1. Which of the following is the overall goal of evidence-based practice?
a. Produce generalizable new knowledge
b. Combine the wisdom of experts in a given area of care
c. Enhance quality of care by evaluating the effect of a specific action
d. Application of best evidence to clinical decision making
ANS: D
The overall goal of evidence-based practice is to applythe current best evidence to
clinical decision making for an individual patient, facility, or large group.
2. Which of the following is the overall goal of a quality improvement project?
a. Combine the wisdom of experts in a given area of care
b. Application of best evidence to clinical decision making
c. Produce generalizable new knowledge
d. Enhance quality of care by evaluating the effect of a specific action
ANS: D
The overall goal of a quality improvement project is to enhance quality of care by
evaluating the effect of a specific action plan on a local unit, clinic, facility, or health
system.
3. Which of the following would best help a nurse formulate a measurable question that can
be meaningfully addressed using evidence-based clinical decision strategies?
a. PICO(T)
b. ROPI
c. IRB
d. GRADE
, ANS: A
The PICO(T) model is the best model for a nurse to formulate a measurable question
that can be meaningfully addressed using evidence-based clinical decision strategies.
PICO(T) stands for patient/population and problem, intervention, comparison,
outcome, and time.
4. Based on the pyramid of evidence, which of the following studies has the highest
potential to contribute to evidence based on its design?
a. Systematic reviews
b. Cohort study
c. Randomized controlled trial
d. Case study
e. Meta-analysis
ANS: E
A meta-analysis has the highest potential contribution to evidence based on design.
Case studies and in vivo and in vitro studies have the least potential contribution due
to their limited size.
5. Based on the pyramid of evidence, which of the following studies has the lowest potential
to contribute to evidence based on its design?
a. Meta-analysis
b. Randomized controlled trial
c. Cohort study
d. Case study
e. Systematic reviews
ANS: D