CORE NURSING COMPETENCIES EXAM
QUESTIONS WITH CORRECT ANSWERS
EBP practice does what? - Answer--supports inquiries and provides tools to support
EBP
-Includes evidence based policies and procedures
-Nursing leaders that value EBP, integration of EBP competences in performing
evaluations
-Includes recognition programs
Developing a PICOT question - Answer-P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
How to search for the best evidence - Answer--ask experts for help (nursing facility,
librarians, advanced practice nurses, staff educators, risk managers)
A medical librarian can - Answer--identify the databases that are available to you
-identify key words that will provide the best answer to your PICOT question
Search for best evidence level I - Answer-systematic review or meta-analysis of
randomized controlled trials (RCTs)
Evidence based clinical practice guidelines based on systematic reviews
Search for best evidence level II - Answer-a well-designed RCT
Search for best evidence level III - Answer-controlled trial without randomization (quasi
experimental study)
Search for best evidence level IV - Answer-single non experimental study (case-control,
correlational, cohort study)
Search for best evidence level V - Answer-systematic reviews of descriptive and
qualitative study
Search for best evidence level VI - Answer-single descriptive or qualitative study
Search for best evidence level VII - Answer-opinion of authorities and/or reports of
expert committees
after critiquing all articles for a PICOT question: - Answer--synthesize or combine the
findings
, -consider the scientific rigor of the evidence and whether it has application in practice
In order to critically appraise evidence in a systematic approach what must be done? -
Answer-determine the value, feasibility, and usefulness of evidence
What do you do to integrate the evidence? - Answer--apply the research in your plan of
care for a patient; use evidence as rationale
-education about the change must occur
-large-scale change requires planning
-pilot study can show if change can be implemented easily
-incorporate into policies and procedures
-integration: teaching tools, clinical practice guidelines, P&Ps, new assessment tools
What do you do after applying evidence? - Answer-evaluate the outcome
When evaluating an EBP change determine: - Answer--Was the change effective?
-Are modifications needed?
-Should the change be discontinued?
What may occur when evaluating the outcomes of the practice decision or change? -
Answer-unexpected events or results
Never implement a practice change without: - Answer-evaluating its effects
What is important to do after implementing an EBP change? - Answer-communicate the
results
To who do you communicate results of the outcomes of the evidence based practice? -
Answer--clinical staff on the unit
-nursing practice council or the research council
-clinicians
-professional conferences and meeting
Sustained Knowledge Use - Answer-importance for change to be incorporated into the
culture and practice environment
What should health care institutions use in regards to sustain knowledge use? -
Answer-targeted strategies to sustain use of EBP decisions
-may hire researchers or nurse scientists to manage change
What does sustain knowledge use require? - Answer-transformational leadership
nursing research - Answer-a way to identify new knowledge, improve professional
education and practice, and use resources effectively
QUESTIONS WITH CORRECT ANSWERS
EBP practice does what? - Answer--supports inquiries and provides tools to support
EBP
-Includes evidence based policies and procedures
-Nursing leaders that value EBP, integration of EBP competences in performing
evaluations
-Includes recognition programs
Developing a PICOT question - Answer-P- patient population of interest
I- intervention of interest
C- comparison of interest
O- outcome
T- time
How to search for the best evidence - Answer--ask experts for help (nursing facility,
librarians, advanced practice nurses, staff educators, risk managers)
A medical librarian can - Answer--identify the databases that are available to you
-identify key words that will provide the best answer to your PICOT question
Search for best evidence level I - Answer-systematic review or meta-analysis of
randomized controlled trials (RCTs)
Evidence based clinical practice guidelines based on systematic reviews
Search for best evidence level II - Answer-a well-designed RCT
Search for best evidence level III - Answer-controlled trial without randomization (quasi
experimental study)
Search for best evidence level IV - Answer-single non experimental study (case-control,
correlational, cohort study)
Search for best evidence level V - Answer-systematic reviews of descriptive and
qualitative study
Search for best evidence level VI - Answer-single descriptive or qualitative study
Search for best evidence level VII - Answer-opinion of authorities and/or reports of
expert committees
after critiquing all articles for a PICOT question: - Answer--synthesize or combine the
findings
, -consider the scientific rigor of the evidence and whether it has application in practice
In order to critically appraise evidence in a systematic approach what must be done? -
Answer-determine the value, feasibility, and usefulness of evidence
What do you do to integrate the evidence? - Answer--apply the research in your plan of
care for a patient; use evidence as rationale
-education about the change must occur
-large-scale change requires planning
-pilot study can show if change can be implemented easily
-incorporate into policies and procedures
-integration: teaching tools, clinical practice guidelines, P&Ps, new assessment tools
What do you do after applying evidence? - Answer-evaluate the outcome
When evaluating an EBP change determine: - Answer--Was the change effective?
-Are modifications needed?
-Should the change be discontinued?
What may occur when evaluating the outcomes of the practice decision or change? -
Answer-unexpected events or results
Never implement a practice change without: - Answer-evaluating its effects
What is important to do after implementing an EBP change? - Answer-communicate the
results
To who do you communicate results of the outcomes of the evidence based practice? -
Answer--clinical staff on the unit
-nursing practice council or the research council
-clinicians
-professional conferences and meeting
Sustained Knowledge Use - Answer-importance for change to be incorporated into the
culture and practice environment
What should health care institutions use in regards to sustain knowledge use? -
Answer-targeted strategies to sustain use of EBP decisions
-may hire researchers or nurse scientists to manage change
What does sustain knowledge use require? - Answer-transformational leadership
nursing research - Answer-a way to identify new knowledge, improve professional
education and practice, and use resources effectively
