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WorksheetsClinical Nursing Knowledge Quiz
Total questions: 25
Worksheet time: 13mins
Which data source is considered the MOST reliable?
Family member
Medical record
Patient
Health care team
Which action demonstrates failure in data collection?
Clarifying inconsistent findings
Documenting observations
Recording interpretations instead of behaviors
Updating patient database
A nurse clusters cues and anticipates problems. Which cognitive process is being used?
Task completion
Critical thinking
Delegation
Documentation
The ability to recognize cues, act, and evaluate outcomes best defines:
Nursing diagnosis
Clinical judgment
Evidence-based practice
Nursing intuition
Which characteristic best describes high-quality assessment data?
Subjective
Lengthy
Relevant
Complex
Which situation requires the nurse to reassess vital signs immediately?
Before meals
After ambulation post-surgery
During sleep
Before bathing
A UAP reports a blood pressure of 70/30 mmHg. What is the nurse’s FIRST action?
Notify the provider
Document the reading
Reassess the blood pressure
Start IV fluids
Which temperature site provides the most accurate core temperature?
Oral
Axillary
Tympanic
Rectal
A rectal temperature should NOT be obtained in which client?
Client with fever
Client with diarrhea
Client with altered mental status
Client receiving antibiotics
Which physiologic response occurs when body temperature rises?
Vasoconstriction
Shivering
Vasodilation
Decreased sweating
Which mechanism of heat loss occurs when air currents move across the skin?
Conduction
Radiation
Convection
Evaporation
Which population is at highest risk for hypothermia?
Adolescents
Middle-aged adults
Older adults
Preschoolers
A temperature of 106.5°F (41.4°C) indicates:
Fever
Hyperthermia
Hyperpyrexia
Febrile state
Which nursing action is PRIORITY when caring for a febrile child?
Administer aspirin
Encourage fluid intake
Restrict oral intake
Apply warm blankets
Which antipyretic is contraindicated in children due to risk of Reye’s syndrome?
Acetaminophen
Ibuprofen
Aspirin
Naproxen
Which assessment finding requires immediate follow-up?
Axillary temperature of 99.0°F
Respiratory rate of 28/min
Pulse of 88 bpm
BP of 120/80 mmHg
A nurse notes confusion and flushed skin in an older adult. Which complication is suspected?
Hypothermia
Hyperthermia
Dehydration only
Pain response
Which intervention best prevents atelectasis in an immobile client?
Increased IV fluids
Incentive spirometry
Passive ROM
Stool softeners
Which client statement indicates correct understanding of fall prevention?
I’ll get up quickly if I feel steady.
I’ll use the call light before getting up.
Side rails will keep me safe.
I don’t need assistance.
Which finding best supports the diagnosis of impaired mobility?
Dyspnea on exertion
Muscle weakness
Elevated BP
Decreased appetite
Which nursing action best demonstrates patient-centered safety?
Applying restraints preemptively
Limiting mobility
Individualizing safety interventions
Delegating assessment
Which intervention is most effective for preventing urinary stasis in immobile clients?
Foley catheter insertion
Increased fluid intake
Early ambulation
Bed rest
Which nursing action reflects evaluation in the nursing process?
Monitoring temperature trends
Administering antipyretics
Assessing vital signs
Comparing outcomes to goals
Which factor most affects thermoregulation in newborns?
Increased muscle mass
Large surface area
Efficient shivering
Mature hypothalamus
Which intervention best demonstrates safe delegation related to vital signs?
Allowing UAP to interpret abnormal values
Delegating stable vital sign collection
Ignoring abnormal readings
Accepting reported values without verification
