NSG 448 Exam 3 V2 | NSG 448 Evidence-
Based Project Capstone | Actual Q&A with
Rationale (NSG448 Exam 3) | Grand
Canyon University
1. A nurse educator is explaining the purpose of a pilot study within the Evidence-Based
Practice (EBP) framework. What is the primary objective of conducting a pilot study before
full-scale implementation?
A. To identify potential hurdles and refine the intervention protocol.
B. To finalize the clinical question using the PICOT format.
C. To provide a definitive statistical proof of the intervention’s efficacy.
D. To eliminate the need for an Institutional Review Board (IRB) review.
Correct Answer: A
Explanation: The primary objective of a pilot study is to test the feasibility of a larger
study or project by identifying potential problems in the design or implementation. It
allows researchers to refine the protocol and adjust the intervention based on early
observations. This step is crucial for ensuring that the full-scale project is robust and
sustainable within the clinical setting.
2. When identifying stakeholders for a new bedside shift report initiative in a medical-surgical
unit, which of the following individuals or groups should be included? (Select All That Apply)
A. Staff nurses working on the unit
,B. The Chief Financial Officer (CFO) of the hospital
C. Patients and their family members
D. Nurse managers and clinical leads
E. Information Technology (IT) department representatives
F. Unit-based health unit coordinators
Correct Answer: ACDF
Explanation: Stakeholders are individuals or groups who are directly impacted by the
change or have an interest in the outcome. Staff nurses, nurse managers, and patients are
key stakeholders because the shift report directly involves them. Health unit coordinators
are also involved in unit workflow and should be considered part of the collaborative
process.
3. In the context of the Iowa Model of Evidence-Based Practice, what is the first step when a
practitioner identifies a clinical problem?
A. Conducting a systematic review of existing literature.
B. Forming a multidisciplinary team to address the issue.
C. Designing a pilot study to test a new intervention.
D. Determining if the problem is a priority for the organization.
Correct Answer: D
, Explanation: According to the Iowa Model, once a trigger is identified, the next critical step
is to determine if the topic is an organizational priority. If it is not a priority, the project
may lack the necessary resources and administrative support to succeed. This alignment
ensures that EBP efforts are integrated into the facility’s strategic goals.
4. Which level of evidence is represented by a well-designed randomized controlled trial
(RCT)?
A. Level I
B. Level IV
C. Level III
D. Level II
Correct Answer: D
Explanation: In most evidence hierarchies, a single randomized controlled trial is
classified as Level II evidence. Level I evidence is typically reserved for systematic reviews
or meta-analyses of multiple RCTs. Understanding these levels is essential for nursing
students to appraise the strength of the evidence supporting clinical interventions.
5. A nurse is evaluating the ‘O’ in a PICOT question regarding the use of chlorhexidine for
central line care. What does the ‘O’ represent?
A. Observation period
B. Onboarding process
C. Outcome measurement
Based Project Capstone | Actual Q&A with
Rationale (NSG448 Exam 3) | Grand
Canyon University
1. A nurse educator is explaining the purpose of a pilot study within the Evidence-Based
Practice (EBP) framework. What is the primary objective of conducting a pilot study before
full-scale implementation?
A. To identify potential hurdles and refine the intervention protocol.
B. To finalize the clinical question using the PICOT format.
C. To provide a definitive statistical proof of the intervention’s efficacy.
D. To eliminate the need for an Institutional Review Board (IRB) review.
Correct Answer: A
Explanation: The primary objective of a pilot study is to test the feasibility of a larger
study or project by identifying potential problems in the design or implementation. It
allows researchers to refine the protocol and adjust the intervention based on early
observations. This step is crucial for ensuring that the full-scale project is robust and
sustainable within the clinical setting.
2. When identifying stakeholders for a new bedside shift report initiative in a medical-surgical
unit, which of the following individuals or groups should be included? (Select All That Apply)
A. Staff nurses working on the unit
,B. The Chief Financial Officer (CFO) of the hospital
C. Patients and their family members
D. Nurse managers and clinical leads
E. Information Technology (IT) department representatives
F. Unit-based health unit coordinators
Correct Answer: ACDF
Explanation: Stakeholders are individuals or groups who are directly impacted by the
change or have an interest in the outcome. Staff nurses, nurse managers, and patients are
key stakeholders because the shift report directly involves them. Health unit coordinators
are also involved in unit workflow and should be considered part of the collaborative
process.
3. In the context of the Iowa Model of Evidence-Based Practice, what is the first step when a
practitioner identifies a clinical problem?
A. Conducting a systematic review of existing literature.
B. Forming a multidisciplinary team to address the issue.
C. Designing a pilot study to test a new intervention.
D. Determining if the problem is a priority for the organization.
Correct Answer: D
, Explanation: According to the Iowa Model, once a trigger is identified, the next critical step
is to determine if the topic is an organizational priority. If it is not a priority, the project
may lack the necessary resources and administrative support to succeed. This alignment
ensures that EBP efforts are integrated into the facility’s strategic goals.
4. Which level of evidence is represented by a well-designed randomized controlled trial
(RCT)?
A. Level I
B. Level IV
C. Level III
D. Level II
Correct Answer: D
Explanation: In most evidence hierarchies, a single randomized controlled trial is
classified as Level II evidence. Level I evidence is typically reserved for systematic reviews
or meta-analyses of multiple RCTs. Understanding these levels is essential for nursing
students to appraise the strength of the evidence supporting clinical interventions.
5. A nurse is evaluating the ‘O’ in a PICOT question regarding the use of chlorhexidine for
central line care. What does the ‘O’ represent?
A. Observation period
B. Onboarding process
C. Outcome measurement
