ATI RN
Evidence-Based Practice in Nursing Questions
Question 1 of 5
Which database would the public health nurse use when conducting research to locate regularly updated systematic reviews?
Correct Answer: A
Rationale: The correct answer is A: Cochrane Library. The Cochrane Library is known for regularly updated systematic reviews. Nurses use systematic reviews to provide evidence-based practice. AHRQ (B) focuses on healthcare quality improvement, not systematic reviews. Medline with Full Text (C) is a comprehensive medical database, but it doesn't specialize in systematic reviews. CINAHL (D) is a nursing and allied health database, but it doesn't specifically focus on systematic reviews like the Cochrane Library does.
Question 2 of 5
Which activity would the nurse perform during the evaluation phase of evidence-based decision- making (EBDM)?
Correct Answer: C
Rationale: During the evaluation phase of EBDM, the nurse would determine the effectiveness of the plan. This involves assessing whether the implemented plan achieved the desired outcomes based on the evidence gathered. This step is crucial in determining the success of the decision-making process and informing future actions. Choice A (Carrying out the proposed plan) is incorrect as it pertains to the implementation phase, not evaluation. Choice B (Deciding if the evidence is applicable to the population) is incorrect as this is part of the critical appraisal phase, not evaluation. Choice D (Compiling the data) is incorrect as it is typically done in the earlier stages of EBDM to gather evidence, not during the evaluation phase.
Question 3 of 5
Which action will the public health team take during the Exposure Assessment stage of the EPA's four- step risk assessment following a train derailment resulting in a toxic chemical spill?
Correct Answer: C
Rationale: During the Exposure Assessment stage, the public health team quantifies the extent, frequency, and duration of contact of the community with the toxic chemicals. This is crucial to determine the potential health risks posed by the exposure. By quantifying these factors, the team can assess the level of risk to the community accurately. Choice A is incorrect because it focuses on identifying negative outcomes rather than quantifying exposure levels. Choice B is incorrect as it relates exposure amount to health outcomes, which is more relevant in the Dose-Response Assessment stage. Choice D is incorrect as it pertains to the Absorption, Distribution, Metabolism, and Excretion stage, which comes after exposure assessment. In summary, choice C is correct as it directly aligns with the purpose of Exposure Assessment, while the other choices are either not relevant to this stage or belong to different stages of the risk assessment process.
Question 4 of 5
Which action by the nurse is an example of engaging in environmental justice?
Correct Answer: C
Rationale: The correct answer is C: Eliminating lead-based paint in public housing. This action exemplifies environmental justice by addressing a specific environmental hazard that disproportionately affects marginalized communities. Lead-based paint poses significant health risks, especially to children living in public housing. By eliminating this hazard, the nurse is promoting equality and advocating for a safe and healthy environment for all individuals. Choices A, B, and D, while beneficial, do not directly address an environmental injustice issue like lead-based paint in public housing.
Question 5 of 5
The nurse is performing an environmental assessment in an apartment building where many people have reported burning eyes, skin rash, stuffy nose, and sore throat. Which type of hazard does the nurse anticipate is present in the apartment building?
Correct Answer: C
Rationale: The correct answer is C: Mold. Mold is likely the hazard present in the apartment building due to the symptoms reported by the residents, which are commonly associated with mold exposure. Burning eyes, skin rash, stuffy nose, and sore throat are all common symptoms of mold exposure. Mold thrives in damp environments, and if not properly controlled, it can lead to various health issues. Radon (A) is a colorless, odorless gas that can cause lung cancer but does not typically present with the symptoms described. Mice (B) can cause allergies and respiratory issues, but the symptoms mentioned are more indicative of mold exposure. Lead (D) exposure can lead to neurological problems and is not typically associated with the symptoms described.