NUR 1055 Final Exam 2026/2027
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NUR 1055 - INTRODUCTION TO
NURSING
Comprehensive Final Examination
Academic Year 2026/2027 | 200 Multiple-Choice Questions
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Department of Nursing Science
College of Health Sciences
Document Type: Academic Paper Format | Edition: 1.0
CONFIDENTIAL – FOR ACADEMIC USE ONLY
1
, NUR 1055 Final Exam 2026/2027
Abstract
This comprehensive final examination for NUR 1055 Introduction to Nursing has been
developed to assess the foundational nursing competencies required of undergraduate nursing
students. The examination consists of 200 multiple-choice questions distributed across 12 core
domains of nursing knowledge, including nursing fundamentals and professional standards, health
assessment and vital signs, infection control and patient safety, therapeutic communication, legal and
ethical considerations, medication administration and dosage calculations, the nursing process and
clinical judgment, patient education and health promotion, cultural competence and health equity,
documentation and information management, pharmacology basics, and test-taking strategies with
prioritization. Questions are designed at multiple cognitive levels encompassing knowledge recall,
comprehension, application, and analysis, and are aligned with current evidence-based practice
standards and the Quality and Safety Education for Nurses (QSEN) competencies. Clinical scenarios
are integrated throughout to promote the development of clinical judgment skills essential for safe,
effective nursing practice. This examination serves as a summative assessment tool aligned with
NCLEX-RN preparation standards and nursing program learning outcomes. Each question includes a
detailed rationale supporting the correct answer to facilitate student learning and self-assessment.
Keywords: nursing examination, NCLEX preparation, nursing fundamentals, clinical judgment, patient safety,
medication administration, health assessment, therapeutic communication, cultural competence, pharmacology,
nursing process, prioritization
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1. Introduction
The NUR 1055 Introduction to Nursing course provides students with the essential
knowledge, skills, and attitudes required for entry-level nursing practice. This final examination has
been carefully constructed to evaluate student competency across a broad spectrum of foundational
nursing concepts. Each of the 12 domains represented in this assessment corresponds to critical areas
of nursing practice that are essential for safe, patient-centered care. The examination design reflects
current trends in nursing education, emphasizing clinical reasoning, evidence-based decision-making,
and the integration of QSEN competencies into everyday practice.
The question format incorporates a variety of item types ranging from factual recall to
complex clinical scenarios that require application and analysis. Each question includes four answer
options with one clearly identified correct answer, accompanied by a detailed rationale grounded in
current nursing literature and best practices. The rationales serve an important educational function,
providing students with the underlying reasoning for each correct answer and reinforcing key
concepts. Clinical scenarios are drawn from realistic healthcare situations to prepare students for the
types of questions they will encounter on the NCLEX-RN examination and in clinical practice.
This examination paper is organized in academic paper format to familiarize nursing students
with professional documentation conventions. The 12 domains encompass the breadth of introductory
nursing content, from foundational theories and professional standards to advanced concepts such as
pharmacology, prioritization, and test-taking strategies. Students are encouraged to approach each
question thoughtfully, applying critical thinking and clinical judgment frameworks covered
throughout the course. Successful completion of this examination demonstrates readiness for
progression to advanced nursing courses and, ultimately, for entry into professional nursing practice.
2
, NUR 1055 Final Exam 2026/2027
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2. Nursing Fundamentals & Professional Standards
Q1. A nursing student asks the instructor about the nursing process. Which response by the
instructor is most accurate?
A) Assessment is the only step that requires clinical judgment.
B) The nursing process is a systematic, cyclic approach to delivering individualized
patient care.
C) The nursing process is used only by registered nurses, not by LPNs.
D) The nursing process consists of three steps: assess, implement, evaluate.
Rationale: The nursing process (ADPIE) is a five-step cyclic framework used by all levels of nurses to
provide individualized, patient-centered care. It includes Assessment, Diagnosis, Planning,
Implementation, and Evaluation, and it is continuous rather than linear.
Q2. Which nursing theorist is best known for defining nursing as assisting the individual, sick or
well, in activities contributing to health that the person would perform unaided if having the
necessary strength, will, or knowledge?
A) Dorothea Orem
B) Virginia Henderson
C) Callista Roy
D) Martha Rogers
Rationale: Virginia Henderson is known as the "Nightengale of Modern Nursing" and defined nursing in
terms of assisting the individual with 14 basic needs. Her definition emphasizes patient independence
and holistic care.
Q3. A nurse is caring for a postoperative patient who is reluctant to ambulate. Using Dorothea
Orem's Self-Care Deficit Theory, which nursing intervention is most appropriate?
A) Perform all activities of daily living for the patient until discharge.
B) Identify the self-care deficit and provide supportive-educative measures to
encourage participation.
C) Delegate all care to unlicensed assistive personnel.
D) Wait until the patient is motivated enough to ambulate independently.
Rationale: Orem's Self-Care Deficit Theory identifies three nursing systems: wholly compensatory,
partly compensatory, and supportive-educative. For a reluctant postoperative patient, the nurse should
use supportive-educative interventions to encourage participation in self-care activities while providing
necessary support.
Q4. According to Patricia Benner's Novice to Expert model, a nurse who has 2-3 years of
experience and can anticipate patient needs in familiar situations is at which stage?
A) Novice
B) Advanced beginner
C) Competent
D) Proficient
Rationale: In Benner's model, the competent nurse typically has 2-3 years of experience, demonstrates
organizational and planning abilities, and can anticipate needs in familiar situations. The proficient
stage requires 3-5 years and involves intuitive understanding.
3
, NUR 1055 Final Exam 2026/2027
Q5. The Quality and Safety Education for Nurses (QSEN) initiative addresses six core
competencies. Which of the following is NOT one of the six QSEN competencies?
A) Patient-centered care
B) Evidence-based practice
C) Financial management
D) Informatics
Rationale: The six QSEN competencies are: patient-centered care, teamwork and collaboration,
evidence-based practice, quality improvement, safety, and informatics. Financial management is not
included as a QSEN competency.
Q6. A nursing student is learning about Florence Nightingale's environmental theory. Which
statement best reflects Nightingale's approach?
A) The primary focus of nursing is psychological counseling.
B) Nurses should manipulate the patient's environment to promote healing and
recovery.
C) Nursing is primarily concerned with disease pathology and pharmacological
interventions.
D) Patients should be isolated from all external stimuli during illness.
Rationale: Florence Nightingale's Environmental Theory emphasizes that the environment directly
affects patient health and recovery. Nurses should ensure proper ventilation, cleanliness, light, warmth,
and noise control to facilitate the healing process.
Q7. Which document establishes the ethical framework and standards of conduct expected of all
registered nurses in the United States?
A) Nurse Practice Act
B) ANA Code of Ethics for Nurses
C) State Board of Nursing Regulations
D) Joint Commission Standards
Rationale: The American Nurses Association (ANA) Code of Ethics for Nurses provides the ethical
framework and professional standards guiding nursing practice. The Nurse Practice Act, by contrast, is
a legal document that defines the scope of nursing practice within each state.
Q8. A nurse manager is assigning tasks for the shift. Which task is most appropriate to delegate to
an unlicensed assistive personnel (UAP)?
A) Performing a comprehensive head-to-toe assessment on a newly admitted patient.
B) Administering oral medications to a stable patient.
C) Recording intake and output for a patient with a Foley catheter.
D) Providing discharge teaching about insulin administration.
Rationale: Recording intake and output is within the scope of UAP practice under the supervision of a
licensed nurse. Comprehensive assessments, medication administration, and patient education require
licensed nursing knowledge and judgment.
Q9. A nurse is reviewing a patient's plan of care and notes the diagnosis: "Impaired Physical
Mobility related to left-sided hemiparesis as evidenced by inability to bear weight on left leg." This
is an example of which format?
A) SBAR format
B) PES (Problem, Etiology, Signs/Symptoms) format
C) SOAP format
D) PIE format
4
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━━━━━━━━━━━━━━━
NUR 1055 - INTRODUCTION TO
NURSING
Comprehensive Final Examination
Academic Year 2026/2027 | 200 Multiple-Choice Questions
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━━━━
Department of Nursing Science
College of Health Sciences
Document Type: Academic Paper Format | Edition: 1.0
CONFIDENTIAL – FOR ACADEMIC USE ONLY
1
, NUR 1055 Final Exam 2026/2027
Abstract
This comprehensive final examination for NUR 1055 Introduction to Nursing has been
developed to assess the foundational nursing competencies required of undergraduate nursing
students. The examination consists of 200 multiple-choice questions distributed across 12 core
domains of nursing knowledge, including nursing fundamentals and professional standards, health
assessment and vital signs, infection control and patient safety, therapeutic communication, legal and
ethical considerations, medication administration and dosage calculations, the nursing process and
clinical judgment, patient education and health promotion, cultural competence and health equity,
documentation and information management, pharmacology basics, and test-taking strategies with
prioritization. Questions are designed at multiple cognitive levels encompassing knowledge recall,
comprehension, application, and analysis, and are aligned with current evidence-based practice
standards and the Quality and Safety Education for Nurses (QSEN) competencies. Clinical scenarios
are integrated throughout to promote the development of clinical judgment skills essential for safe,
effective nursing practice. This examination serves as a summative assessment tool aligned with
NCLEX-RN preparation standards and nursing program learning outcomes. Each question includes a
detailed rationale supporting the correct answer to facilitate student learning and self-assessment.
Keywords: nursing examination, NCLEX preparation, nursing fundamentals, clinical judgment, patient safety,
medication administration, health assessment, therapeutic communication, cultural competence, pharmacology,
nursing process, prioritization
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━━━━
1. Introduction
The NUR 1055 Introduction to Nursing course provides students with the essential
knowledge, skills, and attitudes required for entry-level nursing practice. This final examination has
been carefully constructed to evaluate student competency across a broad spectrum of foundational
nursing concepts. Each of the 12 domains represented in this assessment corresponds to critical areas
of nursing practice that are essential for safe, patient-centered care. The examination design reflects
current trends in nursing education, emphasizing clinical reasoning, evidence-based decision-making,
and the integration of QSEN competencies into everyday practice.
The question format incorporates a variety of item types ranging from factual recall to
complex clinical scenarios that require application and analysis. Each question includes four answer
options with one clearly identified correct answer, accompanied by a detailed rationale grounded in
current nursing literature and best practices. The rationales serve an important educational function,
providing students with the underlying reasoning for each correct answer and reinforcing key
concepts. Clinical scenarios are drawn from realistic healthcare situations to prepare students for the
types of questions they will encounter on the NCLEX-RN examination and in clinical practice.
This examination paper is organized in academic paper format to familiarize nursing students
with professional documentation conventions. The 12 domains encompass the breadth of introductory
nursing content, from foundational theories and professional standards to advanced concepts such as
pharmacology, prioritization, and test-taking strategies. Students are encouraged to approach each
question thoughtfully, applying critical thinking and clinical judgment frameworks covered
throughout the course. Successful completion of this examination demonstrates readiness for
progression to advanced nursing courses and, ultimately, for entry into professional nursing practice.
2
, NUR 1055 Final Exam 2026/2027
━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━━
━━━━━━━━━━━━━━━
2. Nursing Fundamentals & Professional Standards
Q1. A nursing student asks the instructor about the nursing process. Which response by the
instructor is most accurate?
A) Assessment is the only step that requires clinical judgment.
B) The nursing process is a systematic, cyclic approach to delivering individualized
patient care.
C) The nursing process is used only by registered nurses, not by LPNs.
D) The nursing process consists of three steps: assess, implement, evaluate.
Rationale: The nursing process (ADPIE) is a five-step cyclic framework used by all levels of nurses to
provide individualized, patient-centered care. It includes Assessment, Diagnosis, Planning,
Implementation, and Evaluation, and it is continuous rather than linear.
Q2. Which nursing theorist is best known for defining nursing as assisting the individual, sick or
well, in activities contributing to health that the person would perform unaided if having the
necessary strength, will, or knowledge?
A) Dorothea Orem
B) Virginia Henderson
C) Callista Roy
D) Martha Rogers
Rationale: Virginia Henderson is known as the "Nightengale of Modern Nursing" and defined nursing in
terms of assisting the individual with 14 basic needs. Her definition emphasizes patient independence
and holistic care.
Q3. A nurse is caring for a postoperative patient who is reluctant to ambulate. Using Dorothea
Orem's Self-Care Deficit Theory, which nursing intervention is most appropriate?
A) Perform all activities of daily living for the patient until discharge.
B) Identify the self-care deficit and provide supportive-educative measures to
encourage participation.
C) Delegate all care to unlicensed assistive personnel.
D) Wait until the patient is motivated enough to ambulate independently.
Rationale: Orem's Self-Care Deficit Theory identifies three nursing systems: wholly compensatory,
partly compensatory, and supportive-educative. For a reluctant postoperative patient, the nurse should
use supportive-educative interventions to encourage participation in self-care activities while providing
necessary support.
Q4. According to Patricia Benner's Novice to Expert model, a nurse who has 2-3 years of
experience and can anticipate patient needs in familiar situations is at which stage?
A) Novice
B) Advanced beginner
C) Competent
D) Proficient
Rationale: In Benner's model, the competent nurse typically has 2-3 years of experience, demonstrates
organizational and planning abilities, and can anticipate needs in familiar situations. The proficient
stage requires 3-5 years and involves intuitive understanding.
3
, NUR 1055 Final Exam 2026/2027
Q5. The Quality and Safety Education for Nurses (QSEN) initiative addresses six core
competencies. Which of the following is NOT one of the six QSEN competencies?
A) Patient-centered care
B) Evidence-based practice
C) Financial management
D) Informatics
Rationale: The six QSEN competencies are: patient-centered care, teamwork and collaboration,
evidence-based practice, quality improvement, safety, and informatics. Financial management is not
included as a QSEN competency.
Q6. A nursing student is learning about Florence Nightingale's environmental theory. Which
statement best reflects Nightingale's approach?
A) The primary focus of nursing is psychological counseling.
B) Nurses should manipulate the patient's environment to promote healing and
recovery.
C) Nursing is primarily concerned with disease pathology and pharmacological
interventions.
D) Patients should be isolated from all external stimuli during illness.
Rationale: Florence Nightingale's Environmental Theory emphasizes that the environment directly
affects patient health and recovery. Nurses should ensure proper ventilation, cleanliness, light, warmth,
and noise control to facilitate the healing process.
Q7. Which document establishes the ethical framework and standards of conduct expected of all
registered nurses in the United States?
A) Nurse Practice Act
B) ANA Code of Ethics for Nurses
C) State Board of Nursing Regulations
D) Joint Commission Standards
Rationale: The American Nurses Association (ANA) Code of Ethics for Nurses provides the ethical
framework and professional standards guiding nursing practice. The Nurse Practice Act, by contrast, is
a legal document that defines the scope of nursing practice within each state.
Q8. A nurse manager is assigning tasks for the shift. Which task is most appropriate to delegate to
an unlicensed assistive personnel (UAP)?
A) Performing a comprehensive head-to-toe assessment on a newly admitted patient.
B) Administering oral medications to a stable patient.
C) Recording intake and output for a patient with a Foley catheter.
D) Providing discharge teaching about insulin administration.
Rationale: Recording intake and output is within the scope of UAP practice under the supervision of a
licensed nurse. Comprehensive assessments, medication administration, and patient education require
licensed nursing knowledge and judgment.
Q9. A nurse is reviewing a patient's plan of care and notes the diagnosis: "Impaired Physical
Mobility related to left-sided hemiparesis as evidenced by inability to bear weight on left leg." This
is an example of which format?
A) SBAR format
B) PES (Problem, Etiology, Signs/Symptoms) format
C) SOAP format
D) PIE format
4
