University of Central ArkansasNURS MISCQuiz 1 ( 21 QUESTIONS WITH 100% CORRECT ANSWERS)

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QUESTION 1 1. The certified nurse educator on a postsurgical unit has recently completed a client chart review after the implementation of a pilot program aimed at promoting early ambulation follow ... ing surgery. Which component of EBP is the nurse employing? A. Patient preferences B. Research utilization C. Experience D. Internal evidence 2 points QUESTION 2 1. A nurse has observed that reorienting demented clients as frequently as possible tends to minimize the clients' level of agitation in the evening. The nurse has shared this observation with a colleague, who is skeptical, stating, "It's best to stick to evidence-based practice." Which is the best response to this colleague? A. "EBP can include clinicians' personal expertise." B. "Personal experience is often more sound than formal EBP." C. "Traditional practice and EBP are usually shown to be the same." D. "My years of experience can be just as valuable as any literature review or randomized trial." 2 points QUESTION 3 1. A nurse is frustrated that another client has just been readmitted to the unit, and wonders if there needs to be a change in the current care of the clients. Which step should the nurse prepare to complete first when utilizing EBP to find answers? A. Conducting an electronic search of the literature and ranking individual sources. B. Creating "buy-in" from the other clinicians who provide care at the facility. C. Developing an inquisitive and curious mindset. D. Assessing whether the practices in question may, in fact, be evidence based. 2 points QUESTION 4 1. Several nurses are interested in utilizing EBP to provide better client care. Which question best articulates the EBP process? A. What effect does parents' smoking have on the smoking habits of their children aged 13 to 16 years? B Among clients with cancer, what role does meditation, as compared with the use of . benzodiazepines, have on anxiety levels during the 7 days following hospital admission? C. Among undergraduate college students, what is the effectiveness of a sexual health campaign undertaken during the first 4 weeks of the fall semester as measured by incidence of new gonorrheal and chlamydial infections reported to the campus medical center? D. In clients aged 8 to 12 years, is the effectiveness of a pain scale using the faces superior to a numeric rating scale in the emergency room context? 2 points QUESTION 5 1. The nurses on a postpartum unit want to create uniform guidelines for promoting breastfeeding on the unit. Which sources are most likely to provide the best evidence? A. A randomized controlled trial (RCT) that had more than 2,500 participants. B. A study that is widely regarded as a classic within the obstetrical nursing community. C. A systematic review of breastfeeding promotion studies that one of the nurses identified in an electronic database. D. The consensus opinion of the most senior nurses on the unit. 2 points QUESTION 6 1. A nurse is conducting a literature review on the evidence regarding the use of vacuum dressings on pressure ulcers. After locating a recent study that appears to be relevant which question should the nurse prioritize when critically appraising the study? A. "Are the findings of this study cost-effective in our clinical context?" B. "How would the implementation of this intervention affect our staffing needs?" C. "Were the clients in the study similar to the clients on my unit?" D. "Are the findings of the study significantly different from what we are currently doing on the unit?" 2 points QUESTION 7 1. A nurse manager wishes to establish the increased use of EBP in the workplace. Which action by the nurse will best promote the increased use of EBP? A. Bring in nurses with a baccalaureate level. B. Increase nurses' accountability for client outcomes. C. Seek increased funding. D. Gain support from the practice leaders and administration. 2 points QUESTION 8 1. A nursing supervisor is encouraging the increased use of EBP and is requesting appropriate reports to reference. Which component of EBP does the nurse prioritize? A. Patient preference B. Internal evidence C. External evidence D. Research utilization 2 points QUESTION 9 1. A group of hospital clinicans have evaluated the current technique being used for preventing pressure sores and recommend a change. After an extensive review, which sources were used to determine the best recommendations for the change? Select all that apply. A. Evidence from a meta-analysis of relevant RCTs B. Reviews funded by the Agency for Healthcare Research and Quality (AHRQ) C. Systematic Internet searches D. Traditional practices E. Cohort studies without the use of control groups 2 points QUESTION 10 1. A nurse is preparing a clinical question to conduct research. Which example best represents the "P" component of the question? A. The nurse's preparation for client teaching prior to surgery B. Early ambulation versus aggressive anticoagulant therapy C. Individuals who require peritoneal dialysis D. Deep vein thrombosis 2 points QUESTION 11 1. The nurses on a geriatric, subacute medicine unit have agreed on a goal of reducing the incidence of pressure ulcers by 50% over the next 10 weeks. Which component of the PICOT format does the goal represent for asking clinical questions? A. 0 B. p C. I D. C 2 points QUESTION 12 1. A nurse is concerned that cases of a viral infection are not being recognized or accurately diagnosed. In developing an appropriate foreground question, which type would be most appropriate? A. Diagnosi s B. Etiology C. Meaning D. Predictio n 2 points QUESTION 13 1. A nurse has attempted to begin the process of implementing evidence-based practice in the area of falls prevention but has become disillusioned by the possibility of having to read a vast number of publications. Which strategies should the nurse implement in response to this problem? A. Narrow the scope of the clinical question. B. Restrict the information search to publications from the past 24 months. C. Seek recommendations for information sources from trusted colleagues. D. Limit the search to articles that relate the findings of randomized controlled trials (RCTs). 2 points QUESTION 14 1. A pediatric nurse provides care for many children who present to the emergency department (ED) with signs and symptoms of asthma. Which background question can the nurse best utilize in the process of providing EBP? A. What evidence exists to recommend the use of nebulizers over metered dose inhalers (MDIs)? B. What client populations respond best to nebulized bronchodilators? C. How effective are nebulizers compared to MDIs at reducing bronchospasm? D. Are nebulizers provided to clients in the ED more often than MDIs? 2 points QUESTION 15 1. An oncology nurse is engaged in increasing the quality of EBP that is provided on the cancer unit. Whic question would the nurse consider to be an adequate and useful foreground question? A. "Are benzodiazepines and analgesics provided before clients have a bone marrow biopsy?" B. "What is the clinical rationale for using bone marrow biopsy to gauge and predict the course of a client's cancer?" C. "Does guided imagery reduce the anxiety of clients who undergo bone marrow biopsy?" D. "How often is bone marrow biopsy performed on the unit?" 2 points QUESTION 16 1. A nurse is formulating a research question and determines a comparison component would not be necessary with which clinical question? A. An examination of the antipyretic qualities of cool bed bathing B. A study on the perceived meaning of hope among palliative clients. C. A study on the influence of prenatal care on preventing perineal tearing during delivery. D. An examination of the effect of rehydration using lactated Ringer on clients' energy levels. 2 points QUESTION 17 1. Which consideration should be prioritized when choosing a client population during the formulation of a clinical question? A. Should be as narrow a range as possible B. Should closely match the demographics of the nurse's geographic region. C. A specific and defensible rationale should exist for the client population choice. D. Should mirror the populations in prominent studies related to the issue. 2 points QUESTION 18 1. A nurse is constructing a clinical question and chooses to cluster which list of symptoms into a single outcome to better craft a concise question? A. Increased anxiety, increased serum cholesterol, and low rating of overall well-being. B. Dry mouth, tachycardia, and irritability C. Increased temperature, decreased functional ability, and confusion D. Increased neonatal bilirubin levels and the mother's choice to feed with formula rather than breastfeed. 2 points QUESTION 19 1. A new nurse is interested in researching a specific question and determines a metasynthesis of qualitative studies would be the best resource. Which question is the nurse most likely striving to answer? A. What is the meaning of spiritual support in hospice clients who are younger than 50? B. Is the use of a stroke team in the ED, rather than standard assessment associated with improved outcomes among clients diagnosed with stroke? C. How does single-occupancy hospital rooms compared to shared rooms effect patient satisfaction scores? D. What are the average number of CLABSI cases on hospital units in teh United States? 2 points QUESTION 20 1. A nurse mentor is working with a team of nurses who are researching a question. Which principle should the mentor point out will assist with ranking the levels of evidence when answering clinical questions of all types and scopes? A. Quantitative research supersedes qualitative research. B. RCTs must be included when answering clinical questions. C. Sources of evidence must always be peer reviewed. D. Syntheses are the highest level of evidence. 2 points QUESTION 21 1. A client has recently been diagnosed with non-Hodgkin lymphoma and is interested in knowing how other older adults in her age group responded to chemotherapy alone versus chemotherapy combined with alternative therapy over the course of their lifespan. Which type of resource will best assist the nurse in answering this client's question? A. RCT B. Qualitative study C. Cohort study D. Descriptive study [Show More]

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