FUNDAMENTALS OF NURSING EXAM
PREP: 150 NCLEX-STYLE QUESTIONS
WITH DETAILED RATIONALESCOMPLETE
Q&A ALIGNED WITH QSEN
COMPETENCIES, AACN ESSENTIALS,
PERSON-CENTERED CARE, AND NCLEX-
RN TEST PLAN
Introduction
This comprehensive practice question bank is designed for nursing students
preparing for Fundamentals of Nursing exams and the NCLEX-RN. The 150
questions are organized into ten sections, each addressing core domains
tested on the NCLEX-RN and aligned with QSEN competencies, AACN
Essentials, and person-centered care principles.
Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
, Knowledge for Nursing Practice
Person-Centered Care
Population Health
Scholarship for Nursing Practice
Quality and Safety
Interprofessional Partnerships
Systems-Based Practice
Informatics and Healthcare Technologies
Professionalism
Personal, Professional, and Leadership Development
Each question includes the correct answer and a detailed rationale
explaining both the correct and incorrect options.
Section I: The Nursing Process & Clinical Judgment (Q1–Q20)
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Assessment is the first step of the nursing process, involving the
systematic collection of subjective and objective data. Auscultating lung
sounds and measuring oxygen saturation are objective data collection
,activities. Diagnosis involves analyzing the collected data to identify actual
or potential health problems. Planning involves setting goals and
outcomes. Evaluation determines whether goals have been met.
Patient-Centered Care — assessment requires
understanding the patient's experience.
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Diagnosis (nursing diagnosis) is the second step of the nursing
process, involving clinical judgment about individual, family, or community
responses to actual or potential health problems. "Impaired gas exchange"
is a NANDA-I nursing diagnosis, which represents the nurse's clinical
judgment based on the assessment data collected.
Domain 1 — Knowledge for Nursing Practice.
, A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Planning is the third step of the nursing process, involving the
development of a prioritized client-centered plan of care with specific goals
and outcomes. The goal "oxygen saturation above 92% within 24 hours" is
a SMART outcome (Specific, Measurable, Achievable, Relevant, Time-
bound).
Patient-Centered Care — goals should reflect patient
preferences.
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection
PREP: 150 NCLEX-STYLE QUESTIONS
WITH DETAILED RATIONALESCOMPLETE
Q&A ALIGNED WITH QSEN
COMPETENCIES, AACN ESSENTIALS,
PERSON-CENTERED CARE, AND NCLEX-
RN TEST PLAN
Introduction
This comprehensive practice question bank is designed for nursing students
preparing for Fundamentals of Nursing exams and the NCLEX-RN. The 150
questions are organized into ten sections, each addressing core domains
tested on the NCLEX-RN and aligned with QSEN competencies, AACN
Essentials, and person-centered care principles.
Patient-Centered Care
Teamwork and Collaboration
Evidence-Based Practice
Quality Improvement
Safety
Informatics
, Knowledge for Nursing Practice
Person-Centered Care
Population Health
Scholarship for Nursing Practice
Quality and Safety
Interprofessional Partnerships
Systems-Based Practice
Informatics and Healthcare Technologies
Professionalism
Personal, Professional, and Leadership Development
Each question includes the correct answer and a detailed rationale
explaining both the correct and incorrect options.
Section I: The Nursing Process & Clinical Judgment (Q1–Q20)
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Assessment is the first step of the nursing process, involving the
systematic collection of subjective and objective data. Auscultating lung
sounds and measuring oxygen saturation are objective data collection
,activities. Diagnosis involves analyzing the collected data to identify actual
or potential health problems. Planning involves setting goals and
outcomes. Evaluation determines whether goals have been met.
Patient-Centered Care — assessment requires
understanding the patient's experience.
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Diagnosis (nursing diagnosis) is the second step of the nursing
process, involving clinical judgment about individual, family, or community
responses to actual or potential health problems. "Impaired gas exchange"
is a NANDA-I nursing diagnosis, which represents the nurse's clinical
judgment based on the assessment data collected.
Domain 1 — Knowledge for Nursing Practice.
, A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Planning is the third step of the nursing process, involving the
development of a prioritized client-centered plan of care with specific goals
and outcomes. The goal "oxygen saturation above 92% within 24 hours" is
a SMART outcome (Specific, Measurable, Achievable, Relevant, Time-
bound).
Patient-Centered Care — goals should reflect patient
preferences.
A. Assess fluid intake every 24 hours
B. Ambulate three times a day
C. Assist with deep breathing and coughing
D. Monitor the incision site for findings of infection
