C O M P R E H E N S I V E E X A M P R E PA R AT I O N · 2 0 2 0 2 7 E D I T I O N A + V E R IF IE D
NSG 527 Final Exam | Wilkes 2026/2027 – Questions and
Answers | Theory-to-Practice | Leadership Mastery – Pass
Guaranteed – A+ Graded
50 5 50
TO TA L QU E S TI O N S E X A M S E C TI O N S A N S W E R R ATI O N A LE S
W H AT T H I S C OV E R S
1 Theoretical Foundations of Advanced Nursing Questions 1–10
2 Health Policy and Advocacy Questions 11–20
3 Ethics and Legal Issues in Nursing Questions 21–30
4 Leadership and Interprofessional Collaboration Questions 31–40
5 Evidence-Based Practice and Quality Improvement Questions 41–50
AB OUT T H I S AS S ES S MENT
This assessment addresses the professional foundations of advanced nursing, including theoretical frameworks that guide
practice, health policy and advocacy, ethical and legal dimensions of care, leadership and interprofessional collaboration, and
evidence-based practice with quality improvement. Items emphasize role development, policy analysis, ethical decision
making, team communication, and the translation of evidence into practice at the application and analysis level. Every
question includes a specific rationale that explains the correct response and addresses key distractors.
PA S S ING S C OR E: 80% · L EV EL : A DVA NC ED · FOR MAT: 50 QUES TIONS , MULTIPL E C H OIC E (A -D)
S T UVI A ACT UAL EXAM 2026 /2027 EDITION
, NSG 527 Final Exam | Wilkes
2026/2027 · 50 Questions · Passing Score 80% · Level: Advanced · Application/Analysis
SECTION 1 · THEORETICAL FOUNDATIONS OF ADVANCED
Questions 1-10
NURSING
1. A nurse practitioner faculty member asks students to analyze a plan of care for an unhoused patient with
uncontrolled diabetes that addresses housing instability, medication access, self-management beliefs, and clinic
follow-up. Which student analysis best reflects the discipline's four metaparadigm concepts as global unifying
domains?
A. Pathophysiology, pharmacology, physical assessment, and the medical treatment plan
B. Person, environment, health, and nursing actions promoting optimal well-being
C. Assessment, diagnosis, planning, implementation, and evaluation of patient needs
D. Cost, access, quality, and safety within the care delivery system
Correct Answer: B) Person, environment, health, and nursing actions promoting optimal well-being
Rationale: Option B is correct because the metaparadigm of nursing comprises person, environment, health, and nursing,
and this analysis maps each element of the plan to those global domains. Option A is incorrect because it lists biomedical
science content areas rather than the discipline's unifying concepts. Option C is incorrect because the nursing process is a
working method, not a statement of the discipline's scope.
2. A home health nurse is planning care for a 68-year-old recovering from a stroke who bathes independently
with adaptive equipment but cannot yet draw up insulin safely and has little knowledge of the diabetic regimen.
Using Orem's theory, which action best reflects the supportive-educative nursing system?
A. Performing all bathing, meals, and insulin administration while the patient observes
B. Sharing insulin preparation tasks with the patient until strength improves
C. Transferring all medication tasks to the family without instruction or assessment
D. Coaching the patient through teach-back on glucometer use and insulin preparation
Correct Answer: D) Coaching the patient through teach-back on glucometer use and insulin preparation
Rationale: Option D is correct because Orem's supportive-educative system fits patients whose self-care agency is
limited by a knowledge or skill deficit, and teach-back coaching builds the ability to manage insulin safely. Option A is
incorrect because performing all self-care for the patient describes the wholly compensatory system. Option B is incorrect
because shared performance of tasks reflects the partly compensatory system.
STUVIA ACTUAL EXAM 1
, 3. A case manager evaluates a recently relocated middle-aged client newly diagnosed with heart failure who
reports persistent anxiety, has become socially isolated, and is struggling to accept lifestyle limits. Which
analysis best applies Roy's adaptation model by classifying these responses within the correct adaptive modes?
A. Classifying isolation after relocation as an interdependence mode concern requiring support assessment
B. Grouping anxiety, isolation, and activity intolerance as one physiologic problem cluster
C. Excluding role function because the client has no outside employment
D. Concentrating only on focal stimuli because they alone drive adaptation
Correct Answer: A) Classifying isolation after relocation as an interdependence mode concern requiring support
assessment
Rationale: Option A is correct because Roy organizes adaptive responses into physiologic, self-concept, role function,
and interdependence modes, and distress about relationships after relocation belongs in the interdependence mode,
guiding family and social support assessment. Option B is incorrect because merging distinct modes obscures the targeted
intervention each mode requires. Option C is incorrect because role function includes family and social roles, not only
employment.
4. A hospice nurse enters the room of a dying veteran who is tearful and asks whether his life had any meaning.
Orders include morphine for comfort, and the aide is available for hygiene care. Which action best reflects
Watson's caritas processes in this caring moment?
A. Reviewing and titrating the morphine orders to keep comfort scores low
B. Documenting the family conference efficiently in the electronic health record
C. Sitting at eye level in silent presence and exploring what dying means to him
D. Delegating comfort care to the aide so the nurse finishes other tasks
Correct Answer: C) Sitting at eye level in silent presence and exploring what dying means to him
Rationale: Option C is correct because Watson's caritas processes call for authentic presence, loving-kindness, and
assisting the patient to find meaning in suffering, which intentional presence at eye level embodies. Option A is incorrect
because titrating medication addresses physical comfort but omits the relational caring moment central to the theory.
Option D is incorrect because delegating presence away from the nurse fragments the caring relationship.
5. A perianesthesia unit is redesigning recovery care using Kolcaba's comfort theory, which distinguishes
relief, ease, and transcendence across physical, psychospiritual, sociocultural, and environmental contexts. The
council wants interventions that specifically strengthen the environmental context of comfort. Which
intervention best meets that goal?
A. Administering prescribed antiemetics before nausea develops after surgery
B. Adjusting lighting, noise, temperature, and allowing family presence during recovery
C. Teaching slow breathing exercises to promote calm during emergence
D. Coaching visualization of walking freely at discharge without pain
Correct Answer: B) Adjusting lighting, noise, temperature, and allowing family presence during recovery
Rationale: Option B is correct because Kolcaba locates environmental comfort in external surroundings, including light,
noise, temperature, and the presence of loved ones, so modifying the recovery room directly targets that context. Option
A is incorrect because giving antiemetics addresses physical comfort through relief of nausea. Option C is incorrect
because relaxation breathing promotes psychospiritual ease rather than environmental conditions.
STUVIA ACTUAL EXAM 2
NSG 527 Final Exam | Wilkes 2026/2027 – Questions and
Answers | Theory-to-Practice | Leadership Mastery – Pass
Guaranteed – A+ Graded
50 5 50
TO TA L QU E S TI O N S E X A M S E C TI O N S A N S W E R R ATI O N A LE S
W H AT T H I S C OV E R S
1 Theoretical Foundations of Advanced Nursing Questions 1–10
2 Health Policy and Advocacy Questions 11–20
3 Ethics and Legal Issues in Nursing Questions 21–30
4 Leadership and Interprofessional Collaboration Questions 31–40
5 Evidence-Based Practice and Quality Improvement Questions 41–50
AB OUT T H I S AS S ES S MENT
This assessment addresses the professional foundations of advanced nursing, including theoretical frameworks that guide
practice, health policy and advocacy, ethical and legal dimensions of care, leadership and interprofessional collaboration, and
evidence-based practice with quality improvement. Items emphasize role development, policy analysis, ethical decision
making, team communication, and the translation of evidence into practice at the application and analysis level. Every
question includes a specific rationale that explains the correct response and addresses key distractors.
PA S S ING S C OR E: 80% · L EV EL : A DVA NC ED · FOR MAT: 50 QUES TIONS , MULTIPL E C H OIC E (A -D)
S T UVI A ACT UAL EXAM 2026 /2027 EDITION
, NSG 527 Final Exam | Wilkes
2026/2027 · 50 Questions · Passing Score 80% · Level: Advanced · Application/Analysis
SECTION 1 · THEORETICAL FOUNDATIONS OF ADVANCED
Questions 1-10
NURSING
1. A nurse practitioner faculty member asks students to analyze a plan of care for an unhoused patient with
uncontrolled diabetes that addresses housing instability, medication access, self-management beliefs, and clinic
follow-up. Which student analysis best reflects the discipline's four metaparadigm concepts as global unifying
domains?
A. Pathophysiology, pharmacology, physical assessment, and the medical treatment plan
B. Person, environment, health, and nursing actions promoting optimal well-being
C. Assessment, diagnosis, planning, implementation, and evaluation of patient needs
D. Cost, access, quality, and safety within the care delivery system
Correct Answer: B) Person, environment, health, and nursing actions promoting optimal well-being
Rationale: Option B is correct because the metaparadigm of nursing comprises person, environment, health, and nursing,
and this analysis maps each element of the plan to those global domains. Option A is incorrect because it lists biomedical
science content areas rather than the discipline's unifying concepts. Option C is incorrect because the nursing process is a
working method, not a statement of the discipline's scope.
2. A home health nurse is planning care for a 68-year-old recovering from a stroke who bathes independently
with adaptive equipment but cannot yet draw up insulin safely and has little knowledge of the diabetic regimen.
Using Orem's theory, which action best reflects the supportive-educative nursing system?
A. Performing all bathing, meals, and insulin administration while the patient observes
B. Sharing insulin preparation tasks with the patient until strength improves
C. Transferring all medication tasks to the family without instruction or assessment
D. Coaching the patient through teach-back on glucometer use and insulin preparation
Correct Answer: D) Coaching the patient through teach-back on glucometer use and insulin preparation
Rationale: Option D is correct because Orem's supportive-educative system fits patients whose self-care agency is
limited by a knowledge or skill deficit, and teach-back coaching builds the ability to manage insulin safely. Option A is
incorrect because performing all self-care for the patient describes the wholly compensatory system. Option B is incorrect
because shared performance of tasks reflects the partly compensatory system.
STUVIA ACTUAL EXAM 1
, 3. A case manager evaluates a recently relocated middle-aged client newly diagnosed with heart failure who
reports persistent anxiety, has become socially isolated, and is struggling to accept lifestyle limits. Which
analysis best applies Roy's adaptation model by classifying these responses within the correct adaptive modes?
A. Classifying isolation after relocation as an interdependence mode concern requiring support assessment
B. Grouping anxiety, isolation, and activity intolerance as one physiologic problem cluster
C. Excluding role function because the client has no outside employment
D. Concentrating only on focal stimuli because they alone drive adaptation
Correct Answer: A) Classifying isolation after relocation as an interdependence mode concern requiring support
assessment
Rationale: Option A is correct because Roy organizes adaptive responses into physiologic, self-concept, role function,
and interdependence modes, and distress about relationships after relocation belongs in the interdependence mode,
guiding family and social support assessment. Option B is incorrect because merging distinct modes obscures the targeted
intervention each mode requires. Option C is incorrect because role function includes family and social roles, not only
employment.
4. A hospice nurse enters the room of a dying veteran who is tearful and asks whether his life had any meaning.
Orders include morphine for comfort, and the aide is available for hygiene care. Which action best reflects
Watson's caritas processes in this caring moment?
A. Reviewing and titrating the morphine orders to keep comfort scores low
B. Documenting the family conference efficiently in the electronic health record
C. Sitting at eye level in silent presence and exploring what dying means to him
D. Delegating comfort care to the aide so the nurse finishes other tasks
Correct Answer: C) Sitting at eye level in silent presence and exploring what dying means to him
Rationale: Option C is correct because Watson's caritas processes call for authentic presence, loving-kindness, and
assisting the patient to find meaning in suffering, which intentional presence at eye level embodies. Option A is incorrect
because titrating medication addresses physical comfort but omits the relational caring moment central to the theory.
Option D is incorrect because delegating presence away from the nurse fragments the caring relationship.
5. A perianesthesia unit is redesigning recovery care using Kolcaba's comfort theory, which distinguishes
relief, ease, and transcendence across physical, psychospiritual, sociocultural, and environmental contexts. The
council wants interventions that specifically strengthen the environmental context of comfort. Which
intervention best meets that goal?
A. Administering prescribed antiemetics before nausea develops after surgery
B. Adjusting lighting, noise, temperature, and allowing family presence during recovery
C. Teaching slow breathing exercises to promote calm during emergence
D. Coaching visualization of walking freely at discharge without pain
Correct Answer: B) Adjusting lighting, noise, temperature, and allowing family presence during recovery
Rationale: Option B is correct because Kolcaba locates environmental comfort in external surroundings, including light,
noise, temperature, and the presence of loved ones, so modifying the recovery room directly targets that context. Option
A is incorrect because giving antiemetics addresses physical comfort through relief of nausea. Option C is incorrect
because relaxation breathing promotes psychospiritual ease rather than environmental conditions.
STUVIA ACTUAL EXAM 2
