1. A nursing student is taking care of a patient with possible appendicitis and is curious about
the best method of diagnosing this disorder. What does the nursing student have to consider in
formulating a question using the PICO format (patient, population, or problem; intervention;
comparison intervention; outcomes) to determine evidence-based practice (EBP)?
a. Problem: Appendicitis; interventions: Ultrasound versus computed tomography (CT) scan;
outcome: Diagnosis of appendicitis
b. Problem: Pain; interventions: Hydromorphone versus morphine; outcome: Pain free
c. Problem: Fever; interventions: Cooling measures versus antipyretics; outcome: Normal
temperature
d. Problem: Appendicitis; interventions: Complete blood count versus chemistry panel tests;
outcome: Painless
2. The nurse decides to access a systematic review database to determine EBP related to the
patient's treatment plan for a diagnosis of otitis media (i.e., ear infection). What database can
provide that type of resource?
a. Cumulative Index of Nursing and Allied Health Literature (CINAHL)
b. Cochrane
c. PubMed
d. MD Consult
3. The nurse researcher provides participants with informed consent so that what ethical
principle is upheld?
a. Respect for persons
b. Beneficence
c. Justice
d. Ethics
4. The nurse feels that the results of a recent literature search and analysis about handwashing
should be implemented in the entire hospital system. With whom would the nurse be required
to collaborate?
a. Colleagues caring for patients in her unit
b. Colleagues in the community
c. Administrators at the hospital
d. Others in her department
5. Knowledge gained from research in the 1970s about placing infants on their backs to prevent
sudden infant death syndrome (SIDS) was not recommended to parents until the 1990s. This is
an example of what barrier to EBP?
a. Proliferation of research
b. Implementation delay
c. Information needs not being met
d. Lack of readily available resources
6. A patient is on the way to the hospital in an ambulance and is asked to participate in a
research protocol for a new treatment for myocardial infarction. What is this an example of?
(Select all that apply.)
a. Standard practice
b. An ethical dilemma
c. A violation of informed consent
d. A patient who is in a vulnerable population category
e. Compliance with important ethical issues of justice and autonomy
7. Patients are participating in a study to identify genetic disorders. About which potential
concerns should the nurse researcher be aware? (Select all that apply.)
a. Violation of confidentiality if a disorder is revealed
b. Possible adverse consequences related to employment
c. Possible adverse consequences related to reputation
d. Possible adverse consequences to insurability
e. Inability to prevent the progression of genetic disorders
8. Which entities or documents specifically address the role of the nurse in research? (Select all
that apply.)
a. American Nurses Association (ANA) standards of practice
b. Institutional review board (IRB)
c. Hospital Magnet status
d. The Joint Commission (TJC)
e. MD Consult
9. Which factors contribute to the nurse having difficulty keeping up with the latest research
findings? (Select all that apply.)
a. Implementation delays
b. Proliferation of research
c. Volume of health care literature
d. Hours spent in direct patient care
e. The need to read three articles every day of the week
10. After reading various research articles and reviews on a subject, the nurse designs a practice
change based on the literature. What stage of EBP is this?
a. Maintaining the change
b. Implementing the change
c. Evaluating and critically appraising
d. Synthesizing the evidence and developing a plan
Chapter 13: Evidence-Based Practice and Nursing Research
Review Questions (Online-Only)
MULTIPLE CHOICE
1. The nurse found a research article and decided to implement the research findings in
practice on the unit. This is an example of:
a. evidence-based practice.
b. research.
c. research utilization.
d. critical appraisal.
2. What differentiates basic research from clinical research?
a. Basic research is the application of theories in different populations, whereas clinical
research is the testing of theories for effectiveness of interventions.
b. Basic research is the generation of theories, whereas clinical research is the application of
theories in different populations.
c. Basic research is the generation of theories, whereas clinical research is the testing of
theories for effectiveness of interventions.
d. Basic research is the generation of knowledge, whereas clinical research is the generation of
theories.
3. What differentiates correlational research from experimental research?
a. Correlational research examines a relationship between two variables, and experimental
research examines a causal relationship between variables.
b. Correlational research examines a relationship between two variables, and experimental
research describes data and characteristics about a population.
c. Correlational research examines a causal relationship between two variables, and
experimental research examines relationship variables.
d. Correlational research describes data and characteristics about a population, and
experimental research examines a relationship between two variables.
4. What differentiates quantitative research from qualitative research?
a. Quantitative research is inductive, and qualitative research is deductive.
b. Quantitative research is observable and measurable, and qualitative research focuses on
values and beliefs.
c. Quantitative research is knowledge gained through understanding of meaning of the process,
and qualitative research is knowledge gained through scientific research.
d. Qualitative research is based on postpositivist philosophy, and quantitative research utilizes a
constructivist philosophy.
5. What differentiates ethnography differ from grounded theory?
a. Ethnography is the lived experience of a group of people, and grounded theory studies
historical documents.
b. Ethnography derives a theory from research data, and grounded theory is described as field
notes.
c. Ethnography is described as field notes, and grounded theory derives a theory from the
research data.
d. Ethnography studies historical documents, and grounded theory is the lived experience of a
group of people.
6. The nurse has identified an article that is appropriate for a patient question and needs to
interpret the study’s information. What step in the process of EBP does this describe?
a. Synthesize the evidence and develop a plan.
b. Formulate a question.
c. Evaluate and critically appraise the information.
d. Implement the plan.
7. The nurse has found a review of a specific EBP related to infection control that would be
appropriate for all nurses in the ICU. To implement this research, the nurse must collaborate
with:
a. at least one other nurse.
b. the other nurses on the day shift.
c. the hospital administration.
d. all the colleagues in the unit.
8. The IRB review committee operates on which ethical principle?
a. Beneficence
b. Justice
c. Respect for persons
d. Informed consent
9. A researcher is studying the effect of exercise on heart rate. Which type of variable is heart
rate?
a. Quantitative
b. Qualitative
c. Dependent
d. Independent
MULTIPLE RESPONSE
1. The nurse has found an article discussing insulin use in the diabetic patient. Which of the
following would contribute to the belief that it is a valid study? (Select all that apply.)
a. A small sample size chosen for convenience
b. Random assignment of patients to control and treatment groups
c. No discussion of IRB approval
d. Patient is kept blind as to which treatment is being used
e. A discussion of the research methods