ATI RN
RN ATI Community Health Proctored Exam 2023 Questions
Extract:
Question 1 of 5
The nurse is discussing the importance of evidence-based decision-making (EBDM) with a group of students. Which statement by a student indicates understanding of this process?
Correct Answer: C
Rationale: The correct answer is C: "EBDM uses interventions with replicable results." This statement indicates an understanding of evidence-based decision-making (EBDM) because it highlights the key principle of using interventions that have been proven to produce consistent and replicable results through research and evidence. By basing decisions on interventions with replicable results, healthcare professionals can ensure that their clinical decisions are informed by reliable evidence rather than personal bias or subjective opinions.
Choice A is incorrect because EBDM is a multi-step process that involves gathering evidence, critically appraising it, and applying it to make decisions.
Choice B is incorrect as EBDM focuses on objective evidence rather than subjective decision-making.
Choice D is incorrect because while past nursing experiences may inform decision-making, EBDM emphasizes the use of current research and evidence to guide practice.
Question 2 of 5
Which information is the nurse assessing when appraising the applicability of a research article?
Correct Answer: B
Rationale: The correct answer is B: The degree to which the results relate to a specific population. This is crucial in determining the relevance and applicability of the research findings to the target population. Assessing the generalizability of the results is essential for making informed decisions in practice.
Incorrect
Choices:
A: The intended audience of the article - While important, it does not directly impact the applicability of the research findings to a specific population.
C: The accuracy or credibility of the research - While important for validity, it does not address the specific relevance to a population.
D: The purpose of the research - While understanding the purpose is important, it doesn't directly assess the applicability to a specific population.
Question 3 of 5
While conducting a literature review for an evidence-based project, the nurse recognizes that which type of study represents the lowest level of evidence?
Correct Answer: A
Rationale: The correct answer is A: Case reports. Case reports represent the lowest level of evidence because they are anecdotal, describing observations of individual cases without control groups or systematic data collection. They lack generalizability and are subject to bias. Cohort studies (
B), randomized control trials (
C), and cross-sectional studies (
D) are higher levels of evidence with more rigorous study designs and stronger ability to establish causation and relationships between variables. Cohort studies follow a group over time, RCTs involve random allocation of participants into groups, and cross-sectional studies provide a snapshot of a population at a specific point in time.
Question 4 of 5
A nurse has developed the following PICOT question: In adult men, is zinc supplementation as effective as vitamin C supplementation in reducing the length of respiratory viral infections over six months? The nurse identifies "zinc supplementation†as which part of the PICOT question?
Correct Answer: B
Rationale: The correct answer is B: Intervention. In a PICOT question, the 'Intervention' refers to the treatment or exposure being considered. In this case, the nurse is comparing zinc supplementation to vitamin C supplementation, making zinc supplementation the intervention being studied. The 'Population' would be adult men, 'Comparison' would be vitamin C supplementation, and 'Outcome' would be the reduction in the length of respiratory viral infections. The other choices are incorrect because they do not accurately represent the specific focus of the intervention being studied in the question.
Question 5 of 5
A public health nurse has developed a research question and searched the literature for supporting
Correct Answer: C
Rationale: The correct answer is C: Synthesizing the literature. In evidence-based decision-making, synthesizing the literature involves compiling research findings and identifying specific trends in the data. This step allows the nurse to analyze and interpret the information gathered from various sources to draw meaningful conclusions and make informed decisions. Defining the problem (choice
B) is the initial step of evidence-based decision-making. Appraising the literature (choice
D) comes after synthesizing, where the nurse evaluates the quality and relevance of the gathered evidence.
Choices E, F, and G are not applicable in this context.