Question 1

The manager is concerned that a staff nurse is not appropriately implementing evidence-based practice with patient care. What did the manager observe to come to this conclusion?

Accepted Answer

A)   Clinical expertise is included.
B)   Patient situations are individualized.
C)   Data is researched before implementing.
D)   Interventions are applied to all patients assigned. D

Question 2

The nurse needs to locate external evidence to support evidence-based practice interventions for a patient's care. What action indicates that the nurse maximized the use of technology to locate this evidence?

Accepted Answer

A)   The nurse focused the search on appropriate and applicable nursing diagnoses.
B)   The nurse identified specific data points when searching a clinical guidelines website.
C)   The nurse input medical subject heading terms when searching through a database.
D)   The nurse emphasized the expected patient outcomes when searching through a database. C

Question 3

The nurse is evaluating the success of using evidence-based interventions for patient care. What should the nurse do to determine if these interventions were successful?

Accepted Answer

A)   Analyze outcomes
B)   Review plan of care
C)   Strategize actions to delegate
D)   Identify use of pain medication A

Question 4

The computerized clinical documentation system installed in a healthcare organization has a feature that alerts staff to potential safety hazards. Which computer message should the nurse interpret as a safety warning when providing patient care?

Accepted Answer

A)   Warning: Scan the bar code on the item before using for patient care
B)   Warning: Click on automatic calculation before leaving the graphic sheet section
C)   Warning: Leaving the computer unattended for 1 minute will result in data not being saved
D)   Warning: Administering this medication exceeds the maximum safe amount of acetaminophen

Question 5

The nurse is evaluating outcomes from evidence-based interventions provided to a patient with chronic obstructive lung disease. Which outcome indicates that a positive change occurred in this patient?

Accepted Answer

A)   Patient set a date to quit smoking.
B)   Patient uses emergency bronchodilator every 4 hours.
C)   Patient states that antibiotics are to be taken until all symptoms subside.
D)   Patient explains that adverse effects of prescribed medications are to be expected.

Question 6

The manager is evaluating a beginning nurse's ability to use the computerized documentation system. Which observations indicate that the beginning nurse needs additional training on the computer?

Accepted Answer

A)   Documented care for one patient in 20 minutes
B)   Input patient safety data on the appropriate screen
C)   Stated laboratory results not available when they were entered 4 hours earlier
D)   Retrieved a recent peer-reviewed article supporting an aspect of one patient's care
E)   Commented that a paper chart is the only legal and reliable form of documentation

Question 7

The nurse manager determines that a staff nurse planned quality care for an assigned patient. What did the manager observe to come to this conclusion?

Accepted Answer

A)   Incorporation of patient preferences
B)   Accurate calculation of intake and output
C)   Delegation of tasks to unlicensed assistive personnel
D)   Logging out of the computer system after documenting

Question 8

The nurse is designing a quantitative research project where the data will be collected at one point in time. Which type of data collection process is the nurse planning to use?

Accepted Answer

A)   Prospective
B)   Longitudinal
C)   Retrospective
D)   Cross-sectional

Question 9

The nurse is designing a study to determine why some patients with diabetes develop foot ulcers while others do not. When reviewing this research question, what should the nurse highlight as the sample population?

Accepted Answer

A)   Patients with diabetes
B)   Foot ulcer development
C)   Patients with foot ulcers
D)   Patients without foot ulcers

Question 10

The manager is designing a presentation to introduce the nursing staff to the implementation of evidence-based practice. In which order should the manager explain the steps of this process? Standard Text: Click and drag the options below to move them up or down.
A) Evaluate the outcomes
B) Search the literature efficiently
C) Appraise the literature critically
D) Formulate a searchable question
E) Apply the result to clinical practice or patient
F) none of the above

Accepted Answer

The answer of The manager is designing a presentation to...

Question 11

The nurse reviews quality improvement results and outcomes evaluations before selecting evidence-based practice interventions for a patient's care. What information is the nurse using?

Accepted Answer

A)   Issue of interest
B)   Internal evidence
C)   External evidence
D)   Patient population

Question 12

The nurse is determining the best internal evidence to use when planning evidence-based interventions for a patient's care. What should the nurse take into consideration when making this determination?

Accepted Answer

A)   Opinions of authorities and reports of expert committees
B)   Systematic reviews of descriptive and qualitative studies
C)   Systematic reviews or meta-analyses of randomized controlled trials
D)   Comparison of patient assessment and evaluation with quality improvement and outcome evaluations

Question 13

The nurse needs to access the Cumulative Index of Nursing and Allied Health Literature (CINAHL). Where should the nurse go to access this database?

Accepted Answer

A)   Public library
B)   Medical school library
C)   Library within the hospital
D)   Public school district library
E)   Library at the local university

Question 14

The staff development trainer is preparing a seminar for experienced nurses on the computerized clinical documentation system. What should the trainer include in this presentation?

Accepted Answer

A)   Strategies to locate information quickly
B)   Tips on using the computers and software efficiently
C)   Reasons the documentation system supports patient care
D)   Approaches to identify relationships among data elements
E)   Case studies to analyze data patterns to make clinical judgments

Question 15

The nurse is completing the evaluation phase of the nursing process. What actions should the nurse perform that would be comparable to using the research process?

Accepted Answer

A)   Analyzing results
B)   Reporting findings
C)   Conducting analysis
D)   Conducting literature review
E)   Identifying a research question

Question 16

The nurse is writing a paper on a research project as part of a class assignment. What should the nurse do to obtain the most current information about the research topic?

Accepted Answer

A)   Ask the librarian to identify journals appropriate for the research topic.
B)   Discuss ideas and content with classmates for inclusion in the research project.
C)   Access a database and search for information appropriate for the research topic.
D)   Study the class research textbook for information that would apply to the research topic.

Question 17

Prior to implementing evidence-based interventions when providing patient care, the nurse reviews the actions for scientific value. What is the purpose of this nurse's action?

Accepted Answer

A)   Maximizing the utilization of resources
B)   Ensuring the actions are applied at the global level
C)   Ensuring that activities are worth doing to be ethical
D)   Guaranteeing that the patient will not have an untoward effect

Question 18

The nurse is reviewing content from the PICOT question format to identify terms to search when accessing information from a database. Which content should the nurse use as keyword(s) for this search?

Accepted Answer

A)   Outcome
B)   Assessment
C)   Patient home address
D)   Patient discharge plan

Question 19

The nurse is a member of the quality improvement committee within a healthcare organization. What action indicates that the information from this committee is being used to support evidence-based practice?

Accepted Answer

A)   Quality improvement indicators address the largest volume of patient safety hazards.
B)   Outcomes from quality improvement studies supersede patient preferences and values.
C)   Committee participants support the use of evidence-based practice when planning patient care.
D)   Results from quality improvement studies are being used as internal evidence for interventions.

Question 20

What should a nurse who is reviewing interventions for a patient's health problem keep in mind when selecting applicable interventions?

Accepted Answer

A)   Length of stay
B)   Medical diagnosis
C)   Patient experience
D)   Patient circumstances
E)   Prescribed treatments

Exam 2: Informatics and Evidence-Based Practice in Medical-Surgical Nursing