NUR 215 Exam 1 Study Guide 2026/2027 | 100+ Questions & Answers | ABCs, ADPIE, Prioritization, Delegation, Ethics, HIPAA & Patient Safety

This NUR 215 Exam 1 Study Guide: Key Nursing Concepts 2026/2027 is a comprehensive 22-page nursing exam review containing 100+ questions, definitions and answers designed around foundational concepts required for safe and professional nursing practice. The study guide covers ABCs and clinical prioritization, RN scope of practice, primary/secondary/tertiary prevention, the ADPIE nursing process, assessment and nursing diagnosis, care planning, HIPAA, therapeutic communication, nursing ethics, cultural competence, delegation, patient advocacy, health promotion, fall prevention, interdisciplinary care and home safety. The document is explicitly identified as NUR 215 Exam 1, but no university or institution is named in the uploaded material; therefore, an unsupported university affiliation has not been added. A central component of the guide is clinical prioritization and the RN scope of practice. Students review the ABCs—Airway, Breathing and Circulation—as a framework for determining immediate priorities, while also examining factors such as urgency, potential consequences and patient preferences. The guide distinguishes independent nursing activities from actions outside the nurse's legal scope and gives practical examples of interventions that may be performed without a physician's order, including positioning, comfort measures, assistance with activities of daily living, fall prevention and appropriate patient education. The resource provides strong coverage of health promotion and disease prevention by differentiating primary, secondary and tertiary prevention. Primary prevention examples include healthy nutrition, exercise, sunscreen, seat belts, condoms and immunizations. Secondary prevention focuses on screening and early disease detection through interventions such as blood-pressure, diabetes, bone-density and TB screening. Tertiary prevention centers on limiting disease progression and rehabilitation, with examples including physical rehabilitation, speech therapy and support groups. Another major examination area is the nursing process and ADPIE: Assessment, Diagnosis, Planning, Implementation and Evaluation. The study guide explains that the nursing process is not linear and distinguishes primary from secondary data and subjective from objective findings. It further differentiates a nursing diagnosis from a medical diagnosis, then reviews initial, ongoing and discharge planning, nursing care plans, implementation of interventions and evaluation of patient outcomes. Students also encounter structure, process and outcomes evaluation, helping connect individual nursing interventions with broader quality-of-care assessment. The guide emphasizes HIPAA, privacy and professional responsibility. HIPAA is presented as the federal framework regulating individually identifiable health information in verbal, written and electronic forms. Practical privacy measures include logging off computers, avoiding inappropriate discussion of patient information and protecting patient belongings and personal health information. This section connects privacy obligations with professional nursing attributes such as honesty, integrity, accountability, responsibility, trustworthiness, advocacy and beneficence. A particularly detailed portion addresses therapeutic communication and nurse-patient relationships. Students review active listening, empathy, hope, appropriate touch, silence, clarification, focusing, paraphrasing, open-ended questions, summarizing and relevant information sharing. The guide contrasts these techniques with communication barriers such as personal opinions, changing the subject, automatic responses, false reassurance, sympathy, inappropriate “why” questions, approval or disapproval, defensive responses, arguing and aggressive communication. This makes the resource useful for scenario-based questions requiring students to select the most therapeutic nursing response. The ethics section reviews major principles expected in nursing practice, including nonmaleficence, autonomy, justice, beneficence, veracity and fidelity. The document defines nonmaleficence in terms of avoiding and preventing harm, autonomy as respecting a person's right to choose, justice as fairness, beneficence as promoting good, veracity as truth-telling and fidelity as keeping promises. It additionally introduces the Nurse Practice Act and the ANA Code of Ethics as important frameworks governing professional nursing conduct. Cultural awareness, cultural sensitivity and cultural competence are also examined. Students review how cultural beliefs, values and customs influence health decisions and behavior and how nurses can incorporate cultural considerations into patient care. Concepts such as negotiation and repatterning/restructuring reinforce the importance of respecting cultural beliefs while working toward appropriate health outcomes. The document also specifies using a qualified interpreter or approved translation resource when assessing a non-English-speaking patient rather than relying on an untrained family member or staff member. The study guide connects these concepts with health promotion and the wellness-illness continuum, examining biological factors, nutrition, physical activity, sleep, culture, family relationships, lifestyle choices, finances, environment and spirituality. Healthy People 2030 is presented as a national initiative establishing health-improvement goals, reducing preventable risks and addressing health disparities. Students additionally review modifiable versus nonmodifiable risk factors and the purpose of health screening for early disease detection. Another high-value exam topic is delegation and the Five Rights of Delegation: Right Task, Right Circumstance, Right Direction and Communication, Right Person and Right Supervision. The guide emphasizes that although an RN may transfer responsibility for performing an appropriate task to nursing assistive personnel, the RN retains accountability for a safe outcome. It further differentiates the responsibilities of RNs, LPNs, nurse practitioners and nursing assistive personnel, helping students recognize which healthcare team member is appropriate for a particular task. The final sections expand into interprofessional collaboration and patient safety. Healthcare roles reviewed include physicians, physician assistants, physical/occupational/speech therapists, respiratory therapists, laboratory personnel, radiology technicians, case managers, social workers, pharmacists, dietitians, nutritionists and spiritual-care providers. The guide also addresses the Morse Fall Scale, fall-risk assessment, home safety, RACE fire safety and seizure precautions. For seizure safety, the source emphasizes staying with the patient, protecting the head, ensuring rescue equipment is available and avoiding restraint or placement of objects in the patient's mouth. Overall, this NUR 215 Exam 1 Study Guide provides concentrated preparation for an examination focused on the foundations of nursing judgment and professional practice. Rather than concentrating on one disease process, it integrates priority setting, nursing-process reasoning, prevention, communication, ethics, legal responsibilities, delegation, cultural care, teamwork, health promotion and safety, making it especially useful for students preparing for scenario-based nursing questions that require choosing the safest, most appropriate or highest-priority intervention. Relevant students: NUR 215 students, Fundamentals of Nursing students, Foundations of Nursing students, pre-licensure nursing students, ADN students, BSN students, RN students, LPN-to-RN students, nursing process students, nursing ethics students and students preparing for fundamentals, prioritization, delegation or patient-safety examinations. Academic Reference Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. Fundamentals of Nursing. Elsevier. This is a relevant supporting academic reference for the study guide's major concepts, including clinical judgment, nursing process, communication, patient safety, health promotion, ethics, delegation and professional nursing practice. The uploaded NUR 215 document does not identify a required textbook or journal, so this is a supporting academic reference rather than a claimed source of the questions. 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