Question 1

The nurse is working with a new group of student nurses who ask why evidence-based nursing is such a hot topic. Which of the following responses by the nurse is best?&#10;A)&#34;Evidence-based practice makes nursing more professional.&#34;&#10;B)&#34;Evidence-based practice helps ensure we can demand more pay.&#34;&#10;C)&#34;Evidence-based practice guides nursing decisions to optimize effective care.&#34;&#10;D)&#34;Evidence-based practice helps validate the difference nurses really make.&#34;

Accepted Answer

&#34;Evidence-based practice helps validate the difference nurses really make.&#34;

Question 2

Which of the following kinds of evidence is considered Level II research?&#10;A)A randomized controlled trial (RCT)&#10;B)A quasi-experimental study&#10;C)Cochrane Review&#10;D)Joanna Briggs Best Practice Review&#10;Multiple Response&#10;Identify one or more choices that best complete the statement or answer the question.

Accepted Answer

Level II research is considered to be evidence from well-designed randomized controlled trials.

Question 3

Which of the following best describes quasi-experimental designs?&#10;A)A randomized study with strict eligibility criteria controlling for comorbid conditions&#10;B)A study that categorizes modifiable and nonmodifiable risk factors&#10;C)A longitudinal design that tracks patient outcomes over a decade or longer&#10;D)An experimental study where factors affecting the results are not controlled

Accepted Answer

Quasi-experimental designs are characterized by the lack of full control over the allocation of participants to the treatment and control groups, meaning not all factors affecting the results are controlled. This contrasts with true experimental designs, where participants are randomly assigned to groups to ensure control over all variables.

Question 4

Which of the following is considered a dependent nursing intervention? (Select all that apply.?&#10;A)Wet to moist dressing changes every 6 hours while awake&#10;B)Give Tylenol 650 mg orally every 4 hours prn pain&#10;C)Music therapy as desired&#10;D)Bathroom privileges as tolerated&#10;E)Low sodium soft diet&#10;F)Call button within reach at all times

Accepted Answer

The answer of Which of the following is considered a...

Question 5

A nursing committee developed an evidence-based intervention that the committee would like to initiate institution-wide. Which step should the committee take now to implement the intervention?&#10;A)Conduct a small pilot study involving the proposed change.&#10;B)Invite nursing experts in the city to review the proposed change.&#10;C)Poll the nursing staff to determine their attitude toward change.&#10;D)Ask the charge nurse to propose the change to administration.

Accepted Answer

Conducting a small pilot study involving the proposed change would allow the committee to test the intervention on a smaller scale before implementing it institution-wide. This would help identify any potential issues or obstacles before committing to the full implementation. Inviting nursing experts and polling staff may be helpful later in the implementation process, but testing the intervention first is the most appropriate initial step. Asking the charge nurse to propose the change to administration may also come later in the process, after the pilot study has been completed and any necessary modifications have been made.

Question 6

The nurse is caring for a patient with a tube feeding in the morning and is preparing to give oral care. Which of the following would be the best way to give oral care based on the case study presented in the evidence-based practice chapter?

A)Use mouthwash and toothettes to swab the teeth and mouth three times a day.
B)Have the patient use swish-and-swallow Nystatin twice a day.
C)Increase oral suctioning to every 2 hours using toothette suction devices.
D)Use a soft toothbrush and toothpaste to brush the teeth.

Accepted Answer

The best way to give oral care for a patient with a tube feeding based on the evidence-based practice chapter is to use a soft toothbrush and toothpaste to brush the teeth. This helps to maintain the oral health of the patient and prevent infections. Using mouthwash and toothettes may not be effective in removing plaque and bacteria from the mouth, and swish-and-swallow Nystatin is typically used to treat fungal infections rather than prevent them. Increasing oral suctioning can also increase the risk of infection and may not be necessary unless the patient has excessive oral secretions.

Question 7

Which of the following is the most important reason for using evidence-based practice (EBP)?&#10;A)It saves money.&#10;B)It improves access to care.&#10;C)It optimizes care.&#10;D)It reduces staff error.

Accepted Answer

The most important reason for using evidence-based practice is to optimize care. This means providing patients with the most effective treatments and interventions based on the best available evidence. While EBP may save money and reduce staff error in the long run, these are not the primary reasons for using EBP. Improving access to care is also a goal of EBP, but not the most important reason.

Question 8

An LPN wants to find other studies on infection rates as they relate to specific hand-washing products. Which of the following should be searched for related nursing articles?&#10;A)Medline&#10;B)PubMed&#10;C)Cumulative Index to Nursing and Allied Health Literature (CINAHL&#174;)&#10;D)Cochrane Collection

Accepted Answer

CINAHL® is a comprehensive nursing and allied health research database that includes a wide range of nursing resources and is likely to have studies on infection rates as they relate to specific hand-washing products. Medline and PubMed may also have relevant studies but are not specific to nursing research. The Cochrane Collection is focused on systematic reviews in healthcare and may not have individual studies on hand-washing products.

Question 9

Which of the following is included in the process of evidence-based practice? (Select all that apply.?&#10;A)Measure the outcome.&#10;B)Ask the nursing experts.&#10;C)Evaluate the change.&#10;D)Manipulate current practice.&#10;E)Know what the data mean.&#10;F)Search for the best available evidence.

Accepted Answer

The answer of Which of the following is included in...

Question 10

Which of the following steps helps nurses know that they are giving the best care possible?&#10;A)Measuring outcomes&#10;B)Reviewing the literature&#10;C)Constructing a burning clinical question&#10;D)Determining the validity of clinical research

Accepted Answer

Measuring outcomes helps nurses to evaluate the effectiveness of their care and make necessary improvements to provide the best possible care. Reviewing the literature and determining the validity of clinical research can inform and guide nursing practice, but they do not directly ensure the best care is being given. Constructing a burning clinical question is a step in the evidence-based practice process, but it alone does not guarantee the best care.

Question 11

Which of the following is considered the highest level or best evidence supporting practice?&#10;A)Level IV&#10;B)Level III&#10;C)Level II&#10;D)Level I

Accepted Answer

The answer of Which of the following is considered the...

Question 12

Which of the following is considered significant evidence to guide nursing care?&#10;A)Systematic review&#10;B)Quasi-experimental studies&#10;C)Expert opinion&#10;D)Traditional practice

Accepted Answer

The answer of Which of the following is considered significant...

Question 13

A nurse who works on a medical-surgical unit reads an article about a research study regarding nursing care in the intensive care unit (ICU) and decreased nosocomial infections. Which action should the nurse take in exploring this research topic??

A)Institute a pilot study utilizing the outlined nursing care.
B)Discuss the research with the Chief of Nursing at the institution.
C)Do a journal search and look for similar studies related to non-ICU patients.
D)Take the article to the head nurse in the ICU and suggest a new policy be developed.

Accepted Answer

The answer of A nurse who works on a medical-surgical...

Question 14

A nurse who recently joined the policy and procedure committee is reviewing a proposal for changing the type of needleless systems currently used to administer intravenous medications in the hospital. Which of the following would most effectively support the proposed change?

A)The proposal cites a single randomized clinical trial as evidence to support the new policy.
B)The proposal outlines a planned pilot study.
C)The supporting evidence involves research conducted at an outpatient hematology center.
D)There have been two cases of staff injury related to needlesticks in the past 3 years.

Accepted Answer

The answer of A nurse who recently joined the policy...

Question 15

After developing a burning clinical question, searching the literature, obtaining baseline measurements of infection rates for diabetic patients with foot ulcers, and completing a small study with 20 patients who showed positive response to a new intervention, which of the following steps for evidence-based practice (EBP) should the nurse take now?

A)Publish and share the results of the study.
B)Complete a cost-benefit analysis of the results.
C)Work to develop a new policy and procedure to institute the change.
D)Evaluate the validity of related research studies.

Accepted Answer

The answer of After developing a burning clinical question, searching...

Question 16

Which of the following acronyms can be used to identify the steps of the evidence-based practice (EBP) process?&#10;A)MYWAY&#10;B)ASKMME&#10;C)RIGHT&#10;D)ASKWHY

Accepted Answer

The answer of Which of the following acronyms can be...

Question 17

An LPN working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which of the following clinical questions would best guide the nurse's next steps?&#10;A)What is the monthly admission rate of patients with asthma to the unit?&#10;B)What patient education materials are available to address effective management of asthma in pediatric patients?&#10;C)How has the occurrence rate of asthma in children under the age of 5 changed since the hospital instituted a no smoking policy for the hospital grounds?&#10;D)How many patients with asthma have a pet dog or cat?

Accepted Answer

The answer of An LPN working on the pediatric floor...

Question 18

The nurse working on the burn unit is interested in understanding the degree of a burn upon admission and the rate of renal compromise. Which step should the nurse take next?&#10;A)Complete a literature review.&#10;B)Develop a clinical question that can guide further research.&#10;C)Work with a medical librarian to identify key words.&#10;D)Join the policy and procedure committee to evaluate care in the hospital.

Accepted Answer

The answer of The nurse working on the burn unit...

Question 19

Which of the following is considered a quasi-experimental study? (Select all that apply.?&#10;A)28 volunteer patients who agree to trial a new type of mouthwash&#10;B)14 individuals on a medical unit who complete the same questionnaire&#10;C)An experimental group and a control group each with 225 patients&#10;D)Identification of oral flora in nursing home patients who receive artificial feedings&#10;E)Tracking of pneumonia rates for all patients receiving artificial tube feedings

Accepted Answer

The answer of Which of the following is considered a...

Question 20

The nurse working in a radiation oncology department is interested in improving patient outcomes for those with skin breakdown who receive beam radiation. Which of the following is the best way to structure a clinical question to guide a literature search?

A)What nursing interventions minimize the occurrence of skin breakdown in patients receiving beam radiation?
B)How often do patients with beam radiation experience skin breakdown?
C)Why do patients who get radiation beam therapy have skin breakdown?
D)How does our rate of skin breakdown in patients receiving beam radiation compare to other institutions in the city?

Accepted Answer

The answer of The nurse working in a radiation oncology...

Deck 2: Evidence-Based Practice