1
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V1
Complete 75-Question HESI-Style
Package | A+ Guarantee
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1
Complete 75-Question HESI-Style Package | A+ Guarantee
Section 1: Nursing Process (Questions 1–15)
Q1: During the evaluation phase of the nursing process, the nurse primarily:
A. Collects new data about the client’s condition.
B. Compares client outcomes to the goals set during the planning phase.
C. Performs the interventions listed in the care plan.
D. Prioritizes nursing diagnoses.
Answer: B
Verified Rationale: Evaluation determines the effectiveness of nursing care by measuring client
progress toward previously established goals.
Q2: A nurse identifies “Risk for Falls” as a client’s priority nursing diagnosis. This is an example
of which type of diagnosis?
A. Actual
B. Risk
C. Health Promotion
D. Syndrome
Answer: B
Verified Rationale: A “Risk for” diagnosis describes a potential problem for which risk factors
exist but is not currently present.
Q3: Which activity is MOST characteristic of the assessment phase?
A. Setting measurable goals
B. Collecting subjective and objective data
C. Delegating wound care to AP
D. Documenting client teaching
,2
Answer: B
Verified Rationale: Assessment involves systematic collection of subjective and objective data to
identify client needs.
Q4: A nurse revises a care plan after noting a client’s wound has increased in size. This action
occurs in which phase?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D
Verified Rationale: Evaluation includes reviewing outcomes and modifying the plan if goals are
unmet.
Q5: Which of the following are subjective data? Select all that apply.
A. Client states “I feel nauseated.”
B. Temperature 38.2 °C
C. Client rates pain 8/10
D. Nurse observes diaphoresis
Answer: A, C
Verified Rationale: Subjective data are client-provided sensations or feelings, whereas objective
data are measurable observations.
Q6: A nurse formulates the diagnosis “Acute Pain related to surgical incision as evidenced by
client reporting 7/10 pain.” Which component is the “defining characteristic”?
A. Acute Pain
B. Surgical incision
C. Client reporting 7/10 pain
D. Related to
Answer: C
Verified Rationale: The defining characteristic is the subjective or objective evidence that
supports the diagnosis.
Q7: While administering morning medications, the nurse questions the dosage of a beta blocker.
The nurse’s FIRST action reflects which step of the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Verified Rationale: Questioning the dose requires reassessment of client data before proceeding.
, 3
Q8: A nurse establishes the goal “Client will demonstrate correct insulin self-administration by
09/30.” This is an example of:
A. Long-term outcome
B. Short-term outcome
C. Nursing intervention
D. Medical diagnosis
Answer: B
Verified Rationale: A short-term outcome is achievable within hours to days and is client-
centered.
Q9: Which nursing action BEST exemplifies critical thinking during the planning phase?
A. Recalling normal lab values
B. Prioritizing diagnoses based on client risk
C. Following unit policy for hand hygiene
D. Documenting vital signs
Answer: B
Verified Rationale: Critical thinking in planning involves ranking problems according to client
safety and risk.
Q10: A nurse documents “Goal met—client ambulated 100 ft without dyspnea.” This is an
example of:
A. Assessment
B. Evaluation
C. Implementation
D. Diagnosis
Answer: B
Verified Rationale: Comparing actual performance with the goal is an evaluation activity.
Q11: The nurse collects data on a client’s spiritual beliefs. This action is part of which phase?
A. Assessment
B. Diagnosis
C. Outcome identification
D. Implementation
Answer: A
Verified Rationale: Spiritual data are part of holistic assessment.
Q12: A nurse uses Maslow’s hierarchy to prioritize diagnoses. This strategy occurs in which
phase?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
BSN 225 HESI RN Specialty
Fundamentals of Nursing Exam V1
Complete 75-Question HESI-Style
Package | A+ Guarantee
BSN 225 HESI RN Specialty Fundamentals of Nursing Exam V1
Complete 75-Question HESI-Style Package | A+ Guarantee
Section 1: Nursing Process (Questions 1–15)
Q1: During the evaluation phase of the nursing process, the nurse primarily:
A. Collects new data about the client’s condition.
B. Compares client outcomes to the goals set during the planning phase.
C. Performs the interventions listed in the care plan.
D. Prioritizes nursing diagnoses.
Answer: B
Verified Rationale: Evaluation determines the effectiveness of nursing care by measuring client
progress toward previously established goals.
Q2: A nurse identifies “Risk for Falls” as a client’s priority nursing diagnosis. This is an example
of which type of diagnosis?
A. Actual
B. Risk
C. Health Promotion
D. Syndrome
Answer: B
Verified Rationale: A “Risk for” diagnosis describes a potential problem for which risk factors
exist but is not currently present.
Q3: Which activity is MOST characteristic of the assessment phase?
A. Setting measurable goals
B. Collecting subjective and objective data
C. Delegating wound care to AP
D. Documenting client teaching
,2
Answer: B
Verified Rationale: Assessment involves systematic collection of subjective and objective data to
identify client needs.
Q4: A nurse revises a care plan after noting a client’s wound has increased in size. This action
occurs in which phase?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Answer: D
Verified Rationale: Evaluation includes reviewing outcomes and modifying the plan if goals are
unmet.
Q5: Which of the following are subjective data? Select all that apply.
A. Client states “I feel nauseated.”
B. Temperature 38.2 °C
C. Client rates pain 8/10
D. Nurse observes diaphoresis
Answer: A, C
Verified Rationale: Subjective data are client-provided sensations or feelings, whereas objective
data are measurable observations.
Q6: A nurse formulates the diagnosis “Acute Pain related to surgical incision as evidenced by
client reporting 7/10 pain.” Which component is the “defining characteristic”?
A. Acute Pain
B. Surgical incision
C. Client reporting 7/10 pain
D. Related to
Answer: C
Verified Rationale: The defining characteristic is the subjective or objective evidence that
supports the diagnosis.
Q7: While administering morning medications, the nurse questions the dosage of a beta blocker.
The nurse’s FIRST action reflects which step of the nursing process?
A. Planning
B. Assessment
C. Implementation
D. Evaluation
Answer: B
Verified Rationale: Questioning the dose requires reassessment of client data before proceeding.
, 3
Q8: A nurse establishes the goal “Client will demonstrate correct insulin self-administration by
09/30.” This is an example of:
A. Long-term outcome
B. Short-term outcome
C. Nursing intervention
D. Medical diagnosis
Answer: B
Verified Rationale: A short-term outcome is achievable within hours to days and is client-
centered.
Q9: Which nursing action BEST exemplifies critical thinking during the planning phase?
A. Recalling normal lab values
B. Prioritizing diagnoses based on client risk
C. Following unit policy for hand hygiene
D. Documenting vital signs
Answer: B
Verified Rationale: Critical thinking in planning involves ranking problems according to client
safety and risk.
Q10: A nurse documents “Goal met—client ambulated 100 ft without dyspnea.” This is an
example of:
A. Assessment
B. Evaluation
C. Implementation
D. Diagnosis
Answer: B
Verified Rationale: Comparing actual performance with the goal is an evaluation activity.
Q11: The nurse collects data on a client’s spiritual beliefs. This action is part of which phase?
A. Assessment
B. Diagnosis
C. Outcome identification
D. Implementation
Answer: A
Verified Rationale: Spiritual data are part of holistic assessment.
Q12: A nurse uses Maslow’s hierarchy to prioritize diagnoses. This strategy occurs in which
phase?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
