Past studies have shown that nursing students are stressed. The purpose of this study is to examine the clinical environment factors associated with stress among final year nursing students by adapting the Transactional Stress and Coping Model (Lazarus and Folkman, 1984). The cross-sectional study design was used, data were collected over two months in 2019. A self-administered questionnaire used to collect data. 420 final year students recruited using a simple random sampling technique. Based on one-way ANOVA, there was a significant mean difference of primary appraisal score and secondary appraisal score. Resilience level was significantly associated with the level of stress.