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CLINICAL NURSING SKILLS AND
TECHNIQUES, 10TH EDITION BY GRIFFIN
PERRY POTTER Test Bank
All Chapters Include Rationales| A+ Pass
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Chapter 01: Using Evidence in Nursing Practice
MULTIPLE CHOICE
1.Evidence-based practice is a problem-solving approach to making decisions about patient care that is
grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk-management data.
ANSWER: B
The best evidence comes from well-designed, systematically conducted research studies described in
scientific journals. Portions of a textbook often become outdated by the time it is published. Many health
care settings do not have a process to help staff adopt new evidence in practice, and nurses in practice
settings lack easy access to risk-management data, relying instead on tradition or convenience. Some
sources of evidence do not originate from research. These include quality improvement and risk-
management data; infection control data; retrospective or concurrent chart reviews; and clinicians’
expertise. Although non–research-based evidence is often very valuable, it is important that you learn to
rely more on research-based evidence.
DIF: Cognitive Level: Comprehension OBJ: Discuss the benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2.When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANSWER: C
Using your clinical expertise and considering patients’ cultures, values, and preferences ensures that you
will apply available evidence in practice ethically and appropriately. Even when you use the best evidence
available, application and outcomes will differ; as a nurse, you will develop critical thinking skills to
determine whether evidence is relevant and appropriate.
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DIF: Cognitive Level: Application OBJ: Discuss the benefits of evidence-based practice. TOP:
Evidence-Based Practice KEY: Nursing Process Step: Assessment
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MSC: NCLEX: Safe and Effective Care Environment (management of care)
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3.When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
a. P.
b. I.
c.
c. CHOICE BLANK
d. O.
ANSWER: C
C = Comparison of interest. What standard of care or current intervention do you usually use now in
practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or health
problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic factor) do
you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient’s behavior, physical finding, and change in patient’s
perception) do you wish to achieve or observe as the result of an intervention?
DIF: Cognitive Level: Knowledge OBJ: Develop a PICO question. TOP: PICO KEY: Nursing
Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4.A well-developed PICOT question helps the nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ANSWER: A
The more focused a question that you ask is, the easier it is to search for evidence in the scientific
literature. A well-designed PICOT question does not have to include all five elements, nor does it have to
follow the PICOT sequence. Do not be satisfied with clinical routines. Always question and use critical
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thinking to consider better ways to provide patient care.
DIF: Cognitive Level: Analysis OBJ: Describe the six steps of evidence-based practice. TOP:
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Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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5.The nurse is not sure that the procedure the patient requires is the best possible for the situation.
Utilizing which of the following resources would be the quickest way to review research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANSWER: D
The Cochrane Community Database of Systematic Reviews is a valuable source of synthesized evidence
(i.e., pre-appraised evidence). The Cochrane Database includes the full text of regularly updated
systematic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubMed
are among the most comprehensive databases and represent the scientific knowledge base of health care.
DIF: Cognitive Level: Synthesis OBJ: Describe the six steps of evidence-based practice. TOP:
Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
6.The nurse is getting ready to develop a plan of care for a patient who has a specific need. The best
source for developing this plan of care would probably be:
a. The Cochrane Database.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANSWER: C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency for Healthcare
Research and Quality (AHRQ). It contains clinical guidelines—systematically developed statements
about a plan of care for a specific set of clinical circumstances involving a specific patient population.
The NGC is a valuable source when you want to develop a plan of care for a patient. The Cochrane
Community Database of Systematic Reviews, MEDLINE, and CINAHL are all valuable sources of
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synthesized evidence (i.e., pre-appraised evidence).
DIF: Cognitive Level: Synthesis OBJ: Describe the six steps of evidence-based practice. TOP:
nfi
Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
de
n
al
CLINICAL NURSING SKILLS AND
TECHNIQUES, 10TH EDITION BY GRIFFIN
PERRY POTTER Test Bank
All Chapters Include Rationales| A+ Pass
Co
nfi
de
n
al
,2|Page
Chapter 01: Using Evidence in Nursing Practice
MULTIPLE CHOICE
1.Evidence-based practice is a problem-solving approach to making decisions about patient care that is
grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk-management data.
ANSWER: B
The best evidence comes from well-designed, systematically conducted research studies described in
scientific journals. Portions of a textbook often become outdated by the time it is published. Many health
care settings do not have a process to help staff adopt new evidence in practice, and nurses in practice
settings lack easy access to risk-management data, relying instead on tradition or convenience. Some
sources of evidence do not originate from research. These include quality improvement and risk-
management data; infection control data; retrospective or concurrent chart reviews; and clinicians’
expertise. Although non–research-based evidence is often very valuable, it is important that you learn to
rely more on research-based evidence.
DIF: Cognitive Level: Comprehension OBJ: Discuss the benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2.When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANSWER: C
Using your clinical expertise and considering patients’ cultures, values, and preferences ensures that you
will apply available evidence in practice ethically and appropriately. Even when you use the best evidence
available, application and outcomes will differ; as a nurse, you will develop critical thinking skills to
determine whether evidence is relevant and appropriate.
Co
DIF: Cognitive Level: Application OBJ: Discuss the benefits of evidence-based practice. TOP:
Evidence-Based Practice KEY: Nursing Process Step: Assessment
nfi
MSC: NCLEX: Safe and Effective Care Environment (management of care)
de
n
al
,3|Page
3.When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
a. P.
b. I.
c.
c. CHOICE BLANK
d. O.
ANSWER: C
C = Comparison of interest. What standard of care or current intervention do you usually use now in
practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or health
problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic factor) do
you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient’s behavior, physical finding, and change in patient’s
perception) do you wish to achieve or observe as the result of an intervention?
DIF: Cognitive Level: Knowledge OBJ: Develop a PICO question. TOP: PICO KEY: Nursing
Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4.A well-developed PICOT question helps the nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ANSWER: A
The more focused a question that you ask is, the easier it is to search for evidence in the scientific
literature. A well-designed PICOT question does not have to include all five elements, nor does it have to
follow the PICOT sequence. Do not be satisfied with clinical routines. Always question and use critical
Co
thinking to consider better ways to provide patient care.
DIF: Cognitive Level: Analysis OBJ: Describe the six steps of evidence-based practice. TOP:
nfi
Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
de
n
al
, 4|Page
5.The nurse is not sure that the procedure the patient requires is the best possible for the situation.
Utilizing which of the following resources would be the quickest way to review research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANSWER: D
The Cochrane Community Database of Systematic Reviews is a valuable source of synthesized evidence
(i.e., pre-appraised evidence). The Cochrane Database includes the full text of regularly updated
systematic reviews and protocols for reviews currently happening. MEDLINE, CINAHL, and PubMed
are among the most comprehensive databases and represent the scientific knowledge base of health care.
DIF: Cognitive Level: Synthesis OBJ: Describe the six steps of evidence-based practice. TOP:
Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
6.The nurse is getting ready to develop a plan of care for a patient who has a specific need. The best
source for developing this plan of care would probably be:
a. The Cochrane Database.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANSWER: C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency for Healthcare
Research and Quality (AHRQ). It contains clinical guidelines—systematically developed statements
about a plan of care for a specific set of clinical circumstances involving a specific patient population.
The NGC is a valuable source when you want to develop a plan of care for a patient. The Cochrane
Community Database of Systematic Reviews, MEDLINE, and CINAHL are all valuable sources of
Co
synthesized evidence (i.e., pre-appraised evidence).
DIF: Cognitive Level: Synthesis OBJ: Describe the six steps of evidence-based practice. TOP:
nfi
Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
de
n
al
