Page 1
1. A nurse who provides care on a renal unit has posed a number of clinical questions in an
effort to implement EBP. Which of the following questions could those nurses best
answer by consulting a textbook?
A) “What effect does a diagnosis of renal failure have on type 2 diabetics' glucose
monitoring behavior?”
B) “What factors influence clinicians' decisions to recommend peritoneal dialysis over
hemodialysis?”
C) “What are the anatomical characteristics and physiological functions of the
kidneys?”
D) “What is the relationship between dosing of erythropoietin therapy and hemoglobin
levels in patients with chronic renal failure?”
2. A nurse has heard from a colleague about a new approach to providing nursing care for
confused patients who have been diagnosed with hepatic encephalopathy. In which of
the following sources is this information most likely to appear first?
A) A newspaper article
B) A systematic review
C) A conference presentation
D) A journal article
3. After reading an online news article about the surprising role that chewing gum may
play in facilitating healing after bowel surgery, a nurse has “googled” the subject. How
should the nurse best interpret the results of this search?
A) The nurse must carefully evaluate the results of this search.
B) The results of searching sites such as Google and Yahoo are not clinically useful.
C) The search is likely to yield inaccurate or biased results.
D) The search is a time-efficient substitute for searching online health databases.
4. A nurse is seeking evidence on the most effective ways to promote urinary continence
among older adults with dementia. Which of the following sources is most likely to
provide the nurse with specific interventions and practices to achieve this goal?
A) Cumulative Index to Nursing and Allied Health Literature (CINAHL)
B) National Guideline Clearinghouse
C) PsycINFO
D) MEDLINE

Page 2
5. A hospital educator has been commissioned with identifying evidence to inform a
revision of the hospital's policy on the use of physical restraints. During the search, what
parameters should the nurse establish for the dates of articles and other information
sources?
A) Articles should be ranked according to publication date, with the most recent
articles being prioritized.
B) The nurse should attempt to identify collaborative evidence for any source that is
more than 3 years old.
C) The nurse should establish a cutoff for sources more than 5 years old.
D) The nurse should prioritize the quality and comprehensiveness of the evidence over
its date of publication.
6. While searching an online database for information on the use of drugs to treat
hypertension, the nurse is unsatisfied with the quantity and quality of results after
searching “beta blockers.” How should the nurse proceed?
A) Identify the appropriate MeSH term
B) Search for clinical guidelines in the Cochrane Library
C) Consult the reference lists in articles that appeared during the search
D) Search the trade names of specific beta-blocking drugs
7. In light of the large number of gall bladder patients recently admitted to the unit, a nurse
is searching PubMed for literature relating to cholecystitis, cholecystectomy,
cholelithiasis, and cholecystography. Which of the following terms should the nurse
enter into the search field?
A) “chole*”
B) “cholecystitis or cholecystectomy or cholelithiasis or cholecystography”
C) “gall bladder”
D) “chole-”
8. A nurse is aware that patients who are confused often have unmet nutritional needs
during their care. Which of the following searches related to nutrition promotion among
patients with dementia or delirium is most likely to yield the greatest number of relevant
results?
A) “nutrition OR (delirium OR dementia)”
B) “(delirium OR dementia) AND nutrition”
C) “delirium dementia nutrition”
D) “delirium AND dementia AND nutrition”

Page 3
9. In the interest of efficiency, a nurse has limited a search of an electronic database to
only those articles containing full text. What effect is this action likely to have on the
results of the search?
A) Only noncopyrighted resources will be available to the nurse.
B) The nurse will be guaranteed that each result will be from a peer-reviewed source.
C) The nurse will be unable to conduct a valid or useful search.
D) Articles that are relevant may be excluded from consideration.
10. A nurse requires immediate insight into the most effective interventions for maintaining
the safety of a patient who is experiencing acute alcohol withdrawal. Which of the
following components of the Cochrane Library is most likely to provide the nurse with
the most reliable, evidence-based interventions?
A) Cochrane Database of Systematic Reviews (CDSR)
B) Cochrane Central Register of Controlled Trials (CENTRAL)
C) Cochrane Methodology Register
D) Health Technology Assessment (HTA) Database
11. A nurse has conducted a search of PubMed to answer the question, What factors
influence older adults' decisions to seek care from the emergency department rather than
their primary care provider when experiencing fatigue? The nurse is currently reviewing
the results of the search in the order that they appear. What factor determines the order
of the results in a search of PubMed?
A) Date of publication
B) Number of times the article has been cited
C) Ranking by peer review
D) Date the article was added to the database
12. A nurse is working on a literature review using a laptop computer while in a café that
provides wireless Internet access but will not allow for connection to the hospital
library's server that provides the nurse's normal access to database subscriptions. Which
of the following resources is likely to be unavailable to the nurse through this public
Internet connection?
A) PubMed
B) Cochrane Library
C) MEDLINE
D) EMBASE

Page 4
13. Management of a county hospital has been resistant to providing time, facilities, and
subscriptions to allow nurses to conduct online searches near the point of care. Which of
the following arguments can the nurses present to strengthen their case for these tools?
A) “Online access at or near the point of care has been mandated by law.”
B) “Providing for literature searches has been shown to save money and shorten
patient stays.”
C) “It is unethical for nurses to provide care that is not rooted in a recent literature
search.”
D) “The increased confidence that nurses gain from accessing knowledge is linked to
improved patient outcomes.”
14. Which of the following sources would best provide critical appraisal during a nurse's
search for evidence on which to base practice?
A) A journal that provides assessments of notable articles recently published in other
journals
B) The expert opinion of qualified and experienced nurse clinicians
C) A careful examination of the methodology of a study
D) The insight of a trusted hospital librarian
15. Controversy exists on an intensive care unit regarding the best ways to prevent
ventilator-associated pneumonia (VAP). What action should the nurse first take in
response to this controversy?
A) Organize a small-scale clinical trial to test current practices on the unit.
B) Elicit the views of the most senior nurses and those nurses who exemplify EBP.
C) Formulate a question and conduct a thorough search of the existing evidence.
D) Seek input from physicians with expertise in the area of VAP.

Loading page 6...

Loading page 7...

Loading page 8...

Loading page 9...

Loading page 10...

Loading page 11...

Loading page 12...

Loading page 13...

Loading page 14...

Loading page 15...

Loading page 16...

Loading page 17...

Loading page 18...

Loading page 19...

Loading page 20...

Loading page 21...

Loading page 22...

Loading page 23...

Loading page 24...

Loading page 25...

Loading page 26...

Loading page 27...

Loading page 28...

Loading page 29...

Loading page 30...

Loading page 31...

Test Bank For Evidence-Based Practice in Nursing and Healthcare, 4th Edition

Study Now!

Document Details

Related Documents

The Psychiatric-Mental Health Nurse Practitioner Certification Review Manual (2020)

Test Bank for Medical-Surgical Nursing in Canada, 4th Edition

Test Bank for Community and Public Health Nursing: Evidence for Practice, 3rd Edition (Chapters 1-25)

Test Bank For Understanding Medical-Surgical Nursing, 5th Edition

Test Bank for Lehne's Pharmacology for Nursing Care, 11th Edition (Chapters 1-112)

Test Bank for Pharmacology and the Nursing Process, 10th Edition (Chapters 1-57)

Test Bank for Maternity and Women's Health Care, 13th Edition (Chapters 1-37)

Test Bank for LPN to RN Transitions, 5th Edition (Chapters 1-18)

Test Bank for Foundations for Population Health in Community/Public Health Nursing, 6th Edition (Chapters 1-32)

Test Bank for Fundamentals of Nursing, 10th Edition (Chapters 1-11)

Company

Explore

Study Tools