Practice Connection 5th Edition by Emily W. Nowak||ISBN 978-
1284275889 PRACTICE QUESTIONS |ORIGINAL QUESTIONS &
ANSWERS |DETAILED RATIONALES |HINTED COMPLETE EXAM PREP
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Section I — Foundations of Evidence-Based Nursing
1. Which statement best describes evidence-based nursing
practice?
A. Following institutional policies without modification
B. Using only findings from randomized controlled trials
C. Integrating best available evidence, clinical expertise, patient
preferences, and clinical circumstances
D. Applying research findings identically to every patient
,Answer: C. Integrating best available evidence, clinical expertise,
patient preferences, and clinical circumstances
Rationale: Evidence-based practice combines the best available
evidence with professional expertise, patient values and preferences,
and the clinical context.
2. What is the primary purpose of evidence-based practice (EBP) in
nursing?
A. To eliminate clinical judgment
B. To improve patient outcomes and quality of care
C. To replace nursing experience with research
D. To standardize every nursing intervention
Answer: B. To improve patient outcomes and quality of care
Rationale: EBP supports informed clinical decisions intended to
improve safety, effectiveness, quality, and patient outcomes.
3. Which component of EBP represents the patient's preferences
and values?
A. Research evidence
B. Clinical expertise
C. Patient perspective
D. Organizational policy
**Answer: C. Patient perspective
Rationale: Patient preferences, values, cultural considerations, and
individual circumstances are essential components of evidence-based
decisions.
,4. A nurse uses experience from years of caring for patients with
heart failure when deciding how to assess a newly admitted
patient. This represents which EBP component?
A. Clinical expertise
B. Systematic review
C. Research utilization
D. Statistical significance
Answer: A. Clinical expertise
Rationale: Clinical expertise includes knowledge and skills developed
through professional education and clinical experience.
5. Which activity is the best example of research utilization?
A. Identifying a clinical problem
B. Applying research findings to clinical care
C. Searching for a database
D. Writing a research hypothesis
Answer: B. Applying research findings to clinical care
Rationale: Research utilization involves incorporating research
findings into clinical decisions, interventions, policies, or procedures.
6. What is usually the first step in an evidence-based practice
process?
A. Implement the intervention
B. Appraise the evidence
C. Identify a clinical question or problem
D. Evaluate statistical significance
Answer: C. Identify a clinical question or problem
, Rationale: EBP begins with recognizing a clinical problem or
uncertainty that can be translated into an answerable question.
7. A nurse asks, “In adults with postoperative pain, does guided
imagery compared with standard care reduce pain intensity?” What
type of question is this?
A. Background question
B. Foreground clinical question
C. Philosophical question
D. Historical question
Answer: B. Foreground clinical question
Rationale: Foreground questions focus on specific clinical situations
and interventions and are designed to guide evidence searches.
8. Which question is a background question?
A. Does early ambulation reduce postoperative complications?
B. In older adults, does exercise reduce falls?
C. What are the common symptoms of dehydration?
D. Does chlorhexidine reduce surgical-site infection compared with
povidone-iodine?
Answer: C. What are the common symptoms of dehydration?
Rationale: Background questions seek general knowledge about a
disease, condition, treatment, or concept.
9. Which characteristic makes a clinical question most useful for an
evidence search?
A. It is broad and nonspecific
B. It contains several unrelated topics