,Test Bank - NCLEX - Chapter 01
Max attempts: unlimited
Questions
1. Evidence-informed practice is a problem-solving approach to making decisions about
patient care that is grounded in
MULTIPLE CHOICE
the latest information found in
textbooks.
systematically conducted research
studies.
tradition in clinical practice.
quality improvement and risk-
management data
newest advances in theory and
clinical practice
2. When evidence-informed practice is used, patient care will be
MULTIPLE CHOICE
standardized for all.
unhampered by patient culture.
variable according to the situation.
efficient and effective in all ways.
safe from the hazards of critical
thinking.
3. When a PICO(TS) question is developed, the letter that corresponds with the usual
standard of care is
MULTIPLE CHOICE
P.
I.
C.
O.
T.
S.
4. A well-developed PICO(TS) question helps the nurse
MULTIPLE CHOICE
search for evidence.
include all five elements of the
sequence.
find as many articles as possible in
a literature search.
accept standard clinical routines.
include two or more elements of
the sequence.
, 5. The nurse is not sure that the procedure the patient requires is the best possible for the
situation. Using which of the following resources would be the quickest way to review
research on the topic?
MULTIPLE CHOICE
CINAHL
PubMed
MEDLINE
The Cochrane Database
EMBASE
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need.
The best source for developing this plan of care would probably be
MULTIPLE CHOICE
The Cochrane Database.
MEDLINE.
NGC.
CINAHL.
ERIC.
7. The nurse has done a literature search and found 25 possible articles on the topic that
they are studying. To determine which of those 25 best fits their inquiry, the nurse first
should look at
MULTIPLE CHOICE
the abstracts.
the purpose statement.
the literature reviews.
the “Methods” sections.
the narrative sections.
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on
the level of depression in individuals who have had a myocardial infarction. The type of
study that would best capture this information would be a
MULTIPLE CHOICE
randomized controlled trial.
qualitative study.
case–control study.
descriptive study.
cohort study.
9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients has been decreased. This is an example of what stage in the
evidence-informed practice process?
MULTIPLE CHOICE
Asking a clinical question
Applying the evidence
Evaluating the practice decision
Communicating your results
10. A systematic review explains whether the evidence that you are searching for exists and
whether there is good cause to change practice. In _____________, all entries include
information on systematic reviews.
MULTIPLE CHOICE
, CINAHL
MEDLINE
The Cochrane Database
The National Guidelines
Clearinghouse
ERIC
11. Which of the following is the gold standard for research?
MULTIPLE CHOICE
Randomized controlled trials
(RCTS)
Systematic reviews
Case–control studies
Cohort studies
Quasi-experimental studies
Descriptive studies
12. The researcher explains how to apply findings in a practice setting for the types of
participants studied in the _________________ section of a research article.
MULTIPLE CHOICE
Abstract
Introduction
Methods
Literature review
Results
13. Which of the following is the extent to which a study’s findings are valid, reliable, and
relevant to your patient population of interest?
MULTIPLE CHOICE
Scientific rigour
Ethics
Peer review
Knowledge translation
Author reliability
14. Which is the intervention in the following PICO(TS) question: “In children with asthma,
does humidified oxygen decrease the frequency of prn salbutamol when compared with
regular oxygen?”
MULTIPLE CHOICE
Asthma
Humidified oxygen
Regular oxygen
Salbutamol
Frequency of prn
15. Which is the outcome in the following PICO(TS) question: “Does family-centred care
decrease the rate of hospital readmissions in patients who have suffered from a
myocardial infarction, compared with standard discharge practices?”
MULTIPLE CHOICE
Family-centred care
Patients who have suffered from a
myocardial infarction
Rate of hospital readmissions
, Standard discharge practices
16. A group of nurses implements a falls risk assessment protocol to decrease the number of
falls on the inpatient unit. They met 2 months after the implementation to discuss the
impact this protocol had. This is an example of what part of the Knowledge-to-Action
Framework?
MULTIPLE CHOICE
Adapting knowledge to local
content
Monitoring knowledge use
Evaluating the outcomes
Selecting, tailoring, and
implementing interventions
17. To use evidence-informed practice (EIP) appropriately, you need to collect the most
relevant and best evidence and to critically appraise the evidence you gather. This process
also includes (Select all that apply.)
MULTIPLE RESPONSE
asking a clinical question.
applying the evidence.
evaluating the practice decision.
communicating your results.
searching for the best evidence
that applied to the question.
18. In a clinical environment, evidence-informed practice (EIP) has the ability to improve
which of the following? (Select all that apply.)
MULTIPLE RESPONSE
The quality of care provided
Patient outcomes
Clinician satisfaction
Patients’ perceptions
Nursing practice
19. Which of the following could be considered to be an intervention in a PICO(TS) question?
(Select all that apply.)
MULTIPLE RESPONSE
Family-centred care
Acetaminophen
Patients with breast cancer
Decreased pain scores
Culturally appropriate care
Length of hospitalization
,Test Bank - NCLEX - Chapter 02
Max attempts: unlimited
Questions
1. The patient is scheduled to go home after having coronary angioplasty. What would be the
most effective way to provide discharge teaching to this patient?
MULTIPLE CHOICE
Provide the patient with
information on health care
websites.
Provide the patient with written
information on what they have to
do.
Use a combination of verbal and
written information.
Sit and carefully explain what is
required before the patient’s
follow-up.
Direct the patient to go over all
handouts in detail on their own
and then follow up with the health
care provider if required.
2. While preparing for the patient’s discharge, the nurse uses a discharge planning checklist
and notes that the patient is concerned about going home because they have to depend
on their family for care. The nurse realizes that successful recovery at home is often based
on:
MULTIPLE CHOICE
the patient’s willingness to go
home.
the family’s perceived ability to
care for the patient.
the patient’s ability to live alone.
allowing the patient to make her
own arrangements.
3. The patient arrives in the emergency department and is complaining of severe abdominal
pain and vomiting, and is severely dehydrated. The physician prescribes intravenous (IV)
fluids for the dehydration and an IV antiemetic for the patient. However, the patient
states that they are fearful of needles and adamantly refuse to have an IV started. The
nurse explains the importance of and rationale for the prescribed treatment, but the
patient continues to refuse. What should the nurse do?
MULTIPLE CHOICE
Summon the nurse technician to
hold the patient’s arm down while
the IV is inserted.
Use a numbing medication before
inserting the IV.
, Document the patient’s refusal
and notify the physician.
Tell the patient that they will be
discharged without care unless
they comply.
Give the patient a few moments
and then have another nurse
approach them again in hopes that
the patient will change their mind.
4. An unconscious patient is admitted through the emergency department. How and when is
identification of the patient made?
MULTIPLE CHOICE
Determined only when the patient
is able
Postponed until family members
arrive
Given an anonymous name under
the “blackout” procedure
Determined before treatment is
started
5. During admission of a patient, the nurse notes that the patient speaks another language
and may have difficulty understanding English. What should the nurse do to facilitate
communication?
MULTIPLE CHOICE
Use hand gestures to explain.
Request and wait for an
interpreter.
Work with the family to gather
information.
Find a nurse who is somewhat
familiar with the patient’s
language to aid in translation.
Complete as much of the
admission assessment as possible
using simple phrases.
6. The patient has been admitted to the emergency department after being physically
abused. The patient is frightened that their attacker may find them in the hospital and try
to kill them. What should the nurse tell the patient?
MULTIPLE CHOICE
The patient is safe in the hospital,
and needs to provide their name.
The patient can be admitted to the
hospital without anyone knowing
it.
The patient’s records will be used
as evidence in the trial.
Because the patient has come to
the hospital, they have to be
examined by the doctor.
, 7. The patient is admitted to the critical care unit (CCU) after having been in a motor vehicle
accident. The patient was intubated in the emergency department and needs to receive
two units of packed red blood cells. The patient is conscious but is indicating that they are
in pain by guarding their abdomen. To admit this patient, the nurse first will focus on
MULTIPLE CHOICE
examining the patient and treating
the pain.
orienting the family to the CCU
visitation policy.
making sure that the consent
forms are signed.
informing the patient of his rights.
reviewing the hospital’s policy for
blood products and patient
consent
8. The nurse is admitting the patient to the medical unit. The patient indicates that they have
had several surgeries in the past and have had diabetes for the past 15 years. The patient
also stated that they are allergic to morphine. What does this information prompt the
nurse to do next?
MULTIPLE CHOICE
Provide the patient with an allergy
armband and document the
patient’s allergies.
Postpone routine admission
procedures immediately.
Take the patient’s glucose level and
document it in chart.
Have all family or friends leave the
room.
9. At what age is separation anxiety a common problem?
MULTIPLE CHOICE
School-aged children
Preschoolers
Middle infancy
Newborns
10. The patient is being transferred from the emergency department to another institution
for treatment. Which of the following cannot be delegated to an unregulated care
provider (UCP)?
MULTIPLE CHOICE
Helping the patient get dressed
Gathering intravenous line
equipment to go with the patient
Escorting the patient to the
transport area
Assessing the patient’s respiratory
status before transport
11. When does the plan for patient discharge from a health care facility begin?
MULTIPLE CHOICE
Max attempts: unlimited
Questions
1. Evidence-informed practice is a problem-solving approach to making decisions about
patient care that is grounded in
MULTIPLE CHOICE
the latest information found in
textbooks.
systematically conducted research
studies.
tradition in clinical practice.
quality improvement and risk-
management data
newest advances in theory and
clinical practice
2. When evidence-informed practice is used, patient care will be
MULTIPLE CHOICE
standardized for all.
unhampered by patient culture.
variable according to the situation.
efficient and effective in all ways.
safe from the hazards of critical
thinking.
3. When a PICO(TS) question is developed, the letter that corresponds with the usual
standard of care is
MULTIPLE CHOICE
P.
I.
C.
O.
T.
S.
4. A well-developed PICO(TS) question helps the nurse
MULTIPLE CHOICE
search for evidence.
include all five elements of the
sequence.
find as many articles as possible in
a literature search.
accept standard clinical routines.
include two or more elements of
the sequence.
, 5. The nurse is not sure that the procedure the patient requires is the best possible for the
situation. Using which of the following resources would be the quickest way to review
research on the topic?
MULTIPLE CHOICE
CINAHL
PubMed
MEDLINE
The Cochrane Database
EMBASE
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need.
The best source for developing this plan of care would probably be
MULTIPLE CHOICE
The Cochrane Database.
MEDLINE.
NGC.
CINAHL.
ERIC.
7. The nurse has done a literature search and found 25 possible articles on the topic that
they are studying. To determine which of those 25 best fits their inquiry, the nurse first
should look at
MULTIPLE CHOICE
the abstracts.
the purpose statement.
the literature reviews.
the “Methods” sections.
the narrative sections.
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on
the level of depression in individuals who have had a myocardial infarction. The type of
study that would best capture this information would be a
MULTIPLE CHOICE
randomized controlled trial.
qualitative study.
case–control study.
descriptive study.
cohort study.
9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients has been decreased. This is an example of what stage in the
evidence-informed practice process?
MULTIPLE CHOICE
Asking a clinical question
Applying the evidence
Evaluating the practice decision
Communicating your results
10. A systematic review explains whether the evidence that you are searching for exists and
whether there is good cause to change practice. In _____________, all entries include
information on systematic reviews.
MULTIPLE CHOICE
, CINAHL
MEDLINE
The Cochrane Database
The National Guidelines
Clearinghouse
ERIC
11. Which of the following is the gold standard for research?
MULTIPLE CHOICE
Randomized controlled trials
(RCTS)
Systematic reviews
Case–control studies
Cohort studies
Quasi-experimental studies
Descriptive studies
12. The researcher explains how to apply findings in a practice setting for the types of
participants studied in the _________________ section of a research article.
MULTIPLE CHOICE
Abstract
Introduction
Methods
Literature review
Results
13. Which of the following is the extent to which a study’s findings are valid, reliable, and
relevant to your patient population of interest?
MULTIPLE CHOICE
Scientific rigour
Ethics
Peer review
Knowledge translation
Author reliability
14. Which is the intervention in the following PICO(TS) question: “In children with asthma,
does humidified oxygen decrease the frequency of prn salbutamol when compared with
regular oxygen?”
MULTIPLE CHOICE
Asthma
Humidified oxygen
Regular oxygen
Salbutamol
Frequency of prn
15. Which is the outcome in the following PICO(TS) question: “Does family-centred care
decrease the rate of hospital readmissions in patients who have suffered from a
myocardial infarction, compared with standard discharge practices?”
MULTIPLE CHOICE
Family-centred care
Patients who have suffered from a
myocardial infarction
Rate of hospital readmissions
, Standard discharge practices
16. A group of nurses implements a falls risk assessment protocol to decrease the number of
falls on the inpatient unit. They met 2 months after the implementation to discuss the
impact this protocol had. This is an example of what part of the Knowledge-to-Action
Framework?
MULTIPLE CHOICE
Adapting knowledge to local
content
Monitoring knowledge use
Evaluating the outcomes
Selecting, tailoring, and
implementing interventions
17. To use evidence-informed practice (EIP) appropriately, you need to collect the most
relevant and best evidence and to critically appraise the evidence you gather. This process
also includes (Select all that apply.)
MULTIPLE RESPONSE
asking a clinical question.
applying the evidence.
evaluating the practice decision.
communicating your results.
searching for the best evidence
that applied to the question.
18. In a clinical environment, evidence-informed practice (EIP) has the ability to improve
which of the following? (Select all that apply.)
MULTIPLE RESPONSE
The quality of care provided
Patient outcomes
Clinician satisfaction
Patients’ perceptions
Nursing practice
19. Which of the following could be considered to be an intervention in a PICO(TS) question?
(Select all that apply.)
MULTIPLE RESPONSE
Family-centred care
Acetaminophen
Patients with breast cancer
Decreased pain scores
Culturally appropriate care
Length of hospitalization
,Test Bank - NCLEX - Chapter 02
Max attempts: unlimited
Questions
1. The patient is scheduled to go home after having coronary angioplasty. What would be the
most effective way to provide discharge teaching to this patient?
MULTIPLE CHOICE
Provide the patient with
information on health care
websites.
Provide the patient with written
information on what they have to
do.
Use a combination of verbal and
written information.
Sit and carefully explain what is
required before the patient’s
follow-up.
Direct the patient to go over all
handouts in detail on their own
and then follow up with the health
care provider if required.
2. While preparing for the patient’s discharge, the nurse uses a discharge planning checklist
and notes that the patient is concerned about going home because they have to depend
on their family for care. The nurse realizes that successful recovery at home is often based
on:
MULTIPLE CHOICE
the patient’s willingness to go
home.
the family’s perceived ability to
care for the patient.
the patient’s ability to live alone.
allowing the patient to make her
own arrangements.
3. The patient arrives in the emergency department and is complaining of severe abdominal
pain and vomiting, and is severely dehydrated. The physician prescribes intravenous (IV)
fluids for the dehydration and an IV antiemetic for the patient. However, the patient
states that they are fearful of needles and adamantly refuse to have an IV started. The
nurse explains the importance of and rationale for the prescribed treatment, but the
patient continues to refuse. What should the nurse do?
MULTIPLE CHOICE
Summon the nurse technician to
hold the patient’s arm down while
the IV is inserted.
Use a numbing medication before
inserting the IV.
, Document the patient’s refusal
and notify the physician.
Tell the patient that they will be
discharged without care unless
they comply.
Give the patient a few moments
and then have another nurse
approach them again in hopes that
the patient will change their mind.
4. An unconscious patient is admitted through the emergency department. How and when is
identification of the patient made?
MULTIPLE CHOICE
Determined only when the patient
is able
Postponed until family members
arrive
Given an anonymous name under
the “blackout” procedure
Determined before treatment is
started
5. During admission of a patient, the nurse notes that the patient speaks another language
and may have difficulty understanding English. What should the nurse do to facilitate
communication?
MULTIPLE CHOICE
Use hand gestures to explain.
Request and wait for an
interpreter.
Work with the family to gather
information.
Find a nurse who is somewhat
familiar with the patient’s
language to aid in translation.
Complete as much of the
admission assessment as possible
using simple phrases.
6. The patient has been admitted to the emergency department after being physically
abused. The patient is frightened that their attacker may find them in the hospital and try
to kill them. What should the nurse tell the patient?
MULTIPLE CHOICE
The patient is safe in the hospital,
and needs to provide their name.
The patient can be admitted to the
hospital without anyone knowing
it.
The patient’s records will be used
as evidence in the trial.
Because the patient has come to
the hospital, they have to be
examined by the doctor.
, 7. The patient is admitted to the critical care unit (CCU) after having been in a motor vehicle
accident. The patient was intubated in the emergency department and needs to receive
two units of packed red blood cells. The patient is conscious but is indicating that they are
in pain by guarding their abdomen. To admit this patient, the nurse first will focus on
MULTIPLE CHOICE
examining the patient and treating
the pain.
orienting the family to the CCU
visitation policy.
making sure that the consent
forms are signed.
informing the patient of his rights.
reviewing the hospital’s policy for
blood products and patient
consent
8. The nurse is admitting the patient to the medical unit. The patient indicates that they have
had several surgeries in the past and have had diabetes for the past 15 years. The patient
also stated that they are allergic to morphine. What does this information prompt the
nurse to do next?
MULTIPLE CHOICE
Provide the patient with an allergy
armband and document the
patient’s allergies.
Postpone routine admission
procedures immediately.
Take the patient’s glucose level and
document it in chart.
Have all family or friends leave the
room.
9. At what age is separation anxiety a common problem?
MULTIPLE CHOICE
School-aged children
Preschoolers
Middle infancy
Newborns
10. The patient is being transferred from the emergency department to another institution
for treatment. Which of the following cannot be delegated to an unregulated care
provider (UCP)?
MULTIPLE CHOICE
Helping the patient get dressed
Gathering intravenous line
equipment to go with the patient
Escorting the patient to the
transport area
Assessing the patient’s respiratory
status before transport
11. When does the plan for patient discharge from a health care facility begin?
MULTIPLE CHOICE
