Deck 19: Evidence-Based Practice

Question 1

When providing care to patients at risk for ARDS, nurses use evidence-based practice whenever they

A)suction a patient at high risk for developing ARDS every 2 hours.
B)suction a patient at high risk for developing ARDS whenever crackles are auscultated.
C)turn a patient at risk for developing ARDS every 2 hours.
D)turn a patient at risk for developing ARDS every 5 minutes.

Answer 1

turn a patient at risk for developing ARDS every 5 minutes.

Question 2

Which of the following would most likely present the most difficult step in research utilization?

A)Monitoring outcomes
B)Determining the research question
C)Instituting the change
D)Piloting the project

Answer 2

Instituting the change

Question 3

In determining the applicability of a research study, the nurse must look at many factors.Which factors can be used to determine appropriateness of the research to the individual setting? (Select all that apply.)

A)Sample size
B)Credentials of authors
C)Time element
D)Context
E)Intervention used

Answer 3

Sample size
Context
Intervention used

Question 4

When providing care to patients, nurses use evidence-based practice to avoid urinary tract infections whenever the insertion of a urinary catheter is performed by

A)a UAP.
B)an RN.
C)an LPN.
D)a senior nursing student.

Question 5

When providing care to postoperative patients, nurses use evidence-based practice whenever they

A)continue bedrest after surgery until the pain level is 1 on a scale of 1 to 10.
B)continue bedrest after surgery until the pain level is 2 on a scale of 1 to 10.
C)ambulate patients as soon as possible after surgery.
D)ambulate patients as soon as they are awake from anesthesia.

Question 6

When providing care to patients, nurses understand that evidence-based practice supports the concept that

A)to avoid atelectasis and pneumonia, use of an incentive spirometer has an outcome equal to coughing for a patient following surgery.
B)to avoid atelectasis and pneumonia, use of an incentive spirometer has a better outcome than coughing for a patient following surgery.
C)to avoid atelectasis and pneumonia, use of an incentive spirometer has a worse outcome than coughing for a patient following surgery.
D)neither coughing nor use of an incentive spirometer will avoid atelectasis or pneumonia in postoperative patients.

Question 7

When providing care to patients, nurses make patient care decisions based on which of the following? (Select all that apply.)

A)Resource availability
B)Nurse practice act
C)Shared governance
D)Managerial leadership style
E)Tradition
F)Clinical circumstances

Question 8

A novice nurse observes change differences in practice from what was taught in nursing school and expresses confusion to the nurse manager.The nurse manager suggests which of the following methods as the best resource to determine best practice in the clinical setting?

A)Ask a former faculty member.
B)Review the textbook used during nursing school.
C)Research electronic databases such as CINAHL.
D)Attend professional conferences.

Question 9

Which responses by nurses incorporate reasons for resistance to research utilization?

A)"I want to see the outcomes for the patients."
B)"I believe that patients will not benefit from this change."
C)"I've grown tired of doing it the same way."
D)"I'm ready for a change."

Question 10

The nurse explains the PICO acronym to colleagues in which of the following ways?

A)PICO represents the questions to ask regarding application of the research to the specific setting.
B)PICO represents the trigger for initiating the research.
C)PICO represents the benchmarking website used in research.
D)PICO represents the regulatory guidelines established for practitioners.

Question 11

Harm to patients from medication errors is a component to initiation of research in which of the following ways?

A)Establishing a question
B)Establishing a solution
C)Establishing a population sample
D)Establishing a cost benefit

Question 12

Of the steps to implementation, research is not complete until which of the following steps is accomplished?

A)Synthesizing relevant research
B)Determining the sufficiency of the sample
C)Instituting the change
D)Monitoring the outcome

Question 13

When providing care to a child requiring temperature measurement, nurses use evidence-based practice whenever they

A)understand that a rectal temperature is the most accurate method in a child.
B)understand that a rectal temperature is the least accurate method in a child.
C)understand that an axillary temperature is the most accurate method in a child.
D)understand that adding 1°C to an axillary temperature in a child is as accurate as a rectal temperature.

Question 14

When providing care to patients, nurses use evidence-based practice whenever they

A)advise patients with musculoskeletal back pain to continue normal daily activities within limits of their pain tolerance.
B)advise patients with musculoskeletal back pain to remain on bedrest until pain has been relieved by prescribed back exercise.
C)advise patients that early premature activity with musculoskeletal pain may lead to permanent disability.
D)advise patients that continued normal activity after a musculoskeletal back injury may result in delayed return to work.

Question 15

A student nurse is conducting a research project for school.Although this is a new assignment, she understands that the quickest and most dependable source of information is the Internet.Which resources require intervention by the instructor?

A)Wikipedia
B)CINAHL
C)MEDLINE
D)Online nursing journals

Question 16

When collecting data for research purposes on patient safety methods, the nurse would use

A)maximum census of patients on a specific unit over the course of admissions for 1 year.
B)maximum census of the entire hospital over the course of admissions for 1 year.
C)information obtained in other, similar research projects.
D)appropriate research design.

Question 17

Which of the following would be considered a sentinel event?

A)Patient who has developed a fatal mediastinal infection 7 days after cardiac surgery
B)Patient who experiences a CVA during a cardiac catheterization
C)Patient who receives a double dose of a medication in error
D)Wrong patient scheduled for a chest radiograph

Question 18

When integrating evidence-based research into practice, the nurse understands that the type of research is important to the application of a particular nursing unit.Which of the following factors is most important in determining the usefulness of the research to the needs of the practice?

A)Randomized clinical trials
B)Case studies
C)Anecdotal information
D)Single correctional studies

Question 19

When making clinical practice changes, nurses should make permanent changes based on

A)reviewing other unit practices.
B)reviewing case reports.
C)obtaining expert opinions.
D)implementing piloting changes.

Question 20

A nurse involved in evaluating the validity of research prior to implementation should consider which of the following as the most important hierarchical evidence for effectiveness?

A)Opinions from experts
B)Single observational studies
C)Randomized controlled versus nonrandomized trials
D)Systematic review study

Question 21

Based on the Iowa model for evidence-based practice, research is initiated because of either problem- or knowledge-based triggers.The nurse understands that these triggers may arise as a result of (Select all that apply.)

A)staff complaints.
B)an increase in surgical infection rates.
C)an increase in chronic renal failure following use of dye during radiographic procedures in diabetic patients.
D)medicare reimbursement changes.
E)a new nurse manager.

Question 22

Maintaining currency in a profession is achieved through (Select all that apply.)

A)academic inquiry.
B)continuous participation in professional organizations.
C)asking questions of other professionals.
D)observing your role model's practice.
E)participation in evidence based projects.

Question 23

After piloting changes based on evidence-based research, the nurse understands that they will be instituted as a result of the effects on which of the following? (Select all that apply.)

A)Staff
B)Number of UAPs available
C)Cost
D)Patient
E)Census

Question 24

After piloting an evidence-based clinical practice change, the nurse would (Select all that apply.)

A)institute the change.
B)pilot the project until the desired outcome is achieved.
C)determine applicability for use.
D)incorporate changes into practice.
E)pilot the project until consensus is achieved.

Question 25

The questions that nurse researchers should ask before beginning their study include which of the following? (Select all that apply.)

A)Why are we doing it this way?
B)Where is the evidence to support this practice?
C)How much will it cost to change?
D)Can we as nurses lose our jobs if we implement this?
E)What is a better way of doing this?