TEST BANK FOR NURSING INTERVENTIONS AND
CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
,MULTIPLE CHOICE
1. A nursing educator is explaining how the best clinical practices are determined. Which
statement best explains the purpose of evidence-based practice?
a. It ensures that all client s receive holistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being delivered.
d. It guarantees that care delivered is based on research.
RIGHT CHOICE:- B
Rationale :->>>Evidence-based practice is the use of the current best evidence in making
client care decisions. It applies to all types of health care professionals. Currently there is no
method that can ensure that all client s receive holistic care, that all errors can be prevented, or
that a guarantee exists that care given is based on research.
DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
2. Which question is a problem-focused trigger for initiating the evidence-based practice method
in nursing care?
a. What is known about reduction of urinary tract infections in the older adult with
diabetes?
b. How can chronic pain best be described when the client is nonverbal?
N
c. How long can an IV catheter remain in place in a client with obesity?
d. What measures can the nurse practitioner take to reduce the rising
incidence of urinarytract infections on the older adult care unit?
RIGHT CHOICE:- D
Rationale :->>>Evidence-based practice (EBP) questions tend to arise from two sources:
recurrent problemsor new knowledge. In the correct option, the increase in urinary tract
infections indicates a trend or recurring problem in a specific group of client s. The other
questions are general information questions, not based on what is happening in a specific area
or to a group of specific client s in an area or relating to an observed trend.
DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel
RIGHT CHOICE:- A
Rationale :->>>The “I” stands for intervention of interest, meaning what the nurse practitioner
hopes to use in practice
, and believes is worthwhile or valuable. This could be a treatment for a specific type of wound
or an approach on how to teach food preparation for a client with impaired sight.
DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
4. Who will the clinical research nurse practitioner contact to search relevant databases in
preparation foran upcoming study?
a. The physician whose client s may be involved in the study
b. The medical librarian
c. The nurse practitioner manager of the unit where the study will be conducted
d. The director of nursing of the facility
RIGHT CHOICE:- B
Rationale :->>>The medical librarian is most knowledgeable regarding databases
relevant to a study. Theother individuals do not have the knowledge regarding relevant
databases.
DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
5. Which database contains summaries of clinical guidelines and their development?
a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews
d. The National Guideline Clearinghouse
RIGHT CHOICE:- D
Rationale :->>>The National Guideline Clearinghouse is a database supported by the
Agency for Healthcare Research and Quality. It contains summaries of clinical guidelines
for practice. MEDLINE is a database for studies in medicNine, nursing, dentistry,
psychiatry, veterinary medicine,
and
allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of
regularly updated systematic reviews prepared by the Cochrane Collaboration includes
completed reviews and protocols.
DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
6. Which does the nurse practitioner researcher identify as the strongest type of research?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case controlled study
RIGHT CHOICE:- A
Rationale :->>>Individual randomized controlled trials are close to the top of the research
pyramid. Only systematic reviews and meta-analyses are higher. This type of study tests an
intervention against the usual standard of care. The other types of studies are useful but do
not give thesame type of information as a randomized controlled trial provides.
DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Assessment
, 7. What is the nurse practitioner attempting to determine when critiquing the
evidence related to aPICOT question?
a. The ethical conduct of the research the nurse practitioner read
b. The strength of the evidence found in the literature
c. If there are any experts in the clinical question needing to be researched
d. If the study demonstrates cost-effectiveness if a change in practice occurs
RIGHT CHOICE:- B
Rationale :->>>Once a literature search is complete and data are gathered about the question,
it is time to critique the evidence. Critiquing the evidence involves a systematic approach to
looking at thestrength of the work reviewed and its relevance. The other questions are not
applicable to critiquing the evidence.
DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
8. A nurse practitioner finds a cohort study comparing one group taking hormone treatment
with another group not taking hormone treatment to determine the incidence of changes in
bone density ofthe lower spine. What can the nurse practitioner imply from this study?
a. Low level of strength makes the study limited in value.
b. Moderate level of strength makes the study probably useful.
c. Opinions of the individuals in the cohort are not research.
d. This could be the basis for a Quality Improvement project.
RIGHT CHOICE:- B
Rationale :->>>A cohort study is Level 4 evidence as it is a single, non-experimental study.
This moderate level of evidence makes the study probably useful but the nurse practitioner
should strive to find stronger evidence. N
DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Evaluation
9. Which question would be the best example of a knowledge-focused trigger for conducting
an evidence-based practice project?
a. What is the best method for treatment of leg swelling when a client is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in adults over the age of 65?
c. What is the current evidence for improving oral intake for cancer client s
with stomatitis?
d. What is the maximal length of time our hospital allows irrigation kits to be used?
RIGHT CHOICE:- C
Rationale :->>>Evidence-based practice (EBP) questions tend to arise from two sources:
recurrent problems or new knowledge. In this example, the new knowledge that drives the
question is the one looking at current evidence. The other questions do not look at the newest
knowledge to forma question to research.
DIF: Cognitive Level: Analyzing OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
CLINICAL SKILLS 7TH EDITION BY POTTER
Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 7th Edition
,MULTIPLE CHOICE
1. A nursing educator is explaining how the best clinical practices are determined. Which
statement best explains the purpose of evidence-based practice?
a. It ensures that all client s receive holistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being delivered.
d. It guarantees that care delivered is based on research.
RIGHT CHOICE:- B
Rationale :->>>Evidence-based practice is the use of the current best evidence in making
client care decisions. It applies to all types of health care professionals. Currently there is no
method that can ensure that all client s receive holistic care, that all errors can be prevented, or
that a guarantee exists that care given is based on research.
DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
2. Which question is a problem-focused trigger for initiating the evidence-based practice method
in nursing care?
a. What is known about reduction of urinary tract infections in the older adult with
diabetes?
b. How can chronic pain best be described when the client is nonverbal?
N
c. How long can an IV catheter remain in place in a client with obesity?
d. What measures can the nurse practitioner take to reduce the rising
incidence of urinarytract infections on the older adult care unit?
RIGHT CHOICE:- D
Rationale :->>>Evidence-based practice (EBP) questions tend to arise from two sources:
recurrent problemsor new knowledge. In the correct option, the increase in urinary tract
infections indicates a trend or recurring problem in a specific group of client s. The other
questions are general information questions, not based on what is happening in a specific area
or to a group of specific client s in an area or relating to an observed trend.
DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel
RIGHT CHOICE:- A
Rationale :->>>The “I” stands for intervention of interest, meaning what the nurse practitioner
hopes to use in practice
, and believes is worthwhile or valuable. This could be a treatment for a specific type of wound
or an approach on how to teach food preparation for a client with impaired sight.
DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
4. Who will the clinical research nurse practitioner contact to search relevant databases in
preparation foran upcoming study?
a. The physician whose client s may be involved in the study
b. The medical librarian
c. The nurse practitioner manager of the unit where the study will be conducted
d. The director of nursing of the facility
RIGHT CHOICE:- B
Rationale :->>>The medical librarian is most knowledgeable regarding databases
relevant to a study. Theother individuals do not have the knowledge regarding relevant
databases.
DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
5. Which database contains summaries of clinical guidelines and their development?
a. MEDLINE
b. CINAHL
c. Cochrane Database of Systematic Reviews
d. The National Guideline Clearinghouse
RIGHT CHOICE:- D
Rationale :->>>The National Guideline Clearinghouse is a database supported by the
Agency for Healthcare Research and Quality. It contains summaries of clinical guidelines
for practice. MEDLINE is a database for studies in medicNine, nursing, dentistry,
psychiatry, veterinary medicine,
and
allied health. CINAHL (Cumulative Index of Nursing and Allied Health Literature) includes
studies in nursing, allied health, and biomedicine. The Cochrane Database Full text of
regularly updated systematic reviews prepared by the Cochrane Collaboration includes
completed reviews and protocols.
DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
6. Which does the nurse practitioner researcher identify as the strongest type of research?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case controlled study
RIGHT CHOICE:- A
Rationale :->>>Individual randomized controlled trials are close to the top of the research
pyramid. Only systematic reviews and meta-analyses are higher. This type of study tests an
intervention against the usual standard of care. The other types of studies are useful but do
not give thesame type of information as a randomized controlled trial provides.
DIF: Cognitive Level: Remembering OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Assessment
, 7. What is the nurse practitioner attempting to determine when critiquing the
evidence related to aPICOT question?
a. The ethical conduct of the research the nurse practitioner read
b. The strength of the evidence found in the literature
c. If there are any experts in the clinical question needing to be researched
d. If the study demonstrates cost-effectiveness if a change in practice occurs
RIGHT CHOICE:- B
Rationale :->>>Once a literature search is complete and data are gathered about the question,
it is time to critique the evidence. Critiquing the evidence involves a systematic approach to
looking at thestrength of the work reviewed and its relevance. The other questions are not
applicable to critiquing the evidence.
DIF: Cognitive Level: Understanding OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
8. A nurse practitioner finds a cohort study comparing one group taking hormone treatment
with another group not taking hormone treatment to determine the incidence of changes in
bone density ofthe lower spine. What can the nurse practitioner imply from this study?
a. Low level of strength makes the study limited in value.
b. Moderate level of strength makes the study probably useful.
c. Opinions of the individuals in the cohort are not research.
d. This could be the basis for a Quality Improvement project.
RIGHT CHOICE:- B
Rationale :->>>A cohort study is Level 4 evidence as it is a single, non-experimental study.
This moderate level of evidence makes the study probably useful but the nurse practitioner
should strive to find stronger evidence. N
DIF: Cognitive Level: Applying OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Evaluation
9. Which question would be the best example of a knowledge-focused trigger for conducting
an evidence-based practice project?
a. What is the best method for treatment of leg swelling when a client is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in adults over the age of 65?
c. What is the current evidence for improving oral intake for cancer client s
with stomatitis?
d. What is the maximal length of time our hospital allows irrigation kits to be used?
RIGHT CHOICE:- C
Rationale :->>>Evidence-based practice (EBP) questions tend to arise from two sources:
recurrent problems or new knowledge. In this example, the new knowledge that drives the
question is the one looking at current evidence. The other questions do not look at the newest
knowledge to forma question to research.
DIF: Cognitive Level: Analyzing OBJ: NCLEX: Safe and Effective Care Environment
TOP: Nursing Process: Implementation
