Exam 2 ATI Review
A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of
evidence with a newly licensed nurse. Which of the following examples should the nurse
provide when discussing level 1 evidence
a. Expert opinions
b. Systematic review
c. Credible websites
d. Qualitative studies - correct answerb. Systematic review
Rationale:
A systematic review or meta-analysis is considered the highest level of evidence for
EBP. This evidence is derived from review of numerous peer-reviewed studies
performed on the same topic.
A charge nurse is discussing evidence-based practice (EBP) with a newly licensed
nurse. Which of the following information should the nurse include when discussing the
hierarchy of evidence?
a. Qualitative studies are considered to be one type of Level I evidence.
b. Level I evidence includes evidence found in nursing textbooks.
c. Level VII evidence comes from a meta-analysis of multiple peer-reviewed studies.
d. Level I evidence is considered to be the best evidence to support EBP. - correct
answerd. Level I evidence is considered to be the best evidence to support EBP.
Rationale:
Evidence is divided into levels that signify how applicable the information is to EBP and
client care. Level I evidence is the highest level to support EBP and subsequent
changes in nursing practice.
A charge nurse is discussing qualitative and quantitative research with a newly licensed
nurse. Which of the following statements should the charge nurse make?
a. "Qualitative research uses larger sample sizes than quantitative research."
b. "Quantitative research analyzes collected data using statistical methods."
c. "Qualitative research studies how to implement EBP into various settings."
d. "Quantitative research aims to understand the feelings associated with a particular
event." - correct answerb. "Quantitative research analyzes collected data using
statistical methods."
Rationale:
The nurse should identify that quantitative research is focused on numbers when
evaluating research outcomes. The information obtained during research is analyzed
and reported as statistical data.
, A charge nurse is providing an in-service to a group of staff nurses about unexpected
events. Which of the following should the nurse include in the teaching as an example
of a sentinel event?
a. A client had bowel surgery and died from sepsis.
b. A client was prescribed a medication they were allergic to, but the prescription was
canceled before the medication was given.
c. A client was almost given another client's medication.
d. A client fell out of bed and fractured their hip. - correct answera. A client had bowel
surgery and died from sepsis.
Rationale:
The nurse should include in the in-service that a client who had a bowel surgery and
then died from sepsis is a sentinel event. A sentinel event is an unexpected event that
caused severe or permanent harm to the client and even death.
A charge nurse is reviewing legal guidelines for documentation with a newly licensed
nurse. Which of the following should the charge nurse include in the teaching?
a. A medical record can be used as evidence in a court of law
b. A nurse should ensure the documentation is organized and completed in a timely
fashion
c. Documentation should include the nurse's interpretation of the client situation
d. Data contained in a client's medical record can be shared with all employee within a
health care facility
e. Information recorded in the client's medical record must be accurate and complete -
correct answerc., e.
A charge nurse is teaching a newly licensed nurse about accessing a client's medical
records. Which of the following should the nurse include?
a. A nurse can only share information from the client's medical record with immediate
family members.
b. A nurse can access the records of any client in the healthcare facility, as long as the
information is not shared.
c. A nurse can share information about a client with clients who have a similar
diagnosis.
d. A nurse can only access the records of clients they are actively caring for. - correct
answerd. A nurse can only access the records of clients they are actively caring for.
Rationale:
The Health Insurance Portability and Accountability Act (HIPAA) reflects that client
medical information is confidential and should only be accessed by those health care
team members who are directly involved in caring for the client.
A graduate nurse is reviewing information about the NCLEX® exam on the National
Council of State Board of Nursing (NCSBN) website. Which of the following information
should the nurse identify about the NCLEX exam?
a. All 50 states have the same criteria for passing the exam.
A charge nurse is discussing evidence-based practice (EBP) and the hierarchy of
evidence with a newly licensed nurse. Which of the following examples should the nurse
provide when discussing level 1 evidence
a. Expert opinions
b. Systematic review
c. Credible websites
d. Qualitative studies - correct answerb. Systematic review
Rationale:
A systematic review or meta-analysis is considered the highest level of evidence for
EBP. This evidence is derived from review of numerous peer-reviewed studies
performed on the same topic.
A charge nurse is discussing evidence-based practice (EBP) with a newly licensed
nurse. Which of the following information should the nurse include when discussing the
hierarchy of evidence?
a. Qualitative studies are considered to be one type of Level I evidence.
b. Level I evidence includes evidence found in nursing textbooks.
c. Level VII evidence comes from a meta-analysis of multiple peer-reviewed studies.
d. Level I evidence is considered to be the best evidence to support EBP. - correct
answerd. Level I evidence is considered to be the best evidence to support EBP.
Rationale:
Evidence is divided into levels that signify how applicable the information is to EBP and
client care. Level I evidence is the highest level to support EBP and subsequent
changes in nursing practice.
A charge nurse is discussing qualitative and quantitative research with a newly licensed
nurse. Which of the following statements should the charge nurse make?
a. "Qualitative research uses larger sample sizes than quantitative research."
b. "Quantitative research analyzes collected data using statistical methods."
c. "Qualitative research studies how to implement EBP into various settings."
d. "Quantitative research aims to understand the feelings associated with a particular
event." - correct answerb. "Quantitative research analyzes collected data using
statistical methods."
Rationale:
The nurse should identify that quantitative research is focused on numbers when
evaluating research outcomes. The information obtained during research is analyzed
and reported as statistical data.
, A charge nurse is providing an in-service to a group of staff nurses about unexpected
events. Which of the following should the nurse include in the teaching as an example
of a sentinel event?
a. A client had bowel surgery and died from sepsis.
b. A client was prescribed a medication they were allergic to, but the prescription was
canceled before the medication was given.
c. A client was almost given another client's medication.
d. A client fell out of bed and fractured their hip. - correct answera. A client had bowel
surgery and died from sepsis.
Rationale:
The nurse should include in the in-service that a client who had a bowel surgery and
then died from sepsis is a sentinel event. A sentinel event is an unexpected event that
caused severe or permanent harm to the client and even death.
A charge nurse is reviewing legal guidelines for documentation with a newly licensed
nurse. Which of the following should the charge nurse include in the teaching?
a. A medical record can be used as evidence in a court of law
b. A nurse should ensure the documentation is organized and completed in a timely
fashion
c. Documentation should include the nurse's interpretation of the client situation
d. Data contained in a client's medical record can be shared with all employee within a
health care facility
e. Information recorded in the client's medical record must be accurate and complete -
correct answerc., e.
A charge nurse is teaching a newly licensed nurse about accessing a client's medical
records. Which of the following should the nurse include?
a. A nurse can only share information from the client's medical record with immediate
family members.
b. A nurse can access the records of any client in the healthcare facility, as long as the
information is not shared.
c. A nurse can share information about a client with clients who have a similar
diagnosis.
d. A nurse can only access the records of clients they are actively caring for. - correct
answerd. A nurse can only access the records of clients they are actively caring for.
Rationale:
The Health Insurance Portability and Accountability Act (HIPAA) reflects that client
medical information is confidential and should only be accessed by those health care
team members who are directly involved in caring for the client.
A graduate nurse is reviewing information about the NCLEX® exam on the National
Council of State Board of Nursing (NCSBN) website. Which of the following information
should the nurse identify about the NCLEX exam?
a. All 50 states have the same criteria for passing the exam.
