SKILLS PERFORMANCE
SERIES
CLINICAL
NURSING SKILLS &
TECHNIQUES
What’s Inside?
+1000 Comprehensive
Test Collection.
perfect for skill validation, exam
prep, and clinical practice review.
GUARANTEED
A+ PLUS!
, Clinical Nursing Skills & Techniques- Contents:
SPS. Chapter 1. Using Evidence in Nursing Practice
SPS. Chapter 2. Communication and Collaboration
SPS. Chapter 3. Admitting, Transfer, and Discharge
SPS. Chapter 4. Documentation and Informatics
SPS. Chapter 5. Vital Signs
SPS. Chapter 6. Health Assessment
SPS. Chapter 7. Specimen Collection
SPS. Chapter 8. Diagnostic Procedures
SPS. Chapter 9. Medical Asepsis
SPS. Chapter 10. Sterile Technique
SPS. Chapter 11. Safe Patient Handling and Mobility (SPHM)
SPS. Chapter 12. Exercise and Mobility
SPS. Chapter 13. Support Surfaces and Special Beds
SPS. Chapter 14. Patient Safety
SPS. Chapter 15. Disaster Preparedness
SPS. Chapter 16. Pain Management
SPS. Chapter 17. End-of-Life Care
SPS. Chapter 18. Personal Hygiene and Bed Making
SPS. Chapter 19. Care of the Eye and Ear
SPS. Chapter 20. Safe Medication Preparation
SPS. Chapter 21. Nonparenteral Medications
SPS. Chapter 22. Parenteral Medications
SPS. Chapter 23. Oxygen Therapy
SPS. Chapter 24. Performing Chest Physiotherapy
SPS. Chapter 25. Airway Management
SPS. Chapter 26. Cardiac Care
SPS. Chapter 27. Closed Chest Drainage Systems
SPS. Chapter 28. Emergency Measures for Life Support
SPS. Chapter 29. Intravenous and Vascular Access Therapy
SPS. Chapter 30. Blood Therapy
SPS. Chapter 31. Oral Nutrition
SPS. Chapter 32. Enteral Nutrition
SPS. Chapter 33. Parenteral Nutrition
SPS. Chapter 34. Urinary Elimination
SPS. Chapter 35. Bowel Elimination and Gastric Intubation
SPS. Chapter 36. Ostomy Care
SPS. Chapter 37. Preoperative and Postoperative Care
SPS. Chapter 38. Intraoperative Care
SPS. Chapter 39. Wound Care and Irrigations
SPS. Chapter 40. Impaired Skin Integrity Prevention and Care
SPS. Chapter 41. Dressings, Bandages, and Binders
SPS. Chapter 42. Home Care Safety
SPS. Chapter 43. Home Care Teaching
,Chapter 01: Using Evidence in Nursing Practice
Skills Performance Series
Clinical Nursing Skills & Techniques Based On the 10ed.
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.
ANS: B
The best evidence comes from well-designed, systematically conducted research studies
described in scientific journals. Portions of a textbook often become outdated by the time
it is published. Many health care settings do not have a process to help staff adopt new
evidence in practice, and nurses in practice settings lack easy access to risk-management
data, relying instead on tradition or convenience. Some sources of evidence do not
originate from research. These include quality improvement and risk-management data;
infection control data; retrospective or concurrent chart reviews; and clinicians’ expertise.
Although non–research-based evidence is often very valuable, it is important that you
learn to rely more on research-based evidence.
DIF: Cognitive Level: Comprehension OBJ: Discuss the benefits of evidence-based
practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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.
ANS: C
Using your clinical expertise and considering patients’ cultures, values, and preferences
ensures that you will apply available evidence in practice ethically and appropriately. Even
when you use the best evidence available, application and outcomes will differ; as a nurse,
you will develop critical thinking skills to determine whether evidence is relevant and
appropriate.
DIF: Cognitive Level: Application OBJ: Discuss the benefits of evidence-based
practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. When a PICOT question is developed, the letter that corresponds with the usual standard
of care is:
a. P.
b. I.
, c.
c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually
use now in practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease,
or health problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and
prognostic factor) do you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient’s behavior, physical finding, and change
in patient’s perception) do you wish to achieve or observe as the result of an intervention?
DIF: Cognitive Level: Knowledge OBJ: Develop a PICO question.
TOP: PICO KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4. A well-developed PICOT question helps the nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT question does not have to include all five
elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
routines. Always question and use critical thinking to consider better ways to provide
patient care.
DIF: Cognitive Level: Analysis OBJ: Describe the six steps of evidence-based
practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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 Database
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of
synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the
full text of regularly updated systematic reviews and protocols for reviews currently
happening. MEDLINE, CINAHL, and PubMed are among the most comprehensive
databases and represent the scientific knowledge base of health care.
DIF: Cognitive Level: Synthesis OBJ: Describe the six steps of evidence-based
SERIES
CLINICAL
NURSING SKILLS &
TECHNIQUES
What’s Inside?
+1000 Comprehensive
Test Collection.
perfect for skill validation, exam
prep, and clinical practice review.
GUARANTEED
A+ PLUS!
, Clinical Nursing Skills & Techniques- Contents:
SPS. Chapter 1. Using Evidence in Nursing Practice
SPS. Chapter 2. Communication and Collaboration
SPS. Chapter 3. Admitting, Transfer, and Discharge
SPS. Chapter 4. Documentation and Informatics
SPS. Chapter 5. Vital Signs
SPS. Chapter 6. Health Assessment
SPS. Chapter 7. Specimen Collection
SPS. Chapter 8. Diagnostic Procedures
SPS. Chapter 9. Medical Asepsis
SPS. Chapter 10. Sterile Technique
SPS. Chapter 11. Safe Patient Handling and Mobility (SPHM)
SPS. Chapter 12. Exercise and Mobility
SPS. Chapter 13. Support Surfaces and Special Beds
SPS. Chapter 14. Patient Safety
SPS. Chapter 15. Disaster Preparedness
SPS. Chapter 16. Pain Management
SPS. Chapter 17. End-of-Life Care
SPS. Chapter 18. Personal Hygiene and Bed Making
SPS. Chapter 19. Care of the Eye and Ear
SPS. Chapter 20. Safe Medication Preparation
SPS. Chapter 21. Nonparenteral Medications
SPS. Chapter 22. Parenteral Medications
SPS. Chapter 23. Oxygen Therapy
SPS. Chapter 24. Performing Chest Physiotherapy
SPS. Chapter 25. Airway Management
SPS. Chapter 26. Cardiac Care
SPS. Chapter 27. Closed Chest Drainage Systems
SPS. Chapter 28. Emergency Measures for Life Support
SPS. Chapter 29. Intravenous and Vascular Access Therapy
SPS. Chapter 30. Blood Therapy
SPS. Chapter 31. Oral Nutrition
SPS. Chapter 32. Enteral Nutrition
SPS. Chapter 33. Parenteral Nutrition
SPS. Chapter 34. Urinary Elimination
SPS. Chapter 35. Bowel Elimination and Gastric Intubation
SPS. Chapter 36. Ostomy Care
SPS. Chapter 37. Preoperative and Postoperative Care
SPS. Chapter 38. Intraoperative Care
SPS. Chapter 39. Wound Care and Irrigations
SPS. Chapter 40. Impaired Skin Integrity Prevention and Care
SPS. Chapter 41. Dressings, Bandages, and Binders
SPS. Chapter 42. Home Care Safety
SPS. Chapter 43. Home Care Teaching
,Chapter 01: Using Evidence in Nursing Practice
Skills Performance Series
Clinical Nursing Skills & Techniques Based On the 10ed.
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.
ANS: B
The best evidence comes from well-designed, systematically conducted research studies
described in scientific journals. Portions of a textbook often become outdated by the time
it is published. Many health care settings do not have a process to help staff adopt new
evidence in practice, and nurses in practice settings lack easy access to risk-management
data, relying instead on tradition or convenience. Some sources of evidence do not
originate from research. These include quality improvement and risk-management data;
infection control data; retrospective or concurrent chart reviews; and clinicians’ expertise.
Although non–research-based evidence is often very valuable, it is important that you
learn to rely more on research-based evidence.
DIF: Cognitive Level: Comprehension OBJ: Discuss the benefits of evidence-based
practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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.
ANS: C
Using your clinical expertise and considering patients’ cultures, values, and preferences
ensures that you will apply available evidence in practice ethically and appropriately. Even
when you use the best evidence available, application and outcomes will differ; as a nurse,
you will develop critical thinking skills to determine whether evidence is relevant and
appropriate.
DIF: Cognitive Level: Application OBJ: Discuss the benefits of evidence-based
practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. When a PICOT question is developed, the letter that corresponds with the usual standard
of care is:
a. P.
b. I.
, c.
c. CHOICE BLANK
d. O.
ANS: C
C = Comparison of interest. What standard of care or current intervention do you usually
use now in practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease,
or health problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and
prognostic factor) do you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient’s behavior, physical finding, and change
in patient’s perception) do you wish to achieve or observe as the result of an intervention?
DIF: Cognitive Level: Knowledge OBJ: Develop a PICO question.
TOP: PICO KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4. A well-developed PICOT question helps the nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ANS: A
The more focused a question that you ask is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT question does not have to include all five
elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
routines. Always question and use critical thinking to consider better ways to provide
patient care.
DIF: Cognitive Level: Analysis OBJ: Describe the six steps of evidence-based
practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
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 Database
ANS: D
The Cochrane Community Database of Systematic Reviews is a valuable source of
synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the
full text of regularly updated systematic reviews and protocols for reviews currently
happening. MEDLINE, CINAHL, and PubMed are among the most comprehensive
databases and represent the scientific knowledge base of health care.
DIF: Cognitive Level: Synthesis OBJ: Describe the six steps of evidence-based
