M M M M M M
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
M M M M M M M M M
MULTIPLEMCHOICE
1. AMnursingMeducatorMisMexplainingMhowMtheMbestMclinicalMpracticesMareMdetermined.MW
hichMstatementMbestMexplainsMtheMpurposeMofMevidence-basedMpractice?
a. ItMensuresMthatMallMpatientsMreceiveMholisticMcare.
b. ItMprovidesMaMdefiniteMreasonMforMprovidingMcareMinMaMspecificMmanner.
c. ItMpreventsMerrorsMwhenMcareMisMbeingMdelivered.
d. ItMguaranteesMthatMcareMdeliveredMisMbasedMonMresearch.
ANS:M B
Evidence-
basedMpracticeMisMtheMuseMofMtheMcurrentMbestMevidenceMinMmakingMpatientMcareMdecisions.MItM
appliesMtoMallMtypesMofMhealthMcareMprofessionals.MCurrentlyMthereMisMnoMmethodMthatMcanMens
ureMthatMallMpatientsMreceiveMholisticMcare,MthatMallMerrorsMcanMbeMprevented,MorMthatMaMguaran
teeMexistsMthatMcareMgivenMisMbasedMonMresearch.
DIF: CognitiveMLevel:MUnderstanding
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
2. WhichMquestionMisMaMproblem-focusedMtriggerMforMinitiatingMtheMevidence-
basedMpracticeMmethodMinMnursingMcare?
a. WhatMisMknownMaboutMreductionMofMurinaryMtractMinfectionsMinMtheMolderMadultM
withMdiabetes?
b. HowMcanMchronicMpainMbestMbeMdescribedMwhenMtheMpatientMisMnonverbal?
c. HowMlongMcanManMIVMcatheterMremainMinMplaceMinMaMpatientMwithMobesity?
d. WhatMmeasuresMcanMtheMnurseMtakeMtoMreduceMtheMrisingMincidenceMofMurinaryMt
ractMinfectionsMonMtheMolderMadultMcareMunit?
ANS:M D
Evidence-
basedMpracticeM(EBP)MquestionsMtendMtoMariseMfromMtwoMsources:MrecurrentMproblemsMorMne
wMknowledge.MInMtheMcorrectMoption,MtheMincreaseMinMurinaryMtractMinfectionsMindicatesMaMtre
ndMorMrecurringMproblemMinMaMspecificMgroupMofMpatients.MTheMotherMquestionsMareMgeneralMi
nformationMquestions,MnotMbasedMonMwhatMisMhappeningMinMaMspecificMareaMorMtoMaMgroupMof
MspecificMpatientsMinManMareaMorMrelatingMtoManMobservedMtrend.
DIF: CognitiveMLevel:MApplying
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
3. WhatMdoesMtheM“I”MindicateMinMaM“PICO”Mquestion?
a. InterventionMofMinterest
b. IncorporationMofMconcepts
c. ImplementationMbyMnursing
d. InterestMofMpersonnel
ANS:M A
TheM“I”MstandsMforMinterventionMofMinterest,MmeaningMwhatMtheMnurseMhopesMtoMuseMinMpracti
ceMandMbelievesMisMworthwhileMorMvaluable.MThisMcouldMbeMaMtreatmentMforMaMspecificMtypeMof
MwoundMorManMapproachMonMhowMtoMteachMfoodMpreparationMforMaMpatientMwithMimpairedMsigh
t.
,MedMC
, DIF: CognitiveMLevel:MRemembering
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
4. WhoMwillMtheMclinicalMresearchMnurseMcontactMtoMsearchMrelevantMdatabasesMinMpreparationMfo
rManMupcomingMstudy?
a. TheMphysicianMwhoseMpatientsMmayMbeMinvolvedMinMtheMstudy
b. TheMmedicalMlibrarian
c. TheMnurseMmanagerMofMtheMunitMwhereMtheMstudyMwillMbeMconducted
d. TheMdirectorMofMnursingMofMtheMfacility
ANS:M B
TheMmedicalMlibrarianMisMmostMknowledgeableMregardingMdatabasesMrelevantMtoMaMstudy.MTheM
otherMindividualsMdoMnotMhaveMtheMknowledgeMregardingMrelevantMdatabases.
DIF: CognitiveMLevel:MUnderstanding
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
5. WhichMdatabaseMcontainsMsummariesMofMclinicalMguidelinesMandMtheirMdevelopment?
a. MEDLINE
b. CINAHL
c. CochraneMDatabaseMofMSystematicMReviews
d. TheMNationalMGuidelineMClearinghouse
ANS:M D
TheMNationalMGuidelineMClearinghouseMisMaMdatabaseMsupportedMbyMtheMAgencyMforMHealthcareM
ResearchMandMQuality.MItMcontainsMsummariesMofMclinicalMguidelinesMforMpractice.MMEDLINEMis
aMdatabaseMforMstudiesMinMmediciNne, Mnursing,Mdentistry,Mpsychiatry,MveterinaryMmedicine,Man
dMalliedMhealth.MCINAHLM(CumulativeMIndexMofMNursingMandMAlliedMHealthMLiterature)Mincl
udesMstudiesMinMnursing,MalliedMhealth,MandMbiomedicine.MTheMCochraneMDatabaseMFullMtextM
of
regularlyMupdatedMsystematicMreviewsMpreparedMbyMtheMCochraneMCollaborationMincludesMco
mpletedMreviewsMandMprotocols.
DIF: CognitiveMLevel:MRemembering
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
6. WhichMdoesMtheMnurseMresearcherMidentifyMasMtheMstrongestMtypeMofMresearch?
a. RandomizedMcontrolledMtrials
b. AMqualitativeMstudy
c. AMdescriptiveMstudy
d. AMcaseMcontrolledMstudy
ANS:M A
IndividualMrandomizedMcontrolledMtrialsMareMcloseMtoMtheMtopMofMtheMresearchMpyramid.MOnly
MsystematicMreviewsMandMmeta-
analysesMareMhigher.MThisMtypeMofMstudyMtestsManMinterventionMagainstMtheMusualMstandardMofM
care.MTheMotherMtypesMofMstudiesMareMusefulMbutMdoMnotMgiveMtheMsameMtypeMofMinformationMa
sMaMrandomizedMcontrolledMtrialMprovides.
DIF: CognitiveMLevel:MRemembering
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MAssessm
ent
MedM
C
, 7. WhatMisMtheMnurseMattemptingMtoMdetermineMwhenMcritiquingMtheMevidenceMrelatedMtoMaMPI
COTMquestion?
a. TheMethicalMconductMofMtheMresearchMtheMnurseMread
b. TheMstrengthMofMtheMevidenceMfoundMinMtheMliterature
c. IfMthereMareManyMexpertsMinMtheMclinicalMquestionMneedingMtoMbeMresearched
d. IfMtheMstudyMdemonstratesMcost-effectivenessMifMaMchangeMinMpracticeMoccurs
ANS:M B
OnceMaMliteratureMsearchMisMcompleteMandMdataMareMgatheredMaboutMtheMquestion,MitMisMtimeMto
McritiqueMtheMevidence.MCritiquingMtheMevidenceMinvolvesMaMsystematicMapproachMtoMlookingMa
tMtheMstrengthMofMtheMworkMreviewedMandMitsMrelevance.MTheMotherMquestionsMareMnotMapplicab
leMtoMcritiquingMtheMevidence.
DIF: CognitiveMLevel:MUnderstanding
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
8. AMnurseMfindsMaMcohortMstudyMcomparingMoneMgroupMtakingMhormoneMtreatmentMwithManothe
rMgroupMnotMtakingMhormoneMtreatmentMtoMdetermineMtheMincidenceMofMchangesMinMboneMdens
ityMofMtheMlowerMspine.MWhatMcanMtheMnurseMimplyMfromMthisMstudy?
a. LowMlevelMofMstrengthMmakesMtheMstudyMlimitedMinMvalue.
b. ModerateMlevelMofMstrengthMmakesMtheMstudyMprobablyMuseful.
c. OpinionsMofMtheMindividualsMinMtheMcohortMareMnotMresearch.
d. ThisMcouldMbeMtheMbasisMforMaMQualityMImprovementMproject.
ANS:M B
AMcohortMstudyMisMLevelM4MevidenceMasMitMisMaMsingle,Mnon-
experimentalMstudy.MThisMmoderateMlevelMofMevidenceMmakesMtheMstudyMprobablyMusefulMbut
MtheMnurseMshouldMstriveMtoMfindMstrongerMevidence. N
DIF: CognitiveMLevel:MApplying
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MEvaluati
on
9. WhichMquestionMwouldMbeMtheMbestMexampleMofMaMknowledge-
focusedMtriggerMforMconductingManMevidence-basedMpracticeMproject?
a. WhatMisMtheMbestMmethodMforMtreatmentMofMlegMswellingMwhenMaMpatientMisMta
kingMgabapentinM(Neurontin)?
b. HowMcanMweMdecreaseMtheMincidenceMofMskinMcancerMinMadultsMoverMtheMageMofM65?
c. WhatMisMtheMcurrentMevidenceMforMimprovingMoralMintakeMforMcancerMpatientsM
withMstomatitis?
d. WhatMisMtheMmaximalMlengthMofMtimeMourMhospitalMallowsMirrigationMkitsMtoMbeMused?
ANS:M C
Evidence-
basedMpracticeM(EBP)MquestionsMtendMtoMariseMfromMtwoMsources:MrecurrentMproblemsMorMnew
Mknowledge.MInMthisMexample,MtheMnewMknowledgeMthatMdrivesMtheMquestionMisMtheMoneMlooki
ngMatMcurrentMevidence.MTheMotherMquestionsMdoMnotMlookMatMtheMnewestMknowledgeMtoMformM
aMquestionMtoMresearch.
DIF: CognitiveMLevel:MAnalyzing
OBJ:MNCLEX:MSafeMandMEffectiveMCareMEnvironmentMTOP:M NursingMProcess:MImpleme
ntation
MULTIPLEMRESPONSE
MedM
C