1
, Table Of Content
Chapter 1. Using Evidence in Nursing Practice
Chapter 2. Communication and Collaboration
Chapter 3. Admitting, Transfer, and Discharge
Chapter 4. Documentation and Informatics
Chapter 5. Vital Signs
Chapter 6. Health Assessment
Chapter 7. Specimen Collection
Chapter 8. Diagnostic Procedures
Chapter 9. Medical Asepsis
Chapter 10. Sterile Technique
Chapter 11. Safe PATIENT Handling and Mobility (SPHM)
Chapter 12. Exercise and Mobility
Chapter 13. Support Surfaces and Special Beds
Chapter 14. PATIENT Safety
Chapter 15. Disaster Preparedness
Chapter 16. Pain Management
Chapter 17. End-of-Life Care
Chapter 18. Personal Hygiene and Bed Making
Chapter 19. Care of the Eye and Ear
Chapter 20. Safe Medication Preparation
Chapter 21. Nonparenteral Medications
Chapter 22. Parenteral Medications
Chapter 23. Oxygen Therapy
Chapter 24. Performing Chest Physiotherapy
Chapter 25. Airway Management
Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems
Chapter 28. Emergency Measures for Life Support
Chapter 29. Intravenous and Vascular Access Therapy
Chapter 30. Blood Therapy
Chapter 31. Oral Nutrition
Chapter 32. Enteral Nutrition
Chapter 33. Parenteral Nutrition
Chapter 34. Urinary Elimination
Chapter 35. Bowel Elimination and Gastric Intubation
Chapter 36. Ostomy Care
Chapter 37. Preoperative and Postoperative Care
Chapter 38. Intraoperative Care
Chapter 39. Wound Care and Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care
Chapter 41. Dressings, Bandages, and Binders
Chapter 42. Home Care Safety
Chapter 43. Home Care Teaching
2
,Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 1st Edition
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about PATIENT
carethat 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 Portions of a textbook often become outdated by the time it is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.
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: 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. Evenwhen 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.
DIFFERENCE: CognitiveLevel: Application OBJECTIVE: 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.
b. I.
c.
c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use
3
, now in practice?
P = PATIENT population of interest. Identify your PATIENT by age, gender, ethnicity, disease,
orhealth 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
inPATIENT‘s perception) do you wish to achieve or observe as the result of an intervention?
DIFFERENCE: CognitiveLevel: Knowledge OBJECTIVE:
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
PATIENTcare.
DIFFERENCE: CognitiveLevel: Analysis OBJECTIVE: 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
reviewresearch on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
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.
DIFFERENCE: CognitiveLevel: Synthesis OBJECTIVE: 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)
4
, Table Of Content
Chapter 1. Using Evidence in Nursing Practice
Chapter 2. Communication and Collaboration
Chapter 3. Admitting, Transfer, and Discharge
Chapter 4. Documentation and Informatics
Chapter 5. Vital Signs
Chapter 6. Health Assessment
Chapter 7. Specimen Collection
Chapter 8. Diagnostic Procedures
Chapter 9. Medical Asepsis
Chapter 10. Sterile Technique
Chapter 11. Safe PATIENT Handling and Mobility (SPHM)
Chapter 12. Exercise and Mobility
Chapter 13. Support Surfaces and Special Beds
Chapter 14. PATIENT Safety
Chapter 15. Disaster Preparedness
Chapter 16. Pain Management
Chapter 17. End-of-Life Care
Chapter 18. Personal Hygiene and Bed Making
Chapter 19. Care of the Eye and Ear
Chapter 20. Safe Medication Preparation
Chapter 21. Nonparenteral Medications
Chapter 22. Parenteral Medications
Chapter 23. Oxygen Therapy
Chapter 24. Performing Chest Physiotherapy
Chapter 25. Airway Management
Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems
Chapter 28. Emergency Measures for Life Support
Chapter 29. Intravenous and Vascular Access Therapy
Chapter 30. Blood Therapy
Chapter 31. Oral Nutrition
Chapter 32. Enteral Nutrition
Chapter 33. Parenteral Nutrition
Chapter 34. Urinary Elimination
Chapter 35. Bowel Elimination and Gastric Intubation
Chapter 36. Ostomy Care
Chapter 37. Preoperative and Postoperative Care
Chapter 38. Intraoperative Care
Chapter 39. Wound Care and Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care
Chapter 41. Dressings, Bandages, and Binders
Chapter 42. Home Care Safety
Chapter 43. Home Care Teaching
2
,Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 1st Edition
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about PATIENT
carethat 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.
DIFFERENCE: CognitiveLevel: Comprehension OBJECTIVE: 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. Evenwhen 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.
DIFFERENCE: CognitiveLevel: Application OBJECTIVE: 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.
b. I.
c.
c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually use
3
, now in practice?
P = PATIENT population of interest. Identify your PATIENT by age, gender, ethnicity, disease,
orhealth 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
inPATIENT‘s perception) do you wish to achieve or observe as the result of an intervention?
DIFFERENCE: CognitiveLevel: Knowledge OBJECTIVE:
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
PATIENTcare.
DIFFERENCE: CognitiveLevel: Analysis OBJECTIVE: 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
reviewresearch on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANS: D
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.
DIFFERENCE: CognitiveLevel: Synthesis OBJECTIVE: 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)
4
