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NURS 110 – MIDTERM STUDY GUIDE EXAM - 2026 QUESTIONS
LATEST 2026 – 2027 VERSION SOLVED QUESTIONS &
ANSWERS
NURS 110 – Midterm Study Guide: 250 Practice Questions
SECTION I: FOUNDATIONS OF NURSING (Questions 1-40)
1. The founder of modern nursing who described nursing as utilizing the
environment to assist the client in recovery is:
A) Dorothea Dix
B) Clara Barton
C) Florence Nightingale
D) Lillian Wald
Answer: C
Rationale: Florence Nightingale is the founder of modern nursing. She developed the
Environmental Theory, focusing on manipulating the environment (fresh air, cleanliness,
quiet) to promote healing . She established the foundations of modern nursing practice.
2. Which organization publishes the standards of nursing practice and the Code of
Ethics for Nurses?
A) National Council of State Boards of Nursing (NCSBN)
B) American Nurses Association (ANA)
C) National League for Nursing (NLN)
D) American Medical Association (AMA)
Answer: B
Rationale: The American Nurses Association (ANA) publishes the nursing standards
and the Code of Ethics for Nurses . These documents guide nursing practice and
establish the profession's ethical obligations.
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3. The acronym ADPIE represents the phases of the nursing process. The correct
order is:
A) Assessment, Diagnosis, Planning, Implementation, Evaluation
B) Assessment, Planning, Diagnosis, Implementation, Evaluation
C) Diagnosis, Assessment, Planning, Implementation, Evaluation
D) Assessment, Diagnosis, Implementation, Planning, Evaluation
Answer: A
Rationale: The nursing process follows the order: Assessment (collect data), Diagnosis
(identify problems), Planning (set goals), Implementation (carry out care), and
Evaluation (assess outcomes) .
4. During which phase of the nursing process does the nurse identify potential or
actual problems the client is having?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Answer: B
Rationale: During the Diagnosis phase of the nursing process, the nurse identifies the
client's actual or potential health problems based on analysis of assessment data . This
is the second step of ADPIE.
5. A nurse is collecting data about a client's current health status. This occurs
during which phase of the nursing process?
A) Diagnosis
B) Assessment
C) Planning
D) Evaluation
Answer: B
Rationale: Assessment is the first phase of the nursing process where nurses gather
information about the client's current health situation . This includes both subjective
and objective data.
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6. During the Planning phase of the nursing process, the nurse develops patient
outcomes. These outcomes should be:
A) Vague and general
B) SMART (Specific, Measurable, Attainable, Realistic, Time-bound)
C) Written by the physician
D) Based solely on institutional policy
Answer: B
Rationale: Outcomes should be SMART: Specific, Measurable, Attainable, Realistic,
and Time-bound . This ensures goals can be evaluated objectively.
7. An example of a nursing intervention that is considered "independent" is:
A) Administering a prescribed medication
B) Repositioning the patient in bed
C) Inserting a urinary catheter per physician order
D) Administering IV fluids
Answer: B
Rationale: Independent interventions are those the nurse can initiate based on nursing
judgment without a physician's order. Repositioning a patient is an independent nursing
intervention . Administering medications and IV fluids are dependent interventions
requiring a provider's order.
8. A nursing intervention that requires a physician's order is considered:
A) Independent
B) Interdependent
C) Dependent
D) Collaborative
Answer: C
Rationale: Dependent interventions are those based on a physician or other healthcare
provider's order to treat a medical diagnosis . Examples include administering
prescribed medications and performing ordered procedures.
9. The purpose of the QSEN initiative is to:
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A) Increase the number of nursing programs
B) Prepare nurses with competencies to improve quality and safety in healthcare
C) Reduce the cost of nursing education
D) Establish national licensing standards
Answer: B
Rationale: The Quality and Safety Education for Nurses (QSEN) initiative aims to
prepare future nurses with the knowledge, skills, and attitudes needed to continuously
improve the quality and safety of healthcare systems .
10. Which of the following is a core competency of the QSEN framework?
A) Patient-centered care
B) Teamwork and collaboration
C) Evidence-based practice
D) All of the above
Answer: D
Rationale: The QSEN competencies include patient-centered care, teamwork and
collaboration, evidence-based practice, quality improvement, safety, and informatics .
These are essential for nursing practice.
11. Which health promotion level is directed toward promoting health and
preventing disease before it develops?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Answer: A
Rationale: Primary prevention is directed toward promoting health and preventing the
development of disease processes or injury . Examples include immunization clinics,
family planning services, and accident prevention education.
12. A nurse providing health education and immunizations at a community health
clinic is practicing which level of prevention?
A) Primary prevention
B) Secondary prevention
NURS 110 – MIDTERM STUDY GUIDE EXAM - 2026 QUESTIONS
LATEST 2026 – 2027 VERSION SOLVED QUESTIONS &
ANSWERS
NURS 110 – Midterm Study Guide: 250 Practice Questions
SECTION I: FOUNDATIONS OF NURSING (Questions 1-40)
1. The founder of modern nursing who described nursing as utilizing the
environment to assist the client in recovery is:
A) Dorothea Dix
B) Clara Barton
C) Florence Nightingale
D) Lillian Wald
Answer: C
Rationale: Florence Nightingale is the founder of modern nursing. She developed the
Environmental Theory, focusing on manipulating the environment (fresh air, cleanliness,
quiet) to promote healing . She established the foundations of modern nursing practice.
2. Which organization publishes the standards of nursing practice and the Code of
Ethics for Nurses?
A) National Council of State Boards of Nursing (NCSBN)
B) American Nurses Association (ANA)
C) National League for Nursing (NLN)
D) American Medical Association (AMA)
Answer: B
Rationale: The American Nurses Association (ANA) publishes the nursing standards
and the Code of Ethics for Nurses . These documents guide nursing practice and
establish the profession's ethical obligations.
, Page 2 of 77
3. The acronym ADPIE represents the phases of the nursing process. The correct
order is:
A) Assessment, Diagnosis, Planning, Implementation, Evaluation
B) Assessment, Planning, Diagnosis, Implementation, Evaluation
C) Diagnosis, Assessment, Planning, Implementation, Evaluation
D) Assessment, Diagnosis, Implementation, Planning, Evaluation
Answer: A
Rationale: The nursing process follows the order: Assessment (collect data), Diagnosis
(identify problems), Planning (set goals), Implementation (carry out care), and
Evaluation (assess outcomes) .
4. During which phase of the nursing process does the nurse identify potential or
actual problems the client is having?
A) Assessment
B) Diagnosis
C) Planning
D) Implementation
Answer: B
Rationale: During the Diagnosis phase of the nursing process, the nurse identifies the
client's actual or potential health problems based on analysis of assessment data . This
is the second step of ADPIE.
5. A nurse is collecting data about a client's current health status. This occurs
during which phase of the nursing process?
A) Diagnosis
B) Assessment
C) Planning
D) Evaluation
Answer: B
Rationale: Assessment is the first phase of the nursing process where nurses gather
information about the client's current health situation . This includes both subjective
and objective data.
, Page 3 of 77
6. During the Planning phase of the nursing process, the nurse develops patient
outcomes. These outcomes should be:
A) Vague and general
B) SMART (Specific, Measurable, Attainable, Realistic, Time-bound)
C) Written by the physician
D) Based solely on institutional policy
Answer: B
Rationale: Outcomes should be SMART: Specific, Measurable, Attainable, Realistic,
and Time-bound . This ensures goals can be evaluated objectively.
7. An example of a nursing intervention that is considered "independent" is:
A) Administering a prescribed medication
B) Repositioning the patient in bed
C) Inserting a urinary catheter per physician order
D) Administering IV fluids
Answer: B
Rationale: Independent interventions are those the nurse can initiate based on nursing
judgment without a physician's order. Repositioning a patient is an independent nursing
intervention . Administering medications and IV fluids are dependent interventions
requiring a provider's order.
8. A nursing intervention that requires a physician's order is considered:
A) Independent
B) Interdependent
C) Dependent
D) Collaborative
Answer: C
Rationale: Dependent interventions are those based on a physician or other healthcare
provider's order to treat a medical diagnosis . Examples include administering
prescribed medications and performing ordered procedures.
9. The purpose of the QSEN initiative is to:
, Page 4 of 77
A) Increase the number of nursing programs
B) Prepare nurses with competencies to improve quality and safety in healthcare
C) Reduce the cost of nursing education
D) Establish national licensing standards
Answer: B
Rationale: The Quality and Safety Education for Nurses (QSEN) initiative aims to
prepare future nurses with the knowledge, skills, and attitudes needed to continuously
improve the quality and safety of healthcare systems .
10. Which of the following is a core competency of the QSEN framework?
A) Patient-centered care
B) Teamwork and collaboration
C) Evidence-based practice
D) All of the above
Answer: D
Rationale: The QSEN competencies include patient-centered care, teamwork and
collaboration, evidence-based practice, quality improvement, safety, and informatics .
These are essential for nursing practice.
11. Which health promotion level is directed toward promoting health and
preventing disease before it develops?
A) Primary prevention
B) Secondary prevention
C) Tertiary prevention
D) Quaternary prevention
Answer: A
Rationale: Primary prevention is directed toward promoting health and preventing the
development of disease processes or injury . Examples include immunization clinics,
family planning services, and accident prevention education.
12. A nurse providing health education and immunizations at a community health
clinic is practicing which level of prevention?
A) Primary prevention
B) Secondary prevention
