Test Bank for Clinical Nursing Skills and Techniques 10th Edition Potter, Perry

Test Bank for Clinical Nursing Skills and Techniques 10th Edition By Anne Griffin Perry, Patricia A. Potter, Wendy Ostendorf, Nancy Laplante

Chapter 01: Using Evidence in Nursing Practice Perry et al.: Nursing Interventions &

Clinical Skills 

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 patients

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.  

ANS: B 

Evidence-based practice is the use of the current best evidence in making patient care

decisions. It applies to all types of health care professionals. Currently there is no method that 

can ensure that all patients 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 patient is nonverbal?  

N 

c. How long can an IV catheter remain in place in a patient with obesity?  

d. What measures can the nurse take to reduce the rising incidence of urinary tract infections

on the older adult care unit?  

ANS: D 

Evidence-based practice (EBP) questions tend to arise from two sources: recurrent problems

or new knowledge. In the correct option, the increase in urinary tract infections indicates a 

trend or recurring problem in a specific group of patients. The other questions are general

information questions, not based on what is happening in a specific area or to a group of

specific patients 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  

ANS: A  

The “I” stands for intervention of interest, meaning what the nurse 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 patient 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 contact to search relevant databases in preparation for an

upcoming study?  

a. The physician whose patients may be involved in the study  

b. The medical librarian  

c. The nurse manager of the unit where the study will be conducted  

d. The director of nursing of the facility  

ANS: B 

The medical librarian is most knowledgeable regarding databases relevant to a study. The 

other 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  

ANS: D 

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 medicine, 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 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  

ANS: A 

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 the

same type of information as a randomized controlled trial provides. 

N 

DIF: Cognitive Level: Remembering  OBJ: NCLEX: Safe and Effective Care Environment TOP:

Nursing Process: Assessment 

7. What is the nurse attempting to determine when critiquing the evidence related to a PICOT

question?  

a. The ethical conduct of the research the nurse 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  

ANS: B 

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 the

strength 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 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 of

the lower spine. What can the nurse 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.  

ANS: B 

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 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 patient 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 patients with 

stomatitis?  

d. What is the maximal length of time our hospital allows irrigation kits to be used?  

ANS: C 

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 form

a question to research. 

 DIF: Cognitive Level: Analyzing  OBJ: NCLEX: Safe and Effective Care Environment  

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TOP: Nursing Process: Implementation 

MULTIPLE RESPONSE 

1. When planning to implement an evidence-based practice strategy, what factors are most

important for the nurse to consider and include? (Select all that apply.) a. Time required to

perform the strategy  

b. Patient preferences and values  

c. Clinical expertise  

d. Scientific knowledge  

e. Historical practices  

ANS: B, C, D 

When implementing evidence-based practice, the nurse considers and includes clinical

expertise and patient preferences and values in addition to the scientific knowledge. Time 

required to perform the new strategy and customary practices are not vital to this approach. In

fact, EBP seeks to ensure practices are based on evidence and not just historical practice. 

DIF: Cognitive Level: Remembering  OBJ: NCLEX: Safe and Effective Care Environment TOP:

Nursing Process: Implementation 

2. A new nurse wants to ensure practice is based on the best knowledge available. What

actions are best for this nurse to be involved in evidence-based practice? (Select all that

apply.) a. Design and conduct a study based on interest.  

b. Join the hospital’s policy review committee.  

c. Remain vigilant for recurring problems.  

d. Maintain a spirit of inquiry.  

e. Read current literature appropriate to practice area.  

ANS: B, C, D, E 

This novice nurse would best maintain an evidence-based nursing practice by joining policy N 

review committees, watching for and taking note of recurring problems in the practice area,

maintaining a spirit of inquiry, and staying current in the literature. The nurse would not need

to design and conduct a study. 

DIF: Cognitive Level: Applying  OBJ: NCLEX: Safe and Effective Care Environment TOP: Nursing

Process: Implementation 

3. When explaining the value of evidence-based practice, what benefits does the nurse include? 

(Select all that apply.)  

a. Improves quality of care.  

b. Improves patient outcomes.  

c. Improves stakeholder satisfaction.  

d. Incorporates near real-time data in practice.  

e. Helps nurses remain current in practice.  

ANS: A, B, D, E 

There are five ways that EBP adds value to the health care system: helps clinicians remain 

current on standardized, evidence-based protocols; uses near real-time scientific data to make