Deck 7: Evidence-Based Practice

Question 1

After careful research,the nursing staff have implemented a new fall prevention protocol on the unit.Which is the logical next step of the staff?

A) Review the available literature.
B) Encourage abstract thinking.
C) Measure the patient fall rate.
D) Execute the theoretical framework.

Answer 1

Measure the patient fall rate.

Question 2

Which type of research study is most appropriate to determine if premedication with diphenhydramine is more effective than acetaminophen to reduce the incidence of aseptic meningitis after intravenous globulin infusion?

A) Randomized trial
B) Qualitative study
C) Historical review
D) Descriptive report

Answer 2

Randomized trial

Question 3

The nurse manager will use evidence-based practice to address a recent increase in catheter-associated urinary tract infections on the unit.Which type of trigger did the nurse manager use?

A) Literature-focused
B) Problem-focused
C) Knowledge-focused
D) Expectations-focused

Answer 3

Problem-focused

Question 4

Researchers conduct a study to determine if the use of chlorhexidine mouthwash is more effective than the use of normal saline for oral care to reduce the incidence of ventilator-associated pneumonia.Which action by the researchers makes the study a randomized controlled trial?

A) The researchers do not know which patients will be treated with saline and which patients will be treated with chlorhexidine.
B) The researchers do not know which treatment will be more effective before the interventions are tested.
C) The researchers randomly select nurses at several local health care facilities to implement the mouth-care protocols.
D) The researchers do not know which statistical tests will be used to evaluate the effectiveness of the oral care protocols.

Question 5

Which type of study is appropriate to investigate patients' perceptions about quality of life after a diagnosis of liver cancer?

A) Quantitative study
B) Randomized trial
C) Qualitative study
D) Case control study

Question 6

Which is an example of a PICO question?

A) How does the agency's monthly catheter-associated urinary tract infection rate compare with the national average?
B) Which types of topical antibiotic irrigation solutions may be used to reduce healing time for stage 4 decubitus pressure injuries?
C) Does oral care with chlorhexidine solution more effectively reduce the incidence of ventilator-associated pneumonia in intubated patients than saline solution?
D) Which emotions are commonly felt by patients upon learning that they were diagnosed with a terminal illness?

Question 7

The nurse is researching the use of music therapy for patients with dementia and finds that many research articles have been published about the topic.Which single source will provide the best evidence for the nurse?

A) The opinion of an expert committee
B) Meta-analysis of randomized control trials
C) One well-designed randomized control trial
D) Systematic review of qualitative nursing studies

Question 8

The nurse is researching oral care protocols to reduce the incidence of ventilator-associated pneumonia on the unit.Which section allows the nurse to quickly determine if the study is relevant without having to read the entire article?

A) Abstract
B) Literature review
C) Data collection method
D) Theoretical framework

Question 9

Which statements are examples of hypotheses?

A) Hospitals staffed with primarily bachelor-prepared nurses will have lower mortality rates than hospitals staffed with primarily associates-prepared nurses.
B) More than 80% of the patients with catheter-associated urinary tract infections did not have any signs or symptoms of infection.
C) Patients who receive ondansetron preoperatively will experience lower rates of nausea and vomiting than patients who do are not premedicated.
D) The greatest risk factor for developing ventilator-associated pneumonia was the length of time that the patient was intubated.
E) Ultraviolet light disinfection of equipment is a nontoxic,effective method for prevention of Clostridium difficile infection.

Question 10

Which is an example of a qualitative research question?

A) Will a school hand-hygiene program reduce the frequency of head lice outbreaks?
B) What are the experiences of young children diagnosed with type 1 diabetes?
C) How does crossing the legs affect the accuracy of blood pressure measurement?
D) What is the incidence of side effects after administration of the influenza vaccine?

Question 11

After the implementation of a new protocol,the nursing unit had a central line site infection rate of 3%.This rate is well below the agency's expected standard of 5%.Which term best describes this evaluation?

A) Research bias
B) Control group
C) Benchmarking
D) Descriptive research

Question 12

After the implementation of a well-researched fall prevention protocol,patients at the agency have a lower incidence of falls than the national average.Which term will the nurse use to describe this finding?

A) Sentinel event
B) Qualitative research
C) Manuscript narrative
D) Nursing-sensitive outcome

Question 13

Which action by the nurse demonstrates the use of evidence-based practice to positively impact the quality and cost of health care?

A) The nurse performs decubitus ulcer dressing changes the way they have always been done at the agency.
B) The nurse pioneers a new oral care protocol that has been demonstrated to reduce the risk of ventilator-associated pneumonia.
C) The nurse enters the physician's orders into the computer system because the physician refuses to learn how to do it.
D) The nurse works on a medical-surgical unit for 4 years before becoming certified in critical care nursing.

Question 14

A new central line care protocol to prevent site infection is instituted after it has been shown to be significantly more effective than previous approaches.Which term best describes this action?

A) Inductive reasoning
B) Qualitative research
C) Evidence-based practice
D) Process measurement

Question 15

Where is the best place for the nurse to obtain the latest information about prevention of catheter-associated urinary tract infections?

A) Online information
B) Peer-reviewed nursing journal
C) Latest edition of a nursing textbook
D) Most recent edition of a popular magazine

Question 16

After a new handwashing protocol is instituted,patients are asked to complete surveys about whether or not providers performed hand hygiene before and aftercare is provided.Which term best describes this action?

A) Process measurement
B) Peer-reviewed research
C) Experimental study
D) Outcomes research

Question 17

After a careful literature review,the nurse manager creates a new fall prevention protocol to reduce patient fall rates on the unit.What is the nurse manager's logical next step?

A) Discuss the protocol with the patients and families on the unit.
B) Present the protocol to the nursing policy and procedure committee.
C) Post an entry about the protocol on the agency's social networking page.
D) Submit an article about the protocol to be published in the agency newsletter.

Question 18

A researcher tests a new fall prevention protocol on a nursing unit with patients who are at very low risk of falling.Which term describes the problem with this study?

A) This type of study is better suited for qualitative research.
B) The subjects are at risk of being harmed by participating in the study.
C) The study is biased because the subjects are already at low risk of falling.
D) The study results will be inaccurate due to placebo effects on the subjects.

Question 19

Which is an example of a sentinel event?

A) The patient suffers a fatal air embolism after a central line is removed incorrectly.
B) The nurse identifies a patient's urinary tract infection before symptoms develop.
C) The unit's urinary tract infection rate is 5% lower than the national average.
D) The pilot study indicates potential effectiveness of a new oral care protocol.

Question 20

Which sources may be found in the Cumulative Index of Nursing and Allied Health Literature (CINAHL)database?

A) Literature review about complementary therapies for rheumatoid arthritis
B) Randomized trial to study the use of honey to treat decubitus ulcers
C) Satirical article about the risk of dihydrogen monoxide exposure to humans
D) Blog written by a patient recently diagnosed with myasthenia gravis
E) Meta-analysis to analyze coffee intake with risk of developing dementia