Purpose: The study identified the impact of health status, health promoting behaviors, and social problem ability on college adjustment among nursing students. Method: The subjects consisted of 208 nursing students. Data collected from October to November 2011 were analyzed using descriptive statistics, t-test, ANOVA, Pearson correlation coefficients, and stepwise multiple regression. Result: The mean scores of health status ($3.20{pm}.56$), social problem ability ($3.20{pm}.43$), and college adjustment ($2.95{pm}.57$) were above the average. But health promoting behaviors ($2.31{pm}.39$) was the average. Health status was significantly different according to grade, dwelling, and academic achievement. Health promoting behaviors was significantly different according to gender. College adjustment was significantly different according to gender, grade, religion, dwelling, reason of nursing department application, and academic achievement. But social problem ability was not significantly different according to general characteristics. Significant correlations were found among health status, health promoting behaviors, social problem ability and college adjustment. Health promoting behaviors, social problem ability, academic achievement, and gender were influencing factors of college adjustment (47.3%). Conclusion: These findings indicate that it is considered to gender, academic achievement, health promoting behaviors, and social problem ability to improve college adjustment of nursing students. Will also reflect the need to develop programs to promote desirable college adjustment among nursing students.