,Table Of Content Q Q
Chapter 1. Using Evidence in Nursing Practice C
Q Q Q Q Q Q Q
hapter 2. Communication and Collaboration C
Q Q Q Q Q
hapter 3. Admitting, Transfer, and Discharge Ch
Q Q Q Q Q Q
apter 4. Documentation and Informatics Chapt
Q Q Q Q Q
er 5. Vital Signs
Q Q Q
Chapter 6. Health Assessment Q Q Q Q
Chapter 7. Specimen Q Q
Collection Chapter 8. Diagnost Q Q Q
ic Procedures Chapter
Q Q
9. Medical Asepsis Chapter Q Q
10. Sterile Technique Q
Chapter 11. Safe Patient Handling and Mobility (SPHM) C
Q Q Q Q Q Q Q Q
hapter 12. Exercise and Mobility
Q Q Q Q
Chapter 13. Support Surfaces and Special Beds C
Q Q Q Q Q Q Q
hapter 14. Patient Safety Q Q Q
Chapter 15. Disaster Preparedness Ch
Q Q Q Q
apter 16. Pain Management Chapte
Q Q Q Q
r 17. End-of-Life Care
Q Q Q
Chapter 18. Personal Hygiene and Bed Making
Q Q Q Q Q Q
QChapter 19. Care of the Eye and Ear Chapt
Q Q Q Q Q Q Q Q
er 20. Safe Medication Preparation Chapter 21
Q Q Q Q Q Q
. Nonparenteral
Q
Medications Chapter 22. Parenteral Q Q Q
Medications Chapter 23. Oxygen
Q Q Q Q Q
Therapy
Chapter 24. Performing Chest Physiotherapy
Q Q Q Q
Chapter 25. Airway Management
Q Q Q Q
Chapter 26. Cardiac Care Q Q Q
Chapter 27. Closed Chest Drainage Systems C
Q Q Q Q Q Q
hapter 28. Emergency Measures for Life Support
Q Q Q Q Q Q
Chapter 29. Intravenous and Vascular Access Therapy Cha
Q Q Q Q Q Q Q
pter 30. Blood Therapy
Q Q Q
Chapter 31. Oral Nutrition Ch Q Q Q Q
apter 32. Enteral Nutrition Ch
Q Q Q Q
apter 33. Parenteral Nutrition
Q Q Q Q
Chapter 34. Urinary Eliminatio Q Q Q
n
Chapter 35. Bowel Elimination and Gastric Intubation Cha
Q Q Q Q Q Q Q
pter 36. Ostomy Care
Q Q Q
Chapter 37. Preoperative and Postoperative Care
Q Q Q Q Q
Chapter 38. Intraoperative Care
Q Q Q Q
Chapter 39. Wound Care and Irrigations
Q Q Q Q Q
Chapter 40. Impaired Skin Integrity Prevention and Care
Q Q Q Q Q Q Q
QChapter 41. Dressings, Bandages, and Binders Chapt
Q Q Q Q Q Q
er 42. Home Care Safety
Q Q Q Q
Chapter 43. Home Care Teachin Q Q Q Q
g
,Chapter 01: Using Evidence in Nursing Practice
Q Q Q Q Q Q
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
Q Q Q Q Q Q Q Q Q
MULTIPLE CHOICE Q
1. Evidence-based practice is a problem- Q Q Q Q
solving approach to making decisions about patient care that is grounded in:
Q Q Q Q Q Q Q Q Q Q Q
a. the latest information found in textbooks.
Q Q Q Q Q
b. systematically conducted research studies. Q Q Q
c. tradition in clinical practice. Q Q Q
d. quality improvement and risk-management data. Q Q Q Q
ANSWER: iiB Q
The best evidence comes from well-
Q Q Q Q Q
designed, systematically conducted research studies described in scientific journals. Porti
Q Q Q Q Q Q Q Q Q
ons of a textbook often become outdated by the time it is published. Many health care se
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ttings do not have a process to help staff adopt new evidence in practice, and nurses in p
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ractice settings lack easy access to risk-
Q Q Q Q Q Q
Qmanagement data, relying instead on tradition or convenience. Some sources of evidence
Q Q Q Q Q Q Q Q Q Q Q
do not originate from research. These include quality improvement and risk-
Q Q Q Q Q Q Q Q Q Q
management data; infection control data; retrospective or concurrent chart reviews; and c
Q Q Q Q Q Q Q Q Q Q Q
linicians‘ expertise. Although Q Q
non–research-
based evidence is often very valuable, it is important that you learn to rely more on resear
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ch-based evidence. Q
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence- Q Q Q Q Q Q
based practice. TOP:Q Evidence- Q
Based Practice KEY: Nursing Process Step: Assessment MSC:
Q Q Q Q Q Q Q
NCLEX: Safe and Effective Care Environment (management of care) Q Q Q Q Q Q Q Q
2. When evidence-based practice is used, patient care will be:
Q Q Q Q Q Q Q Q
a. standardized for all. Q Q
b. unhampered by patient culture. Q Q Q
c. variable according to the situation. Q Q Q Q
d. safe from the hazards of critical thinking.
Q Q Q Q Q Q
ANSWER: iiC Q
Using your clinical expertise and considering patients‘ cultures, values, and preference
Q Q Q Q Q Q Q Q Q Q
s ensures that you will apply available evidence in practice ethically and appropriately. E
Q Q Q Q Q Q Q Q Q Q Q Q Q
ven when you use the best evidence available, application and outcomes will differ; a
Q Q Q Q Q Q Q Q Q Q Q Q Q
s a nurse, you will develop critical thinking skills to determine whether evidence is re
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
levant and appropriate. Q Q
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence- Q Q Q Q Q Q
based practice. TOP:Q Evidence- Q
Based Practice KEY: Nursing Process Step: Assessment MSC:
Q Q Q Q Q Q Q
NCLEX: Safe and Effective Care Environment (management of care) Q Q Q Q Q Q Q Q
3. When a PICOT question is developed, the letter that corresponds with the usual st
Q Q Q Q Q Q Q Q Q Q Q Q Q
andard of care is: Q Q Q
a. P.
b. I.
c.
, c. CHOICE BLANK Q
d. O.
ANSWER: iiC Q
C = Comparison of interest. What standard of care or current intervention do you usually
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
use now in practice?
Q Q Q
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease,
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
or health problem.
Q Q
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognosti
Q Q Q Q Q Q Q Q Q Q Q Q
c factor) do you think is worthwhile to use in practice?
Q Q Q Q Q Q Q Q Q Q
O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
in patient‘s perception) do you wish to achieve or observe as the result of an interventi
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
on?
DIF:CognitiveLevel: Knowledge Q
OBJ: Develop a PICO question. TOP: PICO Q Q Q Q Q
KEY: Nursing Process Step: Implementation Q Q Q Q
MSC: NCLEX: Safe and Effective Care Environment (management of care) Q Q Q Q Q Q Q Q
4. A well-developed PICOT question helps the nurse:
Q Q Q Q Q Q
a. search for evidence. Q Q
b. include all five elements of the sequence. Q Q Q Q Q Q
c. find as many articles as possible in a literature search.
Q Q Q Q Q Q Q Q Q
d. accept standard clinical routines. Q Q Q
ANSWER: iiA Q
The more focused a question that you ask is, the easier it is to search for evidence in t
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
he scientific literature. A well-
Q Q Q Q
designed PICOT question does not have to include all five elements, nor does it have t
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
o follow the PICOT sequence. Do not be satisfied
Q Q Q Q Q Q Q Q
with clinical routines. Always question and use critical thinking to consider better ways to provid
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
e patient care.
Q Q
DIF: CognitiveLevel: Analysis
Q OBJ: Describe the six steps of evidence- Q Q Q Q Q Q Q
based practice. TOP: Evidence-
Q Q Q
Based Practice KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Eff
Q Q Q Q Q Q Q Q Q Q Q Q
ective Care Environment (management of care)
Q Q Q Q Q
5. The nurse is not sure that the procedure the patient requires is the best possible
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
for the situation. Utilizing which of the following resources would be the quickest w
Q Q Q Q Q Q Q Q Q Q Q Q Q
ay to review research on the topic?
Q Q Q Q Q Q
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database Q Q
ANSWER: iiD Q
The Cochrane Community Database of Systematic Reviews is a valuable source of sy
Q Q Q Q Q Q Q Q Q Q Q Q
nthesized evidence (i.e., pre- Q Q Q
appraised evidence). The Cochrane Database includes the full text of regularly updated
Q Q Q Q Q Q Q Q Q Q Q Q
systematic reviews and protocols for reviews currently happening. MEDLINE, CINA
Q Q Q Q Q Q Q Q Q
HL, and PubMed are among the most comprehensive databases and represent the scie
Q Q Q Q Q Q Q Q Q Q Q Q
ntific knowledge base of health care.
Q Q Q Q Q
DIF: CognitiveLevel: Synthesis
Q OBJ: Describe the six steps of evidence- Q Q Q Q Q Q Q
based practice. TOP: Evidence-
Q Q Q
Based Practice KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Eff
Q Q Q Q Q Q Q Q Q Q Q
ective Care Environment (management of care)
Q Q Q Q Q
Chapter 1. Using Evidence in Nursing Practice C
Q Q Q Q Q Q Q
hapter 2. Communication and Collaboration C
Q Q Q Q Q
hapter 3. Admitting, Transfer, and Discharge Ch
Q Q Q Q Q Q
apter 4. Documentation and Informatics Chapt
Q Q Q Q Q
er 5. Vital Signs
Q Q Q
Chapter 6. Health Assessment Q Q Q Q
Chapter 7. Specimen Q Q
Collection Chapter 8. Diagnost Q Q Q
ic Procedures Chapter
Q Q
9. Medical Asepsis Chapter Q Q
10. Sterile Technique Q
Chapter 11. Safe Patient Handling and Mobility (SPHM) C
Q Q Q Q Q Q Q Q
hapter 12. Exercise and Mobility
Q Q Q Q
Chapter 13. Support Surfaces and Special Beds C
Q Q Q Q Q Q Q
hapter 14. Patient Safety Q Q Q
Chapter 15. Disaster Preparedness Ch
Q Q Q Q
apter 16. Pain Management Chapte
Q Q Q Q
r 17. End-of-Life Care
Q Q Q
Chapter 18. Personal Hygiene and Bed Making
Q Q Q Q Q Q
QChapter 19. Care of the Eye and Ear Chapt
Q Q Q Q Q Q Q Q
er 20. Safe Medication Preparation Chapter 21
Q Q Q Q Q Q
. Nonparenteral
Q
Medications Chapter 22. Parenteral Q Q Q
Medications Chapter 23. Oxygen
Q Q Q Q Q
Therapy
Chapter 24. Performing Chest Physiotherapy
Q Q Q Q
Chapter 25. Airway Management
Q Q Q Q
Chapter 26. Cardiac Care Q Q Q
Chapter 27. Closed Chest Drainage Systems C
Q Q Q Q Q Q
hapter 28. Emergency Measures for Life Support
Q Q Q Q Q Q
Chapter 29. Intravenous and Vascular Access Therapy Cha
Q Q Q Q Q Q Q
pter 30. Blood Therapy
Q Q Q
Chapter 31. Oral Nutrition Ch Q Q Q Q
apter 32. Enteral Nutrition Ch
Q Q Q Q
apter 33. Parenteral Nutrition
Q Q Q Q
Chapter 34. Urinary Eliminatio Q Q Q
n
Chapter 35. Bowel Elimination and Gastric Intubation Cha
Q Q Q Q Q Q Q
pter 36. Ostomy Care
Q Q Q
Chapter 37. Preoperative and Postoperative Care
Q Q Q Q Q
Chapter 38. Intraoperative Care
Q Q Q Q
Chapter 39. Wound Care and Irrigations
Q Q Q Q Q
Chapter 40. Impaired Skin Integrity Prevention and Care
Q Q Q Q Q Q Q
QChapter 41. Dressings, Bandages, and Binders Chapt
Q Q Q Q Q Q
er 42. Home Care Safety
Q Q Q Q
Chapter 43. Home Care Teachin Q Q Q Q
g
,Chapter 01: Using Evidence in Nursing Practice
Q Q Q Q Q Q
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
Q Q Q Q Q Q Q Q Q
MULTIPLE CHOICE Q
1. Evidence-based practice is a problem- Q Q Q Q
solving approach to making decisions about patient care that is grounded in:
Q Q Q Q Q Q Q Q Q Q Q
a. the latest information found in textbooks.
Q Q Q Q Q
b. systematically conducted research studies. Q Q Q
c. tradition in clinical practice. Q Q Q
d. quality improvement and risk-management data. Q Q Q Q
ANSWER: iiB Q
The best evidence comes from well-
Q Q Q Q Q
designed, systematically conducted research studies described in scientific journals. Porti
Q Q Q Q Q Q Q Q Q
ons of a textbook often become outdated by the time it is published. Many health care se
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ttings do not have a process to help staff adopt new evidence in practice, and nurses in p
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ractice settings lack easy access to risk-
Q Q Q Q Q Q
Qmanagement data, relying instead on tradition or convenience. Some sources of evidence
Q Q Q Q Q Q Q Q Q Q Q
do not originate from research. These include quality improvement and risk-
Q Q Q Q Q Q Q Q Q Q
management data; infection control data; retrospective or concurrent chart reviews; and c
Q Q Q Q Q Q Q Q Q Q Q
linicians‘ expertise. Although Q Q
non–research-
based evidence is often very valuable, it is important that you learn to rely more on resear
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
ch-based evidence. Q
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence- Q Q Q Q Q Q
based practice. TOP:Q Evidence- Q
Based Practice KEY: Nursing Process Step: Assessment MSC:
Q Q Q Q Q Q Q
NCLEX: Safe and Effective Care Environment (management of care) Q Q Q Q Q Q Q Q
2. When evidence-based practice is used, patient care will be:
Q Q Q Q Q Q Q Q
a. standardized for all. Q Q
b. unhampered by patient culture. Q Q Q
c. variable according to the situation. Q Q Q Q
d. safe from the hazards of critical thinking.
Q Q Q Q Q Q
ANSWER: iiC Q
Using your clinical expertise and considering patients‘ cultures, values, and preference
Q Q Q Q Q Q Q Q Q Q
s ensures that you will apply available evidence in practice ethically and appropriately. E
Q Q Q Q Q Q Q Q Q Q Q Q Q
ven when you use the best evidence available, application and outcomes will differ; a
Q Q Q Q Q Q Q Q Q Q Q Q Q
s a nurse, you will develop critical thinking skills to determine whether evidence is re
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
levant and appropriate. Q Q
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence- Q Q Q Q Q Q
based practice. TOP:Q Evidence- Q
Based Practice KEY: Nursing Process Step: Assessment MSC:
Q Q Q Q Q Q Q
NCLEX: Safe and Effective Care Environment (management of care) Q Q Q Q Q Q Q Q
3. When a PICOT question is developed, the letter that corresponds with the usual st
Q Q Q Q Q Q Q Q Q Q Q Q Q
andard of care is: Q Q Q
a. P.
b. I.
c.
, c. CHOICE BLANK Q
d. O.
ANSWER: iiC Q
C = Comparison of interest. What standard of care or current intervention do you usually
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
use now in practice?
Q Q Q
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease,
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
or health problem.
Q Q
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognosti
Q Q Q Q Q Q Q Q Q Q Q Q
c factor) do you think is worthwhile to use in practice?
Q Q Q Q Q Q Q Q Q Q
O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
in patient‘s perception) do you wish to achieve or observe as the result of an interventi
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
on?
DIF:CognitiveLevel: Knowledge Q
OBJ: Develop a PICO question. TOP: PICO Q Q Q Q Q
KEY: Nursing Process Step: Implementation Q Q Q Q
MSC: NCLEX: Safe and Effective Care Environment (management of care) Q Q Q Q Q Q Q Q
4. A well-developed PICOT question helps the nurse:
Q Q Q Q Q Q
a. search for evidence. Q Q
b. include all five elements of the sequence. Q Q Q Q Q Q
c. find as many articles as possible in a literature search.
Q Q Q Q Q Q Q Q Q
d. accept standard clinical routines. Q Q Q
ANSWER: iiA Q
The more focused a question that you ask is, the easier it is to search for evidence in t
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
he scientific literature. A well-
Q Q Q Q
designed PICOT question does not have to include all five elements, nor does it have t
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
o follow the PICOT sequence. Do not be satisfied
Q Q Q Q Q Q Q Q
with clinical routines. Always question and use critical thinking to consider better ways to provid
Q Q Q Q Q Q Q Q Q Q Q Q Q Q
e patient care.
Q Q
DIF: CognitiveLevel: Analysis
Q OBJ: Describe the six steps of evidence- Q Q Q Q Q Q Q
based practice. TOP: Evidence-
Q Q Q
Based Practice KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Eff
Q Q Q Q Q Q Q Q Q Q Q Q
ective Care Environment (management of care)
Q Q Q Q Q
5. The nurse is not sure that the procedure the patient requires is the best possible
Q Q Q Q Q Q Q Q Q Q Q Q Q Q Q
for the situation. Utilizing which of the following resources would be the quickest w
Q Q Q Q Q Q Q Q Q Q Q Q Q
ay to review research on the topic?
Q Q Q Q Q Q
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database Q Q
ANSWER: iiD Q
The Cochrane Community Database of Systematic Reviews is a valuable source of sy
Q Q Q Q Q Q Q Q Q Q Q Q
nthesized evidence (i.e., pre- Q Q Q
appraised evidence). The Cochrane Database includes the full text of regularly updated
Q Q Q Q Q Q Q Q Q Q Q Q
systematic reviews and protocols for reviews currently happening. MEDLINE, CINA
Q Q Q Q Q Q Q Q Q
HL, and PubMed are among the most comprehensive databases and represent the scie
Q Q Q Q Q Q Q Q Q Q Q Q
ntific knowledge base of health care.
Q Q Q Q Q
DIF: CognitiveLevel: Synthesis
Q OBJ: Describe the six steps of evidence- Q Q Q Q Q Q Q
based practice. TOP: Evidence-
Q Q Q
Based Practice KEY: Nursing Process Step: Implementation MSC: NCLEX: Safe and Eff
Q Q Q Q Q Q Q Q Q Q Q
ective Care Environment (management of care)
Q Q Q Q Q
