Apply, NGN-style Case Studies
Priority
ABCs (Airway, Breathing, Circulation), Maslow's Hierarchy, Acute vs. Chronic, Safe
Frameworks
SECTION 1: THE NURSING PROCESS & CRITICAL THINKING
Question 1:
A nurse is caring for a patient who is 2 days post-operative. The patient reports pain at
the surgical site rated as 8 on a scale of 0-10. The nurse administers morphine 4 mg IV
as prescribed. Which step of the nursing process is the nurse performing?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation
Correct Answer: D) Implementation
,Rationale: Implementation is the step where the nurse carries out the interventions
identified in the planning phase. Administering pain medication is an intervention to
achieve the desired outcome of pain relief. Assessment involves data collection,
diagnosis involves identifying the problem, planning involves developing interventions,
and evaluation involves assessing the effectiveness of interventions .
Question 2:
A nurse is assessing a client's vital signs and notes that the client's blood pressure is
elevated. The nurse documents this data. Which step of the nursing process is the nurse
performing?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation
Correct Answer: A) Assessment
Rationale: The assessment step involves gathering subjective and objective data about
the patient's condition. Vital signs are objective data. Diagnosis involves analyzing the
data to identify problems. Planning is developing goals and interventions.
Implementation is carrying out interventions. Evaluation is determining if the
intervention was effective .
Question 3:
A nurse has implemented a fall prevention plan for a patient. The nurse checks the
patient's room and finds the bed in the lowest position and the call light within reach.
Which step of the nursing process is the nurse performing?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation
,Correct Answer: E) Evaluation
Rationale: The nurse is performing Evaluation by determining if the planned
interventions have been implemented and are effective. Evaluation involves reassessing
the patient and comparing the outcomes to the expected goals .
Question 4:
A nurse is collecting data from a patient about their medical history, current symptoms,
and lifestyle. Which type of assessment is the nurse performing?
A) Initial assessment
B) Focused assessment
C) Ongoing assessment
D) Emergency assessment
E) Comprehensive assessment
Correct Answer: E) Comprehensive assessment
Rationale: The nurse is performing a Comprehensive assessment by collecting detailed
data about the patient's medical history, symptoms, and lifestyle. A comprehensive
assessment is a detailed review of the patient's physical, psychological, and social status.
An initial assessment is the first assessment performed. A focused assessment is a more
specific assessment of a particular problem .
Question 5:
A nurse is caring for four patients. Which patient should the nurse see first?
A) A patient who needs assistance ambulating
B) A patient who is requesting pain medication
C) A patient with new-onset chest pain
D) A patient who needs a bed bath
E) A patient who is ready for discharge teaching
Correct Answer: C) A patient with new-onset chest pain
Rationale: The nurse should see the patient experiencing chest pain first, as this is a life-
threatening situation. The ABCs (Airway, Breathing, Circulation) should always be
, prioritized. Chest pain may indicate a myocardial infarction and requires immediate
assessment and intervention .
Question 6:
A nurse is evaluating the effectiveness of a teaching plan for a client with diabetes.
Which action by the client indicates that the teaching was effective?
A) The client states the signs of hypoglycemia
B) The client demonstrates proper insulin injection technique
C) The client verbalizes the importance of foot care
D) All of the above
Correct Answer: D) All of the above
Rationale: Evaluation of teaching effectiveness includes assessing the client's
knowledge (verbalization), skills (demonstration), and behaviors (actions). All of these
actions indicate the client has learned the information and can apply it .
Question 7:
Which step of the nursing process is considered the foundation for all other steps?
A) Diagnosis
B) Planning
C) Implementation
D) Assessment
E) Evaluation
Correct Answer: D) Assessment
Rationale: Assessment is the first and most critical step of the nursing process. It
involves collecting comprehensive data about the patient's health status. Without
accurate assessment, the subsequent steps (diagnosis, planning, implementation, and
evaluation) cannot be effectively carried out.
Complete 300-Question Practice Test with
Verified Answers & Evidence-Based Rationales |
RN Nursing Fundamentals Comprehensive
Predictor | Graded A+ | 2026/2027 Edition
EXAM OVERVIEW
Component Details
Nursing Process, Basic Care, Safety, Infection Control, Mobility, Nutrition,
Focus Areas
Elimination, Documentation, Communication, Legal/Ethical Issues
Question Types Multiple Choice, Select All That Apply, NGN-style Case Studies
Priority
ABCs (Airway, Breathing, Circulation), Maslow's Hierarchy, Acute vs. Chronic, Safe
Frameworks
SECTION 1: THE NURSING PROCESS & CRITICAL THINKING
Question 1:
A nurse is caring for a patient who is 2 days post-operative. The patient reports pain at
the surgical site rated as 8 on a scale of 0-10. The nurse administers morphine 4 mg IV
as prescribed. Which step of the nursing process is the nurse performing?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation
Correct Answer: D) Implementation
,Rationale: Implementation is the step where the nurse carries out the interventions
identified in the planning phase. Administering pain medication is an intervention to
achieve the desired outcome of pain relief. Assessment involves data collection,
diagnosis involves identifying the problem, planning involves developing interventions,
and evaluation involves assessing the effectiveness of interventions .
Question 2:
A nurse is assessing a client's vital signs and notes that the client's blood pressure is
elevated. The nurse documents this data. Which step of the nursing process is the nurse
performing?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation
Correct Answer: A) Assessment
Rationale: The assessment step involves gathering subjective and objective data about
the patient's condition. Vital signs are objective data. Diagnosis involves analyzing the
data to identify problems. Planning is developing goals and interventions.
Implementation is carrying out interventions. Evaluation is determining if the
intervention was effective .
Question 3:
A nurse has implemented a fall prevention plan for a patient. The nurse checks the
patient's room and finds the bed in the lowest position and the call light within reach.
Which step of the nursing process is the nurse performing?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
E) Evaluation
,Correct Answer: E) Evaluation
Rationale: The nurse is performing Evaluation by determining if the planned
interventions have been implemented and are effective. Evaluation involves reassessing
the patient and comparing the outcomes to the expected goals .
Question 4:
A nurse is collecting data from a patient about their medical history, current symptoms,
and lifestyle. Which type of assessment is the nurse performing?
A) Initial assessment
B) Focused assessment
C) Ongoing assessment
D) Emergency assessment
E) Comprehensive assessment
Correct Answer: E) Comprehensive assessment
Rationale: The nurse is performing a Comprehensive assessment by collecting detailed
data about the patient's medical history, symptoms, and lifestyle. A comprehensive
assessment is a detailed review of the patient's physical, psychological, and social status.
An initial assessment is the first assessment performed. A focused assessment is a more
specific assessment of a particular problem .
Question 5:
A nurse is caring for four patients. Which patient should the nurse see first?
A) A patient who needs assistance ambulating
B) A patient who is requesting pain medication
C) A patient with new-onset chest pain
D) A patient who needs a bed bath
E) A patient who is ready for discharge teaching
Correct Answer: C) A patient with new-onset chest pain
Rationale: The nurse should see the patient experiencing chest pain first, as this is a life-
threatening situation. The ABCs (Airway, Breathing, Circulation) should always be
, prioritized. Chest pain may indicate a myocardial infarction and requires immediate
assessment and intervention .
Question 6:
A nurse is evaluating the effectiveness of a teaching plan for a client with diabetes.
Which action by the client indicates that the teaching was effective?
A) The client states the signs of hypoglycemia
B) The client demonstrates proper insulin injection technique
C) The client verbalizes the importance of foot care
D) All of the above
Correct Answer: D) All of the above
Rationale: Evaluation of teaching effectiveness includes assessing the client's
knowledge (verbalization), skills (demonstration), and behaviors (actions). All of these
actions indicate the client has learned the information and can apply it .
Question 7:
Which step of the nursing process is considered the foundation for all other steps?
A) Diagnosis
B) Planning
C) Implementation
D) Assessment
E) Evaluation
Correct Answer: D) Assessment
Rationale: Assessment is the first and most critical step of the nursing process. It
involves collecting comprehensive data about the patient's health status. Without
accurate assessment, the subsequent steps (diagnosis, planning, implementation, and
evaluation) cannot be effectively carried out.
