N262B NURSING RESEARCH METHODS MIDTERM EXAM PREP
NEWEST 2026/2027 ACTUAL EXAM COMPLETE 100 QUESTIONS
AND CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
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1. A new nurse to the unit insists that the technique being used by several of the
nurses when discontinuing IV lines is "outdated." The staff does not feel it is
wrong for them to continue with what they are doing and see no need to change.
The staff explains that they made changes a few years ago and see no reason to
change now. Which of the following is MOST important to remember in this
situation?
a. the staff should be willing to update their skills and care to the most recent EBP
b. the new nurse should respect the older staff and not push changes.
c. the new nurse should be allowed to present the information and everyone then
decide if they want to do it.
d. There is no requirement that the staff should always be looking for the most
current EBP without a reason. - Correct Answer-d. There is no requirement that
the staff should always be looking for the most current EBP without a reason.
(Explanation: There are several central themes of evidentialism that support the
use of evidence in clinical practices. One of them is that beliefs are based on
current evidence, and there is no requirement that an individual must pursue more
evidence without a reason. Everyone should show each other respect by not
demanding that changes be made. The other choices are important but not the
MOST important. )
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A new graduate nurse is excited to finally be working with clients now that he is
finished with school. He has suggested an evidence-based practice (EBP) that he
has learned in school but is having difficulties convincing the administration.
Which of the following should the nurse emphasize in his discussions with the
administration?
a. It will decrease cost
b. it will increase our competitiveness with the other providers in the community
c. it will increase our client satisfaction
d. it puts the emphasis on client values - Correct Answer-a. "It puts an emphasis
on client values."
(Explanation: Client-centeredness is required for the integration of client
preferences and values in EBP making. Client values should guide all clinical
decisions to incorporate EBP.
A nurse is caring for an elderly client whose family has been very involved in her
care. The client is alert, oriented, and aware of what is happening. Her eldest son
has been very insistent that everything is discussed with him first and he will then
decide if the client should know. The nurse recognizes this is based on their
cultural value; however, it is a conflict for providing the best care of this client.
How should the nurse respond?
a. Recognize the son's position, but explain that the decisions must come from the
client.
b. instruct the son to geta medical power of attorney to bypass the client
c. withhold information from the client per the son's request
d. compromise by agreeing to only discuss information with the son is present. -
Correct Answer-a. Recognize the son's position, but explain that the decisions
must come from the client.
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, N262B Nursing Research Methods Midterm Exam Prep
(Explanation: "Nothing about me without me" is a slogan developed by Berwick.
Clients must be allowed to make the decisions about their care as long as they are
mentally competent. To acknowledge the son's request would be unethical. The
client must also give the nurse permission to discuss her medical info w the son as
per HIPAA.
Nurse L provides care on a busy medical unit of an inner city hospital. Which of
the nurse's actions best exemplifies clinical grasp?
a. Nurse L is committed to reading and integrating the most recent, published
evidence
b. Nurse L is able to identify subtle changes in client condition that are often not
obvious to other clinicians.
c. nurse L has responded appropriately to clients in cardiac or respiratory arrest.
d. nurse L makes a concerted effort to get to know clients' families. - Correct
Answer-b. Nurse L is able to identify subtle changes in client condition that are
often not obvious to other clinicians.
(Explanation: An aspect of clinical grasp is the ability to identify subtle transitions
in client condition. Gathering evidence, providing good care during an emergency,
and getting to know clients' families are all aspects of sound nursing care but do
not directly exemplify the notion of clinical grasp.
A student nurse is feeling a little overwhelmed on her clinicals. The unit is short-
staffed d/t illness. All beds are filled w clients requiring moderate to extensive
care, and one of the student supervisors is also ill. The student is trying hard to
complete all the necessary tasks & provide proper care for her clients. In
prioritizing her tasks, which of the following is the most important for her to
remember?
a. Document everything as it happens.
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, N262B Nursing Research Methods Midterm Exam Prep
b. always put the needs of the client first
c. keep a list of what she doesn't get done and pass it on to the next shift.
d. keep working until everything is completed, even if she needs to stay a little
longer. - Correct Answer-b. Always put the needs of the client first
(Explanation: The nurse should always put the needs of the client first. This can be
demonstrated by one of the slogans developed by Berwick "the needs of the client
come first." Documentation is important, but not as important as caring for the
client. Passing her tasks off to someone else & staying late may not be an option
as per the unit's policies. If she is not completing her tasks, then she should speak
w the clinical supervisor & determine ways to help her complete her tasks.
A clinic is considering incorporating EBP that they have discovered. They believe it
will improve the care they are providing to the clients & improve the health of the
community. Which of the following should the staff keep in mind as they evaluate
this EBP?
a. The risks vs benefits of not proceeding with the changes
b. the effect on payment from the third-party payers
c.The guidance & preference of the clientele
d. the knowledge base of the staff - Correct Answer-c. The guidance & preference
of the clientele
(Explanation: Client-centeredness is an important aspect of EBP & even required. It
is the integration of client preferences & values in evidence-based decision
making. It should always guide all clinical decisions. The knowledge base of the
staff will improve w cont education. Improving health care should improve the
financial status of the clinic.
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