Barkley Evidence-Based Practice ACTUAL
EXAM ALL QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST
GUIDELINES | GRADED A+
Section 1: Foundations of Evidence-Based Practice (Questions 1-25)
Question 1
Which statement best reflects evidence-based practice (EBP)?
A. EBP relies on tradition for support of best practices.
B. EBP is simply the use of best practice techniques for the treatment of patients.
C. EBP emphasizes the use of best evidence with the clinician's experience.
D. The patient's own preferences are not important with EBP.
Correct Answer: C
Rationale: EBP integrates the best available research evidence with the clinician's expertise and
the patient's unique values and circumstances . It is not solely based on tradition or best
practice techniques; patient preferences are central to shared decision-making.
Question 2
Which critical thinking skill helps the nurse see relationships among the data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant
Correct Answer: B
,Rationale: Clustering related cues involves organizing and grouping assessment data to identify
patterns, which helps in formulating diagnoses and understanding relationships between
findings . Validation confirms data accuracy; identifying gaps and distinguishing relevant from
irrelevant are other distinct skills.
Question 3
The nursing process includes which steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment, and discharge planning
C. Admission, diagnosis, treatment, evaluation, and discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
Correct Answer: D
Rationale: The nursing process is a systematic problem-solving method that includes six steps:
assessment, diagnosis, outcome identification, planning, implementation, and evaluation . This
framework supports evidence-based, patient-centered care.
Question 4
Which of the following is an example of a first-level priority problem?
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress
Correct Answer: D
Rationale: First-level priority problems are immediate, life-threatening issues such as airway,
breathing, or circulation concerns . Shortness of breath with respiratory distress requires urgent
intervention. Pain, teaching needs, and small lacerations are second-level or third-level
priorities.
Question 5
When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
,A. Low self-esteem
B. Lack of knowledge
C. Abnormal laboratory values
D. Severely abnormal vital signs
Correct Answer: C
Rationale: Second-level priority problems are those that require prompt intervention but are
not immediately life-threatening, such as abnormal laboratory values, acute pain, or risk of
infection . Low self-esteem and knowledge deficits are third-level priorities. Severely abnormal
vital signs are first-level.
Question 6
Which of these would be formulated by a nurse using diagnostic reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis
D. Diagnostic assessment
Correct Answer: C
Rationale: Diagnostic reasoning is the process of analyzing health data and drawing conclusions
to identify a diagnostic hypothesis . A nursing diagnosis is the outcome of this reasoning
process.
Question 7
Which of the following is NOT a barrier to incorporating evidence-based practice?
A. Lack of time
B. Lack of research skills
C. Strong organizational support for EBP
D. Limited access to research databases
Correct Answer: C
Rationale: Strong organizational support for EBP is a facilitator, not a barrier . Common barriers
include lack of time, insufficient research skills, limited access to resources, and organizational
cultures that do not prioritize EBP.
, Question 8
According to evidence-based practice, the most reliable source of evidence for clinical decision-
making is:
A. Expert opinion
B. Randomized controlled trials
C. Case reports
D. Anecdotal experience
Correct Answer: B
Rationale: Randomized controlled trials (RCTs) and systematic reviews of RCTs represent the
highest level of evidence in the traditional evidence hierarchy. While expert opinion and clinical
experience are important, they are less reliable than high-quality research.
Question 9
Which step is the first in the evidence-based practice process?
A. Appraise the evidence
B. Apply the evidence to practice
C. Ask a clinical question
D. Evaluate the outcome
Correct Answer: C
Rationale: The EBP process begins with asking a well-built clinical question (the "PICO" format:
Patient, Intervention, Comparison, Outcome). This guides the search for relevant evidence.
Question 10
What is the primary purpose of a systematic review?
A. To provide a single expert opinion on a topic
B. To summarize the best available evidence on a specific clinical question
C. To report the results of a single clinical trial
D. To describe a patient's case history
Correct Answer: B
Rationale: A systematic review comprehensively searches, appraises, and synthesizes all
available research on a focused clinical question, providing the highest level of evidence for
practice.
EXAM ALL QUESTIONS AND ANSWERS
ALREADY GRADED A+. 100% VERIFIED
SOLUTIONS | UPDATED PER LATEST
GUIDELINES | GRADED A+
Section 1: Foundations of Evidence-Based Practice (Questions 1-25)
Question 1
Which statement best reflects evidence-based practice (EBP)?
A. EBP relies on tradition for support of best practices.
B. EBP is simply the use of best practice techniques for the treatment of patients.
C. EBP emphasizes the use of best evidence with the clinician's experience.
D. The patient's own preferences are not important with EBP.
Correct Answer: C
Rationale: EBP integrates the best available research evidence with the clinician's expertise and
the patient's unique values and circumstances . It is not solely based on tradition or best
practice techniques; patient preferences are central to shared decision-making.
Question 2
Which critical thinking skill helps the nurse see relationships among the data?
A. Validation
B. Clustering related cues
C. Identifying gaps in data
D. Distinguishing relevant from irrelevant
Correct Answer: B
,Rationale: Clustering related cues involves organizing and grouping assessment data to identify
patterns, which helps in formulating diagnoses and understanding relationships between
findings . Validation confirms data accuracy; identifying gaps and distinguishing relevant from
irrelevant are other distinct skills.
Question 3
The nursing process includes which steps?
A. Assessment, treatment, planning, evaluation, discharge, and follow-up
B. Admission, assessment, diagnosis, treatment, and discharge planning
C. Admission, diagnosis, treatment, evaluation, and discharge planning
D. Assessment, diagnosis, outcome identification, planning, implementation, and evaluation
Correct Answer: D
Rationale: The nursing process is a systematic problem-solving method that includes six steps:
assessment, diagnosis, outcome identification, planning, implementation, and evaluation . This
framework supports evidence-based, patient-centered care.
Question 4
Which of the following is an example of a first-level priority problem?
A. Patient with postoperative pain
B. Newly diagnosed patient with diabetes who needs diabetic teaching
C. Individual with a small laceration on the sole of the foot
D. Individual with shortness of breath and respiratory distress
Correct Answer: D
Rationale: First-level priority problems are immediate, life-threatening issues such as airway,
breathing, or circulation concerns . Shortness of breath with respiratory distress requires urgent
intervention. Pain, teaching needs, and small lacerations are second-level or third-level
priorities.
Question 5
When considering priority setting of problems, the nurse keeps in mind that second-level
priority problems include which of these aspects?
,A. Low self-esteem
B. Lack of knowledge
C. Abnormal laboratory values
D. Severely abnormal vital signs
Correct Answer: C
Rationale: Second-level priority problems are those that require prompt intervention but are
not immediately life-threatening, such as abnormal laboratory values, acute pain, or risk of
infection . Low self-esteem and knowledge deficits are third-level priorities. Severely abnormal
vital signs are first-level.
Question 6
Which of these would be formulated by a nurse using diagnostic reasoning?
A. Nursing diagnosis
B. Medical diagnosis
C. Diagnostic hypothesis
D. Diagnostic assessment
Correct Answer: C
Rationale: Diagnostic reasoning is the process of analyzing health data and drawing conclusions
to identify a diagnostic hypothesis . A nursing diagnosis is the outcome of this reasoning
process.
Question 7
Which of the following is NOT a barrier to incorporating evidence-based practice?
A. Lack of time
B. Lack of research skills
C. Strong organizational support for EBP
D. Limited access to research databases
Correct Answer: C
Rationale: Strong organizational support for EBP is a facilitator, not a barrier . Common barriers
include lack of time, insufficient research skills, limited access to resources, and organizational
cultures that do not prioritize EBP.
, Question 8
According to evidence-based practice, the most reliable source of evidence for clinical decision-
making is:
A. Expert opinion
B. Randomized controlled trials
C. Case reports
D. Anecdotal experience
Correct Answer: B
Rationale: Randomized controlled trials (RCTs) and systematic reviews of RCTs represent the
highest level of evidence in the traditional evidence hierarchy. While expert opinion and clinical
experience are important, they are less reliable than high-quality research.
Question 9
Which step is the first in the evidence-based practice process?
A. Appraise the evidence
B. Apply the evidence to practice
C. Ask a clinical question
D. Evaluate the outcome
Correct Answer: C
Rationale: The EBP process begins with asking a well-built clinical question (the "PICO" format:
Patient, Intervention, Comparison, Outcome). This guides the search for relevant evidence.
Question 10
What is the primary purpose of a systematic review?
A. To provide a single expert opinion on a topic
B. To summarize the best available evidence on a specific clinical question
C. To report the results of a single clinical trial
D. To describe a patient's case history
Correct Answer: B
Rationale: A systematic review comprehensively searches, appraises, and synthesizes all
available research on a focused clinical question, providing the highest level of evidence for
practice.
