2026 |WCU
1. Which historical figure is credited with establishing the first nursing
philosophy based on health maintenance and restoration through
environmental control?
A. Clara Barton
B. Mary Seacole
C. Florence Nightingale
D. Lillian Wald
Answer: C
Rationale: Florence Nightingale’s Environmental Theory focused on the relationship
between a patient’s environment and their health, emphasizing fresh air, pure water,
efficient drainage, cleanliness, and light.
2. A nurse who has been working on a medical-surgical unit for three years and
can now prioritize care based on experience is at which level of Benner’s stages
of nursing proficiency?
A. Novice
B. Competent
C. Advanced Beginner
D. Expert
Answer: B
Rationale: According to Benner, a nurse reaches the Competent stage after 2 to 3 years in
the same clinical position, characterized by the ability to anticipate and plan long-term
goals.
,3. Which QSEN competency is demonstrated when a nurse utilizes a patient’s
values and preferences to guide the clinical decision-making process?
A. Evidence-Based Practice
B. Informatics
C. Quality Improvement
D. Patient-Centered Care
Answer: D
Rationale: Patient-Centered Care involves recognizing the patient or designee as the
source of control and full partner in providing compassionate and coordinated care based
on respect for patient preferences, values, and needs.
4. When a nurse ensures that a patient who is scheduled for surgery has a
signed informed consent, the nurse is primarily acting in which professional
role?
A. Caregiver
B. Patient Advocate
C. Manager
D. Educator
Answer: B
Rationale: As a patient advocate, the nurse protects the patient’s human and legal rights
and provides assistance in asserting these rights if the need arises.
5. The American Nurses Association (ANA) Code of Ethics serves which primary
purpose for the profession?
A. It provides a legal framework for prosecuting malpractice.
B. It outlines the specific skills required for clinical specialty certification.
C. It acts as a non-negotiable ethical standard for nursing practice.
D. It dictates the hourly wages and labor conditions for registered nurses.
Answer: C
, Rationale: The ANA Code of Ethics provides a succinct statement of the ethical obligations
and duties of every individual who enters the nursing profession and is the profession’s
non-negotiable ethical standard.
6. Which nursing pioneer was a former slave who served as a nurse and scout
for the Union Army during the Civil War?
A. Mary Mahoney
B. Sojourner Truth
C. Harriet Tubman
D. Mary Adelaide Nutting
Answer: C
Rationale: Harriet Tubman served as a nurse, scout, and spy for the Union Army and was a
prominent figure in the Underground Railroad.
7. According to the Institute of Medicine (IOM), which of the following is one of
the five core competencies for all healthcare professionals?
A. Interdisciplinary Teamwork
B. Technological Proficiency
C. Financial Management
D. Political Advocacy
Answer: A
Rationale: The five IOM competencies are providing patient-centered care, working in
interdisciplinary teams, using evidence-based practice, applying quality improvement, and
using informatics.