RNSG 1517 Protection & Regulation
EXAM | Complete Questions with
Correct Answers and Detailed
Rationales - Latest Update 2026
SECTION 1: PROFESSIONAL NURSING ROLES & HISTORICAL
FOUNDATIONS
1. Which historical figure is credited with establishing the first nursing school and
professional nursing standards?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Answer: B. Florence Nightingale
Rationale: Florence Nightingale established the first nursing school at St. Thomas'
Hospital in London and is considered the founder of modern nursing, emphasizing
sanitation, data collection, and professional standards.
,2. The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities, prevention of illness and
injury, and:
A. Administration of all medications prescribed by physicians
B. Alleviation of suffering through the diagnosis and treatment of human
response
C. Management of all healthcare facilities
D. Provision of surgical assistance in the operating room
Answer: B. Alleviation of suffering through the diagnosis and treatment of human
response
Rationale: The ANA's definition includes alleviation of suffering through the diagnosis
and treatment of human response, highlighting nursing's unique focus on patient
responses to health problems.
3. Which of the following is a core competency for professional nursing practice as
identified by the Institute of Medicine (IOM)?
A. Provide patient-centered care
B. Work in interdisciplinary teams
C. Employ evidence-based practice
D. All of the above
Answer: D. All of the above
Rationale: The IOM identified five core competencies: provide patient-centered care,
work in interdisciplinary teams, employ evidence-based practice, apply quality
improvement, and utilize informatics.
,4. The nurse is caring for a patient who is expressing fear about an upcoming
surgery. Which action best demonstrates the role of the nurse as a patient
advocate?
A. Telling the patient that everything will be fine
B. Notifying the provider of the patient's concerns
C. Administering a PRN anxiolytic without assessment
D. Avoiding the topic to prevent further anxiety
Answer: B. Notifying the provider of the patient's concerns
Rationale: Patient advocacy involves communicating the patient's concerns to the
appropriate healthcare team members so that the patient's needs can be addressed.
False reassurance, medicating without assessment, and avoidance do not demonstrate
advocacy.
5. The "five rights" of delegation include all of the following EXCEPT:
A. Right task
B. Right circumstance
C. Right patient
D. Right person
Answer: C. Right patient
Rationale: The five rights of delegation are: right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation. "Right patient" is part
of the five rights of medication administration, not delegation.
, 6. Which of the following tasks can a registered nurse delegate to an unlicensed
assistive personnel (UAP)?
A. Administering intravenous medications
B. Performing a sterile dressing change
C. Assisting with ambulation
D. Inserting a Foley catheter
Answer: C. Assisting with ambulation
Rationale: Assisting with ambulation is a basic nursing task that can be delegated to
UAP. IV medication administration, sterile procedures, and catheter insertion require
licensed nursing judgment and are not delegable.
7. The nurse is preparing to delegate a task to a UAP. Which of the following is the
most important consideration?
A. The UAP's workload that day
B. The UAP's level of education and training
C. The UAP's personal preferences
D. The UAP's years of experience
Answer: B. The UAP's level of education and training
Rationale: When delegating, the nurse must consider the UAP's competency, education,
and training to ensure the task can be performed safely and effectively.
EXAM | Complete Questions with
Correct Answers and Detailed
Rationales - Latest Update 2026
SECTION 1: PROFESSIONAL NURSING ROLES & HISTORICAL
FOUNDATIONS
1. Which historical figure is credited with establishing the first nursing school and
professional nursing standards?
A. Clara Barton
B. Florence Nightingale
C. Dorothea Dix
D. Lillian Wald
Answer: B. Florence Nightingale
Rationale: Florence Nightingale established the first nursing school at St. Thomas'
Hospital in London and is considered the founder of modern nursing, emphasizing
sanitation, data collection, and professional standards.
,2. The American Nurses Association (ANA) defines nursing as the protection,
promotion, and optimization of health and abilities, prevention of illness and
injury, and:
A. Administration of all medications prescribed by physicians
B. Alleviation of suffering through the diagnosis and treatment of human
response
C. Management of all healthcare facilities
D. Provision of surgical assistance in the operating room
Answer: B. Alleviation of suffering through the diagnosis and treatment of human
response
Rationale: The ANA's definition includes alleviation of suffering through the diagnosis
and treatment of human response, highlighting nursing's unique focus on patient
responses to health problems.
3. Which of the following is a core competency for professional nursing practice as
identified by the Institute of Medicine (IOM)?
A. Provide patient-centered care
B. Work in interdisciplinary teams
C. Employ evidence-based practice
D. All of the above
Answer: D. All of the above
Rationale: The IOM identified five core competencies: provide patient-centered care,
work in interdisciplinary teams, employ evidence-based practice, apply quality
improvement, and utilize informatics.
,4. The nurse is caring for a patient who is expressing fear about an upcoming
surgery. Which action best demonstrates the role of the nurse as a patient
advocate?
A. Telling the patient that everything will be fine
B. Notifying the provider of the patient's concerns
C. Administering a PRN anxiolytic without assessment
D. Avoiding the topic to prevent further anxiety
Answer: B. Notifying the provider of the patient's concerns
Rationale: Patient advocacy involves communicating the patient's concerns to the
appropriate healthcare team members so that the patient's needs can be addressed.
False reassurance, medicating without assessment, and avoidance do not demonstrate
advocacy.
5. The "five rights" of delegation include all of the following EXCEPT:
A. Right task
B. Right circumstance
C. Right patient
D. Right person
Answer: C. Right patient
Rationale: The five rights of delegation are: right task, right circumstance, right person,
right direction/communication, and right supervision/evaluation. "Right patient" is part
of the five rights of medication administration, not delegation.
, 6. Which of the following tasks can a registered nurse delegate to an unlicensed
assistive personnel (UAP)?
A. Administering intravenous medications
B. Performing a sterile dressing change
C. Assisting with ambulation
D. Inserting a Foley catheter
Answer: C. Assisting with ambulation
Rationale: Assisting with ambulation is a basic nursing task that can be delegated to
UAP. IV medication administration, sterile procedures, and catheter insertion require
licensed nursing judgment and are not delegable.
7. The nurse is preparing to delegate a task to a UAP. Which of the following is the
most important consideration?
A. The UAP's workload that day
B. The UAP's level of education and training
C. The UAP's personal preferences
D. The UAP's years of experience
Answer: B. The UAP's level of education and training
Rationale: When delegating, the nurse must consider the UAP's competency, education,
and training to ensure the task can be performed safely and effectively.
