,KAPLAN FUNDAMENTALS OF NURSING EXAM
Complete Practice Examination with Correct Answers &
Detailed Rationales
Exam Type: Comprehensive Nursing Assessment
Total Questions: 250
Domain: Fundamentals of Nursing — NCLEX-RN® Core Concepts
Format: Multiple Choice, Select All That Apply, Ordered Response, Case Studies
Target: Kaplan Fundamentals of Nursing Exam, NCLEX-RN®, & Nursing School Final
Exam Preparation
INSTRUCTIONS TO CANDIDATE
The Fundamentals of Nursing Exam assesses competency across core nursing domains
including the nursing process, safety and infection control, basic care and comfort,
pharmacology, nutrition, mobility, elimination, and therapeutic communication.
Read each question carefully. Select the single best answer unless otherwise indicated.
For questions marked (Select All That Apply) , select all correct options. Each question
is followed by a detailed, expert-verified rationale explaining the underlying nursing
principles, clinical judgment, and the rationale for excluding distractors.
SECTION 1: THE NURSING PROCESS & CRITICAL THINKING
(Questions 1–50)
,Question 1
The nurse is caring for a client who reports pain. Which step of the nursing process is
the nurse implementing when assessing the client's pain level?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: A. Assessment
Rationale: The Assessment step of the nursing process involves collecting subjective
and objective data about the client, including pain assessment. The nursing process
consists of five steps: Assessment (data collection), Diagnosis (identifying client
problems), Planning (setting goals and interventions), Implementation (carrying out
interventions), and Evaluation (determining if goals were met). Pain assessment is a key
component of the Assessment phase.
Question 2
A client is diagnosed with impaired physical mobility related to a fractured hip. The
nurse sets a goal for the client to ambulate with a walker by discharge. This action
reflects which step of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: C. Planning
, Rationale: Planning involves setting measurable, realistic goals and developing
interventions to address the nursing diagnoses. The goal "client will ambulate with a
walker by discharge" is a specific, measurable outcome. Assessment involves data
collection; Diagnosis identifies the problem; Implementation involves carrying out
interventions.
Question 3
A nurse is evaluating whether a client's goal of walking to the bathroom independently
has been met. Which step of the nursing process is being performed?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: D. Evaluation
Rationale: Evaluation is the final step of the nursing process where the nurse
determines whether the client's goals have been met, partially met, or not met. This step
guides modification of the plan of care if needed. Evaluation is a continuous process,
not a one-time event.
Question 4
Which assessment finding is an example of objective data?
A. Client reports feeling dizzy
B. Client states "I have a headache"
C. Client's blood pressure is 140/90 mmHg
D. Client reports nausea
Complete Practice Examination with Correct Answers &
Detailed Rationales
Exam Type: Comprehensive Nursing Assessment
Total Questions: 250
Domain: Fundamentals of Nursing — NCLEX-RN® Core Concepts
Format: Multiple Choice, Select All That Apply, Ordered Response, Case Studies
Target: Kaplan Fundamentals of Nursing Exam, NCLEX-RN®, & Nursing School Final
Exam Preparation
INSTRUCTIONS TO CANDIDATE
The Fundamentals of Nursing Exam assesses competency across core nursing domains
including the nursing process, safety and infection control, basic care and comfort,
pharmacology, nutrition, mobility, elimination, and therapeutic communication.
Read each question carefully. Select the single best answer unless otherwise indicated.
For questions marked (Select All That Apply) , select all correct options. Each question
is followed by a detailed, expert-verified rationale explaining the underlying nursing
principles, clinical judgment, and the rationale for excluding distractors.
SECTION 1: THE NURSING PROCESS & CRITICAL THINKING
(Questions 1–50)
,Question 1
The nurse is caring for a client who reports pain. Which step of the nursing process is
the nurse implementing when assessing the client's pain level?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: A. Assessment
Rationale: The Assessment step of the nursing process involves collecting subjective
and objective data about the client, including pain assessment. The nursing process
consists of five steps: Assessment (data collection), Diagnosis (identifying client
problems), Planning (setting goals and interventions), Implementation (carrying out
interventions), and Evaluation (determining if goals were met). Pain assessment is a key
component of the Assessment phase.
Question 2
A client is diagnosed with impaired physical mobility related to a fractured hip. The
nurse sets a goal for the client to ambulate with a walker by discharge. This action
reflects which step of the nursing process?
A. Assessment
B. Diagnosis
C. Planning
D. Implementation
Correct Answer: C. Planning
, Rationale: Planning involves setting measurable, realistic goals and developing
interventions to address the nursing diagnoses. The goal "client will ambulate with a
walker by discharge" is a specific, measurable outcome. Assessment involves data
collection; Diagnosis identifies the problem; Implementation involves carrying out
interventions.
Question 3
A nurse is evaluating whether a client's goal of walking to the bathroom independently
has been met. Which step of the nursing process is being performed?
A. Assessment
B. Diagnosis
C. Planning
D. Evaluation
Correct Answer: D. Evaluation
Rationale: Evaluation is the final step of the nursing process where the nurse
determines whether the client's goals have been met, partially met, or not met. This step
guides modification of the plan of care if needed. Evaluation is a continuous process,
not a one-time event.
Question 4
Which assessment finding is an example of objective data?
A. Client reports feeling dizzy
B. Client states "I have a headache"
C. Client's blood pressure is 140/90 mmHg
D. Client reports nausea
