Deck 2: Evidence-Based Practice

Question 1

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)Evidence-Based Practice
B)Safety
C)Patient-Centered Care
D)Informatics

Answer 1

Patient-Centered Care

Question 2

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)Evaluate the change.
B)Measure the outcome.
C)Ask the nursing experts.
D)Manipulate current practice.
E)Search for the best available evidence.

Answer 2

Evaluate the change.
Measure the outcome.
Search for the best available evidence.

Question 3

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?

A)Continue to test the balloon per hospital policy.
B)Refuse to insert the catheter until policy is changed.
C)Conduct a literature search and present the literature to the policy committee.
D)Begin the practice of not testing the balloon when inserting urinary catheters.

Answer 3

Conduct a literature search and present the literature to the policy committee.

Question 4

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

A)Individualize interventions.
B)Schedule interventions to meet the patient's needs.
C)Evaluate interventions for applicability to the patient.
D)Scan prescribed medications using the bar-coding system.
E)Document responses to treatment in the electronic medical record.

Question 5

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?

A)How many patients with asthma have a pet dog or cat?
B)What is the monthly admission rate of patients with asthma to the unit?
C)What patient education materials are available to address effective management of asthma in pediatric patients?
D)How has the occurrence rate of asthma in children under the age of 5 changed since the hospital instituted a no smoking policy for the hospital grounds?

Question 6

A low health literacy level can lead to which outcome?

A)Improved self-esteem
B)Poor health outcome
C)Low health care cost
D)Decrease in hospitalizations

Question 7

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.)

A)Ask an interpreter to explain the material.
B)Provide easy-to-understand written materials.
C)Use video or computer for learning purposes.
D)Encourage the patient to attend speech therapy.
E)Provide brochures with pictured instructions.

Question 8

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?

A)Use a soft toothbrush and toothpaste to brush the teeth.
B)Have the patient use swish-and-swallow Nystatin twice a day.
C)Increase oral suctioning to every 2 hours using toothette suction devices.
D)Use mouthwash and toothettes to swab the teeth and mouth three times a day.

Question 9

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.

Question 10

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?

A)Ask the physicians what they think is best.
B)Ask the patient what their preference is.
C)Develop a research question to guide a literature search.
D)Continue performing the procedure per hospital policy.

Question 11

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)A pilot study is planned.
B)Two cases of staff injury related to needle sticks have occurred in the past 3 years.
C)A single randomized clinical trial is cited as evidence to support the new policy.
D)The supporting evidence includes research conducted at an outpatient hematology center.

Question 12

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

A)"EBP makes nursing more professional."
B)"EBP helps ensure we can demand more pay."
C)"EBP helps validate the difference nurses really make."
D)"EBP guides nursing decisions to optimize effective care."

Question 13

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

A)"You will frequently rotate sites when administering insulin."
B)"You will need to self-administer insulin subcutaneously."
C)"If you experience hypoglycemia, consume 15 grams of carbohydrates."
D)"You will need to call your doctor if your blood sugar is over 300."

Question 14

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?

A)Level I
B)Level II
C)Level III
D)Level IV

Question 15

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?

A)How often do patients with beam radiation experience skin breakdown?
B)Why do patients who get radiation beam therapy have skin breakdown?
C)What nursing interventions minimize the occurrence of skin breakdown in patients receiving beam radiation?
D)How does our rate of skin breakdown in patients receiving beam radiation compare to other institutions in the city?

Question 16

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?

A)Educate individuals in the facility about implementing the change hospital wide.
B)Collect evidence to support implementation of a turn team.
C)Plan a pilot study to determine if implementing a turn team will reduce skin breakdown.
D)Propose the change to a policy and procedure committee.

Question 17

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?

A)"What can nurses do to improve hospital readmission rates for patients with heart failure?"
B)"What causes patients with heart failure to have repeat admissions?"
C)"Why do patients with heart failure have a high incidence of readmission?"
D)"How often are patients with heart failure readmitted?"

Question 18

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?

A)Ensures that evidence-based care is provided
B)Guarantees that the patient will receive morning care
C)Helps a UAP focus on the action being performed
D)Helps a UAP with time management of tasks to complete

Question 19

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

A)"I saw a commercial for pain medication that works well."
B)"The patient has chronic pain and will need more medication."
C)"We could give this patient Morphine every 4 hours. It works for the other patient."
D)"There are studies that prove nonpharmacological methods can relieve pain."

Question 20

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?

A)Collecting data on repeat admissions
B)Implementing a medication barcode system
C)Collaborating with a pharmacist about medication reconciliation
D)Including the patient in a care plan meeting