Complete 110-Question Test Bank with
Answers, Rationales & Next Gen NCLEX
Practice for Nursing Students
Description:
Prepare for your NURS 110 midterm with this comprehensive 2026/2027 test bank featuring
110 exam questions with detailed answers and rationales. Covering foundations of nursing,
legal and ethical practice, communication, evidence-based practice, patient safety,
medication administration, clinical judgment, infection control, cultural competence, fluids
and electrolytes, perioperative care, end-of-life care, and professional development.
Includes 10 Next Gen NCLEX-style clinical judgment case studies, select-all-that-apply items,
and a consolidated answer key. Fully aligned with QSEN competencies and current nursing
best practices. Ideal for exam prep, study guides, and digital learning.
Download your NURS 110 midterm test bank today and walk into your exam with confidence.
,Course: NURS 110 – Introduction to Professional Nursing
Exam Type: Midterm Comprehensive Assessment
Format: Multiple-Choice and Next Gen NCLEX-Style Items with Answer Rationales
Total Questions: 100
Recommended Time: 150 Minutes
NURS 110 Midterm Exam 2026/2027 – 110 Q&A Test Bank with
Answers
Section I: Foundations of Professional Nursing Practice
1. A nurse is preparing a presentation on the historical evolution of professional nursing.
Which contribution by Florence Nightingale most directly established the foundation for
evidence-based nursing practice?
A. Founding the American Red Cross
B. Establishing the first formal nursing education program in London
C. Advocating for the use of sterile technique during the Crimean War
D. Implementing systematic data collection and statistical analysis to demonstrate the
relationship between sanitation and mortality rates
Answer: D
Explanation: Florence Nightingale's most enduring contribution to modern nursing was her
pioneering use of systematic data collection and statistical analysis. During the Crimean War,
she meticulously documented mortality rates and correlated them with sanitary conditions, using
her findings to advocate for healthcare reform. This approach established the philosophical
foundation for evidence-based practice in nursing. While she did establish the Nightingale
Training School for Nurses in 1860 at St. Thomas' Hospital, her statistical methodology
represented a more fundamental shift toward empirical practice that continues to define
professional nursing today.
,2. A nurse manager is evaluating a staff member's understanding of the Quality and Safety
Education for Nurses (QSEN) competencies. The nurse demonstrates correct integration of
best current evidence with clinical expertise and patient values. Which QSEN competency
is this nurse exemplifying?
A. Patient-Centered Care
B. Teamwork and Collaboration
C. Evidence-Based Practice
D. Quality Improvement
Answer: C
Explanation: The QSEN competency of Evidence-Based Practice is explicitly defined as the
integration of best current evidence with clinical expertise and patient/family preferences and
values for the delivery of optimal healthcare. This differs from Patient-Centered Care, which
focuses on recognizing the patient as the source of control and full partner in care. Teamwork
and Collaboration emphasizes functioning effectively within nursing and interprofessional teams,
while Quality Improvement involves using data to monitor outcomes and improve care
processes. The scenario described most directly aligns with the Evidence-Based Practice
competency framework.
3. A state board of nursing is considering a disciplinary action against a nurse who
exceeded their scope of practice. Which regulatory document provides the legal framework
for this action?
A. The Nurse Practice Act
B. The American Nurses Association Code of Ethics
C. The Health Insurance Portability and Accountability Act
D. The Joint Commission accreditation standards
Answer: A
Explanation: The Nurse Practice Act (NPA) is the state statute that defines the legal scope of
nursing practice, establishes educational and licensure requirements, and grants the state board of
, nursing authority to enforce disciplinary measures. While the ANA Code of Ethics provides
professional standards and HIPAA governs patient privacy, neither carries the legal authority for
licensure discipline. The Joint Commission sets accreditation standards for healthcare
organizations but does not regulate individual nursing licensure. The NPA is the definitive legal
framework for scope of practice enforcement.
4. A nurse is reviewing the stages of nursing theory development. Which theorist is credited
with establishing the "Theory of Interpersonal Relations," emphasizing the therapeutic
relationship between nurse and patient?
A. Sister Callista Roy
B. Hildegard Peplau
C. Madeleine Leininger
D. Martha Rogers
Answer: B
Explanation: Hildegard Peplau's Theory of Interpersonal Relations (1952) revolutionized
nursing by identifying the nurse-patient relationship as the foundation of nursing practice. She
described the orientation, working, and termination phases of the therapeutic relationship. Roy is
known for the Adaptation Model, Leininger for Transcultural Nursing Theory, and Rogers for
the Science of Unitary Human Beings. Peplau's work remains particularly relevant in modern
mental health nursing and patient-centered care frameworks.
5. A nurse is providing care to a patient who states, "I don't want any heroic measures if
my heart stops." Which legal document should the nurse expect to be in place to honor this
request?
A. Durable power of attorney for healthcare
B. Living will
C. Do-not-resuscitate (DNR) order
D. Advance beneficiary notice
Answer: C