Academic integrity has been the focus of study and discourse in the field of higher education as early as the 1930s when educators identified student cheating as a significant challenge. It continues to be a topic of concern for educators. In recent decades, research focused on academic honesty among higher education students has yielded conclusions reflecting an ongoing challenge and a progressive decline in academic integrity. Academic integrity has been explored with specific nursing populations; however, limited study has been conducted among the adult online student population which comprises registered nurse (RN) to Bachelor of Science in Nursing (BSN) students. Utilizing a framework of social constructivism allowed the researcher to study RN to BSN students from the foundation that phenomena are complex and encompassing of multiple contexts and individual meanings. The focus of this dissertation was to explore RN to BSN students' perceptions of academic integrity. The research methodology utilized included a qualitative case study with face to face interviews conducted via Skype technology with seven freshman online RN to BSN students from a private university in the Midwest. Compiled data were analyzed by utilizing Atlas.ti software for coding interview transcripts. Findings of the study revealed participants perceived academic integrity as honest, independent academic work and adherence to personal moral values. Further research is recommended to confirm the findings and to explore congruency among other adult nursing student populations. [The dissertation citations contained here are published with the permission of ProQuest LLC. Further reproduction is prohibited without permission. Copies of dissertations may be obtained by Telephone (800) 1-800-521-0600. Web page: http://www.proquest.com/en-US/products/dissertations/individuals.shtml.]