1. Which of the following components of a clinical question represents the “P” in the
PICOT format for asking clinical questions?
A) The nurse's preparation for patient teaching prior to surgery
B) Early ambulation versus aggressive anticoagulant therapy
C) Individuals who require peritoneal dialysis
D) Deep vein thrombosis
2. An unacceptably high number of patients on a geriatric, subacute medicine unit have
developed pressure ulcers during their period of care. The nurses on the unit have
agreed on a goal of reducing the incidence of these wounds by 50% over the next 10
weeks. This goal represents which component of the PICOT format for asking clinical
questions?
A) O
B) P
C) I
D) C
3. Which of the following scenarios represents the most common obstacle that nurses
encounter when attempting to gain the knowledge necessary for EBP?
A) A nurse identifies several articles relevant to a clinical question, but the
methodology of each is significantly flawed.
B) A nurse is overwhelmed by the number of hits during a CINAHL search.
C) Current research that relates to the nurse's clinical question does not exist.
D) The research that the nurse locates is rooted in a medical, not nursing, perspective.
4. A nurse has attempted to begin the process of implementing EBP in the area of falls
prevention but has become disillusioned by the possibility of having to read a vast
number of publications. Which of the following strategies should the nurse implement
in response to this problem?
A) Narrow the scope of the clinical question
B) Restrict the information search to publications from the past 24 months
C) Seek recommendations for information sources from trusted colleagues
D) Limit the search to articles that relate the findings of randomized control trials
(RCTs)
Page 1
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, TEST BANK FOR EVIDENCE-BASED PRACTICE IN NURSING AND HEALTHCARE 4TH EDITION BY MELNYK
5. A pediatric nurse provides care for many children who present to the emergency
department (ED) with signs and symptoms of asthma. Which of the following questions
is a background question that the nurse can utilize in the process of providing EBP?
A) What evidence exists to recommend the use of nebulizers over metered-dose
inhalers (MDIs)?
B) What patient populations respond best to nebulized bronchodilators?
C) How effective are nebulizers compared to metered-dose inhalers at reducing
bronchospasm?
D) Are nebulizers provided to patients in the ED more often than metered-dose
inhalers?
6. Which of the following statements is true of foreground questions?
A) They focus on issues that can be addressed by applying scientific evidence.
B) They have a broad, rather than narrow, scope.
C) They can be answered by examining electronic information sources instead of print
sources.
D) They are rooted in the current practices of a nurse's clinical setting.
7. An oncology nurse is engaged in increasing the quality of EBP that is provided on the
cancer unit of the local hospital. Which of the following questions would the nurse
consider to be an adequate and useful foreground question?
A) “Are benzodiazepines anNdUaR naSlgIeN
siG
csTpBro.vCidOeM
d before patients have a bone marrow
biopsy?”
B) “What is the clinical rationale for using bone marrow biopsy to gauge and predict
the course of a patient's cancer?”
C) “Does guided imagery reduce the anxiety of patients who undergo bone marrow
biopsy?”
D) “How often is bone marrow biopsy performed on the unit?”
8. Which of the following clinical questions would be most justified in lacking a
comparison?
A) An examination of the antipyretic qualities of cool bed-bathing
B) A study on the perceived meaning of hope among palliative patients
C) A study on the influence of prenatal care on preventing perineal tearing during
delivery
D) An examination of the effect of rehydration using lactated Ringer's on patients'
energy levels
Page 2
This study source was downloaded by 100000835818796 from CourseHero.com on 02-10-2022 10:25:21 GMT -06:00
https://www.coursehero.com/file/81438820/EVIDENCE-BASED-PRACTICE-IN-NURSING-AND-HEALTHCARE-4TH-EDITION-BY-MELNYK-10pdf/
PICOT format for asking clinical questions?
A) The nurse's preparation for patient teaching prior to surgery
B) Early ambulation versus aggressive anticoagulant therapy
C) Individuals who require peritoneal dialysis
D) Deep vein thrombosis
2. An unacceptably high number of patients on a geriatric, subacute medicine unit have
developed pressure ulcers during their period of care. The nurses on the unit have
agreed on a goal of reducing the incidence of these wounds by 50% over the next 10
weeks. This goal represents which component of the PICOT format for asking clinical
questions?
A) O
B) P
C) I
D) C
3. Which of the following scenarios represents the most common obstacle that nurses
encounter when attempting to gain the knowledge necessary for EBP?
A) A nurse identifies several articles relevant to a clinical question, but the
methodology of each is significantly flawed.
B) A nurse is overwhelmed by the number of hits during a CINAHL search.
C) Current research that relates to the nurse's clinical question does not exist.
D) The research that the nurse locates is rooted in a medical, not nursing, perspective.
4. A nurse has attempted to begin the process of implementing EBP in the area of falls
prevention but has become disillusioned by the possibility of having to read a vast
number of publications. Which of the following strategies should the nurse implement
in response to this problem?
A) Narrow the scope of the clinical question
B) Restrict the information search to publications from the past 24 months
C) Seek recommendations for information sources from trusted colleagues
D) Limit the search to articles that relate the findings of randomized control trials
(RCTs)
Page 1
This study source was downloaded by 100000835818796 from CourseHero.com on 02-10-2022 10:25:21 GMT -06:00
https://www.coursehero.com/file/81438820/EVIDENCE-BASED-PRACTICE-IN-NURSING-AND-HEALTHCARE-4TH-EDITION-BY-MELNYK-10pdf/
, TEST BANK FOR EVIDENCE-BASED PRACTICE IN NURSING AND HEALTHCARE 4TH EDITION BY MELNYK
5. A pediatric nurse provides care for many children who present to the emergency
department (ED) with signs and symptoms of asthma. Which of the following questions
is a background question that the nurse can utilize in the process of providing EBP?
A) What evidence exists to recommend the use of nebulizers over metered-dose
inhalers (MDIs)?
B) What patient populations respond best to nebulized bronchodilators?
C) How effective are nebulizers compared to metered-dose inhalers at reducing
bronchospasm?
D) Are nebulizers provided to patients in the ED more often than metered-dose
inhalers?
6. Which of the following statements is true of foreground questions?
A) They focus on issues that can be addressed by applying scientific evidence.
B) They have a broad, rather than narrow, scope.
C) They can be answered by examining electronic information sources instead of print
sources.
D) They are rooted in the current practices of a nurse's clinical setting.
7. An oncology nurse is engaged in increasing the quality of EBP that is provided on the
cancer unit of the local hospital. Which of the following questions would the nurse
consider to be an adequate and useful foreground question?
A) “Are benzodiazepines anNdUaR naSlgIeN
siG
csTpBro.vCidOeM
d before patients have a bone marrow
biopsy?”
B) “What is the clinical rationale for using bone marrow biopsy to gauge and predict
the course of a patient's cancer?”
C) “Does guided imagery reduce the anxiety of patients who undergo bone marrow
biopsy?”
D) “How often is bone marrow biopsy performed on the unit?”
8. Which of the following clinical questions would be most justified in lacking a
comparison?
A) An examination of the antipyretic qualities of cool bed-bathing
B) A study on the perceived meaning of hope among palliative patients
C) A study on the influence of prenatal care on preventing perineal tearing during
delivery
D) An examination of the effect of rehydration using lactated Ringer's on patients'
energy levels
Page 2
This study source was downloaded by 100000835818796 from CourseHero.com on 02-10-2022 10:25:21 GMT -06:00
https://www.coursehero.com/file/81438820/EVIDENCE-BASED-PRACTICE-IN-NURSING-AND-HEALTHCARE-4TH-EDITION-BY-MELNYK-10pdf/
