Based Practice Multiple Choice Q&A 2025
1. What is the primary goal of evidence-based practice (EBP) in nursing?
A. To replace clinical judgment
B. To improve patient outcomes through integrating best evidence, clinical
expertise, and patient preferences
C. To eliminate all research biases
D. To focus solely on randomized controlled trials
EBP seeks to combine research evidence, clinical expertise, and patient values to
enhance care and outcomes.
2. Which of the following is considered the strongest level of evidence in the
hierarchy?
A. Expert opinion
B. Case study
C. Cohort study
D. Systematic review and meta-analysis of randomized controlled trials
Systematic reviews and meta-analyses provide the most reliable evidence as they
synthesize multiple high-quality studies.
3. What is the first step in the EBP process?
A. Appraising evidence
B. Formulating a clinical question
C. Implementing evidence
D. Disseminating results
The EBP process begins with identifying a clinical issue and formulating a question,
often using the PICOT format.
4. In the PICOT format, what does the “C” represent?
A. Context
B. Comparison
,C. Clinical expertise
D. Control
The “C” in PICOT stands for “Comparison,” which allows clinicians to evaluate
interventions against alternatives.
5. Which study design is best for determining cause-and-effect relationships?
A. Qualitative study
B. Randomized controlled trial (RCT)
C. Case series
D. Cross-sectional survey
RCTs are designed to test causality by randomly assigning participants to
intervention or control groups.
6. A nurse asks: “In older adults with hypertension, does daily exercise
compared to no exercise reduce blood pressure?” This is an example of which
EBP component?
A. Appraisal
B. PICOT question
C. Implementation
D. Evidence synthesis
The question is structured in PICOT format, a foundation for guiding EBP research.
7. Which of the following is a barrier to EBP implementation?
A. Access to databases
B. Supportive leadership
C. Lack of time and resources
D. Mentorship in research
Time constraints and limited resources are common barriers preventing clinicians
from applying EBP.
8. The Cochrane Database is best known for which of the following?
A. Publishing qualitative research
B. Providing systematic reviews of healthcare interventions
C. Offering case studies
D. Publishing textbooks
, Cochrane specializes in systematic reviews that summarize high-quality evidence
for clinical decision-making.
9. Which of the following best describes qualitative research?
A. Examines numerical data
B. Establishes cause and effect
C. Relies on statistical testing
D. Explores lived experiences and meanings
Qualitative research focuses on understanding human experiences, perceptions,
and social phenomena.
10. A nurse leader is introducing EBP to staff. Which strategy is most effective?
A. Mandating immediate compliance
B. Providing education, mentorship, and resources
C. Ignoring staff concerns
D. Relying only on physician directives
Education and support foster staff engagement in adopting EBP.
11. Which database is most frequently used for nursing research evidence?
A. PsycINFO
B. Web of Science
C. CINAHL
D. ERIC
CINAHL (Cumulative Index to Nursing and Allied Health Literature) is the most
relevant database for nursing evidence.
12. What does “I” stand for in the PICOT framework?
A. Issue
B. Intervention
C. Individual
D. Intensity
The “I” represents the intervention or exposure being studied.