1|Page
Fundamentals of Nursing
Theory, Concepts, and Applications
Complete Test Bank verified questions and answers
with detailed rationals high yield content 2026-2027
Table of Contents
1. The Profession of Nursing & The Nursing Process (25 Questions)
2. Clinical Judgment & Evidence-Based Practice (NCLEX Next Gen)
(25 Questions)
3. Health Promotion, Wellness, & Patient Education (25 Questions)
4. Ethical & Legal Considerations (25 Questions)
5. Vital Signs & Physical Assessment (25 Questions)
6. Infection Control & Safety (25 Questions)
7. Medication Administration (25 Questions)
8. Mobility, Immobility, & Body Mechanics (25 Questions)
9. Hygiene, Skin Integrity, & Wound Care (25 Questions)
10. Oxygenation & Respiratory Function (25 Questions)
11. Fluids, Electrolytes, & Acid-Base Balance (25 Questions)
12. Nutrition, Metabolism, & Elimination (25 Questions)
13. Pain Management & Comfort (25 Questions)
14. Perioperative Nursing Care (25 Questions)
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15. Spirituality, Loss, & End-of-Life Care (25 Questions)
Total Questions: 375
1: The Profession of Nursing & The Nursing Process
(25 Questions)
Question 1.1
A nurse is caring for a client who is post-operative day one following an
abdominal hysterectomy. The client reports pain at a level of 7 on a scale
of 0 to 10. Which action by the nurse best demonstrates
the implementation phase of the nursing process?
A. Documenting the client’s pain level as 7/10.
B. Administering morphine sulfate 4 mg IV as prescribed.
C. Asking the client to rate their pain on a numeric scale.
D. Determining that the client’s pain is related to surgical incision.
Answer: B
Rationale: Implementation is the phase where the nurse performs
planned interventions. Administering medication is a direct intervention.
Documentation (A) spans evaluation/implementation; assessment (C) is
data collection; diagnosis (D) is analysis.
Question 1.2
A nurse is reviewing the Health Insurance Portability and Accountability
Act (HIPAA) with new graduates. Which statement indicates
understanding?
A. "I can discuss a client's status with my spouse if they do not know the
client."
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B. "I may access the medical records of any client in the unit to ensure
safety."
C. "I should only share client information with other healthcare team
members directly involved in the client's care."
D. "Written consent is never required for sharing information between
specialists."
Answer: C
Rationale: HIPAA mandates that protected health information (PHI) is
shared only with those directly involved in the client's care (need-to-
know basis). A and B violate confidentiality; D is incorrect because
written consent may be required depending on the situation.
Question 1.3
A nurse uses Maslow's hierarchy of needs to prioritize care. Which client
should be assessed first?
A. A client requesting discharge instructions after a myocardial
infarction.
B. A client who is anxious about upcoming surgery.
C. A client admitted with shortness of breath and oxygen saturation of
85%.
D. A client who needs help selecting meals.
Answer: C
Rationale: Maslow prioritizes physiological needs (air, water, food).
Oxygenation is the most immediate physiological need. Anxiety (B) is
safety/security; discharge instructions (A) are higher-level; meal
selection (D) is physiological but not as urgent as breathing.
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Question 1.4
A nurse is developing a care plan. Which statement is an appropriately
written nursing diagnosis?
A. "Myocardial infarction related to atherosclerosis as evidenced by
chest pain."
B. "Risk for falls related to generalized weakness and unsteady gait."
C. "Congestive heart failure as evidenced by peripheral edema."
D. "Administer oxygen as needed for shortness of breath."
Answer: B
Rationale: A nursing diagnosis describes a human response to a health
condition. "Risk for falls" is an actual NANDA-I diagnosis. A and C are
medical diagnoses; D is an intervention.
Question 1.5
A nurse is evaluating client outcomes. Which action represents
the evaluation phase?
A. Setting a goal for the client to ambulate 50 feet by day two.
B. Measuring the client's ambulation distance on day two.
C. Assessing the client's pain level upon admission.
D. Administering pain medication before ambulation.
Answer: B
Rationale: Evaluation involves comparing client responses to expected
outcomes. Measuring ambulation distance determines if the goal was
met. A is planning; C is assessment; D is implementation.
Question 1.6
A nurse delegates a task to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
Fundamentals of Nursing
Theory, Concepts, and Applications
Complete Test Bank verified questions and answers
with detailed rationals high yield content 2026-2027
Table of Contents
1. The Profession of Nursing & The Nursing Process (25 Questions)
2. Clinical Judgment & Evidence-Based Practice (NCLEX Next Gen)
(25 Questions)
3. Health Promotion, Wellness, & Patient Education (25 Questions)
4. Ethical & Legal Considerations (25 Questions)
5. Vital Signs & Physical Assessment (25 Questions)
6. Infection Control & Safety (25 Questions)
7. Medication Administration (25 Questions)
8. Mobility, Immobility, & Body Mechanics (25 Questions)
9. Hygiene, Skin Integrity, & Wound Care (25 Questions)
10. Oxygenation & Respiratory Function (25 Questions)
11. Fluids, Electrolytes, & Acid-Base Balance (25 Questions)
12. Nutrition, Metabolism, & Elimination (25 Questions)
13. Pain Management & Comfort (25 Questions)
14. Perioperative Nursing Care (25 Questions)
,2|Page
15. Spirituality, Loss, & End-of-Life Care (25 Questions)
Total Questions: 375
1: The Profession of Nursing & The Nursing Process
(25 Questions)
Question 1.1
A nurse is caring for a client who is post-operative day one following an
abdominal hysterectomy. The client reports pain at a level of 7 on a scale
of 0 to 10. Which action by the nurse best demonstrates
the implementation phase of the nursing process?
A. Documenting the client’s pain level as 7/10.
B. Administering morphine sulfate 4 mg IV as prescribed.
C. Asking the client to rate their pain on a numeric scale.
D. Determining that the client’s pain is related to surgical incision.
Answer: B
Rationale: Implementation is the phase where the nurse performs
planned interventions. Administering medication is a direct intervention.
Documentation (A) spans evaluation/implementation; assessment (C) is
data collection; diagnosis (D) is analysis.
Question 1.2
A nurse is reviewing the Health Insurance Portability and Accountability
Act (HIPAA) with new graduates. Which statement indicates
understanding?
A. "I can discuss a client's status with my spouse if they do not know the
client."
,3|Page
B. "I may access the medical records of any client in the unit to ensure
safety."
C. "I should only share client information with other healthcare team
members directly involved in the client's care."
D. "Written consent is never required for sharing information between
specialists."
Answer: C
Rationale: HIPAA mandates that protected health information (PHI) is
shared only with those directly involved in the client's care (need-to-
know basis). A and B violate confidentiality; D is incorrect because
written consent may be required depending on the situation.
Question 1.3
A nurse uses Maslow's hierarchy of needs to prioritize care. Which client
should be assessed first?
A. A client requesting discharge instructions after a myocardial
infarction.
B. A client who is anxious about upcoming surgery.
C. A client admitted with shortness of breath and oxygen saturation of
85%.
D. A client who needs help selecting meals.
Answer: C
Rationale: Maslow prioritizes physiological needs (air, water, food).
Oxygenation is the most immediate physiological need. Anxiety (B) is
safety/security; discharge instructions (A) are higher-level; meal
selection (D) is physiological but not as urgent as breathing.
, 4|Page
Question 1.4
A nurse is developing a care plan. Which statement is an appropriately
written nursing diagnosis?
A. "Myocardial infarction related to atherosclerosis as evidenced by
chest pain."
B. "Risk for falls related to generalized weakness and unsteady gait."
C. "Congestive heart failure as evidenced by peripheral edema."
D. "Administer oxygen as needed for shortness of breath."
Answer: B
Rationale: A nursing diagnosis describes a human response to a health
condition. "Risk for falls" is an actual NANDA-I diagnosis. A and C are
medical diagnoses; D is an intervention.
Question 1.5
A nurse is evaluating client outcomes. Which action represents
the evaluation phase?
A. Setting a goal for the client to ambulate 50 feet by day two.
B. Measuring the client's ambulation distance on day two.
C. Assessing the client's pain level upon admission.
D. Administering pain medication before ambulation.
Answer: B
Rationale: Evaluation involves comparing client responses to expected
outcomes. Measuring ambulation distance determines if the goal was
met. A is planning; C is assessment; D is implementation.
Question 1.6
A nurse delegates a task to an unlicensed assistive personnel (UAP).
Which task is appropriate to delegate?
