Page ,.1
, 1. In ,.the ,.hospital ,.where ,.Nurse ,.L. ,.provides ,.care, ,.tradition ,.dictates ,.that ,.oral ,.temperatures
,.be ,.included ,.in ,.every ,.set ,.of ,.patient ,.vital ,.signs, ,.regardless ,.of ,.patient ,.diagnosis ,.or ,.acuity.
,.This ,.is ,.most ,.likely ,.an ,.example ,.of ,.which ,.of ,.the ,.following ,.phenomena?
A) The ,.prioritization ,.of ,.internal ,.evidence ,.over ,.external ,.evidence
B) Practice ,.that ,.lacks ,.evidence ,.to ,.support ,.its ,.application
C) The ,.integration ,.of ,.personal ,.expertise ,.into ,.nursing ,.care
D) Evidence-based ,.practice
2. The ,.clinical ,.nurse ,.educator ,.(CNE) ,.on ,.a ,.postsurgical ,.unit ,.has ,.recently ,.completed ,.a
,.patient ,.chart ,.review ,.after ,.the ,.implementation ,.of ,.a ,.pilot ,.program ,.aimed ,.at ,.promoting
,.early ,.ambulation ,.following ,.surgery. ,.Which ,.of ,.the ,.following ,.components ,.of ,.EBP ,.is
,.the ,.nurse ,.putting ,.into ,.practice?
A) Patient ,.preferences
B) Research ,.utilization
C) Experience
D) Internal ,.evidence
3. Nurse ,.R. ,.has ,.observed ,.that ,.reorienting ,.demented ,.patients ,.as ,.frequently ,.as ,.possible
,.tends ,.to ,.minimize ,.the ,.patients' ,.level ,.of ,.agitation ,.in ,.the ,.evening. ,.The ,.nurse ,.has ,.shared
,.this ,.observation ,.with ,.a ,.colleague, ,.who ,.is ,.skeptical, ,.stating ,.that, ,.“It's ,.best ,.to ,.stick ,.to
,.evidence-based ,.practice.” ,.How ,.can ,.Nurse ,.R. ,.best ,.respond?
A) “EBP ,.can ,.include ,.clinicians' ,.personal ,.expertise.”
B) “Personal ,.experience ,.is ,.often ,.more ,.sound ,.than ,.formal ,.evidence-based ,.practice.”
C) “Traditional ,.practice ,.and ,.EBP ,.are ,.usually ,.shown ,.to ,.be ,.the ,.same.”
D) “My ,.years ,.of ,.experience ,.can ,.be ,.just ,.as ,.valuable ,.as ,.any ,.literature ,.review
,.or ,.randomized ,.trial.”
4. Which ,.of ,.the ,.following ,.factors ,.provides ,.the ,.most ,.important ,.rationale ,.for ,.the
,.consistent ,.implementation ,.of ,.EBP?
A) EBP ,.provides ,.for ,.the ,.most ,.cost-effective ,.patient ,.care.
B) EBP ,.is ,.accessible ,.to ,.all ,.healthcare ,.clinicians.
C) EBP ,.provides ,.consistency ,.in ,.care ,.across ,.healthcare ,.settings.
D) EBP ,.improves ,.patient ,.outcomes.
Page ,.2
,5. The ,.Institute ,.of ,.Medicine's ,.Roundtable ,.on ,.Evidence-Based ,.Medicine ,.has
,.been ,.established ,.to ,.address ,.EBP. ,.Which ,.of ,.the ,.following ,.issues ,.is ,.the
,.Roundtable ,.emphasizing?
A) Ensuring ,.that ,.external ,.evidence, ,.rather ,.than ,.internal ,.evidence, ,.is ,.integrated
,.into ,.care
B) Fostering ,.the ,.level ,.of ,.learning ,.that ,.exists ,.in ,.the ,.American ,.healthcare ,.system
C) Issuing ,.clinical ,.guidelines ,.to ,.ensure ,.best ,.nursing ,.practice
D) Comparing ,.the ,.implementation ,.of ,.EBP ,.in ,.the ,.United ,.States ,.with ,.that ,.of
,.other ,.Western ,.countries
6. You ,.have ,.become ,.frustrated ,.with ,.some ,.aspects ,.of ,.patient ,.care ,.that ,.you ,.believe ,.are
,.outdated ,.and ,.ineffective ,.at ,.the ,.long-term ,.care ,.facility ,.where ,. you ,.have ,.recently ,.begun
,.practicing. ,.Consequently, ,.you ,.have ,.resolved ,.to ,.examine ,.some ,.of ,.these ,.practices ,.in
,.light ,.of ,.evidence. ,.Which ,.of ,.the ,.following ,.should ,.occur ,.first ,.in ,.the ,.steps ,.of ,.EBP?
A) Conducting ,.an ,.electronic ,.search ,.of ,.the ,.literature ,.and ,.ranking ,.individual ,.sources
B) Creating ,.“buy-in” ,.from ,.the ,.other ,.clinicians ,.who ,.provide ,.care ,.at ,.the ,.facility
C) Developing ,.an ,.inquisitive ,.and ,.curious ,.mindset
D) Assessing ,.whether ,.the ,.practices ,.in ,.question ,.may, ,.in ,.fact, ,.be ,.evidence-based
7. Which ,.of ,.the ,.following ,.clinical ,.questions ,.best ,.exemplifies ,.the ,.PICOT ,.format?
A) What ,.effect ,.does ,.parents' ,.smoking ,.have ,.on ,.the ,.smoking ,.habits ,.of ,.their
,.children, ,.ages ,.13 ,.to ,.16?
B) Among ,.cancer ,.patients, ,.what ,.role ,.does ,.meditation, ,.rather ,.than ,.benzodiazepines,
,.have ,.on ,.anxiety ,.levels ,.during ,.the ,.7 ,.days ,.following ,.hospital ,.admission?
C) Among ,.undergraduate ,.college ,.students, ,.what ,.is ,.the ,.effectiveness ,.of ,.a ,.sexual
,.health ,.campaign ,.undertaken ,.during ,.the ,.first ,.4 ,.weeks ,.of ,.the ,.fall ,.semester ,.as
,.measured ,.by ,.incidence ,.of ,.new ,.gonorrheal ,.and ,.chlamydial ,.infections ,.reported ,.to
,.the ,.campus ,.medical ,.center?
D) In ,.patients ,.aged ,.8 ,.to ,.12, ,.is ,.the ,.effectiveness ,.of ,.a ,.pain ,.scale ,.using ,.faces ,.superior ,.to
,.a ,.numeric ,.rating ,.scale ,.in ,.the ,.emergency ,.room ,.context?
8. After ,.formulating ,.a ,.clinical ,.question, ,.a ,.nurse ,.has ,.proceeded ,.to ,.search ,.for ,.evidence ,.for
,.ways ,.to ,.foster ,.restful ,.sleep ,.in ,.patients ,.who ,.are ,.receiving ,.care ,.in ,.the ,.intensive ,.care
,.unit ,.(ICU). ,.The ,.nurse ,.has ,.identified ,.a ,.relevant ,.meta-analysis ,.in ,.an ,.electronic ,.database.
,.What ,.will ,.this ,.source ,.of ,.evidence ,.consist ,.of?
A) A ,.statistical ,.summary ,.of ,.the ,.results ,.from ,.several ,.different ,.studies
B) An ,.examination ,.of ,.the ,.theoretical ,.and ,.conceptual ,.underpinnings ,.of ,.the ,.issue
C) An ,.interdisciplinary ,.analysis ,.of ,.the ,.clinical ,.question
D) A ,.qualitative ,.study ,.of ,.different ,.interventions ,.related ,.to ,.the ,.clinical ,.question
Page ,.3
, 9. The ,.nurses ,.on ,.a ,.postpartum ,.unit ,.have ,.noted ,.that ,.many ,.primiparous ,.(first-time)
,.mothers ,.are ,.giving ,.up ,.on ,.breastfeeding ,.within ,.the ,.24 ,.hours ,.following ,.delivery, ,.and
,.the ,.nurses ,.want ,.to ,.create ,.uniform ,.guidelines ,.for ,.promoting ,.breastfeeding ,.on ,.the ,.unit.
,.Which ,.of ,.the ,.following ,.sources ,.is ,.most ,.likely ,.to ,.provide ,.the ,.best ,.evidence ,.in ,.their
,.quest ,.for ,.an ,.intervention?
A) Evidence ,.from ,.a ,.randomized ,.control ,.trial ,.that ,.had ,.more ,.than ,.2500 ,.participants
B) Evidence ,.from ,.a ,.study ,.that ,.is ,.widely ,.regarded ,.as ,.a ,.classic ,.within ,.the
,.obstetrical ,.nursing ,.community
C) Evidence ,.from ,.a ,.systematic ,.review ,.of ,.breastfeeding-promotion ,.studies ,.that ,.one
,.of ,.the ,.nurses ,.identified ,.in ,.an ,.electronic ,.database
D) The ,.consensus ,.opinion ,.of ,.the ,.most ,.senior ,.nurses ,.on ,.the ,.unit
10. The ,.nurse ,.educator ,.on ,.an ,.acute ,.medicine ,.unit ,.is ,.advocating ,.for ,.the ,.use ,.of
evidence-based ,.clinical ,.practice ,.guidelines ,.on ,.wound ,.care ,.in ,.order ,.to ,.standardize
,.and ,.optimize ,.the ,.practice ,.of ,.the ,.nurses ,.on ,.the ,.unit. ,.Which ,.of ,.the ,.following
,.statements ,.best ,.describes ,.clinical ,.practice ,.guidelines?
A) The ,.result ,.of ,.replication ,.studies ,.of ,.existing ,.research ,.by ,.an ,.impartial ,.third ,.party
B) A ,.collection ,.of ,.authorized ,.interventions ,.that ,.are ,.required ,.by ,.law
C) A ,.number ,.of ,.interventions ,.that ,.are ,.the ,.result ,.of ,.a ,.large, ,.publically-funded ,.RCT
D) A ,.group ,.of ,.practice ,.recommendations ,.that ,.result ,.from ,.a ,.rigorous ,.review ,.of
,.the ,.literature
11. A ,.nurse ,.is ,.conducting ,.a ,.literature ,.review ,.on ,.the ,.evidence ,.regarding ,.the ,.use ,.of
,.vacuum ,.dressings ,.on ,.stage ,. IV ,.pressure ,.ulcers. ,.After ,.locating ,.a ,.recent ,.study ,.that
,.appears ,.to ,.be ,.relevant, ,.which ,.of ,.the ,.following ,.questions ,.would ,.the ,.nurse ,.consider ,.first
,.when ,.critically ,.appraising ,.the ,.study?
A) “Are ,.the ,.findings ,.of ,.this ,.study ,.cost-effective ,.in ,.our ,.clinical ,.context?”
B) "How ,.would ,.the ,.implementation ,.of ,.this ,.intervention ,.affect ,.our ,.staffing ,.needs?"
C) “Were ,.the ,.patients ,.in ,.the ,.study ,.similar ,.to ,.the ,.patients ,.on ,.my ,.unit?”
D) “Are ,.the ,.findings ,.of ,.the ,.study ,.significantly ,.different ,.from ,.what ,.we ,.are
,.currently ,.doing ,.on ,.the ,.unit?
12. The ,.primary ,.care ,.provider ,.of ,.a ,.49-year-old ,.male ,.patient ,.has ,.examined ,.and ,.briefly
,.explained ,.the ,.evidence ,.that ,.supports ,.beginning ,.regular ,.digital-rectal ,.exams. ,.Which
,.of ,.the ,.following ,.factors ,.would ,.justify ,.not ,.performing ,.digital-rectal ,.examinations ,.in
,.this ,.patient's ,.care?
A) The ,.patient ,.is ,.vehemently ,.opposed ,.to ,.undergoing ,.a ,.digital-rectal ,.exam.
B) Clinical ,.practice ,.guidelines ,.for ,.prostate ,.care ,.have ,.not ,.been ,.published.
C) The ,.clinician ,.has ,.been ,.unable ,.to ,.find ,.any ,.large ,.RCTs ,.in ,.a ,.literature ,.review.
D) The ,.clinician ,.has ,.previously ,.waited ,.until ,.patients ,.are ,.55 ,.to ,.begin
,.regular ,.digital-rectal ,.exams.
Page ,.4
, 1. In ,.the ,.hospital ,.where ,.Nurse ,.L. ,.provides ,.care, ,.tradition ,.dictates ,.that ,.oral ,.temperatures
,.be ,.included ,.in ,.every ,.set ,.of ,.patient ,.vital ,.signs, ,.regardless ,.of ,.patient ,.diagnosis ,.or ,.acuity.
,.This ,.is ,.most ,.likely ,.an ,.example ,.of ,.which ,.of ,.the ,.following ,.phenomena?
A) The ,.prioritization ,.of ,.internal ,.evidence ,.over ,.external ,.evidence
B) Practice ,.that ,.lacks ,.evidence ,.to ,.support ,.its ,.application
C) The ,.integration ,.of ,.personal ,.expertise ,.into ,.nursing ,.care
D) Evidence-based ,.practice
2. The ,.clinical ,.nurse ,.educator ,.(CNE) ,.on ,.a ,.postsurgical ,.unit ,.has ,.recently ,.completed ,.a
,.patient ,.chart ,.review ,.after ,.the ,.implementation ,.of ,.a ,.pilot ,.program ,.aimed ,.at ,.promoting
,.early ,.ambulation ,.following ,.surgery. ,.Which ,.of ,.the ,.following ,.components ,.of ,.EBP ,.is
,.the ,.nurse ,.putting ,.into ,.practice?
A) Patient ,.preferences
B) Research ,.utilization
C) Experience
D) Internal ,.evidence
3. Nurse ,.R. ,.has ,.observed ,.that ,.reorienting ,.demented ,.patients ,.as ,.frequently ,.as ,.possible
,.tends ,.to ,.minimize ,.the ,.patients' ,.level ,.of ,.agitation ,.in ,.the ,.evening. ,.The ,.nurse ,.has ,.shared
,.this ,.observation ,.with ,.a ,.colleague, ,.who ,.is ,.skeptical, ,.stating ,.that, ,.“It's ,.best ,.to ,.stick ,.to
,.evidence-based ,.practice.” ,.How ,.can ,.Nurse ,.R. ,.best ,.respond?
A) “EBP ,.can ,.include ,.clinicians' ,.personal ,.expertise.”
B) “Personal ,.experience ,.is ,.often ,.more ,.sound ,.than ,.formal ,.evidence-based ,.practice.”
C) “Traditional ,.practice ,.and ,.EBP ,.are ,.usually ,.shown ,.to ,.be ,.the ,.same.”
D) “My ,.years ,.of ,.experience ,.can ,.be ,.just ,.as ,.valuable ,.as ,.any ,.literature ,.review
,.or ,.randomized ,.trial.”
4. Which ,.of ,.the ,.following ,.factors ,.provides ,.the ,.most ,.important ,.rationale ,.for ,.the
,.consistent ,.implementation ,.of ,.EBP?
A) EBP ,.provides ,.for ,.the ,.most ,.cost-effective ,.patient ,.care.
B) EBP ,.is ,.accessible ,.to ,.all ,.healthcare ,.clinicians.
C) EBP ,.provides ,.consistency ,.in ,.care ,.across ,.healthcare ,.settings.
D) EBP ,.improves ,.patient ,.outcomes.
Page ,.2
,5. The ,.Institute ,.of ,.Medicine's ,.Roundtable ,.on ,.Evidence-Based ,.Medicine ,.has
,.been ,.established ,.to ,.address ,.EBP. ,.Which ,.of ,.the ,.following ,.issues ,.is ,.the
,.Roundtable ,.emphasizing?
A) Ensuring ,.that ,.external ,.evidence, ,.rather ,.than ,.internal ,.evidence, ,.is ,.integrated
,.into ,.care
B) Fostering ,.the ,.level ,.of ,.learning ,.that ,.exists ,.in ,.the ,.American ,.healthcare ,.system
C) Issuing ,.clinical ,.guidelines ,.to ,.ensure ,.best ,.nursing ,.practice
D) Comparing ,.the ,.implementation ,.of ,.EBP ,.in ,.the ,.United ,.States ,.with ,.that ,.of
,.other ,.Western ,.countries
6. You ,.have ,.become ,.frustrated ,.with ,.some ,.aspects ,.of ,.patient ,.care ,.that ,.you ,.believe ,.are
,.outdated ,.and ,.ineffective ,.at ,.the ,.long-term ,.care ,.facility ,.where ,. you ,.have ,.recently ,.begun
,.practicing. ,.Consequently, ,.you ,.have ,.resolved ,.to ,.examine ,.some ,.of ,.these ,.practices ,.in
,.light ,.of ,.evidence. ,.Which ,.of ,.the ,.following ,.should ,.occur ,.first ,.in ,.the ,.steps ,.of ,.EBP?
A) Conducting ,.an ,.electronic ,.search ,.of ,.the ,.literature ,.and ,.ranking ,.individual ,.sources
B) Creating ,.“buy-in” ,.from ,.the ,.other ,.clinicians ,.who ,.provide ,.care ,.at ,.the ,.facility
C) Developing ,.an ,.inquisitive ,.and ,.curious ,.mindset
D) Assessing ,.whether ,.the ,.practices ,.in ,.question ,.may, ,.in ,.fact, ,.be ,.evidence-based
7. Which ,.of ,.the ,.following ,.clinical ,.questions ,.best ,.exemplifies ,.the ,.PICOT ,.format?
A) What ,.effect ,.does ,.parents' ,.smoking ,.have ,.on ,.the ,.smoking ,.habits ,.of ,.their
,.children, ,.ages ,.13 ,.to ,.16?
B) Among ,.cancer ,.patients, ,.what ,.role ,.does ,.meditation, ,.rather ,.than ,.benzodiazepines,
,.have ,.on ,.anxiety ,.levels ,.during ,.the ,.7 ,.days ,.following ,.hospital ,.admission?
C) Among ,.undergraduate ,.college ,.students, ,.what ,.is ,.the ,.effectiveness ,.of ,.a ,.sexual
,.health ,.campaign ,.undertaken ,.during ,.the ,.first ,.4 ,.weeks ,.of ,.the ,.fall ,.semester ,.as
,.measured ,.by ,.incidence ,.of ,.new ,.gonorrheal ,.and ,.chlamydial ,.infections ,.reported ,.to
,.the ,.campus ,.medical ,.center?
D) In ,.patients ,.aged ,.8 ,.to ,.12, ,.is ,.the ,.effectiveness ,.of ,.a ,.pain ,.scale ,.using ,.faces ,.superior ,.to
,.a ,.numeric ,.rating ,.scale ,.in ,.the ,.emergency ,.room ,.context?
8. After ,.formulating ,.a ,.clinical ,.question, ,.a ,.nurse ,.has ,.proceeded ,.to ,.search ,.for ,.evidence ,.for
,.ways ,.to ,.foster ,.restful ,.sleep ,.in ,.patients ,.who ,.are ,.receiving ,.care ,.in ,.the ,.intensive ,.care
,.unit ,.(ICU). ,.The ,.nurse ,.has ,.identified ,.a ,.relevant ,.meta-analysis ,.in ,.an ,.electronic ,.database.
,.What ,.will ,.this ,.source ,.of ,.evidence ,.consist ,.of?
A) A ,.statistical ,.summary ,.of ,.the ,.results ,.from ,.several ,.different ,.studies
B) An ,.examination ,.of ,.the ,.theoretical ,.and ,.conceptual ,.underpinnings ,.of ,.the ,.issue
C) An ,.interdisciplinary ,.analysis ,.of ,.the ,.clinical ,.question
D) A ,.qualitative ,.study ,.of ,.different ,.interventions ,.related ,.to ,.the ,.clinical ,.question
Page ,.3
, 9. The ,.nurses ,.on ,.a ,.postpartum ,.unit ,.have ,.noted ,.that ,.many ,.primiparous ,.(first-time)
,.mothers ,.are ,.giving ,.up ,.on ,.breastfeeding ,.within ,.the ,.24 ,.hours ,.following ,.delivery, ,.and
,.the ,.nurses ,.want ,.to ,.create ,.uniform ,.guidelines ,.for ,.promoting ,.breastfeeding ,.on ,.the ,.unit.
,.Which ,.of ,.the ,.following ,.sources ,.is ,.most ,.likely ,.to ,.provide ,.the ,.best ,.evidence ,.in ,.their
,.quest ,.for ,.an ,.intervention?
A) Evidence ,.from ,.a ,.randomized ,.control ,.trial ,.that ,.had ,.more ,.than ,.2500 ,.participants
B) Evidence ,.from ,.a ,.study ,.that ,.is ,.widely ,.regarded ,.as ,.a ,.classic ,.within ,.the
,.obstetrical ,.nursing ,.community
C) Evidence ,.from ,.a ,.systematic ,.review ,.of ,.breastfeeding-promotion ,.studies ,.that ,.one
,.of ,.the ,.nurses ,.identified ,.in ,.an ,.electronic ,.database
D) The ,.consensus ,.opinion ,.of ,.the ,.most ,.senior ,.nurses ,.on ,.the ,.unit
10. The ,.nurse ,.educator ,.on ,.an ,.acute ,.medicine ,.unit ,.is ,.advocating ,.for ,.the ,.use ,.of
evidence-based ,.clinical ,.practice ,.guidelines ,.on ,.wound ,.care ,.in ,.order ,.to ,.standardize
,.and ,.optimize ,.the ,.practice ,.of ,.the ,.nurses ,.on ,.the ,.unit. ,.Which ,.of ,.the ,.following
,.statements ,.best ,.describes ,.clinical ,.practice ,.guidelines?
A) The ,.result ,.of ,.replication ,.studies ,.of ,.existing ,.research ,.by ,.an ,.impartial ,.third ,.party
B) A ,.collection ,.of ,.authorized ,.interventions ,.that ,.are ,.required ,.by ,.law
C) A ,.number ,.of ,.interventions ,.that ,.are ,.the ,.result ,.of ,.a ,.large, ,.publically-funded ,.RCT
D) A ,.group ,.of ,.practice ,.recommendations ,.that ,.result ,.from ,.a ,.rigorous ,.review ,.of
,.the ,.literature
11. A ,.nurse ,.is ,.conducting ,.a ,.literature ,.review ,.on ,.the ,.evidence ,.regarding ,.the ,.use ,.of
,.vacuum ,.dressings ,.on ,.stage ,. IV ,.pressure ,.ulcers. ,.After ,.locating ,.a ,.recent ,.study ,.that
,.appears ,.to ,.be ,.relevant, ,.which ,.of ,.the ,.following ,.questions ,.would ,.the ,.nurse ,.consider ,.first
,.when ,.critically ,.appraising ,.the ,.study?
A) “Are ,.the ,.findings ,.of ,.this ,.study ,.cost-effective ,.in ,.our ,.clinical ,.context?”
B) "How ,.would ,.the ,.implementation ,.of ,.this ,.intervention ,.affect ,.our ,.staffing ,.needs?"
C) “Were ,.the ,.patients ,.in ,.the ,.study ,.similar ,.to ,.the ,.patients ,.on ,.my ,.unit?”
D) “Are ,.the ,.findings ,.of ,.the ,.study ,.significantly ,.different ,.from ,.what ,.we ,.are
,.currently ,.doing ,.on ,.the ,.unit?
12. The ,.primary ,.care ,.provider ,.of ,.a ,.49-year-old ,.male ,.patient ,.has ,.examined ,.and ,.briefly
,.explained ,.the ,.evidence ,.that ,.supports ,.beginning ,.regular ,.digital-rectal ,.exams. ,.Which
,.of ,.the ,.following ,.factors ,.would ,.justify ,.not ,.performing ,.digital-rectal ,.examinations ,.in
,.this ,.patient's ,.care?
A) The ,.patient ,.is ,.vehemently ,.opposed ,.to ,.undergoing ,.a ,.digital-rectal ,.exam.
B) Clinical ,.practice ,.guidelines ,.for ,.prostate ,.care ,.have ,.not ,.been ,.published.
C) The ,.clinician ,.has ,.been ,.unable ,.to ,.find ,.any ,.large ,.RCTs ,.in ,.a ,.literature ,.review.
D) The ,.clinician ,.has ,.previously ,.waited ,.until ,.patients ,.are ,.55 ,.to ,.begin
,.regular ,.digital-rectal ,.exams.
Page ,.4
