EVIDENCE BASED PRACTICE IN NURSING AND
HEALTHCARE 4TH EDITION BY MELNYK TEST
BANK ALL CHAPTERS ACTUAL REAL EXAM 2025-
2026 WITH CORRECT AND VERIFIED ANSWERS|
GRADED A+!!!.
4TH EDITION
,
,1. In the hospital where Nurse L. provides care, tradition dictates that oral
temperatures be included in every set of patient vital signs, regardless of
patient diagnosis or acuity. This is most likely an example of which of the
following phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit has recently
completed a patient chart review after the implementation of a pilot
program aimed at promoting early ambulation following surgery. Which of
the following components of EBP is the nurse putting into practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients as frequently as
possible tends to minimize the patients' level of agitation in the evening. The
nurse has shared this observation with a colleague, who is skeptical, stating
that, “It's best to stick to evidence-based practice.” How can Nurse R. best
respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal evidence-based practice.”
C) “Traditional practice and EBP are usually shown to be the same.”
D) “My years of experience can be just as valuable as any literature
review or randomized trial.”
4. Which of the following factors provides the most important rationale for the
consistent implementation of EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine
has been established to address EBP. Which of the following issues
is the Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is
integrated into care
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that
of other Western countries
6. You have become frustrated with some aspects of patient care that you
believe are outdated and ineffective at the long-term care facility where you
have recently begun practicing. Consequently, you have resolved to examine
some of these practices in light of evidence. Which of the following should
occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based
7. Which of the following clinical questions best exemplifies the PICOT format?
A) What effect does parents' smoking have on the smoking habits of their
children, ages 13 to 16?
B) Among cancer patients, what role does meditation, rather than
benzodiazepines, have on anxiety levels during the 7 days following
hospital admission?
C) Among undergraduate college students, what is the effectiveness of a
sexual health campaign undertaken during the first 4 weeks of the fall
semester as measured by incidence of new gonorrheal and chlamydial
infections reported to the campus medical center?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces
superior to a numeric rating scale in the emergency room context?
8. After formulating a clinical question, a nurse has proceeded to search for
evidence for ways to foster restful sleep in patients who are receiving care in
the intensive care unit (ICU). The nurse has identified a relevant meta-
analysis in an electronic database. What will this source of evidence consist
HEALTHCARE 4TH EDITION BY MELNYK TEST
BANK ALL CHAPTERS ACTUAL REAL EXAM 2025-
2026 WITH CORRECT AND VERIFIED ANSWERS|
GRADED A+!!!.
4TH EDITION
,
,1. In the hospital where Nurse L. provides care, tradition dictates that oral
temperatures be included in every set of patient vital signs, regardless of
patient diagnosis or acuity. This is most likely an example of which of the
following phenomena?
A) The prioritization of internal evidence over external evidence
B) Practice that lacks evidence to support its application
C) The integration of personal expertise into nursing care
D) Evidence-based practice
2. The clinical nurse educator (CNE) on a postsurgical unit has recently
completed a patient chart review after the implementation of a pilot
program aimed at promoting early ambulation following surgery. Which of
the following components of EBP is the nurse putting into practice?
A) Patient preferences
B) Research utilization
C) Experience
D) Internal evidence
3. Nurse R. has observed that reorienting demented patients as frequently as
possible tends to minimize the patients' level of agitation in the evening. The
nurse has shared this observation with a colleague, who is skeptical, stating
that, “It's best to stick to evidence-based practice.” How can Nurse R. best
respond?
A) “EBP can include clinicians' personal expertise.”
B) “Personal experience is often more sound than formal evidence-based practice.”
C) “Traditional practice and EBP are usually shown to be the same.”
D) “My years of experience can be just as valuable as any literature
review or randomized trial.”
4. Which of the following factors provides the most important rationale for the
consistent implementation of EBP?
A) EBP provides for the most cost-effective patient care.
B) EBP is accessible to all healthcare clinicians.
C) EBP provides consistency in care across healthcare settings.
D) EBP improves patient outcomes.
, 5. The Institute of Medicine's Roundtable on Evidence-Based Medicine
has been established to address EBP. Which of the following issues
is the Roundtable emphasizing?
A) Ensuring that external evidence, rather than internal evidence, is
integrated into care
B) Fostering the level of learning that exists in the American healthcare system
C) Issuing clinical guidelines to ensure best nursing practice
D) Comparing the implementation of EBP in the United States with that
of other Western countries
6. You have become frustrated with some aspects of patient care that you
believe are outdated and ineffective at the long-term care facility where you
have recently begun practicing. Consequently, you have resolved to examine
some of these practices in light of evidence. Which of the following should
occur first in the steps of EBP?
A) Conducting an electronic search of the literature and ranking individual sources
B) Creating “buy-in” from the other clinicians who provide care at the facility
C) Developing an inquisitive and curious mindset
D) Assessing whether the practices in question may, in fact, be evidence-based
7. Which of the following clinical questions best exemplifies the PICOT format?
A) What effect does parents' smoking have on the smoking habits of their
children, ages 13 to 16?
B) Among cancer patients, what role does meditation, rather than
benzodiazepines, have on anxiety levels during the 7 days following
hospital admission?
C) Among undergraduate college students, what is the effectiveness of a
sexual health campaign undertaken during the first 4 weeks of the fall
semester as measured by incidence of new gonorrheal and chlamydial
infections reported to the campus medical center?
D) In patients aged 8 to 12, is the effectiveness of a pain scale using faces
superior to a numeric rating scale in the emergency room context?
8. After formulating a clinical question, a nurse has proceeded to search for
evidence for ways to foster restful sleep in patients who are receiving care in
the intensive care unit (ICU). The nurse has identified a relevant meta-
analysis in an electronic database. What will this source of evidence consist
