Newest 2026/2027 BSN 206 Hallmark Exam – Foundations of Nursing Fundamentals
exam verified with correct answers with rationales
1. The nurse is caring for a newly admitted patient. Which action should the nurse
perform first?
A. Develop the nursing care plan
B. Obtain a complete nursing assessment
C. Administer prescribed medications
D. Provide discharge instructions
Correct Answer: B
Rationale: Assessment is the first step of the nursing process. The nurse must collect complete
patient information before planning, implementing, or evaluating care.
2. Which sequence correctly represents the nursing process?
A. Planning, Assessment, Diagnosis, Evaluation, Implementation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Planning, Assessment, Implementation, Evaluation
D. Implementation, Planning, Assessment, Diagnosis, Evaluation
Correct Answer: B
Rationale: The nursing process follows ADPIE: Assessment, Diagnosis, Planning,
Implementation, and Evaluation.
3. Which action demonstrates the implementation phase of the nursing process?
A. Collecting patient health history
B. Identifying nursing problems
C. Administering a prescribed medication
D. Determining whether goals were achieved
Correct Answer: C
Rationale: Implementation involves carrying out nursing interventions such as medications,
treatments, education, and procedures.
,4. A nurse is creating a care plan for a patient. Which goal is written correctly?
A. Patient will feel better soon.
B. Patient will improve mobility.
C. Patient will ambulate 50 feet with assistance by the end of the shift.
D. Nurse will encourage walking.
Correct Answer: C
Rationale: Effective goals should be specific, measurable, achievable, realistic, and time-limited
(SMART goals).
5. Which assessment finding requires immediate nursing intervention?
A. Patient reports mild headache
B. Oxygen saturation of 82%
C. Patient requests a snack
D. Temperature of 37°C (98.6°F)
Correct Answer: B
Rationale: Oxygen saturation of 82% indicates hypoxemia and requires immediate assessment
and intervention.
6. Which nursing action demonstrates patient-centered care?
A. Making decisions without patient input
B. Providing identical care to every patient
C. Including patient preferences in care planning
D. Following only provider instructions
Correct Answer: C
Rationale: Patient-centered care respects individual values, preferences, culture, and healthcare
choices.
7. Which intervention is most effective in preventing infection transmission?
A. Wearing gloves at all times
B. Proper hand hygiene
, C. Giving antibiotics routinely
D. Limiting visitors
Correct Answer: B
Rationale: Hand hygiene is the most effective method for preventing healthcare-associated
infections.
8. A nurse is preparing to administer medication. Which action is the priority?
A. Verify the medication label and patient identity
B. Document administration before giving medication
C. Leave medication at bedside
D. Ask another patient to confirm identity
Correct Answer: A
Rationale: Medication safety requires verification using patient identifiers and checking
medication rights before administration.
9. Which task can the nurse delegate to unlicensed assistive personnel (UAP)?
A. Initial patient assessment
B. Patient education
C. Measuring vital signs for a stable patient
D. Developing nursing diagnoses
Correct Answer: C
Rationale: UAP may perform routine tasks for stable patients. Assessment, teaching, and care
planning require the RN.
10. Which communication technique is most effective when caring for patients?
A. Using complex medical terminology
B. Active listening and clarification
C. Avoiding patient questions
D. Changing topics quickly
Correct Answer: B
exam verified with correct answers with rationales
1. The nurse is caring for a newly admitted patient. Which action should the nurse
perform first?
A. Develop the nursing care plan
B. Obtain a complete nursing assessment
C. Administer prescribed medications
D. Provide discharge instructions
Correct Answer: B
Rationale: Assessment is the first step of the nursing process. The nurse must collect complete
patient information before planning, implementing, or evaluating care.
2. Which sequence correctly represents the nursing process?
A. Planning, Assessment, Diagnosis, Evaluation, Implementation
B. Assessment, Diagnosis, Planning, Implementation, Evaluation
C. Diagnosis, Planning, Assessment, Implementation, Evaluation
D. Implementation, Planning, Assessment, Diagnosis, Evaluation
Correct Answer: B
Rationale: The nursing process follows ADPIE: Assessment, Diagnosis, Planning,
Implementation, and Evaluation.
3. Which action demonstrates the implementation phase of the nursing process?
A. Collecting patient health history
B. Identifying nursing problems
C. Administering a prescribed medication
D. Determining whether goals were achieved
Correct Answer: C
Rationale: Implementation involves carrying out nursing interventions such as medications,
treatments, education, and procedures.
,4. A nurse is creating a care plan for a patient. Which goal is written correctly?
A. Patient will feel better soon.
B. Patient will improve mobility.
C. Patient will ambulate 50 feet with assistance by the end of the shift.
D. Nurse will encourage walking.
Correct Answer: C
Rationale: Effective goals should be specific, measurable, achievable, realistic, and time-limited
(SMART goals).
5. Which assessment finding requires immediate nursing intervention?
A. Patient reports mild headache
B. Oxygen saturation of 82%
C. Patient requests a snack
D. Temperature of 37°C (98.6°F)
Correct Answer: B
Rationale: Oxygen saturation of 82% indicates hypoxemia and requires immediate assessment
and intervention.
6. Which nursing action demonstrates patient-centered care?
A. Making decisions without patient input
B. Providing identical care to every patient
C. Including patient preferences in care planning
D. Following only provider instructions
Correct Answer: C
Rationale: Patient-centered care respects individual values, preferences, culture, and healthcare
choices.
7. Which intervention is most effective in preventing infection transmission?
A. Wearing gloves at all times
B. Proper hand hygiene
, C. Giving antibiotics routinely
D. Limiting visitors
Correct Answer: B
Rationale: Hand hygiene is the most effective method for preventing healthcare-associated
infections.
8. A nurse is preparing to administer medication. Which action is the priority?
A. Verify the medication label and patient identity
B. Document administration before giving medication
C. Leave medication at bedside
D. Ask another patient to confirm identity
Correct Answer: A
Rationale: Medication safety requires verification using patient identifiers and checking
medication rights before administration.
9. Which task can the nurse delegate to unlicensed assistive personnel (UAP)?
A. Initial patient assessment
B. Patient education
C. Measuring vital signs for a stable patient
D. Developing nursing diagnoses
Correct Answer: C
Rationale: UAP may perform routine tasks for stable patients. Assessment, teaching, and care
planning require the RN.
10. Which communication technique is most effective when caring for patients?
A. Using complex medical terminology
B. Active listening and clarification
C. Avoiding patient questions
D. Changing topics quickly
Correct Answer: B
