Test Bank For Evidence-
x x x
Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edi
x x x x x x x x x x x x
tion
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
x x x x x
Chapter 1 - 23 Complete
x x x x
, Chapter 1 Making the Case for Evidence-
x x x x x x
Based Practice and Cultivating a Spirit of Inquiry
x x x x x x x
InxthexhospitalxwherexNursexL.xprovidesxcare,xtraditionxdictatesxthatxoralxtemperaturesxbexi
ncludedxinxeveryxsetxofxpatientxvitalxsigns,xregardlessxofxpatientxdiagnosisxorxacuity.xThisxisx
mostxlikelyxanxexamplexofxwhichxofxthexfollowingxphenomena?
A) Thexprioritizationxofxinternalxevidencexoverxexternalxevidence
B) Practicexthatxlacksxevidencextoxsupportxitsxapplication
C) Thexintegrationxofxpersonalxexpertisexintoxnursingxcare
D) Evidence-basedxpractice
2. Thexclinicalxnursexeducatorx(CNE)xonxaxpostsurgicalxunitxhasxrecentlyxcompletedxaxpatie
ntxchartxreviewxafterxtheximplementationxofxaxpilotxprogramxaimedxatxpromotingxearlyxa
mbulationxfollowingxsurgery.xWhichxofxthexfollowingxcomponentsxofxEBPxisxthexnursexp
uttingxintoxpractice?
A) Patientxpreferences
B) Researchxutilization
C) Experience
D) Internalxevidence
3. NursexR.xhasxobservedxthatxreorientingxdementedxpatientsxasxfrequentlyxasxpossiblextendsxt
oxminimizexthexpatients'xlevelxofxagitationxinxthexevening.xThexnursexhasxsharedxthisxobser
vationxwithxaxcolleague,xwhoxisxskeptical,xstatingxthat,x“It'sxbestxtoxstickxtoxevidence-
basedxpractice.”xHowxcanxNursexR.xbestxrespond?
A) “EBPxcanxincludexclinicians'xpersonalxexpertise.”
B) “Personalxexperiencexisxoftenxmorexsoundxthanxformalxevidence-basedxpractice.”
C) “TraditionalxpracticexandxEBPxarexusuallyxshownxtoxbexthexsame.”
D) “Myxyearsxofxexperiencexcanxbexjustxasxvaluablexasxanyxliteraturexreviewxorxr
andomizedxtrial.”
4. Whichxofxthexfollowingxfactorsxprovidesxthexmostximportantxrationalexforxthexconsistentxi
mplementationxofxEBP?
A) EBPxprovidesxforxthexmostxcost-effectivexpatientxcare.
B) EBPxisxaccessiblextoxallxhealthcarexclinicians.
C) EBPxprovidesxconsistencyxinxcarexacrossxhealthcarexsettings.
D) EBPximprovesxpatientxoutcomes.
,5. ThexInstitutexofxMedicine'sxRoundtablexonxEvidence-
BasedxMedicinexhasxbeenxestablishedxtoxaddressxEBP.xWhichxofxthexfollowingxis
suesxisxthexRoundtablexemphasizing?
A) Ensuringxthatxexternalxevidence,xratherxthanxinternalxevidence,xisxintegratedxintox
care
B) FosteringxthexlevelxofxlearningxthatxexistsxinxthexAmericanxhealthcarexsystem
C) Issuingxclinicalxguidelinesxtoxensurexbestxnursingxpractice
D) ComparingxtheximplementationxofxEBPxinxthexUnitedxStatesxwithxthatxofxotherx
Westernxcountries
6. Youxhavexbecomexfrustratedxwithxsomexaspectsxofxpatientxcarexthatxyouxbelievexarexoutdat
edxandxineffectivexatxthexlong-
termxcarexfacilityxwherexyouxhavexrecentlyxbegunxpracticing.xConsequently,xyouxhavexres
olvedxtoxexaminexsomexofxthesexpracticesxinxlightxofxevidence.xWhichxofxthexfollowingxsho
uldxoccurxfirstxinxthexstepsxofxEBP?
A) Conductingxanxelectronicxsearchxofxthexliteraturexandxrankingxindividualxsources
B) Creatingx“buy-in”xfromxthexotherxcliniciansxwhoxprovidexcarexatxthexfacility
C) Developingxanxinquisitivexandxcuriousxmindset
D) Assessingxwhetherxthexpracticesxinxquestionxmay,xinxfact,xbexevidence-based
7. WhichxofxthexfollowingxclinicalxquestionsxbestxexemplifiesxthexPICOTxformat?
A) Whatxeffectxdoesxparents'xsmokingxhavexonxthexsmokingxhabitsxofxtheirxchildren,xa
gesx13xtox16?
B) Amongxcancerxpatients,xwhatxrolexdoesxmeditation,xratherxthanxbenzodiazepines,x
havexonxanxietyxlevelsxduringxthex7xdaysxfollowingxhospitalxadmission?
C) Amongxundergraduatexcollegexstudents,xwhatxisxthexeffectivenessxofxaxsexualxhealthxc
ampaignxundertakenxduringxthexfirstx4xweeksxofxthexfallxsemesterxasxmeasuredxbyxinc
idencexofxnewxgonorrhealxandxchlamydialxinfectionsxreportedxtoxthexcampusxmedical
xcenter?
D) Inxpatientsxagedx8xtox12,xisxthexeffectivenessxofxaxpainxscalexusingxfacesxsuperiorxtoxaxn
umericxratingxscalexinxthexemergencyxroomxcontext?
8. Afterxformulatingxaxclinicalxquestion,xaxnursexhasxproceededxtoxsearchxforxevidencexforxwa
ysxtoxfosterxrestfulxsleepxinxpatientsxwhoxarexreceivingxcarexinxthexintensivexcarexunitx(ICU
).xThexnursexhasxidentifiedxaxrelevantxmeta-
analysisxinxanxelectronicxdatabase.xWhatxwillxthisxsourcexofxevidencexconsistxof?
A) Axstatisticalxsummaryxofxthexresultsxfromxseveralxdifferentxstudies
B) Anxexaminationxofxthextheoreticalxandxconceptualxunderpinningsxofxthexissue
C) Anxinterdisciplinaryxanalysisxofxthexclinicalxquestion
D) Axqualitativexstudyxofxdifferentxinterventionsxrelatedxtoxthexclinicalxquestion
, 9. Thexnursesxonxaxpostpartumxunitxhavexnotedxthatxmanyxprimiparousx(first-
time)xmothersxarexgivingxupxonxbreastfeedingxwithinxthex24xhoursxfollowingxdelivery,xand
xthexnursesxwantxtoxcreatexuniformxguidelinesxforxpromotingxbreastfeedingxonxthexunit.xW
hichxofxthexfollowingxsourcesxisxmostxlikelyxtoxprovidexthexbestxevidencexinxtheirxquestxforx
anxintervention?
A) Evidencexfromxaxrandomizedxcontrolxtrialxthatxhadxmorexthanx2500xparticipants
B) Evidencexfromxaxstudyxthatxisxwidelyxregardedxasxaxclassicxwithinxthexobstetricalxn
ursingxcommunity
C) Evidencexfromxaxsystematicxreviewxofxbreastfeeding-
promotionxstudiesxthatxonexofxthexnursesxidentifiedxinxanxelectronicxdatabase
D) Thexconsensusxopinionxofxthexmostxseniorxnursesxonxthexunit
10. Thexnursexeducatorxonxanxacutexmedicinexunitxisxadvocatingxforxthexusexof
evidence-
basedxclinicalxpracticexguidelinesxonxwoundxcarexinxorderxtoxstandardizexandxoptimizext
hexpracticexofxthexnursesxonxthexunit.xWhichxofxthexfollowingxstatementsxbestxdescribesxc
linicalxpracticexguidelines?
A) Thexresultxofxreplicationxstudiesxofxexistingxresearchxbyxanximpartialxthirdxparty
B) Axcollectionxofxauthorizedxinterventionsxthatxarexrequiredxbyxlaw
C) Axnumberxofxinterventionsxthatxarexthexresultxofxaxlarge,xpublically-fundedxRCT
D) Axgroupxofxpracticexrecommendationsxthatxresultxfromxaxrigorousxreviewxofxthexl
iterature
11. Axnursexisxconductingxaxliteraturexreviewxonxthexevidencexregardingxthexusexofxvacuumxdr
essingsxonxstagexIVxpressurexulcers.xAfterxlocatingxaxrecentxstudyxthatxappearsxtoxbexreleva
nt,xwhichxofxthexfollowingxquestionsxwouldxthexnursexconsiderxfirstxwhenxcriticallyxapprais
ingxthexstudy?
A) “Arexthexfindingsxofxthisxstudyxcost-effectivexinxourxclinicalxcontext?”
B) "Howxwouldxtheximplementationxofxthisxinterventionxaffectxourxstaffingxneeds?"
C) “Werexthexpatientsxinxthexstudyxsimilarxtoxthexpatientsxonxmyxunit?”
D) “Arexthexfindingsxofxthexstudyxsignificantlyxdifferentxfromxwhatxwexarexcurrentlyxd
oingxonxthexunit?
12. Thexprimaryxcarexproviderxofxax49-year-
oldxmalexpatientxhasxexaminedxandxbrieflyxexplainedxthexevidencexthatxsupportsxbeginn
ingxregularxdigital-
rectalxexams.xWhichxofxthexfollowingxfactorsxwouldxjustifyxnotxperformingxdigital-
rectalxexaminationsxinxthisxpatient'sxcare?
A) Thexpatientxisxvehementlyxopposedxtoxundergoingxaxdigital-rectalxexam.
B) Clinicalxpracticexguidelinesxforxprostatexcarexhavexnotxbeenxpublished.
C) ThexclinicianxhasxbeenxunablextoxfindxanyxlargexRCTsxinxaxliteraturexreview.
D) Thexclinicianxhasxpreviouslyxwaitedxuntilxpatientsxarex55xtoxbeginxregularxd
igital-rectalxexams.
x x x
Based Practice in Nursing & Healthcare A Guide to Best Practice 5th Edi
x x x x x x x x x x x x
tion
by Bernadette Mazurek Melnyk, Ellen Fineout-Overholt
x x x x x
Chapter 1 - 23 Complete
x x x x
, Chapter 1 Making the Case for Evidence-
x x x x x x
Based Practice and Cultivating a Spirit of Inquiry
x x x x x x x
InxthexhospitalxwherexNursexL.xprovidesxcare,xtraditionxdictatesxthatxoralxtemperaturesxbexi
ncludedxinxeveryxsetxofxpatientxvitalxsigns,xregardlessxofxpatientxdiagnosisxorxacuity.xThisxisx
mostxlikelyxanxexamplexofxwhichxofxthexfollowingxphenomena?
A) Thexprioritizationxofxinternalxevidencexoverxexternalxevidence
B) Practicexthatxlacksxevidencextoxsupportxitsxapplication
C) Thexintegrationxofxpersonalxexpertisexintoxnursingxcare
D) Evidence-basedxpractice
2. Thexclinicalxnursexeducatorx(CNE)xonxaxpostsurgicalxunitxhasxrecentlyxcompletedxaxpatie
ntxchartxreviewxafterxtheximplementationxofxaxpilotxprogramxaimedxatxpromotingxearlyxa
mbulationxfollowingxsurgery.xWhichxofxthexfollowingxcomponentsxofxEBPxisxthexnursexp
uttingxintoxpractice?
A) Patientxpreferences
B) Researchxutilization
C) Experience
D) Internalxevidence
3. NursexR.xhasxobservedxthatxreorientingxdementedxpatientsxasxfrequentlyxasxpossiblextendsxt
oxminimizexthexpatients'xlevelxofxagitationxinxthexevening.xThexnursexhasxsharedxthisxobser
vationxwithxaxcolleague,xwhoxisxskeptical,xstatingxthat,x“It'sxbestxtoxstickxtoxevidence-
basedxpractice.”xHowxcanxNursexR.xbestxrespond?
A) “EBPxcanxincludexclinicians'xpersonalxexpertise.”
B) “Personalxexperiencexisxoftenxmorexsoundxthanxformalxevidence-basedxpractice.”
C) “TraditionalxpracticexandxEBPxarexusuallyxshownxtoxbexthexsame.”
D) “Myxyearsxofxexperiencexcanxbexjustxasxvaluablexasxanyxliteraturexreviewxorxr
andomizedxtrial.”
4. Whichxofxthexfollowingxfactorsxprovidesxthexmostximportantxrationalexforxthexconsistentxi
mplementationxofxEBP?
A) EBPxprovidesxforxthexmostxcost-effectivexpatientxcare.
B) EBPxisxaccessiblextoxallxhealthcarexclinicians.
C) EBPxprovidesxconsistencyxinxcarexacrossxhealthcarexsettings.
D) EBPximprovesxpatientxoutcomes.
,5. ThexInstitutexofxMedicine'sxRoundtablexonxEvidence-
BasedxMedicinexhasxbeenxestablishedxtoxaddressxEBP.xWhichxofxthexfollowingxis
suesxisxthexRoundtablexemphasizing?
A) Ensuringxthatxexternalxevidence,xratherxthanxinternalxevidence,xisxintegratedxintox
care
B) FosteringxthexlevelxofxlearningxthatxexistsxinxthexAmericanxhealthcarexsystem
C) Issuingxclinicalxguidelinesxtoxensurexbestxnursingxpractice
D) ComparingxtheximplementationxofxEBPxinxthexUnitedxStatesxwithxthatxofxotherx
Westernxcountries
6. Youxhavexbecomexfrustratedxwithxsomexaspectsxofxpatientxcarexthatxyouxbelievexarexoutdat
edxandxineffectivexatxthexlong-
termxcarexfacilityxwherexyouxhavexrecentlyxbegunxpracticing.xConsequently,xyouxhavexres
olvedxtoxexaminexsomexofxthesexpracticesxinxlightxofxevidence.xWhichxofxthexfollowingxsho
uldxoccurxfirstxinxthexstepsxofxEBP?
A) Conductingxanxelectronicxsearchxofxthexliteraturexandxrankingxindividualxsources
B) Creatingx“buy-in”xfromxthexotherxcliniciansxwhoxprovidexcarexatxthexfacility
C) Developingxanxinquisitivexandxcuriousxmindset
D) Assessingxwhetherxthexpracticesxinxquestionxmay,xinxfact,xbexevidence-based
7. WhichxofxthexfollowingxclinicalxquestionsxbestxexemplifiesxthexPICOTxformat?
A) Whatxeffectxdoesxparents'xsmokingxhavexonxthexsmokingxhabitsxofxtheirxchildren,xa
gesx13xtox16?
B) Amongxcancerxpatients,xwhatxrolexdoesxmeditation,xratherxthanxbenzodiazepines,x
havexonxanxietyxlevelsxduringxthex7xdaysxfollowingxhospitalxadmission?
C) Amongxundergraduatexcollegexstudents,xwhatxisxthexeffectivenessxofxaxsexualxhealthxc
ampaignxundertakenxduringxthexfirstx4xweeksxofxthexfallxsemesterxasxmeasuredxbyxinc
idencexofxnewxgonorrhealxandxchlamydialxinfectionsxreportedxtoxthexcampusxmedical
xcenter?
D) Inxpatientsxagedx8xtox12,xisxthexeffectivenessxofxaxpainxscalexusingxfacesxsuperiorxtoxaxn
umericxratingxscalexinxthexemergencyxroomxcontext?
8. Afterxformulatingxaxclinicalxquestion,xaxnursexhasxproceededxtoxsearchxforxevidencexforxwa
ysxtoxfosterxrestfulxsleepxinxpatientsxwhoxarexreceivingxcarexinxthexintensivexcarexunitx(ICU
).xThexnursexhasxidentifiedxaxrelevantxmeta-
analysisxinxanxelectronicxdatabase.xWhatxwillxthisxsourcexofxevidencexconsistxof?
A) Axstatisticalxsummaryxofxthexresultsxfromxseveralxdifferentxstudies
B) Anxexaminationxofxthextheoreticalxandxconceptualxunderpinningsxofxthexissue
C) Anxinterdisciplinaryxanalysisxofxthexclinicalxquestion
D) Axqualitativexstudyxofxdifferentxinterventionsxrelatedxtoxthexclinicalxquestion
, 9. Thexnursesxonxaxpostpartumxunitxhavexnotedxthatxmanyxprimiparousx(first-
time)xmothersxarexgivingxupxonxbreastfeedingxwithinxthex24xhoursxfollowingxdelivery,xand
xthexnursesxwantxtoxcreatexuniformxguidelinesxforxpromotingxbreastfeedingxonxthexunit.xW
hichxofxthexfollowingxsourcesxisxmostxlikelyxtoxprovidexthexbestxevidencexinxtheirxquestxforx
anxintervention?
A) Evidencexfromxaxrandomizedxcontrolxtrialxthatxhadxmorexthanx2500xparticipants
B) Evidencexfromxaxstudyxthatxisxwidelyxregardedxasxaxclassicxwithinxthexobstetricalxn
ursingxcommunity
C) Evidencexfromxaxsystematicxreviewxofxbreastfeeding-
promotionxstudiesxthatxonexofxthexnursesxidentifiedxinxanxelectronicxdatabase
D) Thexconsensusxopinionxofxthexmostxseniorxnursesxonxthexunit
10. Thexnursexeducatorxonxanxacutexmedicinexunitxisxadvocatingxforxthexusexof
evidence-
basedxclinicalxpracticexguidelinesxonxwoundxcarexinxorderxtoxstandardizexandxoptimizext
hexpracticexofxthexnursesxonxthexunit.xWhichxofxthexfollowingxstatementsxbestxdescribesxc
linicalxpracticexguidelines?
A) Thexresultxofxreplicationxstudiesxofxexistingxresearchxbyxanximpartialxthirdxparty
B) Axcollectionxofxauthorizedxinterventionsxthatxarexrequiredxbyxlaw
C) Axnumberxofxinterventionsxthatxarexthexresultxofxaxlarge,xpublically-fundedxRCT
D) Axgroupxofxpracticexrecommendationsxthatxresultxfromxaxrigorousxreviewxofxthexl
iterature
11. Axnursexisxconductingxaxliteraturexreviewxonxthexevidencexregardingxthexusexofxvacuumxdr
essingsxonxstagexIVxpressurexulcers.xAfterxlocatingxaxrecentxstudyxthatxappearsxtoxbexreleva
nt,xwhichxofxthexfollowingxquestionsxwouldxthexnursexconsiderxfirstxwhenxcriticallyxapprais
ingxthexstudy?
A) “Arexthexfindingsxofxthisxstudyxcost-effectivexinxourxclinicalxcontext?”
B) "Howxwouldxtheximplementationxofxthisxinterventionxaffectxourxstaffingxneeds?"
C) “Werexthexpatientsxinxthexstudyxsimilarxtoxthexpatientsxonxmyxunit?”
D) “Arexthexfindingsxofxthexstudyxsignificantlyxdifferentxfromxwhatxwexarexcurrentlyxd
oingxonxthexunit?
12. Thexprimaryxcarexproviderxofxax49-year-
oldxmalexpatientxhasxexaminedxandxbrieflyxexplainedxthexevidencexthatxsupportsxbeginn
ingxregularxdigital-
rectalxexams.xWhichxofxthexfollowingxfactorsxwouldxjustifyxnotxperformingxdigital-
rectalxexaminationsxinxthisxpatient'sxcare?
A) Thexpatientxisxvehementlyxopposedxtoxundergoingxaxdigital-rectalxexam.
B) Clinicalxpracticexguidelinesxforxprostatexcarexhavexnotxbeenxpublished.
C) ThexclinicianxhasxbeenxunablextoxfindxanyxlargexRCTsxinxaxliteraturexreview.
D) Thexclinicianxhasxpreviouslyxwaitedxuntilxpatientsxarex55xtoxbeginxregularxd
igital-rectalxexams.
