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Clinical Nursing Knowledge Quiz

Total questions: 25

Worksheet time: 13mins

Name
Class
Date
1.

Which data source is considered the MOST reliable?

a)

Family member

b)

Medical record

c)

Patient

d)

Health care team

2.

Which action demonstrates failure in data collection?

a)

Clarifying inconsistent findings

b)

Documenting observations

c)

Recording interpretations instead of behaviors

d)

Updating patient database

3.

A nurse clusters cues and anticipates problems. Which cognitive process is being used?

a)

Task completion

b)

Critical thinking

c)

Delegation

d)

Documentation

4.

The ability to recognize cues, act, and evaluate outcomes best defines:

a)

Nursing diagnosis

b)

Clinical judgment

c)

Evidence-based practice

d)

Nursing intuition

5.

Which characteristic best describes high-quality assessment data?

a)

Subjective

b)

Lengthy

c)

Relevant

d)

Complex

6.

Which situation requires the nurse to reassess vital signs immediately?

a)

Before meals

b)

After ambulation post-surgery

c)

During sleep

d)

Before bathing

7.

A UAP reports a blood pressure of 70/30 mmHg. What is the nurse’s FIRST action?

a)

Notify the provider

b)

Document the reading

c)

Reassess the blood pressure

d)

Start IV fluids

8.

Which temperature site provides the most accurate core temperature?

a)

Oral

b)

Axillary

c)

Tympanic

d)

Rectal

9.

A rectal temperature should NOT be obtained in which client?

a)

Client with fever

b)

Client with diarrhea

c)

Client with altered mental status

d)

Client receiving antibiotics

10.

Which physiologic response occurs when body temperature rises?

a)

Vasoconstriction

b)

Shivering

c)

Vasodilation

d)

Decreased sweating

11.

Which mechanism of heat loss occurs when air currents move across the skin?

a)

Conduction

b)

Radiation

c)

Convection

d)

Evaporation

12.

Which population is at highest risk for hypothermia?

a)

Adolescents

b)

Middle-aged adults

c)

Older adults

d)

Preschoolers

13.

A temperature of 106.5°F (41.4°C) indicates:

a)

Fever

b)

Hyperthermia

c)

Hyperpyrexia

d)

Febrile state

14.

Which nursing action is PRIORITY when caring for a febrile child?

a)

Administer aspirin

b)

Encourage fluid intake

c)

Restrict oral intake

d)

Apply warm blankets

15.

Which antipyretic is contraindicated in children due to risk of Reye’s syndrome?

a)

Acetaminophen

b)

Ibuprofen

c)

Aspirin

d)

Naproxen

16.

Which assessment finding requires immediate follow-up?

a)

Axillary temperature of 99.0°F

b)

Respiratory rate of 28/min

c)

Pulse of 88 bpm

d)

BP of 120/80 mmHg

17.

A nurse notes confusion and flushed skin in an older adult. Which complication is suspected?

a)

Hypothermia

b)

Hyperthermia

c)

Dehydration only

d)

Pain response

18.

Which intervention best prevents atelectasis in an immobile client?

a)

Increased IV fluids

b)

Incentive spirometry

c)

Passive ROM

d)

Stool softeners

19.

Which client statement indicates correct understanding of fall prevention?

a)

I’ll get up quickly if I feel steady.

b)

I’ll use the call light before getting up.

c)

Side rails will keep me safe.

d)

I don’t need assistance.

20.

Which finding best supports the diagnosis of impaired mobility?

a)

Dyspnea on exertion

b)

Muscle weakness

c)

Elevated BP

d)

Decreased appetite

21.

Which nursing action best demonstrates patient-centered safety?

a)

Applying restraints preemptively

b)

Limiting mobility

c)

Individualizing safety interventions

d)

Delegating assessment

22.

Which intervention is most effective for preventing urinary stasis in immobile clients?

a)

Foley catheter insertion

b)

Increased fluid intake

c)

Early ambulation

d)

Bed rest

23.

Which nursing action reflects evaluation in the nursing process?

a)

Monitoring temperature trends

b)

Administering antipyretics

c)

Assessing vital signs

d)

Comparing outcomes to goals

24.

Which factor most affects thermoregulation in newborns?

a)

Increased muscle mass

b)

Large surface area

c)

Efficient shivering

d)

Mature hypothalamus

25.

Which intervention best demonstrates safe delegation related to vital signs?

a)

Allowing UAP to interpret abnormal values

b)

Delegating stable vital sign collection

c)

Ignoring abnormal readings

d)

Accepting reported values without verification