Test Bank For Clinical Nursing Skills and Techniques
11th Edition by Anne Griffin Perry, Patricia A. Potter
Chapter 1 - 43 Complete
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,Test Bank For Clinical Nursing Skills and Techniques 11th Edition by Anne Griffin
Perry, Patricia A. Potter Chapter 1-43 Complete Guide
Table Of Content
Chapter 1. Using Evidence in Nursing Practice
Chapter 2. Communication and Collaboration
Chapter 3. Admitting, Transfer, and Discharge
Chapter 4. Documentation and Informatics
Chapter 5. Vital Signs
Chapter 6. Health Assessment
Chapter 7. Specimen Collection
Chapter 8. Diagnostic Procedures
Chapter 9. Medical Asepsis
Chapter 10. Sterile Technique
Chapter 11. Safe Patient Handling and Mobility (SPHM)
Chapter 12. Exercise and Mobility
Chapter 13. Support Surfaces and Special Beds
Chapter 14. Patient Safety
Chapter 15. Disaster Preparedness
Chapter 16. Pain Management
Chapter 17. End-of-Life Care
Chapter 18. Personal Hygiene and Bed Making
Chapter 19. Care of the Eye and Ear
Chapter 20. Safe Medication Preparation
Chapter 21. Nonparenteral Medications
Chapter 22. Parenteral Medications
Chapter 23. Oxygen Therapy
Chapter 24. Performing Chest Physiotherapy
Chapter 25. Airway Management
Chapter 26. Cardiac Care
Chapter 27. Closed Chest Drainage Systems
Chapter 28. Emergency Measures for Life Support
Chapter 29. Intravenous and Vascular Access Therapy
Chapter 30. Blood Therapy
Chapter 31. Oral Nutrition
Chapter 32. Enteral Nutrition
Chapter 33. Parenteral Nutrition
Chapter 34. Urinary Elimination
Chapter 35. Bowel Elimination and Gastric Intubation
Chapter 36. Ostomy Care
Chapter 37. Preoperative and Postoperative Care
Chapter 38. Intraoperative Care
Chapter 39. Wound Care and Irrigations
Chapter 40. Impaired Skin Integrity Prevention and Care
Chapter 41. Dressings, Bandages, and Binders
Chapter 42. Home Care Safety
Chapter 43. Home Care Teaching
,Chapter 01: Using Evidence in Nursing Practice
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
MULTIPLE CHOICE
1. Evidence-based practice is a problem-solving approach to making decisions about patient care
that is grounded in:
a. the latest information found in textbooks.
b. systematically conducted research studies.
c. tradition in clinical practice.
d. quality improvement and risk-management data.
ANSWER: B
The best evidence comes from well-designed, systematically conducted research studies
described in scientific journals. Portions of a textbook often become outdated by the time it is
published. Many health care settings do not have a process to help staff adopt new evidence in
practice, and nurses in practice settings lack easy access to risk-management data, relying
instead on tradition or convenience. Some sources of evidence do not originate from research.
These include quality improvement and risk-management data; infection control data;
retrospective or concurrent chart reviews; and clinicians‘ expertise. Although
non–research-based evidence is often very valuable, it is important that you learn to rely more
on research-based evidence.
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. When evidence-based practice is used, patient care will be:
a. standardized for all.
b. unhampered by patient culture.
c. variable according to the situation.
d. safe from the hazards of critical thinking.
ANSWER: C
Using your clinical expertise and considering patients‘ cultures, values, and preferences
ensures that you will apply available evidence in practice ethically and appropriately. Even
when you use the best evidence available, application and outcomes will differ; as a nurse,
you will develop critical thinking skills to determine whether evidence is relevant and
appropriate.
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. When a PICOT question is developed, the letter that corresponds with the usual standard of
care is:
a. P.
b. I.
c.
, c. CHOICE BLANK
d. O.
ANSWER: C
C = Comparison of interest. What standard of care or current intervention do you usually use
now in practice?
P = Patient population of interest. Identify your patient by age, gender, ethnicity, disease, or
health problem.
I = Intervention of interest. What intervention (e.g., treatment, diagnostic test, and prognostic
factor) do you think is worthwhile to use in practice?
O = Outcome. What result (e.g., change in patient‘s behavior, physical finding, and change in
patient‘s perception) do you wish to achieve or observe as the result of an intervention?
DIF: CognitiveLevel: Knowledge OBJ: Develop a PICO question.
TOP: PICO KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4. A well-developed PICOT question helps the nurse:
a. search for evidence.
b. include all five elements of the sequence.
c. find as many articles as possible in a literature search.
d. accept standard clinical routines.
ANSWER: A
The more focused a question that you ask is, the easier it is to search for evidence in the
scientific literature. A well-designed PICOT question does not have to include all five
elements, nor does it have to follow the PICOT sequence. Do not be satisfied with clinical
routines. Always question and use critical thinking to consider better ways to provide patient
care.
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
5. The nurse is not sure that the procedure the patient requires is the best possible for the
situation. Utilizing which of the following resources would be the quickest way to review
research on the topic?
a. CINAHL
b. PubMed
c. MEDLINE
d. The Cochrane Database
ANSWER: D
The Cochrane Community Database of Systematic Reviews is a valuable source of
synthesized evidence (i.e., pre-appraised evidence). The Cochrane Database includes the full
text of regularly updated systematic reviews and protocols for reviews currently happening.
MEDLINE, CINAHL, and PubMed are among the most comprehensive databases and
represent the scientific knowledge base of health care.
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
,6. The nurse is getting ready to develop a plan of care for a patient who has a specific need. The
best source for developing this plan of care would probably be:
a. The Cochrane Database.
b. MEDLINE.
c. NGC.
d. CINAHL.
ANSWER: C
The National Guidelines Clearinghouse (NGC) is a database supported by the Agency for
Healthcare Research and Quality (AHRQ). It contains clinical guidelines—systematically
developed statements about a plan of care for a specific set of clinical circumstances involving
a specific patient population. The NGC is a valuable source when you want to develop a plan
of care for a patient. The Cochrane Community Database of Systematic Reviews, MEDLINE,
and CINAHL are all valuable sources of synthesized evidence (i.e., pre-appraised evidence).
DIF: CognitiveLevel: Synthesis OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
7. The nurse has done a literature search and found 25 possible articles on the topic that she is
studying. To determine which of those 25 best fit her inquiry, the nurse first should look at:
a. the abstracts.
b. the literature reviews.
c. the ―Methods‖ sections.
d. the narrative sections.
ANSWER: A
An abstract is a brief summary of an article that quickly tells you whether the article is
research based or clinically based. An abstract summarizes the purpose of the study or clinical
query, the major themes or findings, and the implications for nursing practice. The literature
review usually gives you a good idea of how past research led to the researcher‘s question.
The ―Methods‖ or ―Design‖ section explains how a research study is organized and conducted
to answer the research question or to test the hypothesis. The narrative of a manuscript differs
according to the type of evidence-based article—clinical or research.
DIF: CognitiveLevel: Application
OBJ: Discuss elements to review when critiquing the scientific literature.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
8. The nurse wants to determine the effects of cardiac rehabilitation program attendance on the
level of postmyocardial depression for individuals who have had a myocardial infarction. The
type of study that would best capture this information would be a:
a. randomized controlled trial.
b. qualitative study.
c. case control study.
d. descriptive study.
ANSWER: B
, Qualitative studies examine individuals‘ experiences with health problems and the contexts in
which these experiences occur. A qualitative study is best in this case of an individual nurse
who wants to examine the effectiveness of a local program. Randomized controlled trials
involve close monitoring of control groups and treatment groups to test an intervention against
the usual standard of care. Case control studies typically compare one group of subjects with a
certain condition against another group without the condition, to look for associations between
the condition and predictor variables. Descriptive studies focus mainly on describing the
concepts under study.
DIF: CognitiveLevel: Synthesis
OBJ: Discuss ways to apply evidence in nursing practice.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
9. Six months after an early mobility protocol was implemented, the incidence of deep vein
thrombosis in patients was decreased. This is an example of what stage in the EBP process?
a. Asking a clinical question
b. Applying the evidence
c. Evaluating the practice decision
d. Communicating your results
ANSWER: C
After implementing a practice change, your next step is to evaluate the effect. You do this by
analyzing the outcomes data that you collected during the pilot project. Outcomes evaluation
tells you whether your practice change improved conditions, created no change, or worsened
conditions.
DIF: CognitiveLevel: Application
OBJ: Discuss ways to apply evidence in nursing practice. TOP: Evidence-Based Practice
KEY: Nursing Process Step: Evaluation
MSC: NCLEX: Safe and Effective Care Environment (safety and infection control)
MULTIPLE RESPONSE
1. To use evidence-based practice appropriately, you need to collect the most relevant and best
evidence and to critically appraise the evidence you gather. This process also includes: (Select
all that apply.)
a. asking a clinical question.
b. applying the evidence.
c. evaluating the practice decision.
d. communicating your results.
ANSWER: A, B, C, D
EBP comprises six steps (Melnyk and Fineout-Overholt, 2010):
1. Ask a clinical question.
2. Search for the most relevant and best evidence that applies to the question.
3. Critically appraise the evidence you gather.
4. Apply or integrate evidence along with one‘s clinical expertise and patient preferences and
values in making a practice decision or change.
5. Evaluate the practice decision or change.
6. Communicate your results.
, DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. In a clinical environment, evidence-based practice has the ability to improve: (Select all that
apply.)
a. the quality of care provided.
b. patient outcomes.
c. clinician satisfaction.
d. patients‘ perceptions.
ANSWER: A, B, C, D
EBP has the potential to improve the quality of care that nurses provide, patient outcomes, and
clinicians‘ satisfaction with their practice. Your patients expect nursing professionals to be
informed and to use the safest and most appropriate interventions. Use of evidence enhances
nursing, thereby improving patients‘ perceptions of excellent nursing care.
DIF: CognitiveLevel: Application OBJ: Discuss the benefits of evidence-based practice.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. During the application stage of evidence-based practice change, it is important to consider:
(Select all that apply.)
a. cost.
b. the need for new equipment.
c. management support.
d. adequate staff.
ANSWER: A, B, C, D
One important step for an individual or an interdisciplinary EBP committee is to consider the
resources needed for a practice change project. Are added costs or new equipment involved
with a practice change? Do you have adequate staff to make the practice change work as
planned? Do management and medical staff support you in the change? If the barriers to
practice change are excessive, adopting a practice change can be difficult, if not impossible.
DIF: CognitiveLevel: Application OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
COMPLETION
1. is a guide for making accurate, timely, and appropriate clinical
decisions.
ANS:
Evidence-based practice
Evidence-based practice is a guide for making accurate, timely, and appropriate clinical
decisions.
, DIF: CognitiveLevel: Knowledge OBJ: Define the key terms listed.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
2. Evidence-based practice requires good .
ANS:
nursing judgment
Evidence-based practice requires good nursing judgment; it does not consist of finding
research evidence and blindly applying it.
DIF: CognitiveLevel: Comprehension OBJ: Discuss the benefits of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Assessment
MSC: NCLEX: Safe and Effective Care Environment (management of care)
3. While caring for patients, the professional nurse must question .
ANS:
what does not make sense
Always think about your practice when caring for patients. Question what does not make
sense to you, and question what you think needs clarification.
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
4. A systematic review explains whether the evidence that you are searching for exists and
whether there is good cause to change practice. In , all entries include
information on systematic reviews.
ANS:
The Cochrane Database
A systematic review explains whether the evidence that you are searching for exists and
whether there is good cause to change practice. In The Cochrane Database, all entries include
information on systematic reviews.
DIF: CognitiveLevel: Analysis OBJ: Describe the six steps of evidence-based practice.
TOP: Evidence-Based Practice KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
5. The researcher explains how to apply findings in a practice setting for the types of subjects
studied in the section of a research article.
ANS:
―Clinical Implications‖
Clinical Implications
, A research article includes a section that explains whether the findings from the study have
―clinical implications.‖ The researcher explains how to apply findings in a practice setting for
the types of subjects studied.
DIF: CognitiveLevel: Application
OBJ: Discuss elements to review when critiquing the scientific literature.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
6. is the extent to which a study‘s findings are valid, reliable, and
relevant to your patient population of interest.
ANS:
Scientific rigor
Scientific rigor is the extent to which a study‘s findings are valid, reliable, and relevant to
your patient population of interest.
DIF: CognitiveLevel: Application OBJ: Define the key terms listed.
TOP: Randomized Controlled Trials KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
7. Patient fall rates are an example of an .
ANS:
outcome measurement
Data collected within a health care agency offer important trending information about clinical
conditions and problems. Staff in the agency review the data periodically to identify problem
areas and to seek solutions.
DIF: CognitiveLevel: Application OBJ: Define the key terms listed.
TOP: Quality Improvement KEY: Nursing Process Step: Implementation
MSC: NCLEX: Safe and Effective Care Environment (management of care)
Chapter 02: Communication and Collaboration
Perry et al.: Clinical Nursing Skills & Techniques, 11th Edition
MULTIPLE CHOICE
1. The patient is a 54-year-old man who has made a living as a construction worker. He dropped
out of high school at age 16 and has been a laborer ever since. He never saw any need for
―book learning,‖ and has lived his life ―my way‖ since he was a teenager. He has smoked a
pack of cigarettes a day for 40 years and follows no special diet, eating a lot of ―fast food‖
while on the job. He now is admitted to the coronary care unit for complaints of chest pain
and is scheduled for a cardiac catheterization in the morning. Which of the following would
be the best way for the nurse to explain why he needs the procedure?
a. ―The doctor believes that you have atherosclerotic plaques occluding the major
arteries in your heart, causing ischemia and possible necrosis of heart tissue.‖
b. ―There may be a blockage of one of the arteries in your heart, causing the chest
