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N138 Midterm 1 2026 – 350 Verified Questions & 100% Correct Answers on Nursing Process, NPA, Clinical Judgment and Professionalism

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This document contains approximately 350 expertly verified questions and 100% correct answers for N138 Midterm 1 (2026), organized across 63 comprehensive pages in a structured Q&A format. The material provides in-depth coverage of clinical judgment and the 9 Key Questions for decision-making (pages 1–3), major sociological foundations of professionalism including Flexner’s Report, Hall’s model, Houle’s professionalization process, Kelly’s 8 criteria, and Miller’s Wheel of Professionalism (pages 3–15), and interprofessionality domains established by the Interprofessional Education Collaborative (page 9). The guide thoroughly reviews legal and regulatory frameworks essential for nursing practice, including the Nursing Practice Act objectives, authority and powers of the State Board of Nursing (executive, legislative, judicial), BON sanctions (probation, suspension, revocation), ANA Model Practice Act, NCSBN and NCLEX-RN structure (computer adaptive testing, 75–265 questions), Nurse Licensure Compact provisions (90-day rule), licensure by endorsement, and the three branches of government and types of law (common, statutory, administrative) (pages 19–28). Civil versus criminal law distinctions, malpractice (commission and omission), the four elements of negligence (duty, breach, causation, damages), respondeat superior doctrine, delegation principles, Five Rights of Delegation, informed consent requirements, confidentiality exceptions, HIPAA protections, assault and battery, and Patient Self-Determination Act requirements are comprehensively explained (pages 29–36). Extensive emphasis is placed on the Nursing Process (ADPIE) including assessment methods (subjective vs objective data, inspection, auscultation, percussion, palpation), NANDA-I nursing diagnoses structure (diagnostic label, etiology, defining characteristics), prioritization using Maslow’s Hierarchy, planning with Bloom’s Taxonomy domains (cognitive, affective, psychomotor), independent/dependent/interdependent interventions, implementation documentation standards, and evaluation of outcomes (pages 39–48). The document also covers transition theories (Bridges’ Model, Meleis’ Transition Theory, Utley-Smith Returning to School Syndrome), Affordable Care Act reforms, telehealth regulatory updates (including H.R. 2516 and 2020 telehealth expansions), nurse entrepreneurship, employment outlook, wage compression, professional liability insurance (NSO), and the evolving image of nursing in media and public perception (pages 49–63). This document is particularly suitable for: Students enrolled in N138 Foundations of Nursing or Professional Nursing courses First-semester BSN, ADN, or accelerated BSN (ABSN) students preparing for Midterm 1 Nursing students reviewing legal, ethical, and professional standards content Learners strengthening knowledge of the Nursing Process and clinical judgment Students preparing for program progression exams and early NCLEX-style assessments It serves as a comprehensive, exam-focused study resource designed to reinforce foundational nursing theory, legal accountability, scope of practice, delegation principles, professional identity formation, healthcare policy, and clinical reasoning skills required for success in foundational nursing education and midterm examinations. Keywords: N138 midterm 1 2026, clinical judgement 9 key questions, Nursing Practice Act objectives, State Board of Nursing authority, NCLEX computer adaptive testing 75 265 questions, Nurse Licensure Compact 90 day rule, licensure by endorsement nursing, malpractice commission omission, four elements of negligence duty breach causation damages, Five Rights of Delegation, informed consent requirements nursing, HIPAA protections confidentiality, Patient Self Determination Act 2010, NANDA I nursing diagnosis structure, nursing process ADPIE assessment diagnosis planning implementation evaluation, Bloom taxonomy cognitive affective psychomotor, Kelly 8 criteria profession, Miller Wheel of Professionalism nursing, Bridges transition model stages, Meleis transition theory types

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N138 Midterm 1 2026 Exam
Questions with 100% Correct
Answers | Latest Update



Clinical Judgement: 9 Key Questions - 🧠ANSWER ✔✔*1. What major

outcomes (observable beneficial results) do we expect to see in this

particular patient, family, or group when the plan of care is terminated?* If

using standardized/pre-determined plan, that it is appropriate for the client;

or else have to create a personalized one for them that is realistic.

,*2. What problems or issues must be addressed to achieve the major

outcomes?* Answering this question helps you prioritize




*3. What are the circumstances?* Who is involved? Child, parent, group?

How urgent are the problems? Client's beliefs, values, cultural influences?




*4. What knowledge is required?* Regarding diagnoses, disease

physiology, symptoms, complications that may occur, etc.




*5. How much room is there for error?* Depends on the condition of the

overall health of the client; this is where clinical judgement comes in bc the

orders for postop ambulation may be the same for two clients who have

different comorbidities and overall health




*6. How much time do I have?* Time frame depends on urgency of the

problem, planned length of contact, etc.




*7. What resources can help me?* Human resources like CNS

,*8. Whose perspectives must be considered?* Important to consider

client's perspective; also family members, SOs, caregivers, relevant third

parties (insurers)




*9. What is influencing my thinking?* Identifying personal biases and other

factors influencing your critical thinking, and ergo, your clinical judgement


Flexner (Sociologist, 1910) - 🧠ANSWER ✔✔Flexner's Report inspected and

critiqued medical schools around the country and found that they are

unequal; called on medical schools to implement high standards for

admission and graduation




*Flexner Report (1915)* published a list of criteria that he believed were

characteristic of all true professions:

1. Is basically intellectual (as opposed to physical) and is accompanied by

a high

degree of individual responsibility




COPYRIGHT©JOSHCLAY 2025/2026. YEAR PUBLISHED 2026. COMPANY REGISTRATION NUMBER: 619652435. TERMS OF USE. PRIVACY
3
STATEMENT. ALL RIGHTS RESERVED

, 2. Is based on a body of knowledge that can be learned and is developed

and

refined through research

3. Is practical, in addition to being theoretical

4. Can be taught through a process of highly specialized professional

education

5. Has a strong internal organization of members and a well-developed

group

consciousness

6. Has practitioners who are motivated by altruism (the desire to help

others)

and who are responsive to public interests


Hall (Sociologist, 1968) - 🧠ANSWER ✔✔Published his work on

professionalism; similar to Flexner's criteria, described a professional

model with 5 attributes of professions:




1. Use of a professional organization as a primary point of reference

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