RNSG 1517 Protection and Regulation Semester 1 Quiz | 2026
| 200 Practice Questions & Detailed Answers | Latest Update
| A+ Graded
1. A nurse is caring for a client who is postoperative day one following a hip replacement. Which
assessment finding is the earliest indicator of a potential infection?
A) Elevated white blood cell count
B) Fever of 101.2°F
C) Purulent drainage from the incision site
D) Increased pain at the surgical site not relieved by medication
Correct Answer: D
Rationale: While fever, elevated WBCs, and purulent drainage are all signs of infection, increased pain
that is unrelieved by medication is often the earliest indicator of a surgical site infection. It indicates
increasing inflammation and tissue damage before other systemic signs manifest.
2. A client with a history of falls is prescribed a new antihypertensive medication. Which nursing
intervention is most important for the client's safety?
A) Administer the medication with a full glass of water
B) Instruct the client to change positions slowly
C) Monitor the client's blood pressure one hour after administration
D) Keep the client on bed rest for 24 hours
,Correct Answer: B
Rationale: Antihypertensives can cause orthostatic hypotension, leading to dizziness and falls. Teaching
the client to change positions slowly (e.g., sitting on the edge of the bed for a minute before standing) is
a critical safety intervention to prevent falls.
3. A nurse is preparing to administer a blood transfusion. After obtaining the blood product from the
blood bank, the nurse's priority action is to:
A) Check the client's vital signs
B) Verify the client's identity with a second licensed nurse
C) Initiate the transfusion using a 20gauge IV catheter
D) Ensure the client has a signed consent form
Correct Answer: B
Rationale: The most critical step before starting a blood transfusion is the twonurse verification process
at the bedside. This ensures the right blood is given to the right patient, preventing a potentially fatal
transfusion reaction. Verification includes checking the patient's ID band, blood bank number, and
ABO/Rh compatibility.
4. Which of the following clients is at the highest risk for developing a pressure injury?
A) A 45yearold with a fractured femur in Buck's traction
B) A 70yearold who is incontinent and has limited mobility
C) A 30yearold with a spinal cord injury who uses a wheelchair
D) A 60yearold who is postoperative and has a Braden Score of 22
,Correct Answer: B
Rationale: This client has multiple risk factors: advanced age, incontinence (which leads to moisture and
skin breakdown), and limited mobility. While the spinal cord injury patient is also at risk, the
combination of advanced age, incontinence, and immobility makes this client the highest risk. A Braden
Score of 22 indicates low risk.
5. A nurse is caring for a client on contact precautions. Which action is essential when entering the
client's room?
A) Wear an N95 respirator
B) Wear a gown and gloves
C) Wear a surgical mask and eye protection
D) Ensure the room is at negative pressure
Correct Answer: B
Rationale: Contact precautions require the use of a gown and gloves to prevent the transmission of
infectious organisms through direct or indirect contact. N95 respirators are used for airborne
precautions, surgical masks with eye protection for droplet precautions, and negative pressure rooms
for airborne isolation.
6. A nurse is preparing to administer a blood transfusion. What is the most important action to prevent a
transfusion reaction?
A) Administer the blood within 4 hours
B) Verify the client's identity using a twonurse verification process
, C) Monitor the client's temperature every 15 minutes
D) Use a blood filter during administration
Correct Answer: B
Rationale: The twonurse verification process at the bedside is the most critical safety measure to
prevent transfusion reactions. It ensures compatibility between the blood product and the recipient,
preventing potentially fatal ABO incompatibility reactions.
7. A nurse is caring for a client with a surgical wound that has foulsmelling drainage. What is the nurse's
immediate priority action?
A) Change the dressing and apply a new antiseptic ointment
B) Administer pain medication to the client
C) Notify the healthcare provider for further evaluation
D) Document the findings and continue to monitor the wound
Correct Answer: C
Rationale: Foulsmelling drainage from a wound is a sign of possible infection. The nurse should notify
the healthcare provider for further evaluation and possible intervention. This i s the priority action to
prevent complications such as sepsis.
8. A client is prescribed highdose corticosteroids for several months. The patient is experiencing a severe
allergic reaction. How should the nurse manage the corticosteroid dosage during treatment?
A) Maintain the current dosage until the allergic reaction resolves
| 200 Practice Questions & Detailed Answers | Latest Update
| A+ Graded
1. A nurse is caring for a client who is postoperative day one following a hip replacement. Which
assessment finding is the earliest indicator of a potential infection?
A) Elevated white blood cell count
B) Fever of 101.2°F
C) Purulent drainage from the incision site
D) Increased pain at the surgical site not relieved by medication
Correct Answer: D
Rationale: While fever, elevated WBCs, and purulent drainage are all signs of infection, increased pain
that is unrelieved by medication is often the earliest indicator of a surgical site infection. It indicates
increasing inflammation and tissue damage before other systemic signs manifest.
2. A client with a history of falls is prescribed a new antihypertensive medication. Which nursing
intervention is most important for the client's safety?
A) Administer the medication with a full glass of water
B) Instruct the client to change positions slowly
C) Monitor the client's blood pressure one hour after administration
D) Keep the client on bed rest for 24 hours
,Correct Answer: B
Rationale: Antihypertensives can cause orthostatic hypotension, leading to dizziness and falls. Teaching
the client to change positions slowly (e.g., sitting on the edge of the bed for a minute before standing) is
a critical safety intervention to prevent falls.
3. A nurse is preparing to administer a blood transfusion. After obtaining the blood product from the
blood bank, the nurse's priority action is to:
A) Check the client's vital signs
B) Verify the client's identity with a second licensed nurse
C) Initiate the transfusion using a 20gauge IV catheter
D) Ensure the client has a signed consent form
Correct Answer: B
Rationale: The most critical step before starting a blood transfusion is the twonurse verification process
at the bedside. This ensures the right blood is given to the right patient, preventing a potentially fatal
transfusion reaction. Verification includes checking the patient's ID band, blood bank number, and
ABO/Rh compatibility.
4. Which of the following clients is at the highest risk for developing a pressure injury?
A) A 45yearold with a fractured femur in Buck's traction
B) A 70yearold who is incontinent and has limited mobility
C) A 30yearold with a spinal cord injury who uses a wheelchair
D) A 60yearold who is postoperative and has a Braden Score of 22
,Correct Answer: B
Rationale: This client has multiple risk factors: advanced age, incontinence (which leads to moisture and
skin breakdown), and limited mobility. While the spinal cord injury patient is also at risk, the
combination of advanced age, incontinence, and immobility makes this client the highest risk. A Braden
Score of 22 indicates low risk.
5. A nurse is caring for a client on contact precautions. Which action is essential when entering the
client's room?
A) Wear an N95 respirator
B) Wear a gown and gloves
C) Wear a surgical mask and eye protection
D) Ensure the room is at negative pressure
Correct Answer: B
Rationale: Contact precautions require the use of a gown and gloves to prevent the transmission of
infectious organisms through direct or indirect contact. N95 respirators are used for airborne
precautions, surgical masks with eye protection for droplet precautions, and negative pressure rooms
for airborne isolation.
6. A nurse is preparing to administer a blood transfusion. What is the most important action to prevent a
transfusion reaction?
A) Administer the blood within 4 hours
B) Verify the client's identity using a twonurse verification process
, C) Monitor the client's temperature every 15 minutes
D) Use a blood filter during administration
Correct Answer: B
Rationale: The twonurse verification process at the bedside is the most critical safety measure to
prevent transfusion reactions. It ensures compatibility between the blood product and the recipient,
preventing potentially fatal ABO incompatibility reactions.
7. A nurse is caring for a client with a surgical wound that has foulsmelling drainage. What is the nurse's
immediate priority action?
A) Change the dressing and apply a new antiseptic ointment
B) Administer pain medication to the client
C) Notify the healthcare provider for further evaluation
D) Document the findings and continue to monitor the wound
Correct Answer: C
Rationale: Foulsmelling drainage from a wound is a sign of possible infection. The nurse should notify
the healthcare provider for further evaluation and possible intervention. This i s the priority action to
prevent complications such as sepsis.
8. A client is prescribed highdose corticosteroids for several months. The patient is experiencing a severe
allergic reaction. How should the nurse manage the corticosteroid dosage during treatment?
A) Maintain the current dosage until the allergic reaction resolves
