Deck 2: Evidence-Based Practice

Question 1

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

A) A pilot study is planned.
B) Two cases of staff injury related to needle sticks have occurred in the past 3 years.
C) A single randomized clinical trial is cited as evidence to support the new policy.
D) The supporting evidence includes research conducted at an outpatient hematology center.

Answer 1

A pilot study is planned.

Question 2

After completing all of the steps in the research process,the nurse identifies a positive response to a new intervention for foot ulcer care.Which step in EBP should the nurse perform now?

A) Publish and share the results of the study.
B) Complete a cost-benefit analysis of the results.
C) Evaluate the validity of related research studies.
D) Conduct a pilot project using the proposed intervention.

Answer 2

Publish and share the results of the study.

Question 3

While reviewing a patient care assignment with 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?

A) Ensures that evidence-based care is provided
B) Guarantees that the patient will receive morning care
C) Helps UAP focus on the action being performed
D) Helps UAP with time management of tasks to complete

Answer 3

Ensures that evidence-based care is provided

Question 4

The 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 nurse manger in the ICU and suggest a new policy be developed.

Question 5

The nurse is researching articles prior to determining the best practice for providing an aspect of patient care.On what type of article should the nurse focus when researching best practice?

A) Expert opinion
B) Systematic review
C) Traditional practice
D) Quasi-experimental studies

Question 6

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) How many patients with asthma have a pet dog or cat?
B) What is the monthly admission rate of patients with asthma to the unit?
C) What patient education materials are available to address effective management of asthma in pediatric patients?
D) 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?

Question 7

The staff development instructor is preparing a presentation on EBP for the nursing staff.Which should the instructor include as being the most important reason for using EBP?

A) Saves money
B) Optimizes care
C) Reduces staff error
D) Improves access to care

Question 8

The nurse researcher is designing a study using the quasi-experimental approach.What type of data will the nurse obtain from this study design?

A) Uncontrolled results
B) Outcome tracking over 10 years
C) Controlled comorbid conditions
D) Modifiable and non-modifiable risk factors

Question 9

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

Question 10

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?

A) Use a soft toothbrush and toothpaste to brush the teeth.
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 mouthwash and toothettes to swab the teeth and mouth three times a day.

Question 11

Prior to administering a prescribed medication to a patient,the nurse talks with the health care provider (HCP)regarding expected effects and then contacts the pharmacist to review the guidelines for administration.Which Quality and Safety Education for Nurses (QSEN)focus is the nurse demonstrating?

A) Informatics
B) Patient-centered care
C) Quality improvement
D) Teamwork and collaboration

Question 12

The nurse is planning to review a research article for applicability to EBP.Which acronym should the nurse use to guide this review?

A) RIGHT
B) MYWAY
C) ASKMME
D) ASKWHY

Question 13

The nurse is planning to evaluate care provided to a patient.Which step should the nurse take to learn if the best possible care is being provided?

A) Measure outcomes.
B) Review the literature.
C) Construct a burning clinical question.
D) Determine the validity of clinical research.

Question 14

The nurse is researching evidence to address a clinical problem.Which evidence should the nurse focus as being the highest level supporting practice?

A) Evidence obtained from quasi-experimental research studies
B) Evidence from a systematic review of all relevant randomized clinical trials
C) Evidence from the opinion of authorities and/or reports of expert committees
D) Evidence obtained from at least one well-designed randomized controlled trial

Question 15

The nurse working on the burn unit is interested in understanding the rate of renal compromise with a burn.Which step should the nurse take first?

A) Complete a literature review.
B) Work with a medical librarian to identify key words.
C) Develop a clinical question that can guide further research.
D) Join the policy and procedure committee to evaluate care in the hospital.

Question 16

The nurse is using Level II research when planning best practices for skin care.Which type of evidence is the nurse using?

A) Cochrane Review
B) A quasi-experimental study
C) Joanna Briggs Best Practice Review
D) A randomized controlled trial (RCT)

Question 17

The nurse identifies an intervention that has been proven to enhance patient safety.What should the nurse do before implementing this intervention?

A) Analyze the intervention to determine if it is appropriate for the patient.
B) Ask the charge nurse if the intervention can be implemented.
C) Find out if the patient wants the intervention to be performed.
D) Conduct a pilot study to see if the intervention works on the care area.

Question 18

The nurse wants to find research studies on infection rates as they relate to specific hand washing products.Where should the nurse search for these articles?

A) Medline
B) PubMed
C) CINAHL
D) Cochrane Reviews

Question 19

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

A) "EBP makes nursing more professional."
B) "EBP helps ensure we can demand more pay."
C) "EBP helps validate the difference nurses really make."
D) "EBP guides nursing decisions to optimize effective care."

Question 20

A nursing committee developed an evidence-based intervention that it would like to initiate institute-wide.Which step should the committee take to implement the intervention?

A) Conduct a small pilot study involving the proposed change.
B) Ask the charge nurse to propose the change to administration.
C) Poll the nursing staff to determine its attitude toward change.
D) Invite nursing experts in the city to review the proposed change.

Question 21

The nurse is implementing dependent interventions when providing patient care.Which actions are dependent nursing interventions? (Select all that apply.)

A) Low sodium soft diet
B) Music therapy as desired
C) Bathroom privileges as tolerated
D) Give Tylenol 650 mg orally every 4 hours prn pain
E) Wet-to-moist dressing changes every 6 hours while awake

Question 22

The nurse is considering the importance of safety when providing patient care.At which times should the nurse be particularly alert for safety hazards? (Select all that apply.)

A) When providing patient medications
B) When identifying a patient for a treatment
C) When washing hands after providing care
D) When stocking the supply room with linens
E) When raising the side rails on a patient's bed

Question 23

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

A) Individualize interventions.
B) Schedule interventions to meet the patient's needs.
C) Evaluate interventions for applicability to the patient.
D) Scan prescribed medications using the bar-coding system.
E) Document responses to treatment in the electronic medical record.

Question 24

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) Evaluate the change.
B) Measure the outcome.
C) Ask the nursing experts.
D) Manipulate current practice.
E) Search for the best available evidence.

Question 25

The nurse is planning a quasi-experimental study.Which criteria support the nurse's approach? (Select all that apply.)

A) 28 volunteer patients who agree to try a new type of mouthwash
B) An experimental group and a control group each with 225 patients
C) 14 individuals on a medical unit who complete the same questionnaire
D) Tracking of pneumonia rates for all patients receiving artificial tube feedings
E) Identification of oral flora in nursing home patients who receive artificial feedings