Clinical Nursing Skills & Techniques
Anne Griffin Perry, Patricia A. Potter & Wendy Ostendorf
9th Edition
,Table of Contents
Chapter 01 Using Evidence in Practice 2
Chapter 02 Admitting, Transfer, and Discharge 10
Chapter 03 Communication and Collaboration 20
Chapter 04 Documentation and Informatics 27
Chapter 05 Vital Signs 37
Chapter 06 Health Assessment 55
Chapter 07 Specimen Collection 74
Chapter 08 Diagnostic Procedures 91
Chapter 09 Medical Asepsis 103
Chapter 10 Sterile Technique 115
Chapter 11 Safe Patient Handling, Transfer, and Positioning 122
Chapter 12 Exercise & Mobility 128
Chapter 13 Support Surfaces and Special Beds 140
Chapter 14 Patient Safety 151
Chapter 15 Disaster Preparedness 165
Chapter 16 Pain Management 177
Chapter 17 Palliative Care 193
Chapter 18 Personal Hygiene and Bed Making 202
Chapter 19 Care of the Eye and Ear 217
Chapter 20 Safe Medication Preparation 224
Chapter 21 Administration of Nonparenteral Medications 242
Chapter 22 Administration of Parenteral Medications 259
Chapter 23 Oxygen Therapy 275
Chapter 24 Performing Chest Physiotherapy 287
Chapter 25 Airway Management 295
Chapter 26 Cardiac Care 309
Chapter 27 Closed Chest Drainage Systems 322
Chapter 28 Emergency Measure for Life Support 334
Chapter 29 Intravenous and Vascular Access Therapy 345
Chapter 30 Blood Therapy 362
Chapter 31 Oral Nutrition 374
Chapter 32 Enteral Nutrition 385
Chapter 33 Parenteral Nutrition 395
Chapter 34 Urinary Elimination 401
Chapter 35 Bowel Elimination and Gastric Intubation 411
Chapter 36 Ostomy Care 422
Chapter 37 Preoperative and Postoperative Care 430
Chapter 38 Intraoperative Care 441
,Chapter 39 Pressure Injury Prevention and Care 448
Chapter 40 Wound Care and Irrigations 456
Chapter 41 Dressings, Bandages, and Binders 467
Chapter 42 Therapeutic Use of Heat and Cold 478
Chapter 43 Home Care Safety 486
Chapter 44 Home Care Teaching 495
, Test Bank - Clinical Nursing Skills and Techniques, 9e (Perry, Potter and Ostendorf, 2017)
Chapter 01: Using Evidence in Practice
Perry et al.: Clinical Nursing Skills & Techniques, 9th Edition
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.
ANS: 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 REF: Text reference: p. 2
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.
ANS: 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.
DIF: Cognitive Level: Application REF: Text reference: p. 2
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)
3. When a PICOT question is developed, the letter that corresponds with the usual standard of
care is:
a. P.
1|Page
,Test Bank - Clinical Nursing Skills and Techniques, 9e (Perry, Potter and Ostendorf, 2017)
b. I.
c. C.
d. O.
ANS: 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 REF: Text reference: p. 3
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.
ANS: 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 thinking to consider better ways to provide patient
care.
DIF: Cognitive Level: Analysis REF: Text reference: p. 3
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)
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
ANS: D
2|Page
,Test Bank - Clinical Nursing Skills and Techniques, 9e (Perry, Potter and Ostendorf, 2017)
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 REF: Text reference: p. 4
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.
ANS: 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 synthesized evidence (i.e.,
pre-appraised evidence).
DIF: Cognitive Level: Synthesis REF: Text reference: p. 4
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)
7. The nurse has done a literature search and found 25 possible articles on the topic that she is
studying. To determine which of those 25 best fit her inquiry, the nurse first should look at:
a. the abstracts.
b. the literature reviews.
c. the “Methods” sections.
d. the narrative sections.
ANS: A
An abstract is a brief summary of an article that quickly tells you whether the article is
research based or clinically based. An abstract summarizes the purpose of the study or
clinical query, the major themes or findings, and the implications for nursing practice. The
literature review usually gives you a good idea of how past research led to the researcher’s
question. The “Methods” or “Design” section explains how a research study is organized
and conducted to answer the research question or to test the hypothesis. The narrative of a
manuscript differs according to the type of evidence-based article—clinical or research.
DIF: Cognitive Level: Application REF: Text reference: p. 7
OBJ: Discuss elements to review when critiquing the scientific literature.
3|Page
, Test Bank - Clinical Nursing Skills and Techniques, 9e (Perry, Potter and Ostendorf, 2017)
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the
level of postmyocardial depression for individuals who have had a myocardial infarction.
The type of study that would best capture this information would be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ANS: B
Qualitative studies examine individuals’ experiences with health problems and the contexts
in which these experiences occur. A qualitative study is best in this case of an individual
nurse who wants to examine the effectiveness of a local program. Randomized controlled
trials involve close monitoring of control groups and treatment groups to test an intervention
against the usual standard of care. Case control studies typically compare one group of
subjects with a certain condition against another group without the condition, to look for
associations between the condition and predictor variables. Descriptive studies focus mainly
on describing the concepts under study.
DIF: Cognitive Level: Synthesis REF: Text reference: p. 6
OBJ: Discuss ways to apply evidence in nursing practice.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients was decreased. This is an example of what stage in the EBP process?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
ANS: C
After implementing a practice change, your next step is to evaluate the effect. You do this by
analyzing the outcomes data that you collected during the pilot project. Outcomes evaluation
tells you whether your practice change improved conditions, created no change, or worsened
conditions.
DIF: Cognitive Level: Application REF: Text reference: p. 9
OBJ: Discuss ways to apply evidence in nursing practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe and Effective Care Environment (safety and infection control)
MULTIPLE RESPONSE
1. To use evidence-based practice appropriately, you need to collect the most relevant and best
evidence and to critically appraise the evidence you gather. This process also includes:
(Select all that apply.)
4|Page
, Test Bank - Clinical Nursing Skills and Techniques, 9e (Perry, Potter and Ostendorf, 2017)
a. asking a clinical question.
b. applying the evidence.
c. evaluating the practice decision.
d. communicating your results.
ANS: A, B, C, D
EBP comprises six steps (Melnyk and Fineout-Overholt, 2010):
1. Ask a clinical question.
2. Search for the most relevant and best evidence that applies to the question.
3. Critically appraise the evidence you gather.
4. Apply or integrate evidence along with one’s clinical expertise and patient preferences
and values in making a practice decision or change.
5. Evaluate the practice decision or change.
6. Communicate your results.
DIF: Cognitive Level: Analysis REF: Text reference: p. 3
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)
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that
apply.)
a. the quality of care provided.
b. patient outcomes.
c. clinician satisfaction.
d. patients’ perceptions.
ANS: A, B, C, D
EBP has the potential to improve the quality of care that nurses provide, patient outcomes,
and clinicians’ satisfaction with their practice. Your patients expect nursing professionals to
be informed and to use the safest and most appropriate interventions. Use of evidence
enhances nursing, thereby improving patients’ perceptions of excellent nursing care.
DIF: Cognitive Level: Application REF: Text reference: p. 2
OBJ: Discuss the benefits of evidence-based practice.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. During the application stage of evidence-based practice change, it is important to consider:
(Select all that apply.)
a. cost.
b. the need for new equipment.
c. management support.
d. adequate staff.
ANS: A, B, C, D
5|Page