NURSING 1170 MIDTERM EXAM
2026/2027 Academic Year
75 Questions and Correct Answers
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Core Domains
• Foundations of Nursing Practice
• Nursing Process & Clinical Judgment
• Patient Safety & Infection Control
• Vital Signs & Basic Health Assessment
• Medication Safety Principles
• Communication & Therapeutic Relationships
• Documentation & Legal Considerations
• Ethical Responsibilities in Nursing Practice
• Basic Patient Care Interventions
• Evidence-Based Nursing Fundamentals
Nursing Program–Aligned Format
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, Nursing 1170 Midterm Exam | 2026/2027
Exam Structure
The Nursing 1170 Midterm Exam is commonly structured as follows:
• 75 multiple-choice questions
• Single-best-answer format
• Scenario-based nursing fundamentals and clinical decision-making items
This examination assesses foundational nursing competencies essential for safe patient care. Each
question is designed to evaluate critical thinking, clinical judgment, and the application of
evidence-based nursing principles in various healthcare settings.
Introduction
This Nursing 1170 Midterm Exam format for the 2026/2027 academic cycle reflects the
standardized assessment used in nursing programs to evaluate competency in foundational
nursing knowledge. The exam measures understanding of the nursing process, patient safety
practices, infection control procedures, health assessment basics, and evidence-based nursing
interventions required to provide safe and effective patient care.
The questions presented in this document have been carefully developed to align with current
nursing education standards and clinical practice guidelines. Each item includes a detailed
rationale that explains the correct answer, providing students with valuable learning
opportunities to understand the underlying nursing concepts and clinical reasoning processes.
Answer Format
All correct answers are presented in bold and green, followed by clearly defined rationales
explaining nursing priorities, patient safety considerations, and evidence-based clinical decision-
making.
EXAMINATION QUESTIONS
1. A nursing student is learning about the historical development of nursing as a profession.
Which nurse is credited with establishing the first organized training school for nurses?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Rationale: Florence Nightingale established the first organized training school for nurses at St.
Thomas' Hospital in London in 1860. This marked the beginning of formal nursing education.
Her work during the Crimean War demonstrated the importance of sanitation and environmental
modifications in patient care, establishing foundational principles that continue to guide nursing
practice today.
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2. The nurse is caring for a patient who speaks a different language and requires an interpreter.
Which action by the nurse demonstrates appropriate use of an interpreter?
A. Asking a family member to interpret medical information
B. Speaking loudly to the patient while the interpreter translates
C. Using a certified medical interpreter and speaking directly to the patient
D. Providing written materials in English for the patient to review later
Rationale: Using a certified medical interpreter and speaking directly to the patient ensures
accurate communication and maintains professional boundaries. Family members should not be
used as interpreters for medical information due to potential bias, inaccurate translation, and
confidentiality concerns. Speaking loudly does not improve understanding for non-English
speakers, and providing English materials is ineffective for patients who cannot read English.
3. A new nurse is preparing to administer care to a patient from a culture with different health
beliefs. Which approach demonstrates culturally competent nursing care?
A. Providing care based solely on standard nursing protocols
B. Asking the patient about their cultural health practices and beliefs
C. Assigning the patient to a nurse from the same cultural background
D. Explaining that hospital policies override cultural preferences
Rationale: Culturally competent nursing care involves asking patients about their cultural
health practices and beliefs to understand their perspective and incorporate appropriate cultural
considerations into the care plan. This approach respects patient autonomy and promotes
individualized care. Simply following standard protocols, reassigning care, or dismissing cultural
preferences does not address the patient's unique cultural needs.
4. The nurse understands that evidence-based practice integrates which three components?
A. Research evidence, clinical expertise, and patient preferences
B. Physician orders, nursing diagnosis, and care plans
C. Hospital policies, nursing procedures, and medical protocols
D. Textbooks, clinical experience, and patient requests
Rationale: Evidence-based practice (EBP) integrates the best available research evidence with
clinical expertise and patient preferences and values. This triad ensures that nursing
interventions are scientifically supported, practically applicable, and patient-centered. EBP
improves patient outcomes by combining research findings with the nurse's clinical knowledge
and the patient's unique circumstances and choices.
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