RNSG 1517 Protection & Regulation EXAM
5 | Complete Questions with Correct
Answers and Detailed Rationales - Latest
Update This Year
1. A nurse is caring for a client who refuses a prescribed medication after being informed of
the risks and benefits. Which ethical principle supports the client’s right to refuse?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
_Autonomy refers to the client’s right to make informed decisions about their own care,
including the right to refuse treatment._
2. A nurse notices another nurse documenting care that was not provided. Which action
should the observing nurse take first?
A. Report the behavior immediately to the state board of nursing
B. Confront the nurse in front of the entire shift team
C. Report the behavior to the nurse manager or charge nurse according to facility
policy
D. Ignore the behavior unless it directly affects the observing nurse’s clients
_The first step is to follow facility policy and report concerns through the chain of command
(e.g., charge nurse/manager) so the situation can be investigated appropriately._
,3. A client signs a surgical consent form but later states, “I didn’t really understand what
they were going to do.” Which nursing action is most appropriate?
A. Tell the client the surgeon already explained everything
B. Notify the surgeon that the client has questions and may need further explanation
C. Reassure the client that the procedure is routine and safe
D. Ask the client to sign again to make the consent legal
_Informed consent is the provider’s responsibility. The nurse’s role is to witness the
signature and advocate for the client by notifying the provider if the client lacks
understanding._
4. A nurse administers the wrong medication to a client but the client experiences no harm.
Which action is most important for the nurse to take?
A. Document the error in the client’s chart and do nothing else
B. Complete an incident report according to facility policy
C. Tell only the charge nurse and avoid documenting the error
D. Wait to see if the client develops symptoms before reporting
_All medication errors, even those without harm, must be reported via an incident report so
the facility can analyze systems and prevent future errors._
5. A nurse is assigned to care for a client with a known fall risk. Which intervention is most
appropriate to include in the plan of care?
A. Keep all four side rails up at all times
B. Place the bed in the lowest position with brakes locked
C. Restrain the client to prevent falling
D. Tell the client not to get out of bed without assistance
_Lowering the bed and locking brakes are evidence-based safety measures. Four side rails
up or restraints can increase injury risk and require specific orders and justification._
, 6. A nurse is caring for a client who is confused and repeatedly tries to pull out an IV line.
The provider has not ordered restraints. Which action is most appropriate?
A. Apply soft wrist restraints immediately
B. Use less restrictive alternatives such as distraction, reorientation, and covering
the IV site
C. Ask the family to hold the client’s arm
D. Sedate the client to keep them calm
_Restraints require a provider order and must be a last resort. Less restrictive measures
should be tried first to protect the client while preserving rights._
7. A nurse overhears two staff members discussing a client’s diagnosis in the hospital
cafeteria. Which action should the nurse take?
A. Join the conversation to clarify the client’s condition
B. Remind the staff that discussing client information in public areas violates
confidentiality
C. Ignore the conversation because no names were used
D. Post on social media to warn others about privacy violations
_HIPAA and professional standards require protecting client information. Discussing
identifiable client details in public areas is a breach of confidentiality._
8. A nurse is caring for a client who speaks a different language. An interpreter is available.
Which action is most appropriate?
A. Use a family member to interpret to save time
B. Use the trained medical interpreter for all teaching and consent discussions
C. Speak slowly and loudly in English so the client understands
D. Provide written instructions in English only
_Trained medical interpreters ensure accurate, unbiased communication and are required
for informed consent and important teaching whenever possible._
5 | Complete Questions with Correct
Answers and Detailed Rationales - Latest
Update This Year
1. A nurse is caring for a client who refuses a prescribed medication after being informed of
the risks and benefits. Which ethical principle supports the client’s right to refuse?
A. Beneficence
B. Nonmaleficence
C. Autonomy
D. Justice
_Autonomy refers to the client’s right to make informed decisions about their own care,
including the right to refuse treatment._
2. A nurse notices another nurse documenting care that was not provided. Which action
should the observing nurse take first?
A. Report the behavior immediately to the state board of nursing
B. Confront the nurse in front of the entire shift team
C. Report the behavior to the nurse manager or charge nurse according to facility
policy
D. Ignore the behavior unless it directly affects the observing nurse’s clients
_The first step is to follow facility policy and report concerns through the chain of command
(e.g., charge nurse/manager) so the situation can be investigated appropriately._
,3. A client signs a surgical consent form but later states, “I didn’t really understand what
they were going to do.” Which nursing action is most appropriate?
A. Tell the client the surgeon already explained everything
B. Notify the surgeon that the client has questions and may need further explanation
C. Reassure the client that the procedure is routine and safe
D. Ask the client to sign again to make the consent legal
_Informed consent is the provider’s responsibility. The nurse’s role is to witness the
signature and advocate for the client by notifying the provider if the client lacks
understanding._
4. A nurse administers the wrong medication to a client but the client experiences no harm.
Which action is most important for the nurse to take?
A. Document the error in the client’s chart and do nothing else
B. Complete an incident report according to facility policy
C. Tell only the charge nurse and avoid documenting the error
D. Wait to see if the client develops symptoms before reporting
_All medication errors, even those without harm, must be reported via an incident report so
the facility can analyze systems and prevent future errors._
5. A nurse is assigned to care for a client with a known fall risk. Which intervention is most
appropriate to include in the plan of care?
A. Keep all four side rails up at all times
B. Place the bed in the lowest position with brakes locked
C. Restrain the client to prevent falling
D. Tell the client not to get out of bed without assistance
_Lowering the bed and locking brakes are evidence-based safety measures. Four side rails
up or restraints can increase injury risk and require specific orders and justification._
, 6. A nurse is caring for a client who is confused and repeatedly tries to pull out an IV line.
The provider has not ordered restraints. Which action is most appropriate?
A. Apply soft wrist restraints immediately
B. Use less restrictive alternatives such as distraction, reorientation, and covering
the IV site
C. Ask the family to hold the client’s arm
D. Sedate the client to keep them calm
_Restraints require a provider order and must be a last resort. Less restrictive measures
should be tried first to protect the client while preserving rights._
7. A nurse overhears two staff members discussing a client’s diagnosis in the hospital
cafeteria. Which action should the nurse take?
A. Join the conversation to clarify the client’s condition
B. Remind the staff that discussing client information in public areas violates
confidentiality
C. Ignore the conversation because no names were used
D. Post on social media to warn others about privacy violations
_HIPAA and professional standards require protecting client information. Discussing
identifiable client details in public areas is a breach of confidentiality._
8. A nurse is caring for a client who speaks a different language. An interpreter is available.
Which action is most appropriate?
A. Use a family member to interpret to save time
B. Use the trained medical interpreter for all teaching and consent discussions
C. Speak slowly and loudly in English so the client understands
D. Provide written instructions in English only
_Trained medical interpreters ensure accurate, unbiased communication and are required
for informed consent and important teaching whenever possible._
