NURS 681 WEEK 1-4 COMPREHENSIVE EXAM 2026/2027 |
ADVANCED HEALTH PHYSICAL ASSESSMENT ACROSS THE
LIFESPAN QUESTIONS AND ACCURATE SOLUTIONS PLUS
RATIONALES | 100% GUARANTEED PASS – (WEST COST
UNIVERSITY)
A nurse has conducted a literature review in an effort to identify the effect of handwashing on
the incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
presented findings at a level of significance of <0.01. This indicates that
A) the control group and the experimental group were more than 99% similar.
B) the findings of the study have less than 1% chance of being attributable to chance.
C) the effects of the intervention were nearly zero.
D) the clinical significance of the findings was less than 1:100. - CORRECT ✔✔- B) the
findings of the study have less than 1% chance of being attributable to chance.
The level of significance is the level at which the researcher believes that the study results most
likely represent a nonchance event. A level of significance of <0.01 indicates that there is less
than 1% probability that the result is due to chance.
A nurse has read a qualitative research study in order to understand the lived experience of
parents who have a neonatal loss. Which of the following questions should the nurse prioritize
when appraising the results of this study?
A) How well did the authors capture the personal experiences of these parents?
B) How well did the authors control for confounding variables that may have affected the
findings?
Page | 1 SUCCESS!!!
,C) Did the authors use statistical measures that were appropriate to the phenomenon in
question?
D) Were the instruments that the researchers used statistically valid and reliable? - CORRECT
✔✔- A) How well did the authors capture the personal experiences of these parents?
Qualitative studies are judged on the basis of how well they capture and convey the subjective
experiences of individuals. Statistical measures and variables are not dimensions of a
qualitative methodology.
A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
that nursing research has little relevance to practice. How can the nurses colleague best defend
the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access federal grant
money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and has
greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing practice and patient
outcomes. - CORRECT ✔✔- D) The application of nursing research has the potential to
improve nursing practice and patient outcomes.
The greatest value of nursing research lies in the potential to improve practice and, ultimately, to
improve patient outcomes. This supersedes the contributions of nursing research to education
programs, grant funding, or the public view of the profession.
Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
when they experience early challenges and wonders what could be done to encourage more
Page | 2 SUCCESS!!!
,women to continue breast-feeding. What role is Tracy most likely to play in a research project
that tests an intervention aimed at promoting breast-feeding?
A) Applying for grant funding for the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication - CORRECT ✔✔- B)
Posing the clinical problem to one or more nursing researchers
A major role for staff nurses is to identify questions or problems for research. Grant applications,
methodological planning, and publication submission are normally carried out by nurses who
have advanced degrees in nursing.
A patient signed the informed consent form for a drug trial that was explained to patient by a
research assistant. Later, the patient admitted to his nurse that he did not understand the
research assistants explanation or his own role in the study. How should this patients nurse
respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding. - CORRECT ✔✔- C)
Inform the research assistant that the patients consent is likely invalid.
Just as the staff nurse is not responsible for medical consent, the staff nurse is not responsible
for research consent. If patients who have agreed to participate exhibit ambivalence or
uncertainty about participating, do not try to convince them to participate. Ask the person from
Page | 3 SUCCESS!!!
, the research team who is managing consents to speak with concerned patients about the study,
even after a patient has signed the consent forms.
A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the
following? (Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise - CORRECT ✔✔- C) Research studies
D) Patient preferences and values
E) Clinical expertise
Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving approach
to the delivery of healthcare that integrates the best evidence from studies and patient care data
with clinician expertise and patient preferences and values.
Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
suggestion repugnant and adamantly opposes this treatment despite the sizable body of
evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of
EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients
opinion.
Page | 4 SUCCESS!!!
ADVANCED HEALTH PHYSICAL ASSESSMENT ACROSS THE
LIFESPAN QUESTIONS AND ACCURATE SOLUTIONS PLUS
RATIONALES | 100% GUARANTEED PASS – (WEST COST
UNIVERSITY)
A nurse has conducted a literature review in an effort to identify the effect of handwashing on
the incidence of nosocomial (hospital-acquired) infections in acute care settings. An article
presented findings at a level of significance of <0.01. This indicates that
A) the control group and the experimental group were more than 99% similar.
B) the findings of the study have less than 1% chance of being attributable to chance.
C) the effects of the intervention were nearly zero.
D) the clinical significance of the findings was less than 1:100. - CORRECT ✔✔- B) the
findings of the study have less than 1% chance of being attributable to chance.
The level of significance is the level at which the researcher believes that the study results most
likely represent a nonchance event. A level of significance of <0.01 indicates that there is less
than 1% probability that the result is due to chance.
A nurse has read a qualitative research study in order to understand the lived experience of
parents who have a neonatal loss. Which of the following questions should the nurse prioritize
when appraising the results of this study?
A) How well did the authors capture the personal experiences of these parents?
B) How well did the authors control for confounding variables that may have affected the
findings?
Page | 1 SUCCESS!!!
,C) Did the authors use statistical measures that were appropriate to the phenomenon in
question?
D) Were the instruments that the researchers used statistically valid and reliable? - CORRECT
✔✔- A) How well did the authors capture the personal experiences of these parents?
Qualitative studies are judged on the basis of how well they capture and convey the subjective
experiences of individuals. Statistical measures and variables are not dimensions of a
qualitative methodology.
A nurse has expressed skepticism to a colleague about the value of nursing research, claiming
that nursing research has little relevance to practice. How can the nurses colleague best defend
the importance of nursing research?
A) The existence of nursing research means that nurses are now able to access federal grant
money, something that didnt use to be the case.
B) Nursing research has allowed the development of masters and doctoral programs and has
greatly increased the credibility of the profession.
C) The growth of nursing research has caused nursing to be viewed as a true profession, rather
than simply as a trade or a skill.
D) The application of nursing research has the potential to improve nursing practice and patient
outcomes. - CORRECT ✔✔- D) The application of nursing research has the potential to
improve nursing practice and patient outcomes.
The greatest value of nursing research lies in the potential to improve practice and, ultimately, to
improve patient outcomes. This supersedes the contributions of nursing research to education
programs, grant funding, or the public view of the profession.
Tracy is a nurse with a baccalaureate degree who works in the labor and delivery unit of a busy
urban hospital. She has noticed that many new mothers abandon breast-feeding their babies
when they experience early challenges and wonders what could be done to encourage more
Page | 2 SUCCESS!!!
,women to continue breast-feeding. What role is Tracy most likely to play in a research project
that tests an intervention aimed at promoting breast-feeding?
A) Applying for grant funding for the research project
B) Posing the clinical problem to one or more nursing researchers
C) Planning the methodology of the research project
D) Carrying out the intervention and submitting the results for publication - CORRECT ✔✔- B)
Posing the clinical problem to one or more nursing researchers
A major role for staff nurses is to identify questions or problems for research. Grant applications,
methodological planning, and publication submission are normally carried out by nurses who
have advanced degrees in nursing.
A patient signed the informed consent form for a drug trial that was explained to patient by a
research assistant. Later, the patient admitted to his nurse that he did not understand the
research assistants explanation or his own role in the study. How should this patients nurse
respond to this revelation?
A) Explain the research process to the patient in greater detail.
B) Describe the details of a randomized controlled trial for the patient.
C) Inform the research assistant that the patients consent is likely invalid.
D) Explain to the patient that his written consent is now legally binding. - CORRECT ✔✔- C)
Inform the research assistant that the patients consent is likely invalid.
Just as the staff nurse is not responsible for medical consent, the staff nurse is not responsible
for research consent. If patients who have agreed to participate exhibit ambivalence or
uncertainty about participating, do not try to convince them to participate. Ask the person from
Page | 3 SUCCESS!!!
, the research team who is managing consents to speak with concerned patients about the study,
even after a patient has signed the consent forms.
A nurse leader is attempting to increase the awareness of evidence-based practice (EBP)
among the nurses on a unit. A nurse who is implementing EBP integrates which of the
following? (Select all that apply.)
A) Interdisciplinary consensus
B) Nursing tradition
C) Research studies
D) Patient preferences and values
E) Clinical expertise - CORRECT ✔✔- C) Research studies
D) Patient preferences and values
E) Clinical expertise
Fineout-Overholt, Melnyk, Stillwell, and Williamson define EBP as a problem-solving approach
to the delivery of healthcare that integrates the best evidence from studies and patient care data
with clinician expertise and patient preferences and values.
Mrs. Mayes is a 73-year-old woman who has a diabetic foot ulcer that has been extremely slow
to heal and which now poses a threat of osteomyelitis. The wound care nurse who has been
working with Mrs. Mayes applies evidence-based practice (EBP) whenever possible and has
proposed the use of maggot therapy to debride necrotic tissue. Mrs. Mayes, however, finds the
suggestion repugnant and adamantly opposes this treatment despite the sizable body of
evidence supporting it. How should the nurse reconcile Mrs. Mayes views with the principles of
EBP?
A) The nurse should explain that reliable and valid research evidence overrides the patients
opinion.
Page | 4 SUCCESS!!!
