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N138 Exam 1 2026 – 120 Verified Questions & Answers on Nursing Profession, Ethics, Nurse Practice Act and Nursing Process

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This document contains approximately 120 verified exam questions and answers for N138 Exam 1 (2026), organized across 17 structured pages in a clear Q&A format. The material comprehensively covers foundational nursing concepts including the Affordable Care Act (ACA), Patient Protection & Affordable Care Act, Medicaid expansion, and healthcare delivery reform (pages 1–2). It also provides detailed nursing workforce statistics such as percentage of male nurses (9.4%), median nurse age (46 years), and racial/ethnic representation in nursing (page 2). Advanced nursing roles are clearly defined, including APRN, NP, DNP, CNS, CNM, and CRNA (page 3), along with nurse entrepreneurship concepts, healthcare business examples, and associated risks and rewards (page 4). The guide thoroughly explains professionalism in nursing, including distinctions between occupation and profession (page 5), characteristics of a profession and Kelly’s 8 criteria (pages 6–7), interprofessional collaboration domains (values/ethics, roles, communication, teamwork), and the importance of professional organizations and the Code of Ethics (pages 7–8). Legal and regulatory frameworks are extensively addressed, including assault and battery definitions (pages 10–11), confidentiality, standard of care, proximate cause elements of negligence, the Nurse Practice Act, state board of nursing authority, independent/dependent/interdependent nursing interventions (page 12), delegation and the 5 Rights of Delegation (page 13), and the Patient Self-Determination Act of 1991. Additionally, the document provides comprehensive coverage of informed consent and the nurse’s role (page 14), subjective vs objective data, critical thinking attributes (page 15), and the full Nursing Process (Assessment, Diagnosis, Planning, Implementation, Evaluation) with clear distinctions between nursing and medical diagnoses (pages 15–17). The structured format reinforces exam preparation by presenting concise definitions aligned with professional nursing standards and scope of practice. This document is particularly suitable for: Nursing students enrolled in N138 Foundations of Nursing or Professional Nursing courses First-semester BSN or ADN students preparing for Exam 1 Students reviewing nursing law, ethics, and professional standards Learners preparing for nursing program entrance or foundational exams Students seeking a structured Q&A study guide for professionalism and nursing process concepts It serves as a comprehensive, exam-focused review resource designed to reinforce nursing professionalism, legal responsibilities, scope of practice, delegation principles, ethical standards, healthcare policy foundations, and the nursing process required for success in foundational nursing coursework. Keywords: N138 exam 1 2026, Affordable Care Act ACA nursing, APRN NP CNS CRNA roles, nursing profession vs occupation, Kelly 8 criteria profession, interprofessional collaboration domains, Code of Ethics for Nurses, Nurse Practice Act objectives, state board of nursing role, 5 rights of delegation, Patient Self Determination Act 1991, informed consent nurse role, proximate cause negligence elements, independent dependent interdependent interventions, nursing process ADPIE, nursing diagnosis vs medical diagnosis, subjective vs objective data, critical thinking in nursing

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N138 Exam 1 2026 Exam
Questions and Verified Answers
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Affordable Care Act (ACA) - 🧠ANSWER ✔✔Passed in 2010 by 11th

Congress and signed into law by Obama. These laws provide incremental,

progressive change to access of healthcare.


Patient Protection & Affordable Care Act - 🧠ANSWER ✔✔One of the two

laws that provide for incremental but progressive change to the way that

Americans gain access to and pay for their health care.

,Health Care & Education Affordability Reconciliation Act - 🧠ANSWER

✔✔One of the two laws that provide for incremental but progressive

change to the way that Americans gain access to and pay for their health

care.


Affordable Health Insurance - 🧠ANSWER ✔✔A provision of the ACA aimed

at making health insurance more accessible to Americans.


Expand Medicaid - 🧠ANSWER ✔✔A provision of the ACA aimed at

increasing the number of individuals eligible for Medicaid.


Improve Healthcare Delivery - 🧠ANSWER ✔✔A goal of the ACA to

enhance the efficiency and effectiveness of healthcare services.


Male Nurses Percentage - 🧠ANSWER ✔✔9.4% of the nursing population.


Median Age of Nurses - 🧠ANSWER ✔✔46 years old.


Racial/Ethnic Minorities in Nursing - 🧠ANSWER ✔✔19% of RN Population.


Hispanic/Latinos in Nursing - 🧠ANSWER ✔✔6.7% of RN Population.


Black/African-American in Nursing - 🧠ANSWER ✔✔6.7% of RN Population.


Asian in Nursing - 🧠ANSWER ✔✔7% of RN Population.

, Roles of Nurses - 🧠ANSWER ✔✔Include direct patient care, research,

teaching undergraduate/graduate students, and managing companies.


APRN - 🧠ANSWER ✔✔Advanced Practice Nurse; a general term applied to

an RN who has met educational and clinical practice requirements beyond

2-4 years of basic nursing education.


NP - 🧠ANSWER ✔✔Nurse Practitioner; an APRN with provider-level

privileges, similar to PA, requiring Master's or postmaster's certificates.


DNP - 🧠ANSWER ✔✔Doctorate of Nursing Practice; consistent with other

health professions that offer practice doctorates.


CNS - 🧠ANSWER ✔✔Clinical Nurse Specialist; an APRN that assists and

leads organizations in quality and educational initiatives, holding Master's

or Doctorate degrees.


CNM - 🧠ANSWER ✔✔Certified Nurse-Midwife; an APRN that can provide

higher level care for obstetric patients and assist in childbirth.


CRNA - 🧠ANSWER ✔✔Certified Registered Nurse Anesthetist; an APRN

that can provide anesthesia care in the OR or procedure areas, requiring 2-

3 years of specialized education beyond the Bachelor's degree.



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