, Chapter 1: Using Evidence in Nursing Practice
u 5 u 5 u 5 u 5 u 5 u 5
MULTIPLE u 5 CHOICE
1. Evidence-based practice is a problem- u 5 u 5 u 5 u 5
solving approach to making decisions about patient care that is grounded in:
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
a. the latest information found in textbooks.
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b. systematically conducted research studies. u5 u5 u5
c. tradition in clinical practice. fcu 5 u 5 u 5
d. quality improvement and risk management data.
u5 u 5 u 5 u 5 u 5
ACCURATE ANSWER: B u5 u 5
2. When evidence-based practice is used, patient care will be:
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a. standardized for all. u5 u 5
b. unhampered by patient culture. u 5 u 5 u 5
c. variable according to the situation. u 5 u 5 u 5 u 5
d. safe from the hazards of critical thinking.
u 5 u 5 u 5 u 5 u 5 u 5
ACCURATE ANSWER: C u5 u 5
3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
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a. P.
b. I.
c. C.
d. O.
ACCURATE ANSWER: C u5 u 5
4. A well-developed PICOT question helps the nurse:
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a. search for evidence. u 5 u 5
b. include all five elements of the sequence.
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,c. find as many articles as possible in a literature search.
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d. accept standard clinical routines.
u 5 u5 u 5
ACCURATE ANSWER: A u5 u5
5. The nurse is not sure that the procedure the patient requires is the best possible for the situ
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atio
n. Utilizing which of the following resources would be the quickest way to review research
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on the topi c?
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a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochraneLibrary u
ACCURATE ANSWER: D
5 u5 u5
6. The nurse is getting ready to develop a plan of care for a patient who has
u 5 u 5 u 5 u5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u
a specific need. Th e best
5 u 5 source for developing this plan
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care would probably be:
a. The Cochrane Library.
u 5 u 5
b. MEDLINE.
c. NGC.
d. CINAHL. ACCUR u5 u
5 ATE ANSWER: C u5 u5
7. The nurse has done a literature search and found 25 possible articles on the topic that she i
u 5 u5 u 5 u 5 u5 u5 u5 fc u 5 u5 u 5 u 5 u5 u5 u 5 u 5 u 5
s stud ying. To determine which of those 25 best fit her inquiry, the nurse firs
u5 u 5
t should look at:
a. theu 5 abstracts.
b. literature reviews. u5
c. the Methods sections.
u 5 u 5
d. the narrative sections.
u 5 u 5
ACCURATE ANSWER: A u5 u5
, 8. The nurse wants to determine the effects of cardiac rehabilitation program atten
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
dance on the lev el of post- u 5 u5 u 5 u5 u5 u5
myocardial depression for individuals who have had a myocardial infarction. The type of study that
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w
o uld best capture this information would be a:
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a. randomized controlled trial. u5 u5
b. qualitative study. u5
c. case control study.u 5 u 5
d. descriptive study. u5
ACCURATE ANSWER: B u5 u 5
9. Six months after an early mobility protocol was implemented, the incidence of deep
u 5 u 5 u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
u vein th rombo si s in patients
5 u5 was decreased.
u5 This is an example of
u5 u5 u 5
what stage in the E BP process? u 5 u5 u 5
a. Asking a clinical question u 5 u 5 u 5
b. Applying the evidence u 5 u 5
c. Evaluating the practice decision u5 u 5 u 5
d. Communicatingyourresults u5
ACCURATE ANSWER: C u5 u5
MULTIPLE u 5 RESPONSE
1. To use evidence-
u 5 u 5
based practice appropriately, you need to collect the most relevant and best evidence
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and to critical l y
5 u appraise the
5 evidence you gather. This process
u5 also u5 u5 u 5
includes: (Select a
ll that apply.)
a. asking a clinical question. u 5 u 5 u 5
b. applying the evidence. u 5 u 5
c. evaluating the practice decision. u5 u 5 u 5
d. communicating your results. fc u5
ACCURATE ANSWER: A, B, C, D u5 u 5 u 5 u 5 u 5
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u5 u5 u 5 u 5 u 5 u 5
u 5 u 5 u 5 u 5 u 5 u 5
MULTIPLE u 5 CHOICE
1. Evidence-based practice is a problem- u 5 u 5 u 5 u 5
solving approach to making decisions about patient care that is grounded in:
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
a. the latest information found in textbooks.
u 5 u 5 u 5 u 5 u 5
b. systematically conducted research studies. u5 u5 u5
c. tradition in clinical practice. fcu 5 u 5 u 5
d. quality improvement and risk management data.
u5 u 5 u 5 u 5 u 5
ACCURATE ANSWER: B u5 u 5
2. When evidence-based practice is used, patient care will be:
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
a. standardized for all. u5 u 5
b. unhampered by patient culture. u 5 u 5 u 5
c. variable according to the situation. u 5 u 5 u 5 u 5
d. safe from the hazards of critical thinking.
u 5 u 5 u 5 u 5 u 5 u 5
ACCURATE ANSWER: C u5 u 5
3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
a. P.
b. I.
c. C.
d. O.
ACCURATE ANSWER: C u5 u 5
4. A well-developed PICOT question helps the nurse:
u 5 u 5 u 5 u 5 u 5 u 5
a. search for evidence. u 5 u 5
b. include all five elements of the sequence.
u 5 u 5 u 5 u 5 u 5 u 5
,c. find as many articles as possible in a literature search.
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
d. accept standard clinical routines.
u 5 u5 u 5
ACCURATE ANSWER: A u5 u5
5. The nurse is not sure that the procedure the patient requires is the best possible for the situ
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
atio
n. Utilizing which of the following resources would be the quickest way to review research
u 5 u5 u 5 u5 u5 u5 u 5 u5 u5 u 5 u 5 u5 u5 u5 u 5
on the topi c?
u5 u5 u5
a. CINAHL
b. PubMed
c. MEDLINE
d. TheCochraneLibrary u
ACCURATE ANSWER: D
5 u5 u5
6. The nurse is getting ready to develop a plan of care for a patient who has
u 5 u 5 u 5 u5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u
a specific need. Th e best
5 u 5 source for developing this plan
u5 of u 5 u5 u5
care would probably be:
a. The Cochrane Library.
u 5 u 5
b. MEDLINE.
c. NGC.
d. CINAHL. ACCUR u5 u
5 ATE ANSWER: C u5 u5
7. The nurse has done a literature search and found 25 possible articles on the topic that she i
u 5 u5 u 5 u 5 u5 u5 u5 fc u 5 u5 u 5 u 5 u5 u5 u 5 u 5 u 5
s stud ying. To determine which of those 25 best fit her inquiry, the nurse firs
u5 u 5
t should look at:
a. theu 5 abstracts.
b. literature reviews. u5
c. the Methods sections.
u 5 u 5
d. the narrative sections.
u 5 u 5
ACCURATE ANSWER: A u5 u5
, 8. The nurse wants to determine the effects of cardiac rehabilitation program atten
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
dance on the lev el of post- u 5 u5 u 5 u5 u5 u5
myocardial depression for individuals who have had a myocardial infarction. The type of study that
u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5 u5
w
o uld best capture this information would be a:
u5 u5 u5 u5 u5 u5 u5 u5 u5
a. randomized controlled trial. u5 u5
b. qualitative study. u5
c. case control study.u 5 u 5
d. descriptive study. u5
ACCURATE ANSWER: B u5 u 5
9. Six months after an early mobility protocol was implemented, the incidence of deep
u 5 u 5 u 5 u 5 u5 u 5 u 5 u 5 u 5 u 5 u 5 u 5
u vein th rombo si s in patients
5 u5 was decreased.
u5 This is an example of
u5 u5 u 5
what stage in the E BP process? u 5 u5 u 5
a. Asking a clinical question u 5 u 5 u 5
b. Applying the evidence u 5 u 5
c. Evaluating the practice decision u5 u 5 u 5
d. Communicatingyourresults u5
ACCURATE ANSWER: C u5 u5
MULTIPLE u 5 RESPONSE
1. To use evidence-
u 5 u 5
based practice appropriately, you need to collect the most relevant and best evidence
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u
and to critical l y
5 u appraise the
5 evidence you gather. This process
u5 also u5 u5 u 5
includes: (Select a
ll that apply.)
a. asking a clinical question. u 5 u 5 u 5
b. applying the evidence. u 5 u 5
c. evaluating the practice decision. u5 u 5 u 5
d. communicating your results. fc u5
ACCURATE ANSWER: A, B, C, D u5 u 5 u 5 u 5 u 5
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
u 5 u 5 u 5 u 5 u 5 u 5 u 5 u 5 u5 u5 u 5 u 5 u 5 u 5
