Test Bank For Canadian Clinical Nursing Skills andTechnique
d d d d d d d d
’s 1st Edition by Perry
d d d d
Patricia A. Potter
d d
,Complete Test Bank For Canadian Clinical Nursing Skills and Techniques 1st Edition by
d d d d d d d d d d d d d
Perry, Patricia A. Potter Chapter 1-43 Complete Guide
d d d d d d d
TabledOfdContent
Chapterd1.dUsingdEvidencedindNursingdPracticed
Chapterd2.dCommunicationdanddCollaborationd
Chapterd3.dAdmitting,dTransfer,danddDischarged
Chapterd4.dDocumentationdanddInformaticsdCh
apterd5.dVitaldSigns
Chapterd6.dHealthdAssessmentdCha
pterd7.dSpecimendCollectiondChapte
rd8.dDiagnosticdProceduresdChapterd
9.dMedicaldAsepsisdChapterd10.dSte
riledTechnique
Chapterd11.dSafedPATIENTdHandlingdanddMobilityd(SPHM)dC
hapterd12.dExercisedanddMobility
Chapterd13.dSupportdSurfacesdanddSpecialdBedsd
Chapterd14.dPATIENTdSafety
Chapterd15.dDisasterdPreparednessdC
hapterd16.dPaindManagementdChapt
erd17.dEnd-of-LifedCare
Chapterd18.dPersonaldHygienedanddBeddMakingd
Chapterd19.dCaredofdthedEyedanddEar
Chapterd20.dSafedMedicationdPreparationdCh
apterd21.dNonparenteraldMedicationsdChapt
erd22.dParenteraldMedicationsdChapterd23.d
OxygendTherapy
Chapterd24.dPerformingdChestdPhysiotherapyd
Chapterd25.dAirwaydManagement
Chapterd26.dCardiacdCare
Chapterd27.dCloseddChestdDrainagedSystemsdChapt
erd28.dEmergencydMeasuresdfordLifedSupport
Chapterd29.dIntravenousdanddVasculardAccessdTherapydChapter
d30.dBlooddTherapy
Chapterd31.dOraldNutritiondChap
terd32.dEnteraldNutritiondChapter
d33.dParenteraldNutritiondChapterd
34.dUrinarydElimination
Chapterd35.dBoweldEliminationdanddGastricdIntubationdChapter
d36.dOstomydCare
Chapterd37.dPreoperativedanddPostoperativedCaredC
hapterd38.d IntraoperativedCare
Chapterd39.dWounddCaredanddIrrigations
Chapterd40.dImpaireddSkindIntegritydPreventiondanddCaredChap
terd41.dDressings,dBandages,danddBinders
Chapterd42.dHomedCaredSafetydCha
pterd43.dHomedCaredTeaching
,Chapter 01: Using Evidence in Nursing Practice
d d d d d d
Perry et al.: Clinical Nursing Skills & Techniques, 1st Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Evidence-baseddpracticedisdadproblem-
solvingdapproachdtodmakingddecisionsdaboutdPATIENTdcarethatdisdgroundeddin:
a. thedlatestdinformationdfounddindtextbooks.
b. systematicallydconducteddresearchdstudies.
c. traditiondindclinicaldpractice.
d. qualitydimprovementdanddrisk-managementddata.
ANS:d B
Thedbestdevidencedcomesdfromdwell-
designed,dsystematicallydconducteddresearchdstudiesddescribeddindscientificdjournals.dPortionsdo
fdadtextbookdoftendbecomedoutdateddbydthedtimeditdisdpublished.dManydhealthdcaredsettingsddodnotd
havedadprocessdtodhelpdstaffdadoptdnewdevidencedindpractice,danddnursesdindpracticedsettingsdlackde
asydaccessdtodrisk-
managementddata,drelyingdinsteaddondtraditiondordconvenience.dSomedsourcesdofdevidenceddodno
tdoriginatedfromdresearch.dThesedincludedqualitydimprovementdanddrisk-
managementddata;dinfectiondcontrolddata;dretrospectivedordconcurrentdchartdreviews;danddclinici
ans‘dexpertise.dAlthough
non–research-
baseddevidencedisdoftendverydvaluable,ditdisdimportantdthatdyoudlearndtodrelydmoredondresearch-
baseddevidence.
DIFFERENCE:dCognitiveLevel:dComprehensiond OBJECTIVE:dDiscussdthedbenefitsdofdevidence-
dbaseddpractice.TOP:d Evidence-BaseddPractice KEY:dNursingdProcessdStep:dAssessment
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
2. Whendevidence-baseddpracticedisdused,dPATIENTdcaredwilldbe:
a. standardizeddfordall.
b. unhampereddbydPATIENTdculture.
c. variabledaccordingdtodthedsituation.
d. safedfromdthedhazardsdofdcriticaldthinking.
ANS:d C
UsingdyourdclinicaldexpertisedanddconsideringdPATIENTs‘dcultures,dvalues,danddpreferen
cesdensuresdthatdyoudwilldapplydavailabledevidencedindpracticedethicallydanddappropriately.
dEvenwhend youdusedthedbestdevidencedavailable,dapplicationdanddoutcomesdwillddiffer;dasda
dnurse,youdwillddevelopdcriticaldthinkingdskillsdtoddeterminedwhetherdevidencedisdrelevantd
anddappropriate.
DIFFERENCE:dCognitiveLevel:dApplication OBJECTIVE:dDiscussdthedbenefitsdofdevidence-
dbaseddpractice.TOP:d Evidence-BaseddPractice KEY:dNursingdProcessdStep:dAssessment
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
3. WhendadPICOTdquestiondisddeveloped,dthedletterdthatdcorrespondsdwithdthedusualdstandarddofdc
aredis:
a. P.
b. I.d
c.
, c. CHOICEdBLANK
d. O.
ANS:d C
Cd=dComparisondofdinterest.dWhatdstandarddofdcaredordcurrentdinterventionddodyoudusuallydusednowd
indpractice?
Pd=dPATIENTdpopulationdofdinterest.dIdentifydyourdPATIENTdbydage,dgender,dethnicity,ddisease,do
rhealthdproblem.
Id=dInterventiondofdinterest.dWhatdinterventiond(e.g.,dtreatment,ddiagnosticdtest,danddprognosticdfact
or)ddodyoudthinkdisdworthwhiledtodusedindpractice?
Od=dOutcome.dWhatdresultd(e.g.,dchangedindPATIENT‘sdbehavior,dphysicaldfinding,danddchangedin
PATIENT‘sdperception)ddodyoudwishdtodachievedordobservedasdthedresultdofdandintervention?
DIFFERENCE: CognitiveLevel:dKnowledge
OBJECTIVE:dDevelopdadPICOdquestion.TOP:d PI
CO KEY:dNursingdProcessdStep:dImplementation
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
4. Adwell-developeddPICOTdquestiondhelpsdthednurse:
a. searchdfordevidence.
b. includedalldfivedelementsdofdthedsequence.
c. finddasdmanydarticlesdasdpossibledindadliteraturedsearch.
d. acceptdstandarddclinicaldroutines.
ANS:d A
Thedmoredfocuseddadquestiondthatdyoudaskdis,dthedeasierditdisdtodsearchdfordevidencedindthedscie
ntificdliterature.dAdwell-
designeddPICOTdquestionddoesdnotdhavedtodincludedalldfivedelements,dnorddoesditdhavedtodfoll
owdthedPICOTdsequence.dDodnotdbedsatisfieddwithdclinicaldroutines.dAlwaysdquestiondandduse
dcriticaldthinkingdtodconsiderdbetterdwaysdtodprovidedPATIENTcare.
DIFFERENCE: CognitiveLevel:dAnalysis
OBJECTIVE:dDescribedthedsixdstepsdofdevidence-
baseddpractice.TOP:d Evidence-BaseddPractice
KEY:dNursingdProcessdStep:dImplementation
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
5. ThednursedisdnotdsuredthatdthedproceduredthedPATIENTdrequiresdisdthedbestdpossibledfordt
hedsituation.dUtilizingdwhichdofdthedfollowingdresourcesdwoulddbedthedquickestdwaydtodre
viewresearchdondthedtopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. ThedCochranedDatabase
ANS:d D
ThedCochranedCommunitydDatabasedofdSystematicdReviewsdisdadvaluabledsourcedofdsynthesized
devidenced(i.e.,dpre-
appraiseddevidence).dThedCochranedDatabasedincludesdthedfulldtextdofdregularlydupdateddsystemat
icdreviewsdanddprotocolsdfordreviewsdcurrentlydhappening.dMEDLINE,dCINAHL,danddPubMedda
redamongdthedmostdcomprehensiveddatabasesdanddrepresentdthedscientificdknowledgedbasedofdhea
lthdcare.
DIFFERENCE: CognitiveLevel:dSynthesis
OBJECTIVE:dDescribedthedsixdstepsdofdevidence-
baseddpractice.TOP:d Evidence-BaseddPractice
KEY:dNursingdProcessdStep:dImplementation
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
d d d d d d d d
’s 1st Edition by Perry
d d d d
Patricia A. Potter
d d
,Complete Test Bank For Canadian Clinical Nursing Skills and Techniques 1st Edition by
d d d d d d d d d d d d d
Perry, Patricia A. Potter Chapter 1-43 Complete Guide
d d d d d d d
TabledOfdContent
Chapterd1.dUsingdEvidencedindNursingdPracticed
Chapterd2.dCommunicationdanddCollaborationd
Chapterd3.dAdmitting,dTransfer,danddDischarged
Chapterd4.dDocumentationdanddInformaticsdCh
apterd5.dVitaldSigns
Chapterd6.dHealthdAssessmentdCha
pterd7.dSpecimendCollectiondChapte
rd8.dDiagnosticdProceduresdChapterd
9.dMedicaldAsepsisdChapterd10.dSte
riledTechnique
Chapterd11.dSafedPATIENTdHandlingdanddMobilityd(SPHM)dC
hapterd12.dExercisedanddMobility
Chapterd13.dSupportdSurfacesdanddSpecialdBedsd
Chapterd14.dPATIENTdSafety
Chapterd15.dDisasterdPreparednessdC
hapterd16.dPaindManagementdChapt
erd17.dEnd-of-LifedCare
Chapterd18.dPersonaldHygienedanddBeddMakingd
Chapterd19.dCaredofdthedEyedanddEar
Chapterd20.dSafedMedicationdPreparationdCh
apterd21.dNonparenteraldMedicationsdChapt
erd22.dParenteraldMedicationsdChapterd23.d
OxygendTherapy
Chapterd24.dPerformingdChestdPhysiotherapyd
Chapterd25.dAirwaydManagement
Chapterd26.dCardiacdCare
Chapterd27.dCloseddChestdDrainagedSystemsdChapt
erd28.dEmergencydMeasuresdfordLifedSupport
Chapterd29.dIntravenousdanddVasculardAccessdTherapydChapter
d30.dBlooddTherapy
Chapterd31.dOraldNutritiondChap
terd32.dEnteraldNutritiondChapter
d33.dParenteraldNutritiondChapterd
34.dUrinarydElimination
Chapterd35.dBoweldEliminationdanddGastricdIntubationdChapter
d36.dOstomydCare
Chapterd37.dPreoperativedanddPostoperativedCaredC
hapterd38.d IntraoperativedCare
Chapterd39.dWounddCaredanddIrrigations
Chapterd40.dImpaireddSkindIntegritydPreventiondanddCaredChap
terd41.dDressings,dBandages,danddBinders
Chapterd42.dHomedCaredSafetydCha
pterd43.dHomedCaredTeaching
,Chapter 01: Using Evidence in Nursing Practice
d d d d d d
Perry et al.: Clinical Nursing Skills & Techniques, 1st Edition
d d d d d d d d d
MULTIPLEdCHOICE
1. Evidence-baseddpracticedisdadproblem-
solvingdapproachdtodmakingddecisionsdaboutdPATIENTdcarethatdisdgroundeddin:
a. thedlatestdinformationdfounddindtextbooks.
b. systematicallydconducteddresearchdstudies.
c. traditiondindclinicaldpractice.
d. qualitydimprovementdanddrisk-managementddata.
ANS:d B
Thedbestdevidencedcomesdfromdwell-
designed,dsystematicallydconducteddresearchdstudiesddescribeddindscientificdjournals.dPortionsdo
fdadtextbookdoftendbecomedoutdateddbydthedtimeditdisdpublished.dManydhealthdcaredsettingsddodnotd
havedadprocessdtodhelpdstaffdadoptdnewdevidencedindpractice,danddnursesdindpracticedsettingsdlackde
asydaccessdtodrisk-
managementddata,drelyingdinsteaddondtraditiondordconvenience.dSomedsourcesdofdevidenceddodno
tdoriginatedfromdresearch.dThesedincludedqualitydimprovementdanddrisk-
managementddata;dinfectiondcontrolddata;dretrospectivedordconcurrentdchartdreviews;danddclinici
ans‘dexpertise.dAlthough
non–research-
baseddevidencedisdoftendverydvaluable,ditdisdimportantdthatdyoudlearndtodrelydmoredondresearch-
baseddevidence.
DIFFERENCE:dCognitiveLevel:dComprehensiond OBJECTIVE:dDiscussdthedbenefitsdofdevidence-
dbaseddpractice.TOP:d Evidence-BaseddPractice KEY:dNursingdProcessdStep:dAssessment
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
2. Whendevidence-baseddpracticedisdused,dPATIENTdcaredwilldbe:
a. standardizeddfordall.
b. unhampereddbydPATIENTdculture.
c. variabledaccordingdtodthedsituation.
d. safedfromdthedhazardsdofdcriticaldthinking.
ANS:d C
UsingdyourdclinicaldexpertisedanddconsideringdPATIENTs‘dcultures,dvalues,danddpreferen
cesdensuresdthatdyoudwilldapplydavailabledevidencedindpracticedethicallydanddappropriately.
dEvenwhend youdusedthedbestdevidencedavailable,dapplicationdanddoutcomesdwillddiffer;dasda
dnurse,youdwillddevelopdcriticaldthinkingdskillsdtoddeterminedwhetherdevidencedisdrelevantd
anddappropriate.
DIFFERENCE:dCognitiveLevel:dApplication OBJECTIVE:dDiscussdthedbenefitsdofdevidence-
dbaseddpractice.TOP:d Evidence-BaseddPractice KEY:dNursingdProcessdStep:dAssessment
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
3. WhendadPICOTdquestiondisddeveloped,dthedletterdthatdcorrespondsdwithdthedusualdstandarddofdc
aredis:
a. P.
b. I.d
c.
, c. CHOICEdBLANK
d. O.
ANS:d C
Cd=dComparisondofdinterest.dWhatdstandarddofdcaredordcurrentdinterventionddodyoudusuallydusednowd
indpractice?
Pd=dPATIENTdpopulationdofdinterest.dIdentifydyourdPATIENTdbydage,dgender,dethnicity,ddisease,do
rhealthdproblem.
Id=dInterventiondofdinterest.dWhatdinterventiond(e.g.,dtreatment,ddiagnosticdtest,danddprognosticdfact
or)ddodyoudthinkdisdworthwhiledtodusedindpractice?
Od=dOutcome.dWhatdresultd(e.g.,dchangedindPATIENT‘sdbehavior,dphysicaldfinding,danddchangedin
PATIENT‘sdperception)ddodyoudwishdtodachievedordobservedasdthedresultdofdandintervention?
DIFFERENCE: CognitiveLevel:dKnowledge
OBJECTIVE:dDevelopdadPICOdquestion.TOP:d PI
CO KEY:dNursingdProcessdStep:dImplementation
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
4. Adwell-developeddPICOTdquestiondhelpsdthednurse:
a. searchdfordevidence.
b. includedalldfivedelementsdofdthedsequence.
c. finddasdmanydarticlesdasdpossibledindadliteraturedsearch.
d. acceptdstandarddclinicaldroutines.
ANS:d A
Thedmoredfocuseddadquestiondthatdyoudaskdis,dthedeasierditdisdtodsearchdfordevidencedindthedscie
ntificdliterature.dAdwell-
designeddPICOTdquestionddoesdnotdhavedtodincludedalldfivedelements,dnorddoesditdhavedtodfoll
owdthedPICOTdsequence.dDodnotdbedsatisfieddwithdclinicaldroutines.dAlwaysdquestiondandduse
dcriticaldthinkingdtodconsiderdbetterdwaysdtodprovidedPATIENTcare.
DIFFERENCE: CognitiveLevel:dAnalysis
OBJECTIVE:dDescribedthedsixdstepsdofdevidence-
baseddpractice.TOP:d Evidence-BaseddPractice
KEY:dNursingdProcessdStep:dImplementation
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
5. ThednursedisdnotdsuredthatdthedproceduredthedPATIENTdrequiresdisdthedbestdpossibledfordt
hedsituation.dUtilizingdwhichdofdthedfollowingdresourcesdwoulddbedthedquickestdwaydtodre
viewresearchdondthedtopic?
a. CINAHL
b. PubMed
c. MEDLINE
d. ThedCochranedDatabase
ANS:d D
ThedCochranedCommunitydDatabasedofdSystematicdReviewsdisdadvaluabledsourcedofdsynthesized
devidenced(i.e.,dpre-
appraiseddevidence).dThedCochranedDatabasedincludesdthedfulldtextdofdregularlydupdateddsystemat
icdreviewsdanddprotocolsdfordreviewsdcurrentlydhappening.dMEDLINE,dCINAHL,danddPubMedda
redamongdthedmostdcomprehensiveddatabasesdanddrepresentdthedscientificdknowledgedbasedofdhea
lthdcare.
DIFFERENCE: CognitiveLevel:dSynthesis
OBJECTIVE:dDescribedthedsixdstepsdofdevidence-
baseddpractice.TOP:d Evidence-BaseddPractice
KEY:dNursingdProcessdStep:dImplementation
MSC:dNCLEX:dSafedanddEffectivedCaredEnvironmentd(managementdofdcare)
