NSG 311 — Evidence-Based Nursing Practice
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1. Which statement best describes evidence-based nursing practice?
A. Following traditional nursing routines without modification
B. Using only research findings to make clinical decisions
C. Integrating the best available evidence with clinical expertise and
patient preferences
D. Applying physician-directed treatment plans without question
Rationale: Evidence-based nursing practice combines the best
available research evidence with the nurse’s clinical expertise and the
patient’s values, preferences, and circumstances. It is not limited to
research findings alone.
2. What is the primary purpose of evidence-based practice in
nursing?
,A. To eliminate the need for clinical judgment
B. To reduce the autonomy of nurses
C. To improve patient outcomes and the quality and safety of care
D. To ensure that all patients receive identical treatment
Rationale: Evidence-based practice is intended to improve the
effectiveness, safety, quality, and efficiency of patient care. Clinical
judgment remains essential because individual patients may respond
differently to interventions.
3. Which component is essential when applying evidence-based
practice to an individual patient?
A. Hospital tradition
B. Nurse preference
C. Patient preferences and values
D. Insurance requirements
Rationale: Patient preferences and values are one of the central
components of evidence-based practice. The best research evidence
must be considered alongside the patient’s needs, beliefs, goals, and
circumstances.
4. Which step should the nurse perform first when beginning an
evidence-based practice project?
,A. Implement the intervention
B. Search databases
C. Evaluate the results
D. Identify a clinical problem or question
Rationale: The evidence-based practice process begins by identifying a
clinical problem or uncertainty and developing a focused question.
This provides direction for the subsequent literature search.
5. Which framework is commonly used to formulate focused clinical
questions in evidence-based nursing?
A. SOAP
B. ABCD
C. PICO
D. SBAR
Rationale: PICO stands for Population/Patient/Problem, Intervention,
Comparison, and Outcome. It helps nurses develop focused,
searchable clinical questions.
6. In a PICO question, what does the letter “P” represent?
A. Procedure
B. Probability
, C. Population, patient, or problem
D. Prognosis
Rationale: The “P” in PICO identifies the patient population, patient
condition, or clinical problem being investigated.
7. In a PICO question, what does the “I” represent?
A. Incidence
B. Intervention or exposure of interest
C. Investigation
D. Interpretation
Rationale: The “I” identifies the intervention, treatment, diagnostic
procedure, exposure, or other approach being evaluated.
8. In a PICO question, what does the “C” represent?
A. Clinical judgment
B. Condition
C. Comparison intervention or control
D. Clinical outcome
Rationale: The “C” represents the intervention or condition against
which the primary intervention is compared. It may be usual care,
placebo, another treatment, or no intervention.
9. In a PICO question, what does the “O” represent?
exam Questions and Correct Answers (Verified
Answers) Plus Rationale 2027 Q&A| Instant
Download Pdf
1. Which statement best describes evidence-based nursing practice?
A. Following traditional nursing routines without modification
B. Using only research findings to make clinical decisions
C. Integrating the best available evidence with clinical expertise and
patient preferences
D. Applying physician-directed treatment plans without question
Rationale: Evidence-based nursing practice combines the best
available research evidence with the nurse’s clinical expertise and the
patient’s values, preferences, and circumstances. It is not limited to
research findings alone.
2. What is the primary purpose of evidence-based practice in
nursing?
,A. To eliminate the need for clinical judgment
B. To reduce the autonomy of nurses
C. To improve patient outcomes and the quality and safety of care
D. To ensure that all patients receive identical treatment
Rationale: Evidence-based practice is intended to improve the
effectiveness, safety, quality, and efficiency of patient care. Clinical
judgment remains essential because individual patients may respond
differently to interventions.
3. Which component is essential when applying evidence-based
practice to an individual patient?
A. Hospital tradition
B. Nurse preference
C. Patient preferences and values
D. Insurance requirements
Rationale: Patient preferences and values are one of the central
components of evidence-based practice. The best research evidence
must be considered alongside the patient’s needs, beliefs, goals, and
circumstances.
4. Which step should the nurse perform first when beginning an
evidence-based practice project?
,A. Implement the intervention
B. Search databases
C. Evaluate the results
D. Identify a clinical problem or question
Rationale: The evidence-based practice process begins by identifying a
clinical problem or uncertainty and developing a focused question.
This provides direction for the subsequent literature search.
5. Which framework is commonly used to formulate focused clinical
questions in evidence-based nursing?
A. SOAP
B. ABCD
C. PICO
D. SBAR
Rationale: PICO stands for Population/Patient/Problem, Intervention,
Comparison, and Outcome. It helps nurses develop focused,
searchable clinical questions.
6. In a PICO question, what does the letter “P” represent?
A. Procedure
B. Probability
, C. Population, patient, or problem
D. Prognosis
Rationale: The “P” in PICO identifies the patient population, patient
condition, or clinical problem being investigated.
7. In a PICO question, what does the “I” represent?
A. Incidence
B. Intervention or exposure of interest
C. Investigation
D. Interpretation
Rationale: The “I” identifies the intervention, treatment, diagnostic
procedure, exposure, or other approach being evaluated.
8. In a PICO question, what does the “C” represent?
A. Clinical judgment
B. Condition
C. Comparison intervention or control
D. Clinical outcome
Rationale: The “C” represents the intervention or condition against
which the primary intervention is compared. It may be usual care,
placebo, another treatment, or no intervention.
9. In a PICO question, what does the “O” represent?