Exam Prep — Comprehensive Review + Practice
MCQs — Walden University 2025/2026
1. Which of the following best defines evidence-based practice (EBP)?
A. Using the most recent research findings exclusively to guide clinical decisions
B. Integrating the best available evidence with clinical expertise and patient preferences
C. Following tradition-based practice protocols established by hospital administration
D. Relying on expert opinion and consensus statements from professional organizations
Correct Answer: B
Rationale: EBP is the conscientious, explicit, and judicious use of current best evidence in making decisions
about patient care. It integrates the best available research evidence with clinical expertise and patient values
and preferences. Using research alone without considering clinical expertise and patient preferences is not
EBP.
2. A nurse is evaluating the relationship between EBP and the Quadruple Aim in healthcare organizations.
Which of the following is NOT a component of the Quadruple Aim?
A. Improving patient experience
B. Improving population health
C. Reducing healthcare costs
D. Increasing nurse-to-patient ratios
Correct Answer: D
Rationale: The Quadruple Aim includes improving the patient experience, improving population health,
reducing healthcare costs, and improving the work life of healthcare providers. Increasing nurse-to-patient
,ratios is not a component of the Quadruple Aim, though appropriate staffing may contribute to provider well-
being .
3. Which of the following is the first step in the EBP process?
A. Searching for evidence
B. Cultivating a spirit of inquiry
C. Critically appraising evidence
D. Integrating evidence with clinical expertise
Correct Answer: B
Rationale: The first step in the EBP process is cultivating a spirit of inquiry—asking questions about clinical
practice. This is followed by formulating a PICOT question, searching for evidence, appraising evidence,
integrating evidence, evaluating outcomes, and disseminating results.
4. A nurse practitioner is formulating a clinical question using the PICOT format. What does the "O" in PICOT
represent?
A. Opinion
B. Outcome
C. Objective
D. Observation
Correct Answer: B
Rationale: PICOT stands for Population, Intervention, Comparison, Outcome, and Time. The "O" represents the
Outcome—the result or endpoint that the nurse wishes to achieve or measure .
5. Which of the following is a characteristic of evidence-based practice that distinguishes it from research?
, A. EBP generates new knowledge through original studies
B. EBP translates research findings into clinical practice
C. EBP focuses only on quantitative data
D. EBP is conducted only by nurse researchers
Correct Answer: B
Rationale: Research generates new knowledge, while EBP translates existing research findings into clinical
practice. EBP involves finding, appraising, and applying the best available evidence to answer clinical
questions .
6. A nurse is explaining the relationship between nursing theory, research, and practice to a graduate student.
Which statement accurately describes this relationship?
A. Nursing theory is independent of research and practice
B. Research tests and refines nursing theory, which informs practice
C. Practice has no influence on theory development
D. Theory is only relevant to academic settings
Correct Answer: B
Rationale: Nursing theory, research, and practice are interconnected. Research tests and refines nursing
theory, theory guides research and practice, and practice generates questions for research. This cyclical
relationship advances nursing knowledge .
7. Which of the following best describes the role of clinical expertise in EBP?
A. Clinical expertise replaces the need for research evidence
B. Clinical expertise is the only factor considered in EBP
C. Clinical expertise is integrated with research evidence and patient preferences
D. Clinical expertise is irrelevant in the EBP process