Evidence-Based Practice in Nursing & Healthcare (Melnyk
& Fineout-Overholt, 5th Edition) Exam Practice Questions &
Answers | Canada Study Guide 2026–2027
All chapters covered
,Chapter 1 Making the Case for Evidence-Based Practice and
d d d d d d d d d
CultivatingaSpiritofInquiry d d d d d
In the hospital where Nurse L. provides care, tradition dictates
d d d d d d d d d
that oral temperatures be included in every set of patientvital
d d d d d d d d d d d
signs,regardlessofpatientdiagnosisoracuity. Thisis most
d d d d d d d d d d
likely an example of which of the following phenomena?
d d d d d d d d d
A) The prioritization of internal evidence over external evidence
d d d d d d d
B) Practicethatlacks evidence tosupport its application d d d d d d d
C) The integration of personal expertise into nursing care
d d d d d d d
D) Evidence-based practice d
2. Theclinicalnurseeducator(CNE)onapostsurgicalunit has
d d d d d d d d d
recently completed a patient chart review after the
d d d d d d d d
implementation of a pilot program aimed at promoting
d d d d d d d d
earlyambulationfollowingsurgery.Whichofthe
d d d d d d d
following components of EBP is thenurse putting into
d d d d d d d d
practice?
d
A) Patient preferences d
B) Research utilization d
C) Experience
D) Internal evidence d
3. NurseR.hasobservedthatreorienting dementedpatients as
d d d d d d d d
frequently as possible tendsto minimize the patients' levelof
d d d d d d d d d d
agitationintheevening.Thenursehassharedthis
d d d d d d d d d
, observation with a colleague, who is skeptical, stating that, “It's
d d d d d d d d d
best to stick to evidence-based practice.” How can Nurse R.
d d d d d d d d d d
best respond?
d d
A) “EBP can include clinicians' personal expertise.”
d d d d d
B) “Personal experience is often moresoundthanformald d d d d d d
evidence-basedpractice.”
d d
C) “Traditional practice and EBP are usually shown to be thed d d d d d d d d
same.”
d
D) “My years of experience can be just as valuable as
d d d d d d d d d
anyliteraturerevieworrandomizedtrial.”
d d d d d d
4. Whichofthefollowingfactorsprovidesthemost
d d d d d d d
importantrationale for the consistentimplementation of
d d d d d d d
EBP?
d
A) EBP provides for the most cost-effective patient care.
d d d d d d d
B) EBP is accessible to all healthcare clinicians.
d d d d d d
C) EBP provides consistency in care across healthcare settings.
d d d d d d d
D) EBP improves patient outcomes.
d d d
, 5. The Institute of Medicine's Roundtable on Evidence-
d d d d d d
Based Medicine has beenestablished to address
d d d d d
EBP. Which of the following issues is the Roundtable
d d d d d d d d d
emphasizing?
d
A) Ensuring that external evidence, rather thaninternal d d d d d d
evidence,isintegratedintocare
d d d d d
B) Fostering thelevel of learning that exists in the American d d d d d d d d d
healthcare system
d d
C) Issuing clinical guidelines to ensure best nursing practice d d d d d d d
D) Comparing the implementation of EBP in the United d d d d d d d
States with that of otherWestern countries
d d d d d d d
6. You have become frustrated with some aspects of patient
d d d d d d d d
carethatyoubelieveareoutdatedandineffectiveatthe
d d d d d d d d d d
long-termcarefacilitywhereyouhaverecentlybegun
d d d d d d d d
practicing. Consequently, you have resolved to examine
d d d d d d d
some of these practices in lightof evidence. Which of the
d d d d d d d d d d d
following should occur first inthe steps of EBP?
d d d d d d d d d
A) Conducting an electronic search of the literature and ranking d d d d d d d d
individualsources
d d
B) Creating “buy-in” from the other clinicians who provide care at d d d d d d d d d
the facility
d d
C) Developing an inquisitive and curious mindset d d d d d
D) Assessing whether the practices in question may, in fact, be d d d d d d d d d
evidence-based
d
7. Which of the following clinical questions best exemplifies the
d d d d d d d d
PICOTformat?
d d
A) What effect does parents' smoking have on the d d d d d d d
smoking habits of their children,ages 13 to 16?
d d d d d d d d d
B) Among cancer patients, what role does meditation, d d d d d d
rather than benzodiazepines,have on anxiety levels
d d d d d d d
& Fineout-Overholt, 5th Edition) Exam Practice Questions &
Answers | Canada Study Guide 2026–2027
All chapters covered
,Chapter 1 Making the Case for Evidence-Based Practice and
d d d d d d d d d
CultivatingaSpiritofInquiry d d d d d
In the hospital where Nurse L. provides care, tradition dictates
d d d d d d d d d
that oral temperatures be included in every set of patientvital
d d d d d d d d d d d
signs,regardlessofpatientdiagnosisoracuity. Thisis most
d d d d d d d d d d
likely an example of which of the following phenomena?
d d d d d d d d d
A) The prioritization of internal evidence over external evidence
d d d d d d d
B) Practicethatlacks evidence tosupport its application d d d d d d d
C) The integration of personal expertise into nursing care
d d d d d d d
D) Evidence-based practice d
2. Theclinicalnurseeducator(CNE)onapostsurgicalunit has
d d d d d d d d d
recently completed a patient chart review after the
d d d d d d d d
implementation of a pilot program aimed at promoting
d d d d d d d d
earlyambulationfollowingsurgery.Whichofthe
d d d d d d d
following components of EBP is thenurse putting into
d d d d d d d d
practice?
d
A) Patient preferences d
B) Research utilization d
C) Experience
D) Internal evidence d
3. NurseR.hasobservedthatreorienting dementedpatients as
d d d d d d d d
frequently as possible tendsto minimize the patients' levelof
d d d d d d d d d d
agitationintheevening.Thenursehassharedthis
d d d d d d d d d
, observation with a colleague, who is skeptical, stating that, “It's
d d d d d d d d d
best to stick to evidence-based practice.” How can Nurse R.
d d d d d d d d d d
best respond?
d d
A) “EBP can include clinicians' personal expertise.”
d d d d d
B) “Personal experience is often moresoundthanformald d d d d d d
evidence-basedpractice.”
d d
C) “Traditional practice and EBP are usually shown to be thed d d d d d d d d
same.”
d
D) “My years of experience can be just as valuable as
d d d d d d d d d
anyliteraturerevieworrandomizedtrial.”
d d d d d d
4. Whichofthefollowingfactorsprovidesthemost
d d d d d d d
importantrationale for the consistentimplementation of
d d d d d d d
EBP?
d
A) EBP provides for the most cost-effective patient care.
d d d d d d d
B) EBP is accessible to all healthcare clinicians.
d d d d d d
C) EBP provides consistency in care across healthcare settings.
d d d d d d d
D) EBP improves patient outcomes.
d d d
, 5. The Institute of Medicine's Roundtable on Evidence-
d d d d d d
Based Medicine has beenestablished to address
d d d d d
EBP. Which of the following issues is the Roundtable
d d d d d d d d d
emphasizing?
d
A) Ensuring that external evidence, rather thaninternal d d d d d d
evidence,isintegratedintocare
d d d d d
B) Fostering thelevel of learning that exists in the American d d d d d d d d d
healthcare system
d d
C) Issuing clinical guidelines to ensure best nursing practice d d d d d d d
D) Comparing the implementation of EBP in the United d d d d d d d
States with that of otherWestern countries
d d d d d d d
6. You have become frustrated with some aspects of patient
d d d d d d d d
carethatyoubelieveareoutdatedandineffectiveatthe
d d d d d d d d d d
long-termcarefacilitywhereyouhaverecentlybegun
d d d d d d d d
practicing. Consequently, you have resolved to examine
d d d d d d d
some of these practices in lightof evidence. Which of the
d d d d d d d d d d d
following should occur first inthe steps of EBP?
d d d d d d d d d
A) Conducting an electronic search of the literature and ranking d d d d d d d d
individualsources
d d
B) Creating “buy-in” from the other clinicians who provide care at d d d d d d d d d
the facility
d d
C) Developing an inquisitive and curious mindset d d d d d
D) Assessing whether the practices in question may, in fact, be d d d d d d d d d
evidence-based
d
7. Which of the following clinical questions best exemplifies the
d d d d d d d d
PICOTformat?
d d
A) What effect does parents' smoking have on the d d d d d d d
smoking habits of their children,ages 13 to 16?
d d d d d d d d d
B) Among cancer patients, what role does meditation, d d d d d d
rather than benzodiazepines,have on anxiety levels
d d d d d d d
