Part 2 — Answer key

Compare your answers after you have finished Part 1.

1. Which vital sign is typically measured using a sphygmomanometer in everyday nursing practice?
   Blood pressure
2. Florence Nightingale is widely regarded as the founder of modern nursing.
   True
3. A nurse notes an adult client’s oral temperature is 38.5°C (101.3°F). Which term best describes this finding in nursing documentation?
   Pyrexia
4. A prescription reads "acetaminophen 650 mg PO q6h PRN for pain." In nursing trivia about medication abbreviations, what does "PO" indicate?
   By mouth
5. Nurses should avoid asking any questions during a provider’s handoff report to prevent delays in patient care.
   False
6. Which professional nursing organization developed the first widely used formal code of ethics for nurses in the United States?
   American Nurses Association
7. A nurse enters a four-bed room. Which client should the nurse assess first based on safe nursing priorities?
   An adult 1 hour after surgery who suddenly reports new shortness of breath
8. A nurse is preparing to administer a prescribed IV bag that contains diluted potassium chloride. Which action is most appropriate to promote safe nursing care?
   Use an infusion pump to control the rate
9. A competent adult patient has the right to refuse a lifesaving blood transfusion, even if the healthcare team believes it is in the patient’s best interest.
   True
10. A school nurse is assessing several children. Which finding requires the most immediate follow‑up?
    A child with loud inspiratory stridor at rest
11. Arrange the phases of the traditional nursing process in the correct order for clinical decision making.
    Correct order: Assessment → Diagnosis → Planning → Implementation → Evaluation
12. A nurse is removing personal protective equipment after caring for a patient on contact and droplet precautions. According to standard infection‑control practice, which item should be removed last?
    Mask or respirator
13. A nurse overhears two coworkers discussing a patient’s diagnosis and test results in a crowded hospital elevator. What is the most appropriate initial nursing action?
    Ask them to stop the conversation immediately and remind them about patient privacy
14. When managing several unstable patients, a nurse should complete all charting and documentation before calling for additional help.
    False
15. High‑alert medications are drugs that have an increased risk of causing significant patient harm if used incorrectly, even when given within the usual dosage range.
    True
16. A patient in the ICU suddenly becomes confused, has cool clammy skin, and a blood pressure of 78/40 mm Hg. Which initial nursing intervention should the nurse anticipate as the top priority?
    Apply high‑flow oxygen using a nonrebreather mask
17. A preoperative patient with limited English proficiency is nodding but clearly does not understand the surgeon’s explanation of a complex procedure. The consent form is still blank. What is the most appropriate nursing action?
    Request a qualified medical interpreter before the consent is signed