TEST BANK | PRIMARY CARE: THE ART AND SCIENCE OF ADVANCED
PRACTICE NURSING – AN INTERPROFESSIONAL APPROACH, 6TH EDITION BY
DUNPHY | COMPLETE GUIDE CHAPTER 1–82
Compiled By: Excellent Pass
1. A nurse reviews research on how hand hygiene affects hospital-acquired infection rates. If a
study reports a significance level of <0.01, what does this mean?
A) The control and test groups are 99% alike
B) The chance the results occurred randomly is less than 1%
C) The intervention likely had no real impact
D) The result’s clinical meaning is less than 1:100
Answer: B
Explanation: A p-value less than 0.01 means the findings are statistically significant, with less
than 1% likelihood the results occurred by chance.
2. A nurse doubts the value of nursing research, claiming it's irrelevant. How should a colleague
respond?
A) It allows nurses to apply for federal research grants
B) It’s enhanced nursing education and credibility
C) It’s helped nursing be viewed as a profession
D) It can directly improve care quality and outcomes
Answer: D
Explanation: The core benefit of nursing research is its impact on improving patient outcomes
and clinical practice.
3. A nurse reads a qualitative study on parents experiencing neonatal loss. What’s the most
important appraisal question?
A) Did the authors accurately portray the parents' experiences?
B) Were confounding variables addressed?
C) Was the right statistical method used?
D) Were the research tools statistically valid?
Answer: A
Explanation: Qualitative research is evaluated by how well it conveys participants’ lived
experiences, not by statistical analysis.
4. Tracy, a bachelor-prepared labor and delivery nurse, is interested in boosting breastfeeding
rates. What’s her likely research role?
A) Writing grant proposals
B) Posing clinical questions for researchers
C) Designing research methods
D) Publishing results
,Answer: B
Explanation: Staff nurses often play a key role in identifying clinical issues that lead to research
projects.
5. A patient signed a drug trial consent form but tells the nurse he didn’t understand the study.
What should the nurse do?
A) Re-explain the trial
B) Describe randomized trials
C) Notify the research assistant that consent may be invalid
D) Say the consent is legally binding
Answer: C
Explanation: Informed consent must reflect full understanding; the research team must re-
address unclear or invalid consents.
6. (Select all that apply) A nurse implementing evidence-based practice (EBP) will include:
A) Team consensus
B) Nursing tradition
C) Clinical expertise
D) Research evidence
E) Patient preferences
Answers: C, D, E
Explanation: EBP integrates best research evidence, clinical judgment, and patient values to
guide practice.
7. A nurse suggests maggot therapy for a diabetic ulcer. The patient refuses. What’s the correct
EBP response?
A) Stress the strength of research evidence
B) Re-explain the science
C) Include the patient's wishes in care planning
D) Ask the family to help persuade her
Answer: C
Explanation: EBP respects patient preferences as an essential element, even when evidence
strongly supports an intervention.
8. Nurses are helping decide whether to buy anti-pressure mattresses. Which evidence should
they rely on most?
A) Qualitative study on ulcer experiences
B) Geriatric case study
C) Clinician testimonials
D) Randomized controlled trial comparing mattresses
Answer: D
,Explanation: Randomized controlled trials are the gold standard for clinical evidence and
should be prioritized in EBP.
9. A hospital wants to improve nurse communication across units using EBP. What evidence is
best?
A) Systematic review on nursing communication
B) Staff suggestions
C) Chart audits
D) Accreditation results
Answer: A
Explanation: Systematic reviews synthesize multiple high-quality studies and are high on the
evidence hierarchy.
10. To change admission documentation using EBP, what should the nurse do first?
A) Point out flaws in current process
B) Create a clear clinical question
C) Get staff buy-in
D) Search databases
Answer: B
Explanation: The first step in the EBP process is formulating a focused and answerable clinical
question.
11. Which question best uses the PICOT format?
A) Does parental drinking affect teens?
B) In post-op patients, does meditation vs. benzodiazepines affect anxiety in 48 hours?
C) Does a fall sexual campaign lower STIs?
D) In kids aged 6–8, is a pain scale better than a number scale?
Answer: B
Explanation: This question includes all five PICOT elements: Population, Intervention,
Comparison, Outcome, and Time.
12. When applying UNC's 5A EBP model, what’s the final step?
A) Analyze data
B) Advocate change
C) Adopt recommendations
D) Assess outcomes using quality metrics
Answer: D
Explanation: The final step in the UNC 5A model is to assess the results using available quality
improvement tools.
13. A nurse needs fast, reliable guidelines for a sex ed presentation. What’s the best source?
A) Cochrane Library
B) Google search
, C) PubMed + journal ordering
D) Skimming recent journals
Answer: A
Explanation: Cochrane reviews provide expert-reviewed, summarized evidence suitable for
rapid clinical use.
14. Computerized patient records are being introduced. What’s a major concern?
A) Charting errors
B) Privacy/confidentiality
C) Nurse resistance
D) System compatibility
Answer: B
Explanation: Digital records raise the risk of privacy breaches due to wider access and data
sharing.
15. A nurse is anxious about the hospital's new digital records. What should he do?
A) Go back to school
B) Look for another job
C) Ask for implementation delays
D) Take training to build tech skills
Answer: D
Explanation: The most appropriate response is proactive learning and adaptation to new
technology.
16. What is a community nurse doing when they hand out heart health brochures?
A) Treating illness
B) Preventing disease
C) Promoting exercise
D) Doing tertiary care
Answer: B
Explanation: Distributing educational material to prevent disease is a form of primary
prevention.
17. What makes community-based nursing cost-effective and appealing?
A) It gives nurses more authority
B) Nurses direct client decisions
C) Clients choose actions from nurse guidance
D) It costs less and is less disruptive
Answer: D
Explanation: Community care often reduces costs and fits more seamlessly into patients’ daily
lives.
PRACTICE NURSING – AN INTERPROFESSIONAL APPROACH, 6TH EDITION BY
DUNPHY | COMPLETE GUIDE CHAPTER 1–82
Compiled By: Excellent Pass
1. A nurse reviews research on how hand hygiene affects hospital-acquired infection rates. If a
study reports a significance level of <0.01, what does this mean?
A) The control and test groups are 99% alike
B) The chance the results occurred randomly is less than 1%
C) The intervention likely had no real impact
D) The result’s clinical meaning is less than 1:100
Answer: B
Explanation: A p-value less than 0.01 means the findings are statistically significant, with less
than 1% likelihood the results occurred by chance.
2. A nurse doubts the value of nursing research, claiming it's irrelevant. How should a colleague
respond?
A) It allows nurses to apply for federal research grants
B) It’s enhanced nursing education and credibility
C) It’s helped nursing be viewed as a profession
D) It can directly improve care quality and outcomes
Answer: D
Explanation: The core benefit of nursing research is its impact on improving patient outcomes
and clinical practice.
3. A nurse reads a qualitative study on parents experiencing neonatal loss. What’s the most
important appraisal question?
A) Did the authors accurately portray the parents' experiences?
B) Were confounding variables addressed?
C) Was the right statistical method used?
D) Were the research tools statistically valid?
Answer: A
Explanation: Qualitative research is evaluated by how well it conveys participants’ lived
experiences, not by statistical analysis.
4. Tracy, a bachelor-prepared labor and delivery nurse, is interested in boosting breastfeeding
rates. What’s her likely research role?
A) Writing grant proposals
B) Posing clinical questions for researchers
C) Designing research methods
D) Publishing results
,Answer: B
Explanation: Staff nurses often play a key role in identifying clinical issues that lead to research
projects.
5. A patient signed a drug trial consent form but tells the nurse he didn’t understand the study.
What should the nurse do?
A) Re-explain the trial
B) Describe randomized trials
C) Notify the research assistant that consent may be invalid
D) Say the consent is legally binding
Answer: C
Explanation: Informed consent must reflect full understanding; the research team must re-
address unclear or invalid consents.
6. (Select all that apply) A nurse implementing evidence-based practice (EBP) will include:
A) Team consensus
B) Nursing tradition
C) Clinical expertise
D) Research evidence
E) Patient preferences
Answers: C, D, E
Explanation: EBP integrates best research evidence, clinical judgment, and patient values to
guide practice.
7. A nurse suggests maggot therapy for a diabetic ulcer. The patient refuses. What’s the correct
EBP response?
A) Stress the strength of research evidence
B) Re-explain the science
C) Include the patient's wishes in care planning
D) Ask the family to help persuade her
Answer: C
Explanation: EBP respects patient preferences as an essential element, even when evidence
strongly supports an intervention.
8. Nurses are helping decide whether to buy anti-pressure mattresses. Which evidence should
they rely on most?
A) Qualitative study on ulcer experiences
B) Geriatric case study
C) Clinician testimonials
D) Randomized controlled trial comparing mattresses
Answer: D
,Explanation: Randomized controlled trials are the gold standard for clinical evidence and
should be prioritized in EBP.
9. A hospital wants to improve nurse communication across units using EBP. What evidence is
best?
A) Systematic review on nursing communication
B) Staff suggestions
C) Chart audits
D) Accreditation results
Answer: A
Explanation: Systematic reviews synthesize multiple high-quality studies and are high on the
evidence hierarchy.
10. To change admission documentation using EBP, what should the nurse do first?
A) Point out flaws in current process
B) Create a clear clinical question
C) Get staff buy-in
D) Search databases
Answer: B
Explanation: The first step in the EBP process is formulating a focused and answerable clinical
question.
11. Which question best uses the PICOT format?
A) Does parental drinking affect teens?
B) In post-op patients, does meditation vs. benzodiazepines affect anxiety in 48 hours?
C) Does a fall sexual campaign lower STIs?
D) In kids aged 6–8, is a pain scale better than a number scale?
Answer: B
Explanation: This question includes all five PICOT elements: Population, Intervention,
Comparison, Outcome, and Time.
12. When applying UNC's 5A EBP model, what’s the final step?
A) Analyze data
B) Advocate change
C) Adopt recommendations
D) Assess outcomes using quality metrics
Answer: D
Explanation: The final step in the UNC 5A model is to assess the results using available quality
improvement tools.
13. A nurse needs fast, reliable guidelines for a sex ed presentation. What’s the best source?
A) Cochrane Library
B) Google search
, C) PubMed + journal ordering
D) Skimming recent journals
Answer: A
Explanation: Cochrane reviews provide expert-reviewed, summarized evidence suitable for
rapid clinical use.
14. Computerized patient records are being introduced. What’s a major concern?
A) Charting errors
B) Privacy/confidentiality
C) Nurse resistance
D) System compatibility
Answer: B
Explanation: Digital records raise the risk of privacy breaches due to wider access and data
sharing.
15. A nurse is anxious about the hospital's new digital records. What should he do?
A) Go back to school
B) Look for another job
C) Ask for implementation delays
D) Take training to build tech skills
Answer: D
Explanation: The most appropriate response is proactive learning and adaptation to new
technology.
16. What is a community nurse doing when they hand out heart health brochures?
A) Treating illness
B) Preventing disease
C) Promoting exercise
D) Doing tertiary care
Answer: B
Explanation: Distributing educational material to prevent disease is a form of primary
prevention.
17. What makes community-based nursing cost-effective and appealing?
A) It gives nurses more authority
B) Nurses direct client decisions
C) Clients choose actions from nurse guidance
D) It costs less and is less disruptive
Answer: D
Explanation: Community care often reduces costs and fits more seamlessly into patients’ daily
lives.
