TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
Nursing Interventions and Clinical Skills 6th Edition Perry
Test Bank
Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 6th Edition
MULTIPLE CHOICE
1. A nursing educator is explaining how the best clinical practices are determined. Which
statement best explains the purpose of evidence-based practice?
a. It ensures that all patients receive holistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being delivered.
d. It guarantees that care delivered is based on research.
ANS: B
Evidence-based practice is the use of the current best evidence in making patient care
decisions. It applies to all types of health care professionals. Currently there is no method that
can ensure that all patients receive holistic care, that all errors can be prevented, or that a
guarantee exists that care given is based on research.
DIF: Cognitive Level: Remember REF: Page 1
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
2. Which question is a problem-focused trigger?
a. What is known about reduction of urinary tract infections in the older adult with
diabetes?
b. How can chronic pain best be described when the patient is nonverbal?
c. How long can an intravenous catheter remain in place in an obese patient?
NURSINGTB.COM
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the elder care unit?
ANS: D
A problem-focused trigger is a question faced when caring for a patient or a trend seen in a
practice setting. In this example there is a problem (urinary tract infections) and a trend (on
the elder care unit). The other questions are general information questions, not based on what
is happening in a specific area or to a group of specific patients in an area or relating to an
observed trend.
DIF: Cognitive Level: Apply REF: Page 3
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel
ANS: A
The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice
and believes is worthwhile or valuable. This could be a treatment for a specific type of wound
or an approach on how to teach food preparation for a patient with impaired sight.
PRIMEXAM.COM
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
DIF: Cognitive Level: Remember REF: Page 4, Box 1-2
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
4. The nurse is conducting clinical research and needs to obtain relevant databases. Whom
should the nurse contact?
a. The physician whose patients may be involved in the study
b. The medical librarian
c. The nurse manager of the unit where the study will be conducted
d. The director of nursing of the facility
ANS: B
The medical librarian is most knowledgeable regarding databases relevant to a study. The
other individuals will know about the study but do not have the knowledge regarding relevant
databases.
DIF: Cognitive Level: Remember REF: Page 4
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
5. Which database contains clinical guidelines systematically developed for a specific set of
circumstances involving a specific patient population?
a. MEDLINE
b. CINAHL
c. Cochrane Data of Systematic Reviews
d. The National Guideline Clearinghouse
ANS: D
The National Guideline Clearinghouse is a database supported by the Agency for Healthcare
Research and Quality. It contaiN nsUcRliS
niIcaNlGgT
uiB
de.liCnO
esMsystematically developed about a plan of
care for a specific set of clinical circumstances involving a specific patient population. The
others are not as specific and have broader application and references.
DIF: Cognitive Level: Remember REF: Page 5
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
6. The nurse researcher is trying to determine the strongest type of research. Which type of
research would the nurse choose?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case-controlled study
ANS: A
Individual randomized controlled trials are close to the top of the research pyramid. Only
systematic reviews and meta-analyses are higher. This type of study tests an intervention
against the usual standard of care. The other types of studies are useful but do not give the
same type of information as a randomized controlled trial provides.
DIF: Cognitive Level: Remember REF: Page 5-6
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
7. What is the nurse attempting to determine when critiquing the evidence?
a. If the potential study is ethical to conduct
PRIMEXAM.COM
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
b. If there is enough evidence to ask a PICO question and change practice
c. If there are any experts in the clinical area to be researched
d. If the study is cost-effective if a change in practice occurs
ANS: B
Once a literature search is complete and data are gathered about the question, it is time to
critique the evidence. The critique tells the nurse if there is enough evidence to answer the
PICO question and change practice. The other questions are important to consider when doing
the study but are not applicable to critiquing the evidence.
DIF: Cognitive Level: Understand REF: Page 7
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
8. Why is piloting a practice change after conducting a study the best approach to change?
a. It ensures that all of the patients involved will benefit from the change.
b. It helps identify any issues with implementation on a limited basis.
c. It facilitates communication among all of the participants.
d. It provides better acceptance by personnel reluctant to change.
ANS: B
Piloting a practice change involves implementing the change for a small group of patients
over a limited period of time. This allows identification of issues with the implementation of
the practice change(s) to determine if the change(s) result in beneficial patient outcomes. If
the pilot is successful, it is easier to make the changes on a larger scale because the issues
have been identified. It does not ensure that all patients involved will benefit, nor does it
facilitate communication among participants. Difficulty making and accepting change may be
experienced by some staff members, no matter how successful the pilot is.
DIF: Cognitive Level: Understand REF: Page 8
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
9. A study is being conducted comparing a group of normal-weight postmenopausal women not
receiving any hormone treatment with a group of obese postmenopausal women not receiving
any hormone treatment to determine the incidence of changes in bone density of the lower
spine (L4 and below). Which type of study would this be?
a. Qualitative
b. Case-controlled
c. Descriptive
d. Quality improvement
ANS: B
A case-controlled study examines one group of subjects with a certain condition at the same
time as another group of subjects who do not have the condition to determine if there is an
association between the condition and predictor variables. A qualitative study examines
individuals’ experiences with health problems and the contexts in which the experiences occur
(e.g., a group of poststroke patients and how the attitude of the therapist affected their
recovery). A descriptive study looks at specific concepts such as health care workers’
perceptions of infection control practices. Quality improvement is not a study but a collection
of data reflecting trends and information about clinical conditions and problems.
DIF: Cognitive Level: Analyze REF: Page 6
NURSINGTB.COM
, TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Evaluation
10. Which question would be the best example of a knowledge-focused trigger?
a. What is the best method for treatment of leg swelling when a patient is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in adults over the age of 65?
c. What is the current evidence for improving oral intake for cancer patients with
stomatitis?
d. What is the maximum length of time our hospital allows irrigation kits to be used?
ANS: C
A knowledge-focused trigger is a question regarding new information about a topic. It does
not have to be concerned with what is happening on a specific unit or with a specific group of
people. The other questions are examples of problem-focused triggers in which a patient
problem exists and an approach needs to be found for improving or eliminating the problem.
DIF: Cognitive Level: Analyze REF: Page 3
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
11. In which database would biomedical and pharmaceutical studies be found?
a. EMBASE
b. PsycINFO
c. MEDLINE
d. CINAHL
ANS: A
EMBASE contains biomedical and pharmaceutical studies. PsycINFO contains psychology
and related health care disciplinNeU
s.RM
SEIDNLGIT
NBE.
inCcO
luM
des studies in medicine, nursing, dentistry,
psychiatry, veterinary medicine, and allied health. CINAHL includes studies in nursing, allied
health, and biomedicine.
DIF: Cognitive Level: Remember REF: Page 5
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
MULTIPLE RESPONSE
1. When collecting the best evidence, what should the nurse use as external evidence? (Select all
that apply.)
a. Scientific literature
b. Agency policy and procedure manuals
c. Clinical practice guidelines
d. National guidelines
e. National benchmarks
f. Quality improvement data
ANS: A, D, E
Scientific literature such as computerized bibliographical databases, national guidelines, and
national benchmarks provide external evidence. The other sources listed provide internal
evidence.
DIF: Cognitive Level: Analyze REF: Page 4
Nursing Interventions and Clinical Skills 6th Edition Perry
Test Bank
Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Nursing Interventions & Clinical Skills, 6th Edition
MULTIPLE CHOICE
1. A nursing educator is explaining how the best clinical practices are determined. Which
statement best explains the purpose of evidence-based practice?
a. It ensures that all patients receive holistic care.
b. It provides a definite reason for providing care in a specific manner.
c. It prevents errors when care is being delivered.
d. It guarantees that care delivered is based on research.
ANS: B
Evidence-based practice is the use of the current best evidence in making patient care
decisions. It applies to all types of health care professionals. Currently there is no method that
can ensure that all patients receive holistic care, that all errors can be prevented, or that a
guarantee exists that care given is based on research.
DIF: Cognitive Level: Remember REF: Page 1
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
2. Which question is a problem-focused trigger?
a. What is known about reduction of urinary tract infections in the older adult with
diabetes?
b. How can chronic pain best be described when the patient is nonverbal?
c. How long can an intravenous catheter remain in place in an obese patient?
NURSINGTB.COM
d. What measures can the nurse take to reduce the rising incidence of urinary tract
infections on the elder care unit?
ANS: D
A problem-focused trigger is a question faced when caring for a patient or a trend seen in a
practice setting. In this example there is a problem (urinary tract infections) and a trend (on
the elder care unit). The other questions are general information questions, not based on what
is happening in a specific area or to a group of specific patients in an area or relating to an
observed trend.
DIF: Cognitive Level: Apply REF: Page 3
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
3. What does the “I” indicate in a “PICO” question?
a. Intervention of interest
b. Incorporation of concepts
c. Implementation by nursing
d. Interest of personnel
ANS: A
The “I” stands for intervention of interest, meaning what the nurse hopes to use in practice
and believes is worthwhile or valuable. This could be a treatment for a specific type of wound
or an approach on how to teach food preparation for a patient with impaired sight.
PRIMEXAM.COM
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
DIF: Cognitive Level: Remember REF: Page 4, Box 1-2
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
4. The nurse is conducting clinical research and needs to obtain relevant databases. Whom
should the nurse contact?
a. The physician whose patients may be involved in the study
b. The medical librarian
c. The nurse manager of the unit where the study will be conducted
d. The director of nursing of the facility
ANS: B
The medical librarian is most knowledgeable regarding databases relevant to a study. The
other individuals will know about the study but do not have the knowledge regarding relevant
databases.
DIF: Cognitive Level: Remember REF: Page 4
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
5. Which database contains clinical guidelines systematically developed for a specific set of
circumstances involving a specific patient population?
a. MEDLINE
b. CINAHL
c. Cochrane Data of Systematic Reviews
d. The National Guideline Clearinghouse
ANS: D
The National Guideline Clearinghouse is a database supported by the Agency for Healthcare
Research and Quality. It contaiN nsUcRliS
niIcaNlGgT
uiB
de.liCnO
esMsystematically developed about a plan of
care for a specific set of clinical circumstances involving a specific patient population. The
others are not as specific and have broader application and references.
DIF: Cognitive Level: Remember REF: Page 5
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
6. The nurse researcher is trying to determine the strongest type of research. Which type of
research would the nurse choose?
a. Randomized controlled trials
b. A qualitative study
c. A descriptive study
d. A case-controlled study
ANS: A
Individual randomized controlled trials are close to the top of the research pyramid. Only
systematic reviews and meta-analyses are higher. This type of study tests an intervention
against the usual standard of care. The other types of studies are useful but do not give the
same type of information as a randomized controlled trial provides.
DIF: Cognitive Level: Remember REF: Page 5-6
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
7. What is the nurse attempting to determine when critiquing the evidence?
a. If the potential study is ethical to conduct
PRIMEXAM.COM
,TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
b. If there is enough evidence to ask a PICO question and change practice
c. If there are any experts in the clinical area to be researched
d. If the study is cost-effective if a change in practice occurs
ANS: B
Once a literature search is complete and data are gathered about the question, it is time to
critique the evidence. The critique tells the nurse if there is enough evidence to answer the
PICO question and change practice. The other questions are important to consider when doing
the study but are not applicable to critiquing the evidence.
DIF: Cognitive Level: Understand REF: Page 7
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
8. Why is piloting a practice change after conducting a study the best approach to change?
a. It ensures that all of the patients involved will benefit from the change.
b. It helps identify any issues with implementation on a limited basis.
c. It facilitates communication among all of the participants.
d. It provides better acceptance by personnel reluctant to change.
ANS: B
Piloting a practice change involves implementing the change for a small group of patients
over a limited period of time. This allows identification of issues with the implementation of
the practice change(s) to determine if the change(s) result in beneficial patient outcomes. If
the pilot is successful, it is easier to make the changes on a larger scale because the issues
have been identified. It does not ensure that all patients involved will benefit, nor does it
facilitate communication among participants. Difficulty making and accepting change may be
experienced by some staff members, no matter how successful the pilot is.
DIF: Cognitive Level: Understand REF: Page 8
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
9. A study is being conducted comparing a group of normal-weight postmenopausal women not
receiving any hormone treatment with a group of obese postmenopausal women not receiving
any hormone treatment to determine the incidence of changes in bone density of the lower
spine (L4 and below). Which type of study would this be?
a. Qualitative
b. Case-controlled
c. Descriptive
d. Quality improvement
ANS: B
A case-controlled study examines one group of subjects with a certain condition at the same
time as another group of subjects who do not have the condition to determine if there is an
association between the condition and predictor variables. A qualitative study examines
individuals’ experiences with health problems and the contexts in which the experiences occur
(e.g., a group of poststroke patients and how the attitude of the therapist affected their
recovery). A descriptive study looks at specific concepts such as health care workers’
perceptions of infection control practices. Quality improvement is not a study but a collection
of data reflecting trends and information about clinical conditions and problems.
DIF: Cognitive Level: Analyze REF: Page 6
NURSINGTB.COM
, TEST BANK FOR NURSING INTERVENTIONS AND CLINICAL SKILLS 6TH EDITION BY PERRY
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Evaluation
10. Which question would be the best example of a knowledge-focused trigger?
a. What is the best method for treatment of leg swelling when a patient is taking
gabapentin (Neurontin)?
b. How can we decrease the incidence of skin cancer in adults over the age of 65?
c. What is the current evidence for improving oral intake for cancer patients with
stomatitis?
d. What is the maximum length of time our hospital allows irrigation kits to be used?
ANS: C
A knowledge-focused trigger is a question regarding new information about a topic. It does
not have to be concerned with what is happening on a specific unit or with a specific group of
people. The other questions are examples of problem-focused triggers in which a patient
problem exists and an approach needs to be found for improving or eliminating the problem.
DIF: Cognitive Level: Analyze REF: Page 3
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
11. In which database would biomedical and pharmaceutical studies be found?
a. EMBASE
b. PsycINFO
c. MEDLINE
d. CINAHL
ANS: A
EMBASE contains biomedical and pharmaceutical studies. PsycINFO contains psychology
and related health care disciplinNeU
s.RM
SEIDNLGIT
NBE.
inCcO
luM
des studies in medicine, nursing, dentistry,
psychiatry, veterinary medicine, and allied health. CINAHL includes studies in nursing, allied
health, and biomedicine.
DIF: Cognitive Level: Remember REF: Page 5
OBJ: NCLEX: Safe and Effective Care TOP: Nursing Process: Implementation
MULTIPLE RESPONSE
1. When collecting the best evidence, what should the nurse use as external evidence? (Select all
that apply.)
a. Scientific literature
b. Agency policy and procedure manuals
c. Clinical practice guidelines
d. National guidelines
e. National benchmarks
f. Quality improvement data
ANS: A, D, E
Scientific literature such as computerized bibliographical databases, national guidelines, and
national benchmarks provide external evidence. The other sources listed provide internal
evidence.
DIF: Cognitive Level: Analyze REF: Page 4
