Nursing Questions with Answers, Rationales,
NGN Case Studies, and Complete Study
Guide for Nursing Fundamentals Success
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rationales, and 10 Next Generation NCLEX case study clusters. Covering nursing process,
ethics, QSEN competencies, infection control, delegation, patient safety, and clinical
judgment, this test bank mirrors real exam formats and current NCLEX-RN standards.
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, NURS 110 Exam 1 Test Bank 2026/2027 — 100 Questions +
Answers
Section I: Foundations of Nursing Practice and Historical Perspectives
1. A nursing student is preparing a presentation on the historical evolution of professional
nursing practice. Which nurse is credited with establishing the first nursing philosophy
centered on health maintenance and restoration through environmental manipulation?
A. Clara Barton
B. Florence Nightingale
C. Lillian Wald
D. Dorothea Dix
Answer: B
Explanation: Florence Nightingale is widely recognized as the founder of modern professional
nursing. Her environmental theory emphasized that proper ventilation, cleanliness, light, warmth,
and adequate nutrition were essential for patient recovery. This framework represented a
fundamental departure from the prevailing belief that illness was solely a matter of fate or divine
will. Clara Barton founded the American Red Cross, Lillian Wald pioneered public health
nursing in community settings, and Dorothea Dix advocated for mental health reform.
Nightingale's work during the Crimean War dramatically reduced mortality rates through
environmental interventions, establishing the scientific basis for nursing practice.
2. A nurse educator is discussing the contributions of various nursing leaders with a group
of first-semester students. Which individual is most closely associated with the
establishment of the Henry Street Settlement and the development of public health nursing
in the United States?
A. Mary Breckinridge
B. Lillian Wald
C. Lavinia Dock
D. Margaret Sanger
,Answer: B
Explanation: Lillian Wald founded the Henry Street Settlement in New York City in 1893,
which served as a model for community-based nursing care. Her work demonstrated that nurses
could provide effective care outside of hospital settings, particularly for immigrant and low-
income populations. This initiative was instrumental in establishing public health nursing as a
distinct specialty. Mary Breckinridge founded the Frontier Nursing Service in rural Kentucky,
while Lavinia Dock was a prominent advocate for nursing legislation and women's rights.
3. During a class discussion on the evolution of nursing education, a student asks about the
significance of the Goldmark Report. Which statement accurately describes the impact of
this report on nursing education?
A. It mandated that all nursing programs be housed within university settings
B. It recommended that nursing education move from hospital-based diploma programs to
collegiate institutions
C. It established the first standardized licensure examination for nurses
D. It required all practicing nurses to obtain a baccalaureate degree by 1960
Answer: B
Explanation: The Goldmark Report, published in 1923, was a landmark study that critically
examined nursing education in the United States. It recommended that nursing schools be
affiliated with universities and colleges rather than remaining solely within hospital
apprenticeship models. This report catalyzed the movement toward collegiate nursing education
and laid the groundwork for the eventual development of associate and baccalaureate degree
programs. It did not, however, mandate immediate changes or establish licensure requirements.
, 4. A nurse is reflecting on the various roles within the profession. Which advanced practice
nursing role is characterized by providing comprehensive primary care, including the
authority to diagnose and treat medical conditions, often serving as a primary care
provider in underserved areas?
A. Clinical Nurse Specialist
B. Nurse Anesthetist
C. Nurse Practitioner
D. Nurse Midwife
Answer: C
Explanation: Nurse Practitioners (NPs) are advanced practice registered nurses who provide
comprehensive primary and specialty care. They are authorized to diagnose medical conditions,
order and interpret diagnostic tests, and prescribe medications and treatments. NPs frequently
practice in primary care settings and are particularly instrumental in addressing healthcare access
disparities in rural and underserved communities. Clinical Nurse Specialists focus on specialized
patient populations or care settings, Nurse Anesthetists provide anesthesia care, and Nurse
Midwives specialize in women's health and childbirth.
Section II: Nursing Process and Clinical Judgment
5. A nurse is caring for a client who reports pain rated 8 on a 0-10 numeric scale. Thirty
minutes after administering the prescribed analgesic, which action best demonstrates the
evaluation phase of the nursing process?
A. Documenting the administration time and dose in the medication record
B. Asking the client to rate the pain again using the same scale
C. Explaining the potential side effects of the medication
D. Identifying that the client has acute pain related to the surgical incision
Answer: B