TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
MULTIPLEoCHOICE
1. Aonursingoeducatoroisoexplainingohowotheobestoclinicalopracticesoareodetermined.oWhichos
tatementobestoexplainsotheopurposeoofoevidence-basedopractice?
a. Itoensuresothatoallopatientsoreceiveoholisticocare.
b. Itoprovidesoaodefiniteoreasonoforoprovidingocareoinoaospecificomanner.
c. Itopreventsoerrorsowhenocareoisobeingodelivered.
d. Itoguaranteesothatocareodeliveredoisobasedoonoresearch.
ANS:o B
Evidence-
basedopracticeoisotheouseoofotheocurrentobestoevidenceoinomakingopatientocareodecisions.oItoapplie
sotooallotypesoofohealthocareoprofessionals.oCurrentlyothereoisonoomethodothatocanoensureothatoallop
atientsoreceiveoholisticocare,othatoalloerrorsocanobeoprevented,oorothatoaoguaranteeoexistsothatocareo
givenoisobasedoonoresearch.
DIF: CognitiveoLevel:oUnderstanding
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
2. Whichoquestionoisoaoproblem-focusedotriggeroforoinitiatingotheoevidence-
basedopracticeomethodoinonursingocare?
a. Whatoisoknownoaboutoreductionoofourinaryotractoinfectionsoinotheoolderoadultowithod
iabetes?
b. Howocanochronicopainobestobeodescribedowhenotheopatientoisononverbal?
c. Howolongocanoano IVocatheteroremainoinoplaceoinoaopatientowithoobesity?
d. Whatomeasuresocanotheonurseotakeotooreduceotheorisingoincidenceoofourinaryotractoi
nfectionsoonotheoolderoadultocareounit?
ANS:o D
Evidence-
basedopracticeo(EBP)oquestionsotendotooariseofromotwoosources:orecurrentoproblemsooronewokno
wledge.oInotheocorrectooption,otheoincreaseoinourinaryotractoinfectionsoindicatesoaotrendoororecur
ringoproblemoinoaospecificogroupoofopatients.oTheootheroquestionsoareogeneraloinformationoques
tions,onotobasedoonowhatoisohappeningoinoaospecificoareaoorotooaogroupoofospecificopatientsoinoano
areaoororelatingotooanoobservedotrend.
DIF: CognitiveoLevel:oApplying
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
3. Whatodoesotheo“I”oindicateoinoao“PICO”oquestion?
a. Interventionoofointerest
b. Incorporationoofoconcepts
c. Implementationobyonursing
d. Interestoofopersonnel
ANS:o A
Theo“I”ostandsoforointerventionoofointerest,omeaningowhatotheonurseohopesotoouseoinopracticeoando
believesoisoworthwhileoorovaluable.oThisocouldobeoaotreatmentoforoaospecificotypeoofowoundooroano
approachoonohowotooteachofoodopreparationoforoaopatientowithoimpairedosight.
,TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
DIF: CognitiveoLevel:oRemembering
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
4. Whoowillotheoclinicaloresearchonurseocontactotoosearchorelevantodatabasesoinopreparationoforoanou
pcomingostudy?
a. Theophysicianowhoseopatientsomayobeoinvolvedoinotheostudy
b. Theomedicalolibrarian
c. Theonurseomanageroofotheounitowhereotheostudyowillobeoconducted
d. Theodirectoroofonursingoofotheofacility
ANS:o B
Theomedicalolibrarianoisomostoknowledgeableoregardingodatabasesorelevantotooaostudy.oTheoo
theroindividualsodoonotohaveotheoknowledgeoregardingorelevantodatabases.
DIF: CognitiveoLevel:oUnderstanding
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
5. Whichodatabaseocontainsosummariesoofoclinicaloguidelinesoandotheirodevelopment?
a. MEDLINE
b. CINAHL
c. CochraneoDatabaseoofoSystematicoReviews
d. TheoNationaloGuidelineoClearinghouse
ANS:o D
TheoNationaloGuidelineoClearinghouseoisoaodatabaseosupportedobyotheoAgencyoforoHealthcareoRes
earchoandoQuality.oItocontainsosummariesoofoclinicaloguidelinesoforopractice.oMEDLINEois
aodatabaseoforostudiesoinomediciNne,onursing,odentistry,opsychiatry,oveterinaryomedicine,oandoallie
dohealth.oCINAHLo(CumulativeoIndexoofoNursingoandoAlliedoHealthoLiterature)oincludesostudies
oinonursing,oalliedohealth,oandobiomedicine.oTheoCochraneoDatabaseoFullotextoof
regularlyoupdatedosystematicoreviewsopreparedobyotheoCochraneoCollaborationoincludesoc
ompletedoreviewsoandoprotocols.
DIF: CognitiveoLevel:oRemembering
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
6. Whichodoesotheonurseoresearcheroidentifyoasotheostrongestotypeooforesearch?
a. Randomizedocontrolledotrials
b. Aoqualitativeostudy
c. Aodescriptiveostudy
d. Aocaseocontrolledostudy
ANS:o A
Individualorandomizedocontrolledotrialsoareocloseotootheotopoofotheoresearchopyramid.oOnlyos
ystematicoreviewsoandometa-
analysesoareohigher.oThisotypeoofostudyotestsoanointerventionoagainstotheousualostandardoofoca
re.oTheootherotypesoofostudiesoareousefulobutodoonotogiveotheosameotypeoofoinformationoasoaora
ndomizedocontrolledotrialoprovides.
DIF: CognitiveoLevel:oRemembering
,TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oAssessment
, TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
7. WhatoisotheonurseoattemptingotoodetermineowhenocritiquingotheoevidenceorelatedotooaoPICOToq
uestion?
a. Theoethicaloconductoofotheoresearchotheonurseoread
b. Theostrengthoofotheoevidenceofoundoinotheoliterature
c. Ifothereoareoanyoexpertsoinotheoclinicaloquestiononeedingotoobeoresearched
d. Ifotheostudyodemonstratesocost-effectivenessoifoaochangeoinopracticeooccurs
ANS:o B
Onceoaoliteratureosearchoisocompleteoandodataoareogatheredoaboutotheoquestion,oitoisotimeotoocritiq
ueotheoevidence.oCritiquingotheoevidenceoinvolvesoaosystematicoapproachotoolookingoatotheostrengt
hoofotheoworkoreviewedoandoitsorelevance.oTheootheroquestionsoareonotoapplicableotoocritiquingoth
eoevidence.
DIF: CognitiveoLevel:oUnderstanding
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
8. Aonurseofindsoaocohortostudyocomparingooneogroupotakingohormoneotreatmentowithoanotherogro
uponototakingohormoneotreatmentotoodetermineotheoincidenceoofochangesoinoboneodensityoofotheol
owerospine.oWhatocanotheonurseoimplyofromothisostudy?
a. Lowoleveloofostrengthomakesotheostudyolimitedoinovalue.
b. Moderateoleveloofostrengthomakesotheostudyoprobablyouseful.
c. Opinionsoofotheoindividualsoinotheocohortoareonotoresearch.
d. ThisocouldobeotheobasisoforoaoQualityoImprovementoproject.
ANS:o B
AocohortostudyoisoLevelo4oevidenceoasoitoisoaosingle,onon-
experimentalostudy.oThisomoderateoleveloofoevidenceomakesotheostudyoprobablyousefulobutotheo
nurseoshouldostriveotoofindostrongeroevidence. N
DIF: CognitiveoLevel:oApplying
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oEvaluation
9. Whichoquestionowouldobeotheobestoexampleoofoaoknowledge-
focusedotriggeroforoconductingoanoevidence-basedopracticeoproject?
a. Whatoisotheobestomethodoforotreatmentoofolegoswellingowhenoaopatientoisotakingog
abapentino(Neurontin)?
b. Howocanoweodecreaseotheoincidenceoofoskinocanceroinoadultsooverotheoageoofo65?
c. Whatoisotheocurrentoevidenceoforoimprovingooralointakeoforocanceropatientsowithos
tomatitis?
d. Whatoisotheomaximalolengthoofotimeoourohospitaloallowsoirrigationokitsotoobeoused?
ANS:o C
Evidence-
basedopracticeo(EBP)oquestionsotendotooariseofromotwoosources:orecurrentoproblemsooronewokno
wledge.oInothisoexample,otheonewoknowledgeothatodrivesotheoquestionoisotheooneolookingoatocurre
ntoevidence.oTheootheroquestionsodoonotolookoatotheonewestoknowledgeotooformoaoquestionotoorese
arch.
DIF: CognitiveoLevel:oAnalyzing
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
MULTIPLEoCHOICE
1. Aonursingoeducatoroisoexplainingohowotheobestoclinicalopracticesoareodetermined.oWhichos
tatementobestoexplainsotheopurposeoofoevidence-basedopractice?
a. Itoensuresothatoallopatientsoreceiveoholisticocare.
b. Itoprovidesoaodefiniteoreasonoforoprovidingocareoinoaospecificomanner.
c. Itopreventsoerrorsowhenocareoisobeingodelivered.
d. Itoguaranteesothatocareodeliveredoisobasedoonoresearch.
ANS:o B
Evidence-
basedopracticeoisotheouseoofotheocurrentobestoevidenceoinomakingopatientocareodecisions.oItoapplie
sotooallotypesoofohealthocareoprofessionals.oCurrentlyothereoisonoomethodothatocanoensureothatoallop
atientsoreceiveoholisticocare,othatoalloerrorsocanobeoprevented,oorothatoaoguaranteeoexistsothatocareo
givenoisobasedoonoresearch.
DIF: CognitiveoLevel:oUnderstanding
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
2. Whichoquestionoisoaoproblem-focusedotriggeroforoinitiatingotheoevidence-
basedopracticeomethodoinonursingocare?
a. Whatoisoknownoaboutoreductionoofourinaryotractoinfectionsoinotheoolderoadultowithod
iabetes?
b. Howocanochronicopainobestobeodescribedowhenotheopatientoisononverbal?
c. Howolongocanoano IVocatheteroremainoinoplaceoinoaopatientowithoobesity?
d. Whatomeasuresocanotheonurseotakeotooreduceotheorisingoincidenceoofourinaryotractoi
nfectionsoonotheoolderoadultocareounit?
ANS:o D
Evidence-
basedopracticeo(EBP)oquestionsotendotooariseofromotwoosources:orecurrentoproblemsooronewokno
wledge.oInotheocorrectooption,otheoincreaseoinourinaryotractoinfectionsoindicatesoaotrendoororecur
ringoproblemoinoaospecificogroupoofopatients.oTheootheroquestionsoareogeneraloinformationoques
tions,onotobasedoonowhatoisohappeningoinoaospecificoareaoorotooaogroupoofospecificopatientsoinoano
areaoororelatingotooanoobservedotrend.
DIF: CognitiveoLevel:oApplying
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
3. Whatodoesotheo“I”oindicateoinoao“PICO”oquestion?
a. Interventionoofointerest
b. Incorporationoofoconcepts
c. Implementationobyonursing
d. Interestoofopersonnel
ANS:o A
Theo“I”ostandsoforointerventionoofointerest,omeaningowhatotheonurseohopesotoouseoinopracticeoando
believesoisoworthwhileoorovaluable.oThisocouldobeoaotreatmentoforoaospecificotypeoofowoundooroano
approachoonohowotooteachofoodopreparationoforoaopatientowithoimpairedosight.
,TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
DIF: CognitiveoLevel:oRemembering
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
4. Whoowillotheoclinicaloresearchonurseocontactotoosearchorelevantodatabasesoinopreparationoforoanou
pcomingostudy?
a. Theophysicianowhoseopatientsomayobeoinvolvedoinotheostudy
b. Theomedicalolibrarian
c. Theonurseomanageroofotheounitowhereotheostudyowillobeoconducted
d. Theodirectoroofonursingoofotheofacility
ANS:o B
Theomedicalolibrarianoisomostoknowledgeableoregardingodatabasesorelevantotooaostudy.oTheoo
theroindividualsodoonotohaveotheoknowledgeoregardingorelevantodatabases.
DIF: CognitiveoLevel:oUnderstanding
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
5. Whichodatabaseocontainsosummariesoofoclinicaloguidelinesoandotheirodevelopment?
a. MEDLINE
b. CINAHL
c. CochraneoDatabaseoofoSystematicoReviews
d. TheoNationaloGuidelineoClearinghouse
ANS:o D
TheoNationaloGuidelineoClearinghouseoisoaodatabaseosupportedobyotheoAgencyoforoHealthcareoRes
earchoandoQuality.oItocontainsosummariesoofoclinicaloguidelinesoforopractice.oMEDLINEois
aodatabaseoforostudiesoinomediciNne,onursing,odentistry,opsychiatry,oveterinaryomedicine,oandoallie
dohealth.oCINAHLo(CumulativeoIndexoofoNursingoandoAlliedoHealthoLiterature)oincludesostudies
oinonursing,oalliedohealth,oandobiomedicine.oTheoCochraneoDatabaseoFullotextoof
regularlyoupdatedosystematicoreviewsopreparedobyotheoCochraneoCollaborationoincludesoc
ompletedoreviewsoandoprotocols.
DIF: CognitiveoLevel:oRemembering
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
6. Whichodoesotheonurseoresearcheroidentifyoasotheostrongestotypeooforesearch?
a. Randomizedocontrolledotrials
b. Aoqualitativeostudy
c. Aodescriptiveostudy
d. Aocaseocontrolledostudy
ANS:o A
Individualorandomizedocontrolledotrialsoareocloseotootheotopoofotheoresearchopyramid.oOnlyos
ystematicoreviewsoandometa-
analysesoareohigher.oThisotypeoofostudyotestsoanointerventionoagainstotheousualostandardoofoca
re.oTheootherotypesoofostudiesoareousefulobutodoonotogiveotheosameotypeoofoinformationoasoaora
ndomizedocontrolledotrialoprovides.
DIF: CognitiveoLevel:oRemembering
,TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oAssessment
, TESToBANKoFORoNURSINGoINTERVENTIONSoANDoCLINICALoSKILLSo7THoEDITIONoBYoPOTTER
Chaptero01:UsingoEvidenceoinoNursingoPractice
Perryoetoal:NursingoInterventionsoandoClinicaloSkills,7tho Edition.
7. WhatoisotheonurseoattemptingotoodetermineowhenocritiquingotheoevidenceorelatedotooaoPICOToq
uestion?
a. Theoethicaloconductoofotheoresearchotheonurseoread
b. Theostrengthoofotheoevidenceofoundoinotheoliterature
c. Ifothereoareoanyoexpertsoinotheoclinicaloquestiononeedingotoobeoresearched
d. Ifotheostudyodemonstratesocost-effectivenessoifoaochangeoinopracticeooccurs
ANS:o B
Onceoaoliteratureosearchoisocompleteoandodataoareogatheredoaboutotheoquestion,oitoisotimeotoocritiq
ueotheoevidence.oCritiquingotheoevidenceoinvolvesoaosystematicoapproachotoolookingoatotheostrengt
hoofotheoworkoreviewedoandoitsorelevance.oTheootheroquestionsoareonotoapplicableotoocritiquingoth
eoevidence.
DIF: CognitiveoLevel:oUnderstanding
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
8. Aonurseofindsoaocohortostudyocomparingooneogroupotakingohormoneotreatmentowithoanotherogro
uponototakingohormoneotreatmentotoodetermineotheoincidenceoofochangesoinoboneodensityoofotheol
owerospine.oWhatocanotheonurseoimplyofromothisostudy?
a. Lowoleveloofostrengthomakesotheostudyolimitedoinovalue.
b. Moderateoleveloofostrengthomakesotheostudyoprobablyouseful.
c. Opinionsoofotheoindividualsoinotheocohortoareonotoresearch.
d. ThisocouldobeotheobasisoforoaoQualityoImprovementoproject.
ANS:o B
AocohortostudyoisoLevelo4oevidenceoasoitoisoaosingle,onon-
experimentalostudy.oThisomoderateoleveloofoevidenceomakesotheostudyoprobablyousefulobutotheo
nurseoshouldostriveotoofindostrongeroevidence. N
DIF: CognitiveoLevel:oApplying
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oEvaluation
9. Whichoquestionowouldobeotheobestoexampleoofoaoknowledge-
focusedotriggeroforoconductingoanoevidence-basedopracticeoproject?
a. Whatoisotheobestomethodoforotreatmentoofolegoswellingowhenoaopatientoisotakingog
abapentino(Neurontin)?
b. Howocanoweodecreaseotheoincidenceoofoskinocanceroinoadultsooverotheoageoofo65?
c. Whatoisotheocurrentoevidenceoforoimprovingooralointakeoforocanceropatientsowithos
tomatitis?
d. Whatoisotheomaximalolengthoofotimeoourohospitaloallowsoirrigationokitsotoobeoused?
ANS:o C
Evidence-
basedopracticeo(EBP)oquestionsotendotooariseofromotwoosources:orecurrentoproblemsooronewokno
wledge.oInothisoexample,otheonewoknowledgeothatodrivesotheoquestionoisotheooneolookingoatocurre
ntoevidence.oTheootheroquestionsodoonotolookoatotheonewestoknowledgeotooformoaoquestionotoorese
arch.
DIF: CognitiveoLevel:oAnalyzing
OBJ:oNCLEX:oSafeoandoEffectiveoCareoEnvironmentoTOP:o NursingoProcess:oImplementati
on
