NSG 448 Exam 4 V1 | NSG 448 Evidence-Based
Project Capstone | Actual Q&A with Rationale
(NSG448 Exam 4) | Grand Canyon University
1. Which of the following are considered appropriate local dissemination strategies for an
Evidence-Based Practice (EBP) project? Select all that apply.
A. Poster presentation in the nursing unit
B. Presentation at a local unit staff meeting
C. Publication in a national peer-reviewed journal
D. Sharing results in the hospital’s internal newsletter
E. Reporting findings to the organization’s Quality Improvement committee
F. Presenting at a global health summit
Correct Answer: A,B,D,E
Explanation: Local dissemination focuses on sharing information within the specific
organization or unit where the project was conducted to ensure stakeholders are informed.
Strategies such as unit posters, staff meetings, and internal newsletters directly reach the
clinicians and administrators involved in the change process. National journals and global
summits are considered external or national dissemination rather than local.
2. In the PICO(T) format, what does the ‘T’ represent?
A. Treatment
,B. Team
C. Target
D. Timeframe
Correct Answer: D
Explanation: The ‘T’ in PICO(T) stands for Timeframe, which specifies the duration over
which the intervention and outcome are measured. Including a timeframe helps to define
the scope and feasibility of the evidence-based project. Without a clear timeframe, it is
difficult to evaluate if the results are significant within a clinical context.
3. What is the primary purpose of an Institutional Review Board (IRB)?
A. To ensure the research project is statistically significant
B. To edit the final manuscript for publication
C. To provide funding for evidence-based projects
D. To protect the rights and welfare of human research subjects
Correct Answer: D
Explanation: The IRB is a committee that reviews research involving human subjects to
ensure ethical standards are met and participant safety is prioritized. They evaluate the
risks and benefits to participants, ensuring that informed consent is properly obtained. The
primary focus is always on ethics and the protection of vulnerable populations.
, 4. Which level of evidence is considered the highest in the hierarchy of evidence for clinical
decision-making?
A. Case-control studies
B. Systematic reviews or meta-analyses of RCTs
C. Randomized Controlled Trials (RCTs)
D. Expert opinion and consensus reports
Correct Answer: B
Explanation: Systematic reviews and meta-analyses are at the top of the evidence
hierarchy because they synthesize the results of multiple high-quality studies. These
documents provide a comprehensive overview of the current evidence, reducing the risk of
bias associated with individual studies. Clinicians rely on these to form the basis of
evidence-based practice guidelines.
5. A nurse is evaluating the feasibility of an EBP project. Which factor is most critical to
consider during this phase?
A. The number of pages in the literature review
B. Availability of resources and stakeholder support
C. The preference of the nursing school faculty
D. The color scheme of the final poster presentation
Correct Answer: B
Project Capstone | Actual Q&A with Rationale
(NSG448 Exam 4) | Grand Canyon University
1. Which of the following are considered appropriate local dissemination strategies for an
Evidence-Based Practice (EBP) project? Select all that apply.
A. Poster presentation in the nursing unit
B. Presentation at a local unit staff meeting
C. Publication in a national peer-reviewed journal
D. Sharing results in the hospital’s internal newsletter
E. Reporting findings to the organization’s Quality Improvement committee
F. Presenting at a global health summit
Correct Answer: A,B,D,E
Explanation: Local dissemination focuses on sharing information within the specific
organization or unit where the project was conducted to ensure stakeholders are informed.
Strategies such as unit posters, staff meetings, and internal newsletters directly reach the
clinicians and administrators involved in the change process. National journals and global
summits are considered external or national dissemination rather than local.
2. In the PICO(T) format, what does the ‘T’ represent?
A. Treatment
,B. Team
C. Target
D. Timeframe
Correct Answer: D
Explanation: The ‘T’ in PICO(T) stands for Timeframe, which specifies the duration over
which the intervention and outcome are measured. Including a timeframe helps to define
the scope and feasibility of the evidence-based project. Without a clear timeframe, it is
difficult to evaluate if the results are significant within a clinical context.
3. What is the primary purpose of an Institutional Review Board (IRB)?
A. To ensure the research project is statistically significant
B. To edit the final manuscript for publication
C. To provide funding for evidence-based projects
D. To protect the rights and welfare of human research subjects
Correct Answer: D
Explanation: The IRB is a committee that reviews research involving human subjects to
ensure ethical standards are met and participant safety is prioritized. They evaluate the
risks and benefits to participants, ensuring that informed consent is properly obtained. The
primary focus is always on ethics and the protection of vulnerable populations.
, 4. Which level of evidence is considered the highest in the hierarchy of evidence for clinical
decision-making?
A. Case-control studies
B. Systematic reviews or meta-analyses of RCTs
C. Randomized Controlled Trials (RCTs)
D. Expert opinion and consensus reports
Correct Answer: B
Explanation: Systematic reviews and meta-analyses are at the top of the evidence
hierarchy because they synthesize the results of multiple high-quality studies. These
documents provide a comprehensive overview of the current evidence, reducing the risk of
bias associated with individual studies. Clinicians rely on these to form the basis of
evidence-based practice guidelines.
5. A nurse is evaluating the feasibility of an EBP project. Which factor is most critical to
consider during this phase?
A. The number of pages in the literature review
B. Availability of resources and stakeholder support
C. The preference of the nursing school faculty
D. The color scheme of the final poster presentation
Correct Answer: B
