Exam 2: Evidence-Based Practice

A low health literacy level can lead to which outcome?

The nurse wants to conduct a pilot study on frequency of readmission for patients with heart failure. Which question should the nurse use to guide a literature review?

The nurse works in a clinic where many of the patients did not attend school beyond elementary level. What interventions can the nurse implement to promote health literacy for this particular group? (Select all that apply.)

The nurse is teaching a group of students about implementing EBP to control pain. Which statement best describes understanding of evidence?

The nurse is working with a committee to determine EBP approaches for patient care. Which steps will the committee members include when determining EBP? (Select all that apply.)

A licensed practical nurse/licensed vocational nurse (LPN/LVN) is preparing to insert an indwelling urinary catheter. The policy states to test the balloon before inserting the catheter, although evidence supports not testing the balloon. Which action should the nurse take?

The nurse working on an oncology unit wants to know if it is best practice to clean a central line in a circular motion or a back-and-forth motion. What action should the nurse take first?

The nurse is working on ensuring all care plans are individualized to meet each patient's specific needs. This focuses on which area of QSEN?

A licensed practical nurse (LPN) working on the pediatric floor is interested in improving patient outcomes for children with asthma. Which clinical question would best guide the nurse's next steps?

The nurse is reviewing four articles for research and notes the evidence presented in one article is weaker than the others. Which level of research is the nurse most likely reviewing?

While reviewing a patient care assignment with an unlicensed assistive personnel (UAP), the nurse explains the reason for turning and repositioning a patient every 2 hours. Why did the nursing include this information?

The nurse is planning a Quality and Safety Education for Nurses (QSEN) project to focus on informatics. Which would the nurse include in this project?

The nurse is preparing to give oral care to a patient receiving tube feedings. Which approach should the nurse use to provide care that is based on EBP?

The nurse working in a radiation oncology department wants to reduce the incidence of skin breakdown in patients who receive beam radiation. Which question should the nurse use to guide a literature search about this topic?

The nurse is providing diabetic education to a patient with a low literacy level. Which statement best promotes health literacy?

A nursing student asks the registered nurse (RN) preceptor why EBP is important. How should the nurse respond to the student?

List in order the six steps of EBP using 1 through 6. ____Search for and collect relevant evidence. ____Think critically. ____Ask the burning question. ____Make it happen. ____Evaluate the practice change. ____Measure outcomes before and after change.

The nurse is reviewing a proposal for changing the type of needleless systems currently used to administer IV medications in the hospital. Which part of the proposal most effectively supports the proposed change?

A group of nurses conducted a pilot study about implementing a team to turn patients every hour to prevent skin breakdown. The results proved the intervention to be a success. What step should the nurses take next to implement the turn team hospital wide?

The nurse is implementing the QSEN focus of patient-centered care. Which nursing actions support this focus? (Select all that apply.)