Test Bank for Clinical Nursing Skills and Techniques11th Edition
by Perry, Potter, Ostendorf, and Laplante
, Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
MULTIPLE CHOICE
1. Evidence-based practice refers to a decision-making strategy in patient care that relies primarily on:
a. up-to-date information from textbooks.
b. research that is systematically and scientifically conducted.
c. long-standing clinical traditions.
d. data from quality improvement and risk management.
CORRECT ANSWER: B
High-quality evidence is derived from carefully designed research studies published in scientific journals. Textbook
content may be outdated by the time it’s printed. Many healthcare environments lack systems to help staff incorporate
new findings into practice, and nurses often turn to habit rather than current data. While non-research sources like QI
data, infection reports, and expert opinion are valuable, prioritizing research-based evidence is crucial.
2. When using evidence-based practice, patient care will be:
a. uniform for every patient.
b. not influenced by cultural factors.
c. adjusted according to each unique situation.
d. exempt from critical thinking requirements.
CORRECT ANSWER: C
Combining clinical expertise with patient preferences, values, and cultural beliefs ensures ethical and appropriate use of
evidence. Even the best evidence must be interpreted based on the specific context, requiring nurses to use critical
thinking to determine its applicability.
3. In a PICOT question, the part representing the usual care or standard practice is:
a. P.
b. I.
c. C.
d. O.
CORRECT ANSWER: C
C stands for Comparison of interest, which is the current treatment or standard practice being evaluated against. P =
Patient group, I = Proposed intervention, and O = Desired outcome of the intervention.
,4. A properly formulated PICOT question assists the nurse to:
a. locate relevant research.
b. include all elements in a specific order.
c. find the largest number of research articles.
d. rely on established procedures.
CORRECT ANSWER: A
A specific, well-constructed question makes it easier to identify pertinent research. While it doesn’t need all five
elements or a strict order, a well-thought-out question promotes critical thinking and challenges routine methods.
5. If a nurse wants to quickly find reliable research on a clinical topic, the most efficient source is:
a. CINAHL
b. PubMed
c. MEDLINE
d. Cochrane Database
CORRECT ANSWER: D
The Cochrane Database offers full, up-to-date systematic reviews, making it a key source of synthesized evidence.
While CINAHL, MEDLINE, and PubMed are excellent databases, Cochrane is ideal for finding pre-appraised,
summarized research.
6. When a nurse needs to create a patient care plan for a specific clinical situation, the most helpful reference is likely to
be:
a. Cochrane Database
b. MEDLINE
c. NGC
d. CINAHL
CORRECT ANSWER: C
The National Guidelines Clearinghouse (NGC), maintained by the AHRQ, provides clinical guidelines tailored to
specific conditions and patient groups. It's ideal for developing comprehensive care plans.
7. After identifying 25 articles from a literature search, the nurse’s first step in evaluating their relevance should be to:
a. read the abstracts.
b. examine the literature reviews.
,c. review the “Methods” sections.
d. skim the narrative portions.
CORRECT ANSWER: A
An abstract offers a quick overview of the study’s focus, findings, and relevance. It helps determine whether to delve
deeper into the full article. Literature reviews and methods come later in the evaluation process.
8. A nurse is studying how participation in cardiac rehab impacts depression after a heart attack. The most suitable study
type for this purpose is a:
a. randomized controlled trial.
b. qualitative study.
c. case-control study.
d. descriptive study.
CORRECT ANSWER: B
Qualitative research focuses on individual experiences and contexts, making it appropriate for exploring subjective
outcomes like depression. RCTs are better for testing interventions, while case-control and descriptive studies have
different focuses.
9. A hospital reduced deep vein thrombosis cases six months after starting an early mobility program. This outcome
reflects which EBP phase?
a. Formulating a clinical question
b. Implementing the evidence
c. Assessing the practice change
d. Sharing the findings
CORRECT ANSWER: C
Evaluating the outcome of a practice change involves reviewing collected data to assess effectiveness. This step
determines whether the intervention improved patient outcomes or not.
MULTIPLE RESPONSE
1. Proper application of evidence-based practice involves gathering the most pertinent and high-quality evidence and
thoroughly analyzing it. This process also includes: (Select all that apply.)
a. formulating a clinical question.
b. putting the evidence into practice.
c. assessing the impact of the decision.
d. sharing the outcomes.
by Perry, Potter, Ostendorf, and Laplante
, Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
MULTIPLE CHOICE
1. Evidence-based practice refers to a decision-making strategy in patient care that relies primarily on:
a. up-to-date information from textbooks.
b. research that is systematically and scientifically conducted.
c. long-standing clinical traditions.
d. data from quality improvement and risk management.
CORRECT ANSWER: B
High-quality evidence is derived from carefully designed research studies published in scientific journals. Textbook
content may be outdated by the time it’s printed. Many healthcare environments lack systems to help staff incorporate
new findings into practice, and nurses often turn to habit rather than current data. While non-research sources like QI
data, infection reports, and expert opinion are valuable, prioritizing research-based evidence is crucial.
2. When using evidence-based practice, patient care will be:
a. uniform for every patient.
b. not influenced by cultural factors.
c. adjusted according to each unique situation.
d. exempt from critical thinking requirements.
CORRECT ANSWER: C
Combining clinical expertise with patient preferences, values, and cultural beliefs ensures ethical and appropriate use of
evidence. Even the best evidence must be interpreted based on the specific context, requiring nurses to use critical
thinking to determine its applicability.
3. In a PICOT question, the part representing the usual care or standard practice is:
a. P.
b. I.
c. C.
d. O.
CORRECT ANSWER: C
C stands for Comparison of interest, which is the current treatment or standard practice being evaluated against. P =
Patient group, I = Proposed intervention, and O = Desired outcome of the intervention.
,4. A properly formulated PICOT question assists the nurse to:
a. locate relevant research.
b. include all elements in a specific order.
c. find the largest number of research articles.
d. rely on established procedures.
CORRECT ANSWER: A
A specific, well-constructed question makes it easier to identify pertinent research. While it doesn’t need all five
elements or a strict order, a well-thought-out question promotes critical thinking and challenges routine methods.
5. If a nurse wants to quickly find reliable research on a clinical topic, the most efficient source is:
a. CINAHL
b. PubMed
c. MEDLINE
d. Cochrane Database
CORRECT ANSWER: D
The Cochrane Database offers full, up-to-date systematic reviews, making it a key source of synthesized evidence.
While CINAHL, MEDLINE, and PubMed are excellent databases, Cochrane is ideal for finding pre-appraised,
summarized research.
6. When a nurse needs to create a patient care plan for a specific clinical situation, the most helpful reference is likely to
be:
a. Cochrane Database
b. MEDLINE
c. NGC
d. CINAHL
CORRECT ANSWER: C
The National Guidelines Clearinghouse (NGC), maintained by the AHRQ, provides clinical guidelines tailored to
specific conditions and patient groups. It's ideal for developing comprehensive care plans.
7. After identifying 25 articles from a literature search, the nurse’s first step in evaluating their relevance should be to:
a. read the abstracts.
b. examine the literature reviews.
,c. review the “Methods” sections.
d. skim the narrative portions.
CORRECT ANSWER: A
An abstract offers a quick overview of the study’s focus, findings, and relevance. It helps determine whether to delve
deeper into the full article. Literature reviews and methods come later in the evaluation process.
8. A nurse is studying how participation in cardiac rehab impacts depression after a heart attack. The most suitable study
type for this purpose is a:
a. randomized controlled trial.
b. qualitative study.
c. case-control study.
d. descriptive study.
CORRECT ANSWER: B
Qualitative research focuses on individual experiences and contexts, making it appropriate for exploring subjective
outcomes like depression. RCTs are better for testing interventions, while case-control and descriptive studies have
different focuses.
9. A hospital reduced deep vein thrombosis cases six months after starting an early mobility program. This outcome
reflects which EBP phase?
a. Formulating a clinical question
b. Implementing the evidence
c. Assessing the practice change
d. Sharing the findings
CORRECT ANSWER: C
Evaluating the outcome of a practice change involves reviewing collected data to assess effectiveness. This step
determines whether the intervention improved patient outcomes or not.
MULTIPLE RESPONSE
1. Proper application of evidence-based practice involves gathering the most pertinent and high-quality evidence and
thoroughly analyzing it. This process also includes: (Select all that apply.)
a. formulating a clinical question.
b. putting the evidence into practice.
c. assessing the impact of the decision.
d. sharing the outcomes.
