Question 1

A nurse is reading an article about evidence-based practice and treatment of major depression. The nurse determines that the article provides the highest level of evidence. The evidence in the article would be based on:

Accepted Answer

A)  Systematic review or meta-analysis of all relevant RCTs. 
B)  At least one well-designed RCT. 
C)  One well-designed nonrandom controlled trial. 
D)  Well-designed case-control and cohort studies. A

Question 2

When developing a presentation for the unit staff, a nurse manager uses a free personal reference manager. Which actions would the nurse manager be able to take? Select all that apply.

Accepted Answer

A)  Save citations 
B)  Take notes 
C)  Create reference lists 
D)  Hyperlink to files 
E)  Store information on the Cloud A, C, D, E

Question 3

A nurse is using the Cochrane Library to search for systematic reviews about treatment for hypertension. The nurse understands that systematic reviews help to reduce bias. When reading the review, the nurse notes that the review covers a wide range of databases and search terms. The nurse identifies this as reducing which bias?

Accepted Answer

A)  Selection 
B)  Indexing 
C)  Publishing 
D)  Sampling C

Question 4

An nursing informatics specialist is developing an in-service presentation to stimulate interest in researching ways to solve clinical problems on the units. As part of the presentation, the specialist is planning to address seeking out information for nursing knowledge. How would the nurse specialist most likely describe the quest for knowledge?

Accepted Answer

A)  It is a fairly linear process. 
B)  The process never stops. 
C)  Searching for evidence is the first step. 
D)  New knowledge is discovered on questioning usual practices.

Question 5

A group of staff nurses working with a nursing informatics specialist are engaged in searching databases for information on evidence-based practice and diabetes care. One of the nurses in the group asks the specialist what the "advanced search" tab means. Which response would be most appropriate?

Accepted Answer

A)  "It is something that typically nurses don't use because it is too complex." 
B)  "This is quite helpful in letting you narrow your search a bit better." 
C)  "This tab is used by librarians to search specific vocabulary search terms." 
D)  "It's not relevant to what you are doing here; just stick to the basics."

Question 6

After searching a database for information on pain control, a nurse is reviewing a research article on the topic. While reading the article, the nurse notes that much of the research is based on the author's point of view. The nurse interprets this as:

Accepted Answer

A)  Publishing bias. 
B)  Selection bias. 
C)  Indexing bias. 
D)  Systematic review.

Question 7

A nurse is searching a database for information about cancer care. As part of the search, the nurse uses stop words. Which words might the nurse be using? Select all that apply.

Accepted Answer

A)  Like 
B)  Said 
C)  Tumor 
D)  Cancer 
E)  Through

Question 8

A nurse is looking for systematic reviews and meta-analyses to support evidence-based practice. Which database would be most appropriate to search?

Accepted Answer

A)  MEDLINE 
B)  CINAHL 
C)  Cochrane Library 
D)  PubMed

Question 9

Various barriers to the adoption of evidence-based practice have been identified. Which would be considered a personal barrier? Select all that apply.

Accepted Answer

A)  Inadequate numbers of staff to participate 
B)  Difficulty in understanding research statistics 
C)  Lack of information literacy skills 
D)  Inaccessibility of resources for searching 
E)  Perception of unrealistic use of research

Question 10

A nurse wants to search for information about legal and ethical issues involving nursing. Which database would be most helpful for the nurse to use first in this search?

Accepted Answer

A)  CINAHL 
B)  MEDLINE/PubMed 
C)  Cochrane Library 
D)  PsycINFO

Question 11

A nurse is conducting a database search. Which information would the nurse need to keep in mind?

Accepted Answer

A)  It is unnecessary to review the guide for the database. 
B)  The majority of databases are the same in terms of use. 
C)  Each database has its own way for indexing search terms. 
D)  Tutorials for using the database are rarely helpful.

Question 12

A nurse is reviewing journal articles obtained from a database search and frequently notes that a specific work is being cited by authors. In addition, the nurse notices that this cited work is often the basis for the author's opinion. The nurse would identify this as:

Accepted Answer

A)  An expert committee report. 
B)  A seminal work. 
C)  A clinical practice guideline. 
D)  A randomized controlled trial.

Question 13

A nurse is evaluating the information obtained from a search and notes that the majority of information is from reports of expert committees. The nurse interprets this research to be at which level of evidence?

Accepted Answer

A)  Level VII 
B)  Level VI 
C)  Level V 
D)  Level IV

Question 14

A nurse is using a knowledge-based digital database. Which information would the nurse expect to find?

Accepted Answer

A)  Journal article on diabetes 
B)  Medication reference 
C)  A new lab procedure 
D)  Change in a nursing skill

Question 15

A group of nurses are working on a committee to develop a program that promotes the adoption of evidence-based nursing at the facility. Which barriers would the committee need to address? Select all that apply.

Accepted Answer

A)  Improved access to resources for the staff 
B)  Greater use of valued nurses' opinions for answers 
C)  Emphasis on the value of information seeking 
D)  Greater focus on high-priority organizational goals 
E)  Enhanced familiarity of staff to evidence-based practice

Question 16

A nurse is conducting a search of several databases simultaneously. The nurse is conducting which type of search?

Accepted Answer

A)  Ovid 
B)  Federated 
C)  MeSH 
D)  Boolean

Question 17

When searching PubMed, the nurse understands that this database uses a search term structure:

Accepted Answer

A)  Based on linear relationship. 
B)  Using a feedback loop. 
C)  Employing a hierarchy. 
D)  Involving a specific to general search.

Question 18

When seeking knowledge, which step would a nurse typically do first?

Accepted Answer

A)  Search for appropriate evidence 
B)  Critically analyze the literature 
C)  Question a practice 
D)  Apply the search findings

Question 19

A nursing informatics specialist at a large health sciences teaching facility is working with the school of nursing's librarian to obtain vendors of health science databases. Which vendor would the instructor be least likely to recommend? Select all that apply.

Accepted Answer

A)  Zotero 
B)  EBSCO 
C)  Ovid 
D)  ProQuest 
E)  Citavi

Question 20

A nurse is using a library database to search for information related to cancer. The nurse includes the words "some" and "many" in the search. The search engine would identify these words as:

Accepted Answer

A)  Truncation. 
B)  Wildcard. 
C)  Stop words. 
D)  MeSH terms.

Exam 10: Finding Knowledge in the Digital