Question 1

The nurse is working on ensuring all care plans are individualized to meet each patient's specific needs. This focuses on which area of QSEN?

Accepted Answer

Patient-Centered Care focuses on recognizing the patient as the source of control and full partner in providing compassionate and coordinated care based on respect for patient's preferences, values, and needs. Individualizing care plans aligns with this focus.

Question 2

The nurse is working with a committee to determine EBP approaches for patient care. Which steps will the committee members include when determining EBP? (Select all that apply.)

Accepted Answer

The steps for determining Evidence-Based Practice (EBP) include evaluating the change to see if it improves patient care, measuring the outcome to ensure the change has the desired effect, and searching for the best available evidence to support the change. Asking nursing experts and manipulating current practice are not standardized steps in the EBP process.

Question 3

A licensed practical nurse/licensed vocational nurse (LPN/LVN) is preparing to insert an indwelling urinary catheter. The policy states to test the balloon before inserting the catheter, although evidence supports not testing the balloon. Which action should the nurse take?

Accepted Answer

Conducting a literature search and presenting the literature to the policy committee is the best course of action because it allows the nurse to gather evidence to support their position and advocate for a change in policy.

Question 4

The nurse is implementing the QSEN focus of patient-centered care. Which nursing actions support this focus? (Select all that apply.)

Accepted Answer

Individualizing interventions, scheduling interventions to meet the patient's needs, and evaluating interventions for applicability to the patient all directly support patient-centered care by focusing on the unique needs and preferences of each patient.

Question 5

A licensed practical nurse (LPN) working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which clinical question would best guide the nurse's next steps?

Accepted Answer

C) is the best choice because it directly relates to improving patient outcomes through education, which is a key component in managing chronic conditions like asthma.

Question 6

A low health literacy level can lead to which outcome?

Accepted Answer

Low health literacy can result in misunderstandings about health instructions, leading to poor management of health conditions and, consequently, poor health outcomes.

Question 7

The nurse works in a clinic where many of the patients did not attend school beyond elementary level. What interventions can the nurse implement to promote health literacy for this particular group? (Select all that apply.)

Accepted Answer

The answer of The nurse works in a clinic where...

Question 8

The nurse is preparing to give oral care to a patient receiving tube feedings. Which approach should the nurse use to provide care that is based on EBP?

Accepted Answer

Using a soft toothbrush and toothpaste to brush the teeth is based on evidence-based practice (EBP) for maintaining oral hygiene, especially in patients receiving tube feedings, as it effectively removes plaque and reduces the risk of oral infections.

Question 9

List in order the six steps of EBP using 1 through 6. ____Search for and collect relevant evidence.
____Think critically.
____Ask the burning question.
____Make it happen.
____Evaluate the practice change.
____Measure outcomes before and after change.

Accepted Answer

The answer of List in order the six steps of...

Question 10

The nurse working on an oncology unit wants to know if it is best practice to clean a central line in a circular motion or a back-and-forth motion. What action should the nurse take first?

Accepted Answer

Developing a research question to guide a literature search is the first step in identifying best practices based on evidence. This approach ensures that the nurse's actions are informed by the most current and comprehensive information available.

Question 11

The nurse is reviewing a proposal for changing the type of needleless systems currently used to administer IV medications in the hospital. Which part of the proposal most effectively supports the proposed change?

Accepted Answer

The answer of The nurse is reviewing a proposal for...

Question 12

A nursing student asks the registered nurse (RN) preceptor why EBP is important. How should the nurse respond to the student?

Accepted Answer

EBP, or Evidence-Based Practice, guides nursing decisions to optimize effective care by integrating the best available research evidence with clinical expertise and patient values.

Question 13

The nurse is providing diabetic education to a patient with a low literacy level. Which statement best promotes health literacy?

Accepted Answer

This statement uses simple language and provides a clear action for the patient to take, which is important for someone with low literacy.

Question 14

The nurse is reviewing four articles for research and notes the evidence presented in one article is weaker than the others. Which level of research is the nurse most likely reviewing?

Accepted Answer

Level IV evidence is considered weaker than Levels I, II, and III, as it typically includes case series, case reports, and expert opinion, which do not provide the same strength of evidence as randomized controlled trials, cohort studies, or systematic reviews/meta-analyses.

Question 15

The nurse working in a radiation oncology department wants to reduce the incidence of skin breakdown in patients who receive beam radiation. Which question should the nurse use to guide a literature search about this topic?

Accepted Answer

The question focusing on "What nursing interventions minimize the occurrence of skin breakdown in patients receiving beam radiation?" directly addresses the nurse's goal of reducing the incidence of skin breakdown in patients who receive beam radiation, making it the most relevant question for guiding a literature search on this topic.

Question 16

A group of nurses conducted a pilot study about implementing a team to turn patients every hour to prevent skin breakdown. The results proved the intervention to be a success. What step should the nurses take next to implement the turn team hospital wide?

Accepted Answer

The answer of A group of nurses conducted a pilot...

Question 17

The nurse wants to conduct a pilot study on frequency of readmission for patients with heart failure. Which question should the nurse use to guide a literature review?

Accepted Answer

The question "How often are patients with heart failure readmitted?" directly addresses the frequency of readmission, which is the focus of the pilot study.

Question 18

While reviewing a patient care assignment with an unlicensed assistive personnel (UAP), the nurse explains the reason for turning and repositioning a patient every 2 hours. Why did the nursing include this information?

Accepted Answer

Turning and repositioning a patient every 2 hours is a practice based on evidence to prevent pressure ulcers and promote circulation, thus ensuring evidence-based care is provided.

Question 19

The nurse is teaching a group of students about implementing EBP to control pain. Which statement best describes understanding of evidence?

Accepted Answer

The correct answer is D because it refers to evidence-based practice (EBP) by mentioning studies that prove the effectiveness of nonpharmacological methods for pain relief. EBP relies on research and evidence rather than anecdotal experiences or commercial claims.

Question 20

The nurse is planning a Quality and Safety Education for Nurses (QSEN) project to focus on informatics. Which would the nurse include in this project?

Accepted Answer

Implementing a medication barcode system is directly related to informatics, as it involves using technology to ensure the accuracy and safety of medication administration, aligning with the QSEN competency of informatics.

Quiz 2: Evidence-Based Practice

The nurse is working on ensuring all care plans are individualized to meet each patient's specific needs. This focuses on which area of QSEN?

The nurse is working with a committee to determine EBP approaches for patient care. Which steps will the committee members include when determining EBP? (Select all that apply.)

A licensed practical nurse/licensed vocational nurse (LPN/LVN) is preparing to insert an indwelling urinary catheter. The policy states to test the balloon before inserting the catheter, although evidence supports not testing the balloon. Which action should the nurse take?

The nurse is implementing the QSEN focus of patient-centered care. Which nursing actions support this focus? (Select all that apply.)

A licensed practical nurse (LPN) working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which clinical question would best guide the nurse's next steps?

A low health literacy level can lead to which outcome?

The nurse works in a clinic where many of the patients did not attend school beyond elementary level. What interventions can the nurse implement to promote health literacy for this particular group? (Select all that apply.)

The nurse is preparing to give oral care to a patient receiving tube feedings. Which approach should the nurse use to provide care that is based on EBP?

List in order the six steps of EBP using 1 through 6. Search for and collect relevant evidence. Think critically. Ask the burning question. Make it happen. Evaluate the practice change. Measure outcomes before and after change.

The nurse working on an oncology unit wants to know if it is best practice to clean a central line in a circular motion or a back-and-forth motion. What action should the nurse take first?

The nurse is reviewing a proposal for changing the type of needleless systems currently used to administer IV medications in the hospital. Which part of the proposal most effectively supports the proposed change?

A nursing student asks the registered nurse (RN) preceptor why EBP is important. How should the nurse respond to the student?

The nurse is providing diabetic education to a patient with a low literacy level. Which statement best promotes health literacy?

The nurse is reviewing four articles for research and notes the evidence presented in one article is weaker than the others. Which level of research is the nurse most likely reviewing?

The nurse working in a radiation oncology department wants to reduce the incidence of skin breakdown in patients who receive beam radiation. Which question should the nurse use to guide a literature search about this topic?

A group of nurses conducted a pilot study about implementing a team to turn patients every hour to prevent skin breakdown. The results proved the intervention to be a success. What step should the nurses take next to implement the turn team hospital wide?

The nurse wants to conduct a pilot study on frequency of readmission for patients with heart failure. Which question should the nurse use to guide a literature review?

While reviewing a patient care assignment with an unlicensed assistive personnel (UAP) , the nurse explains the reason for turning and repositioning a patient every 2 hours. Why did the nursing include this information?

The nurse is teaching a group of students about implementing EBP to control pain. Which statement best describes understanding of evidence?

The nurse is planning a Quality and Safety Education for Nurses (QSEN) project to focus on informatics. Which would the nurse include in this project?

Quiz 2: Evidence-Based Practice

The nurse is working on ensuring all care plans are individualized to meet each patient's specific needs. This focuses on which area of QSEN?

The nurse is working with a committee to determine EBP approaches for patient care. Which steps will the committee members include when determining EBP? (Select all that apply.)

A licensed practical nurse/licensed vocational nurse (LPN/LVN) is preparing to insert an indwelling urinary catheter. The policy states to test the balloon before inserting the catheter, although evidence supports not testing the balloon. Which action should the nurse take?

The nurse is implementing the QSEN focus of patient-centered care. Which nursing actions support this focus? (Select all that apply.)

A licensed practical nurse (LPN) working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which clinical question would best guide the nurse's next steps?

A low health literacy level can lead to which outcome?

The nurse works in a clinic where many of the patients did not attend school beyond elementary level. What interventions can the nurse implement to promote health literacy for this particular group? (Select all that apply.)

The nurse is preparing to give oral care to a patient receiving tube feedings. Which approach should the nurse use to provide care that is based on EBP?

List in order the six steps of EBP using 1 through 6. ____Search for and collect relevant evidence. ____Think critically. ____Ask the burning question. ____Make it happen. ____Evaluate the practice change. ____Measure outcomes before and after change.

The nurse working on an oncology unit wants to know if it is best practice to clean a central line in a circular motion or a back-and-forth motion. What action should the nurse take first?

The nurse is reviewing a proposal for changing the type of needleless systems currently used to administer IV medications in the hospital. Which part of the proposal most effectively supports the proposed change?

A nursing student asks the registered nurse (RN) preceptor why EBP is important. How should the nurse respond to the student?

The nurse is providing diabetic education to a patient with a low literacy level. Which statement best promotes health literacy?

The nurse is reviewing four articles for research and notes the evidence presented in one article is weaker than the others. Which level of research is the nurse most likely reviewing?

The nurse working in a radiation oncology department wants to reduce the incidence of skin breakdown in patients who receive beam radiation. Which question should the nurse use to guide a literature search about this topic?

A group of nurses conducted a pilot study about implementing a team to turn patients every hour to prevent skin breakdown. The results proved the intervention to be a success. What step should the nurses take next to implement the turn team hospital wide?

The nurse wants to conduct a pilot study on frequency of readmission for patients with heart failure. Which question should the nurse use to guide a literature review?

While reviewing a patient care assignment with an unlicensed assistive personnel (UAP) , the nurse explains the reason for turning and repositioning a patient every 2 hours. Why did the nursing include this information?

The nurse is teaching a group of students about implementing EBP to control pain. Which statement best describes understanding of evidence?

The nurse is planning a Quality and Safety Education for Nurses (QSEN) project to focus on informatics. Which would the nurse include in this project?

List in order the six steps of EBP using 1 through 6. Search for and collect relevant evidence. Think critically. Ask the burning question. Make it happen. Evaluate the practice change. Measure outcomes before and after change.