RNSG 1517 Protection & Regulation
EXAM 5 | Complete Questions with
Correct Answers and Detailed
Rationales - Latest Update 2026
1. The nurse is caring for an older client during the
intraoperative stage. The anesthesia process has
already begun and the nurse has already removed the
dentures, eyeglasses, and hearing aids. What would be
the correct order of the intraoperative nursing
interventions?
A) Cover head/feet, position to prevent shearing, pad
bony prominences, warming device, aseptic technique,
monitor I&O
B) Small pillow under head, lift to prevent shearing,
position arthritic joints carefully, pad bony prominences,
warming device, cover head/feet, warm IV fluids, aseptic
technique, monitor I&O
C) Aseptic technique, position patient, pad prominences,
cover extremities
D) Position patient, apply warming device, monitor vital
signs, document
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
,Answer: B) Small pillow under head, lift to prevent
shearing, position arthritic joints carefully, pad bony
prominences, warming device, cover head/feet, warm
IV fluids, aseptic technique, monitor I&O
Rationale: The correct order begins with proper head
support and positioning to prevent shearing, followed by
careful positioning of arthritic joints, padding bony
prominences, then thermoregulation measures, aseptic
technique, and fluid monitoring.
2. 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 of the abdomen.
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
,3. The nurse is preparing an intraoperative care plan for
a client. Which intervention should be excluded from
the care plan?
A) Ensuring the client's skin integrity
B) Reviewing the preoperative instructions
C) Administering general anesthetic to the client
D) Placing the client in the correct position on the
operating table
Answer: C) Administering general anesthetic to the
client
Rationale: Administering general anesthetic is the
responsibility of the anesthesia provider, not the
circulating nurse. The nurse's role includes positioning,
skin integrity, and safety measures.
4. Which priority intervention should the nurse include
for an older client during the intraoperative stage to
prevent injury?
A) Apply restraints to prevent movement
B) Position arthritic and artificial joints carefully
C) Keep the client in a supine position at all times
D) Remove all bedding to monitor skin
Answer: B) Position arthritic and artificial joints
carefully
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
, Rationale: Older clients with arthritic or artificial joints
require careful positioning to prevent postoperative pain
and injury.
5. What is the primary reason for warming intravenous
and irrigation fluids during surgery?
A) To reduce the risk of infection
B) To prevent hypothermia and cardiac complications
C) To improve medication absorption
D) To increase client comfort only
Answer: B) To prevent hypothermia and cardiac
complications
Rationale: Warming IV and irrigation fluids helps prevent
hypothermia, which can lead to cardiac complications
and prolonged recovery.
6. The nurse is providing post-procedure care to a client
after an arthroscopy. What will be the nurse's priority
while providing care to the client?
A) Encouraging the client to perform exercises
immediately
B) Monitoring for signs of infection and bleeding
C) Applying heat to the surgical site
D) Preparing the client for discharge within 1 hour
Answer: B) Monitoring for signs of infection and
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
EXAM 5 | Complete Questions with
Correct Answers and Detailed
Rationales - Latest Update 2026
1. The nurse is caring for an older client during the
intraoperative stage. The anesthesia process has
already begun and the nurse has already removed the
dentures, eyeglasses, and hearing aids. What would be
the correct order of the intraoperative nursing
interventions?
A) Cover head/feet, position to prevent shearing, pad
bony prominences, warming device, aseptic technique,
monitor I&O
B) Small pillow under head, lift to prevent shearing,
position arthritic joints carefully, pad bony prominences,
warming device, cover head/feet, warm IV fluids, aseptic
technique, monitor I&O
C) Aseptic technique, position patient, pad prominences,
cover extremities
D) Position patient, apply warming device, monitor vital
signs, document
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
,Answer: B) Small pillow under head, lift to prevent
shearing, position arthritic joints carefully, pad bony
prominences, warming device, cover head/feet, warm
IV fluids, aseptic technique, monitor I&O
Rationale: The correct order begins with proper head
support and positioning to prevent shearing, followed by
careful positioning of arthritic joints, padding bony
prominences, then thermoregulation measures, aseptic
technique, and fluid monitoring.
2. 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 of the abdomen.
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
,3. The nurse is preparing an intraoperative care plan for
a client. Which intervention should be excluded from
the care plan?
A) Ensuring the client's skin integrity
B) Reviewing the preoperative instructions
C) Administering general anesthetic to the client
D) Placing the client in the correct position on the
operating table
Answer: C) Administering general anesthetic to the
client
Rationale: Administering general anesthetic is the
responsibility of the anesthesia provider, not the
circulating nurse. The nurse's role includes positioning,
skin integrity, and safety measures.
4. Which priority intervention should the nurse include
for an older client during the intraoperative stage to
prevent injury?
A) Apply restraints to prevent movement
B) Position arthritic and artificial joints carefully
C) Keep the client in a supine position at all times
D) Remove all bedding to monitor skin
Answer: B) Position arthritic and artificial joints
carefully
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
, Rationale: Older clients with arthritic or artificial joints
require careful positioning to prevent postoperative pain
and injury.
5. What is the primary reason for warming intravenous
and irrigation fluids during surgery?
A) To reduce the risk of infection
B) To prevent hypothermia and cardiac complications
C) To improve medication absorption
D) To increase client comfort only
Answer: B) To prevent hypothermia and cardiac
complications
Rationale: Warming IV and irrigation fluids helps prevent
hypothermia, which can lead to cardiac complications
and prolonged recovery.
6. The nurse is providing post-procedure care to a client
after an arthroscopy. What will be the nurse's priority
while providing care to the client?
A) Encouraging the client to perform exercises
immediately
B) Monitoring for signs of infection and bleeding
C) Applying heat to the surgical site
D) Preparing the client for discharge within 1 hour
Answer: B) Monitoring for signs of infection and
https://www.stuvia.com/en-us/doc/11715105/rnsg-1517
