RNSG 1517: Protection & Regulation
Exam 5 Actual Questions with 100%
Correct Answers Latest Updated 2026
Q1. 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 is considered the founder of modern nursing. She established the first
nursing school at St. Thomas' Hospital in London and emphasized sanitation, data collection, and
professional standards.
Q2. 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 emphasizes nursing's unique focus on patient responses to health
problems, which includes the alleviation of suffering through diagnosis and treatment.
Q3. The "five rights" of delegation include:
A) Right task, right circumstance, right person, right direction/communication, right
supervision/evaluation
B) Right patient, right medication, right dose, right route, right time
C) Right assessment, right diagnosis, right planning, right implementation, right evaluation
D) Right provider, right order, right documentation, right follow-up, right discharge
Answer: A. Right task, right circumstance, right person, right direction/communication, right
supervision/evaluation
,Rationale: The five rights of delegation ensure safe and effective task assignment. They include
assigning the right task, under the right circumstances, to the right person, with the right direction and
communication, and the right supervision and evaluation.
Section 2: Intraoperative & Postoperative Nursing Care
Q4. The nurse is caring for an older client during the intraoperative stage. The anesthesia process has
already begun and the nurse has removed the dentures, eyeglasses, and hearing aids. After these
actions, what would be the order the intraoperative nursing interventions should take place?
Answer:
1. Use a small pillow under the client's head.
2. Lift the client into position to prevent shearing forces.
3. Position arthritic and artificial joints carefully to prevent postoperative pain.
4. Pad bony prominences to prevent pressure sores.
5. Use a warming device to prevent hypothermia.
6. Cover the client's head and feet.
7. Warm intravenous and irrigation fluids.
8. Follow aseptic technique.
9. Carefully monitor the input and output of fluids, including blood.
Q5. The nurse suspects that an intraoperative client has a distended bladder. Which method is correct
to assess for this condition?
A) Inspect and palpate in the epigastric region.
B) Auscultate and percuss in the inguinal areas.
C) Percuss and palpate in the hypogastric region.
D) Percuss and palpate bilaterally in the lumbar areas.
Answer: C. Percuss and palpate in the hypogastric region.
Rationale: To detect a distended bladder, percussion and palpation should be performed over the
hypogastric region (the lower middle area of the abdomen).
Q6. In the postanesthesia care unit, a client received intrathecal morphine intraoperatively to control
pain. Considering the administration of this medication, what should the nurse include as part of the
client's initial 24-hour postoperative care?
A) Monitoring of respiratory rate hourly
B) Assessing the client for tachycardia
,C) Administering naloxone every 3 to 4 hours
D) Observing the client for signs of central nervous system (CNS) excitement
Answer: A. Monitoring of respiratory rate hourly
Rationale: Intrathecal morphine can cause respiratory depression. Hourly assessments during the first
12 to 24 hours allow for early intervention, including the administration of an antidote if necessary.
Q7. During post-operative care, the nurse finds that a client has hypotension. Which priority
intervention does the nurse expect to begin?
A) Starting O2 therapy
B) Inspecting the surgical incision
C) Administration of IV fluid boluses
D) Administration of vasoconstrictive agents
Answer: A. Starting O2 therapy
Rationale: Treatment of hypotension in postoperative clients should always begin with oxygen therapy
to promote oxygenation of hypoperfused organs.
Q8. The nurse is assessing four clients in the postanesthesia care unit (PACU) who are on opioid
treatment. Which client does the nurse expect will benefit from an immediate treatment with
naloxone?
A) Frequently drowsy, arousable, drifts off to sleep during conversation. RR: 15
B) Slightly drowsy, easily aroused RR: 24
C) Awake and alert RR: 32
D) Minimal response to verbal and physical stimulation RR: 10
Answer: D. Minimal response to verbal and physical stimulation RR: 10
Rationale: This client shows signs of severe respiratory depression and a decreased level of
consciousness, which are indications for the immediate administration of naloxone, an opioid
antagonist.
Section 3: Immunity, Inflammation & Infection
Q9. Which type of immune preparation, made from donated blood, contains antibodies that provide
passive immunity?
A) Toxoid
B) Killed vaccine
C) Live attenuated vaccine
D) Specific immune globulin
Answer: D. Specific immune globulin
, Rationale: Specific immune globulins contain a high concentration of antibodies directed at specific
antigens and provide passive immunity. Toxoid, killed, and live attenuated vaccines stimulate active
immunity.
Q10. Arrange the sequence of steps required to stimulate antibody-mediated immunity in its correct
sequence.
1. Exposure of antigen
2. Antigen recognition
3. Antibody production
4. Antibody-antigen binding
5. Sensitization
6. Antigen elimination
Answer:
1. Exposure of antigen
2. Antigen recognition
3. Sensitization
4. Antibody production
5. Antibody-antigen binding
6. Antigen elimination
Q11. What would be the first step in advanced prehospital emergency care for a client stung by a bee?
The client has a history of allergic reactions to bee stings.
A) Administering oxygen
B) Administering epinephrine
C) Administering oral liquid diphenhydramine
D) Monitoring for the development of toxic venom effects
Answer: B. Administering epinephrine
Rationale: For a client with a known history of severe allergic reactions, the first step in an emergency is
to administer epinephrine to counteract anaphylaxis.
Q12. A client is admitted with full-blown anaphylactic shock that developed due to a type 1 latex
allergic reaction. Which findings will the nurse observe upon assessment? Select all that apply.
A) Stridor
Exam 5 Actual Questions with 100%
Correct Answers Latest Updated 2026
Q1. 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 is considered the founder of modern nursing. She established the first
nursing school at St. Thomas' Hospital in London and emphasized sanitation, data collection, and
professional standards.
Q2. 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 emphasizes nursing's unique focus on patient responses to health
problems, which includes the alleviation of suffering through diagnosis and treatment.
Q3. The "five rights" of delegation include:
A) Right task, right circumstance, right person, right direction/communication, right
supervision/evaluation
B) Right patient, right medication, right dose, right route, right time
C) Right assessment, right diagnosis, right planning, right implementation, right evaluation
D) Right provider, right order, right documentation, right follow-up, right discharge
Answer: A. Right task, right circumstance, right person, right direction/communication, right
supervision/evaluation
,Rationale: The five rights of delegation ensure safe and effective task assignment. They include
assigning the right task, under the right circumstances, to the right person, with the right direction and
communication, and the right supervision and evaluation.
Section 2: Intraoperative & Postoperative Nursing Care
Q4. The nurse is caring for an older client during the intraoperative stage. The anesthesia process has
already begun and the nurse has removed the dentures, eyeglasses, and hearing aids. After these
actions, what would be the order the intraoperative nursing interventions should take place?
Answer:
1. Use a small pillow under the client's head.
2. Lift the client into position to prevent shearing forces.
3. Position arthritic and artificial joints carefully to prevent postoperative pain.
4. Pad bony prominences to prevent pressure sores.
5. Use a warming device to prevent hypothermia.
6. Cover the client's head and feet.
7. Warm intravenous and irrigation fluids.
8. Follow aseptic technique.
9. Carefully monitor the input and output of fluids, including blood.
Q5. The nurse suspects that an intraoperative client has a distended bladder. Which method is correct
to assess for this condition?
A) Inspect and palpate in the epigastric region.
B) Auscultate and percuss in the inguinal areas.
C) Percuss and palpate in the hypogastric region.
D) Percuss and palpate bilaterally in the lumbar areas.
Answer: C. Percuss and palpate in the hypogastric region.
Rationale: To detect a distended bladder, percussion and palpation should be performed over the
hypogastric region (the lower middle area of the abdomen).
Q6. In the postanesthesia care unit, a client received intrathecal morphine intraoperatively to control
pain. Considering the administration of this medication, what should the nurse include as part of the
client's initial 24-hour postoperative care?
A) Monitoring of respiratory rate hourly
B) Assessing the client for tachycardia
,C) Administering naloxone every 3 to 4 hours
D) Observing the client for signs of central nervous system (CNS) excitement
Answer: A. Monitoring of respiratory rate hourly
Rationale: Intrathecal morphine can cause respiratory depression. Hourly assessments during the first
12 to 24 hours allow for early intervention, including the administration of an antidote if necessary.
Q7. During post-operative care, the nurse finds that a client has hypotension. Which priority
intervention does the nurse expect to begin?
A) Starting O2 therapy
B) Inspecting the surgical incision
C) Administration of IV fluid boluses
D) Administration of vasoconstrictive agents
Answer: A. Starting O2 therapy
Rationale: Treatment of hypotension in postoperative clients should always begin with oxygen therapy
to promote oxygenation of hypoperfused organs.
Q8. The nurse is assessing four clients in the postanesthesia care unit (PACU) who are on opioid
treatment. Which client does the nurse expect will benefit from an immediate treatment with
naloxone?
A) Frequently drowsy, arousable, drifts off to sleep during conversation. RR: 15
B) Slightly drowsy, easily aroused RR: 24
C) Awake and alert RR: 32
D) Minimal response to verbal and physical stimulation RR: 10
Answer: D. Minimal response to verbal and physical stimulation RR: 10
Rationale: This client shows signs of severe respiratory depression and a decreased level of
consciousness, which are indications for the immediate administration of naloxone, an opioid
antagonist.
Section 3: Immunity, Inflammation & Infection
Q9. Which type of immune preparation, made from donated blood, contains antibodies that provide
passive immunity?
A) Toxoid
B) Killed vaccine
C) Live attenuated vaccine
D) Specific immune globulin
Answer: D. Specific immune globulin
, Rationale: Specific immune globulins contain a high concentration of antibodies directed at specific
antigens and provide passive immunity. Toxoid, killed, and live attenuated vaccines stimulate active
immunity.
Q10. Arrange the sequence of steps required to stimulate antibody-mediated immunity in its correct
sequence.
1. Exposure of antigen
2. Antigen recognition
3. Antibody production
4. Antibody-antigen binding
5. Sensitization
6. Antigen elimination
Answer:
1. Exposure of antigen
2. Antigen recognition
3. Sensitization
4. Antibody production
5. Antibody-antigen binding
6. Antigen elimination
Q11. What would be the first step in advanced prehospital emergency care for a client stung by a bee?
The client has a history of allergic reactions to bee stings.
A) Administering oxygen
B) Administering epinephrine
C) Administering oral liquid diphenhydramine
D) Monitoring for the development of toxic venom effects
Answer: B. Administering epinephrine
Rationale: For a client with a known history of severe allergic reactions, the first step in an emergency is
to administer epinephrine to counteract anaphylaxis.
Q12. A client is admitted with full-blown anaphylactic shock that developed due to a type 1 latex
allergic reaction. Which findings will the nurse observe upon assessment? Select all that apply.
A) Stridor
