N I G H T I N G A L E C O L L E G E B S N 2 2 5 | H E S I E X A M I N AT I O N P R E P
HESI RN Specialty
Fundamentals of Nursing
Comprehensive 75-question practice examination aligned
with the 2026/2027 Nightingale College curriculum
standards and HESI Fundamentals testing blueprint, covering
the nursing process, safety and infection control, health
assessment, medication administration, basic nursing skills,
and ethical-legal considerations across all 21 core nursing
concepts.
75 Verified Questions with Detailed Rationales
Cognitive Levels: 25% Recall | 55% Application | 20% Analysis
Latest 2026/2027 Update | Grade A | 100% Correct
H E S I R N S P E C I A LT Y F U N D A M E N TA L S E X A M P R E P P R A C T I C E Q U E S T I O N S
, BSN 225 HESI RN Specialty Fundamentals of Nursing | Nightingale College | 2026/2027
HESI RN Specialty Fundamentals
of Nursing
Nightingale College BSN 225 | Latest 2026/2027 Update
Total Questions: 75 (Multiple Choice)
Format: 4 Options (A-D), One Correct Answer per Question
Cognitive Levels: 25% Recall, 55% Application, 20% Analysis
Question Styles: 75% Scenario-Based, 15% Direct Recall, 10% Clinical Reasoning
Curriculum: Nightingale College BSN 225 HESI Fundamentals Blueprint
Coverage: 6 Sections covering 21 core nursing concepts
Exam Section Breakdown
Section Topic Questions
1 Nursing Process, Critical Thinking, and Prioritization Q1 - Q15
2 Safety and Infection Control Q16 - Q25
3 Health Assessment and Vital Signs Q26 - Q35
4 Medication Administration and Dosage Calculations Q36 - Q50
5 Basic Nursing Skills and Patient Care Q51 - Q60
6 Communication, Cultural/Spiritual, and Ethical/Legal Q61 - Q75
Page 1
, BSN 225 HESI RN Specialty Fundamentals of Nursing | Nightingale College | 2026/2027
Section: Nursing Process, Critical Thinking, and Prioritization (Q1 - Q15)
ADPIE, clinical judgment (NCJMM), ABCs, Maslow's Hierarchy, QSEN competencies, critical thinking, and evidence-based
reasoning.
Q1: A nurse is caring for a client who was admitted with dehydration. The nurse assesses the client's vital
signs, skin turgor, and urine output. Which step of the nursing process is the nurse performing?
A. Planning
B. Evaluation
C. Assessment [CORRECT]
D. Implementation
Correct Answer: C
Rationale: Assessment is the first step of the nursing process and involves collecting subjective and objective data. Vital signs, skin
turgor, and urine output are objective data gathered during assessment. Planning involves setting goals, implementation involves
carrying out interventions, and evaluation determines whether outcomes were met.
Q2: A nurse formulates the following nursing diagnosis for a postoperative client: 'Risk for Infection related
to surgical incision.' Which type of nursing diagnosis is this?
A. Actual diagnosis
B. Risk diagnosis [CORRECT]
C. Health promotion diagnosis
D. Syndrome diagnosis
Correct Answer: B
Rationale: A risk nursing diagnosis identifies a clinical judgment that a problem does not yet exist but is at increased risk for
developing. 'Risk for Infection' indicates the patient is vulnerable due to the surgical incision but has not yet developed signs of
infection. Actual diagnoses describe existing human responses, health promotion diagnoses focus on enhancing wellness, and
syndrome diagnoses involve clusters of actual or risk diagnoses.
Q3: A nurse sets the following goal for a client with heart failure: 'The client will maintain a daily weight
within 2 pounds of baseline by discharge.' Which characteristic of a SMART goal does this demonstrate?
A. Specific only
B. Measurable only
C. Specific and Measurable [CORRECT]
D. Attainable and Realistic only
Correct Answer: C
Rationale: This goal is Specific (daily weight monitoring) and Measurable (within 2 pounds of baseline). SMART goals must be
Specific, Measurable, Attainable, Realistic, and Timely. This goal also implies a timeframe ('by discharge'), addressing the Timely
component. Goals that are specific and measurable allow for objective evaluation of patient outcomes.
Q4: A nurse administers a prescribed medication to a client. Which type of nursing intervention is this
classified as?
A. Independent intervention
B. Dependent intervention [CORRECT]
C. Interdependent intervention
D. Collaborative intervention
Correct Answer: B
Page 2
HESI RN Specialty
Fundamentals of Nursing
Comprehensive 75-question practice examination aligned
with the 2026/2027 Nightingale College curriculum
standards and HESI Fundamentals testing blueprint, covering
the nursing process, safety and infection control, health
assessment, medication administration, basic nursing skills,
and ethical-legal considerations across all 21 core nursing
concepts.
75 Verified Questions with Detailed Rationales
Cognitive Levels: 25% Recall | 55% Application | 20% Analysis
Latest 2026/2027 Update | Grade A | 100% Correct
H E S I R N S P E C I A LT Y F U N D A M E N TA L S E X A M P R E P P R A C T I C E Q U E S T I O N S
, BSN 225 HESI RN Specialty Fundamentals of Nursing | Nightingale College | 2026/2027
HESI RN Specialty Fundamentals
of Nursing
Nightingale College BSN 225 | Latest 2026/2027 Update
Total Questions: 75 (Multiple Choice)
Format: 4 Options (A-D), One Correct Answer per Question
Cognitive Levels: 25% Recall, 55% Application, 20% Analysis
Question Styles: 75% Scenario-Based, 15% Direct Recall, 10% Clinical Reasoning
Curriculum: Nightingale College BSN 225 HESI Fundamentals Blueprint
Coverage: 6 Sections covering 21 core nursing concepts
Exam Section Breakdown
Section Topic Questions
1 Nursing Process, Critical Thinking, and Prioritization Q1 - Q15
2 Safety and Infection Control Q16 - Q25
3 Health Assessment and Vital Signs Q26 - Q35
4 Medication Administration and Dosage Calculations Q36 - Q50
5 Basic Nursing Skills and Patient Care Q51 - Q60
6 Communication, Cultural/Spiritual, and Ethical/Legal Q61 - Q75
Page 1
, BSN 225 HESI RN Specialty Fundamentals of Nursing | Nightingale College | 2026/2027
Section: Nursing Process, Critical Thinking, and Prioritization (Q1 - Q15)
ADPIE, clinical judgment (NCJMM), ABCs, Maslow's Hierarchy, QSEN competencies, critical thinking, and evidence-based
reasoning.
Q1: A nurse is caring for a client who was admitted with dehydration. The nurse assesses the client's vital
signs, skin turgor, and urine output. Which step of the nursing process is the nurse performing?
A. Planning
B. Evaluation
C. Assessment [CORRECT]
D. Implementation
Correct Answer: C
Rationale: Assessment is the first step of the nursing process and involves collecting subjective and objective data. Vital signs, skin
turgor, and urine output are objective data gathered during assessment. Planning involves setting goals, implementation involves
carrying out interventions, and evaluation determines whether outcomes were met.
Q2: A nurse formulates the following nursing diagnosis for a postoperative client: 'Risk for Infection related
to surgical incision.' Which type of nursing diagnosis is this?
A. Actual diagnosis
B. Risk diagnosis [CORRECT]
C. Health promotion diagnosis
D. Syndrome diagnosis
Correct Answer: B
Rationale: A risk nursing diagnosis identifies a clinical judgment that a problem does not yet exist but is at increased risk for
developing. 'Risk for Infection' indicates the patient is vulnerable due to the surgical incision but has not yet developed signs of
infection. Actual diagnoses describe existing human responses, health promotion diagnoses focus on enhancing wellness, and
syndrome diagnoses involve clusters of actual or risk diagnoses.
Q3: A nurse sets the following goal for a client with heart failure: 'The client will maintain a daily weight
within 2 pounds of baseline by discharge.' Which characteristic of a SMART goal does this demonstrate?
A. Specific only
B. Measurable only
C. Specific and Measurable [CORRECT]
D. Attainable and Realistic only
Correct Answer: C
Rationale: This goal is Specific (daily weight monitoring) and Measurable (within 2 pounds of baseline). SMART goals must be
Specific, Measurable, Attainable, Realistic, and Timely. This goal also implies a timeframe ('by discharge'), addressing the Timely
component. Goals that are specific and measurable allow for objective evaluation of patient outcomes.
Q4: A nurse administers a prescribed medication to a client. Which type of nursing intervention is this
classified as?
A. Independent intervention
B. Dependent intervention [CORRECT]
C. Interdependent intervention
D. Collaborative intervention
Correct Answer: B
Page 2
