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