Chapter 1: Using Evidence in Nursing Practice
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about patient care that is
grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk management data.
ACCURATE ANSWER: B
2. When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ACCURATE ANSWER: C
Fr
3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
an
a. P.
b. I.
kl
c. C.
yn
d. O.
e
ACCURATE ANSWER: C
A
pl
4. A well-developed PICOT question helps the nurse:
us
a. search for evidence.
b. include all five elements of the sequence.
Pa
ss
,c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ACCURATE ANSWER: A
5. The nurse is not sure that the procedure the patient requires is the best possible for the situation.
Utilizing which of the following resources would be the quickest way to review research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Library
ACCURATE ANSWER: D
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need. The best
source for developing this plan of care would probably be:
a. The Cochrane Library.
b. MEDLINE.
c. NGC.
d. CINAHL.
Fr
ACCURATE ANSWER: C
an
kl
7. The nurse has done a literature search and found 25 possible articles on the topic that she is studying.
To determine which of those 25 best fit her inquiry, the nurse first should look at:
yn
a. the abstracts.
e
b. literature reviews.
A
c. the Methods sections.
pl
d. the narrative sections.
us
ACCURATE ANSWER: A
Pa
ss
,8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the level of
post-myocardial depression for individuals who have had a myocardial infarction. The type of study that
would best capture this information would be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ACCURATE ANSWER: B
9. Six months after an early mobility protocol was implemented, the incidence of deep vein thrombosis in
patients was decreased. This is an example of what stage in the EBP process?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
ACCURATE ANSWER: C
MULTIPLE RESPONSE
Fr
1. To use evidence-based practice appropriately, you need to collect the most relevant and best evidence
and to critically appraise the evidence you gather. This process also includes: (Select all that apply.)
an
a. asking a clinical question.
kl
b. applying the evidence.
yn
c. evaluating the practice decision.
e
d. communicating your results.
A
ACCURATE ANSWER: A, B, C, D
pl
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
us
a. the quality of care provided.
Pa
ss
, b. patient outcomes.
c. clinician satisfaction.
d. patients perceptions.
ACCURATE ANSWER: A, B, C, D
3. During the application stage of evidence-based practice change, it is important to consider: (Select all
that apply.)
a. cost.
b. the need for new equipment.
c. management support.
d. adequate staff.
ACCURATE ANSWER: A, B, C, D
COMPLETION
1. is a guide for making accurate, timely, and appropriate clinical decisions.
ACCURATE ANSWER:
Evidence-based practice
Fr
an
2. Evidence-based practice requires good .
ACCURATE ANSWER: nursing judgment
kl
yn
3. While caring for patients, the professional nurse must question .
e
ACCURATE ANSWER: what does not make sense
A
pl
4. A systematic review explains whether the evidence that you are searching for exists and whether there
is good cause to change practice. In , all entries include information on systematic reviews.
us
Individual randomized controlled trials (RCTs) are the gold standard for research.
ACCURATE ANSWER: The Cochrane Library
Pa
ss
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about patient care that is
grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk management data.
ACCURATE ANSWER: B
2. When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ACCURATE ANSWER: C
Fr
3. When a PICOT question is developed, the letter that corresponds with the usual standard of care is:
an
a. P.
b. I.
kl
c. C.
yn
d. O.
e
ACCURATE ANSWER: C
A
pl
4. A well-developed PICOT question helps the nurse:
us
a. search for evidence.
b. include all five elements of the sequence.
Pa
ss
,c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ACCURATE ANSWER: A
5. The nurse is not sure that the procedure the patient requires is the best possible for the situation.
Utilizing which of the following resources would be the quickest way to review research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Library
ACCURATE ANSWER: D
6. The nurse is getting ready to develop a plan of care for a patient who has a specific need. The best
source for developing this plan of care would probably be:
a. The Cochrane Library.
b. MEDLINE.
c. NGC.
d. CINAHL.
Fr
ACCURATE ANSWER: C
an
kl
7. The nurse has done a literature search and found 25 possible articles on the topic that she is studying.
To determine which of those 25 best fit her inquiry, the nurse first should look at:
yn
a. the abstracts.
e
b. literature reviews.
A
c. the Methods sections.
pl
d. the narrative sections.
us
ACCURATE ANSWER: A
Pa
ss
,8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the level of
post-myocardial depression for individuals who have had a myocardial infarction. The type of study that
would best capture this information would be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ACCURATE ANSWER: B
9. Six months after an early mobility protocol was implemented, the incidence of deep vein thrombosis in
patients was decreased. This is an example of what stage in the EBP process?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
ACCURATE ANSWER: C
MULTIPLE RESPONSE
Fr
1. To use evidence-based practice appropriately, you need to collect the most relevant and best evidence
and to critically appraise the evidence you gather. This process also includes: (Select all that apply.)
an
a. asking a clinical question.
kl
b. applying the evidence.
yn
c. evaluating the practice decision.
e
d. communicating your results.
A
ACCURATE ANSWER: A, B, C, D
pl
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that apply.)
us
a. the quality of care provided.
Pa
ss
, b. patient outcomes.
c. clinician satisfaction.
d. patients perceptions.
ACCURATE ANSWER: A, B, C, D
3. During the application stage of evidence-based practice change, it is important to consider: (Select all
that apply.)
a. cost.
b. the need for new equipment.
c. management support.
d. adequate staff.
ACCURATE ANSWER: A, B, C, D
COMPLETION
1. is a guide for making accurate, timely, and appropriate clinical decisions.
ACCURATE ANSWER:
Evidence-based practice
Fr
an
2. Evidence-based practice requires good .
ACCURATE ANSWER: nursing judgment
kl
yn
3. While caring for patients, the professional nurse must question .
e
ACCURATE ANSWER: what does not make sense
A
pl
4. A systematic review explains whether the evidence that you are searching for exists and whether there
is good cause to change practice. In , all entries include information on systematic reviews.
us
Individual randomized controlled trials (RCTs) are the gold standard for research.
ACCURATE ANSWER: The Cochrane Library
Pa
ss
