The purpose of this study was to examine coping strategies used by teens as they attempted to quit smoking. The teens were attending a school-based cessation program titled Quit 2 Win that was offered in four high schools. This study examined situations in which teens were tempted to smoke. The study compares coping strategies teens reported in resisting smoking with situations where they reported lapsing. Participants were interviewed the week of their quit date and asked about their state of mind, the availability of cigarettes, and coping strategies used to resist smoking. By identifying coping strategies, school nurses can develop new interventions for teen smoking cessation.