Kingdom of Saudi Arabia

Ministry of Higher Education

Majmaah University
College of Applied Medical Sciences (CAMS)
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Nursing Dept. (NRS)
Midterm Exam: 2nd Semester 1441-1442 H
Course Name: Evidence Based Practice in Nursing Course Code: NRS 621 Section No.:
Date: 07/09/1441 H  30/4/2020 G Duration: 1hour Total of pages: 9
Student name:Abdulamjeed Jahaz Alahmadi ............................. I.D number: 4 1 1 1 0 3 8 2 45
INSTRUCTIONS FOR EXAMINATION
1. Write your Name and University Register Number clearly in the space given.
2. Use only blue or black dry pens for writing the answers. Use colors and Pencils for Diagrams.
3. The possession of books, notes, papers, any printed materials inside the examination hall are
strictly prohibited, and students who are violating the rules will be dealt by disciplinary
committee, under the regulations of Majmaah University.
4. Students are not allowed to leave the examination hall before 30 minutes from the
commencement of Examination.

Consistency with Program Outcomes

3. 4.
1. 2. 5.
I.P Skills & Com, IT &
PO’s Knowledge Cognitive Skills Psychomotor
Res Num
1.1 1.2 1.3 2.1 2.2 2.3 3.1 3.2 4.1 4.2 5.1 5.2
CLO’s

Marks:

Exercises CLO’s KPI’s Marks Verification Name & Signature

MCQ
10 Course Instructor
1-10
SAQ (11) 4 Dr. Jazi Alotaibi

SAQ (12(
6 Course Coordinator

Dr. Jazi Alotabi

Assessment Unit

Final Mark

Total 20 20

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 Answer for MCQ must be entered in the Answer sheet…. (10 Marks)

1. The nurse researcher is aware that PICOT is a research strategy mnemonic for which of the
following components?
A. Patient population or patient condition of interest, Intervention, Comparison of
intervention, Outcome of interest, Total patients involved
B. Patient population or patient condition of interest, Intervention, Comparison of interest,
Outcome of interest, Time
C. Patient population or patient condition of interest, Intervention, Comparison of
intervention, Overarching alignment with practice, Time
D. Patient disease or illness, Intervention, Comparison of interest, Outcome of interest, Total
patients involved

2. In reviewing literature for an evidence-based practice study, the nurse realizes that the most
reliable level of evidence is the
A. Systematic review and meta-analysis.
B. Randomized control trial (RCT).
C. Case control study.
D. Control trial without randomization.

3. An index commonly used for nursing and health-related literature that provides references to
dissertations, standards of practice, clinical innovations, drug records and clinical trials
A. CINAHL
B. PsychInfo
C. Google scholar
D. Academic Search Complete

4. Which of the following answer has a right order of evidence from lowest to highest
a. (Meta-analyses, Case control studies, RCTs, Cohort studies, Case report
b. Meta-analyses, Case report, RCTs, Cohort studies, Case control studies
c. Case reports, Case control studies, Cohort studies, RCTs, Meta-analyses
d. Case control studies, Cohort studies, RCTs, Case reports, Meta-analyses

5. Your teacher asking you to do critiquing of the literature review, all the following points you
need to consider EXPECT?
a- Is the literature review comprehensive?
b- Is the purpose of the study clear and explicit?
c- Is literature review relevant and update?
d- Does the title accurately reflect the content of the paper or report?

2
6. Your teacher asking you to do critiquing of the discussion section, all the following points you
need to consider EXPECT?
a. Is the study design appropriate? Can it be replicated?
b. Does the discussion follow logically from the results?
c. Are conclusions neatly and clearly expressed?
d. Is the researcher aware of the study limitations?

7. Which of the following type of questions is Appropriate for Cohort design?

a- Causation, Risk factors & Prognosis
b- Randomized Controlled study
c- Field Surveys
d- Longitudinal Survey

8. Shawn is a 63-year-old gentleman who has been diagnosed with prostate cancer. He has been
married to his wife, Laura, for 40 years and is greatly concerned about his ability to be physically
intimate with her should he pursue surgery as a treatment method. He mentions that he is most
interested in living his life fully with as much normality as he can for as long as he can. He comes
to you requesting information about whether or not having surgery will be the best plan for him?

From the above example, which of the following is consider a Intervention (PICOT) format?

a- elderly patients with prostate cancer

b- To undergo surgery
c- not to undergo surgery
d- influence lifetime and quality of life

9. Which of the following question are an example of Foreground Questions?

a- What is the best method to prevent pressure ulcers during hospitalization?
b- What are the best nursing interventions to manage pain for patients with a history of
substance abuse?
c- What are the best ways of making elderly patients comply with prescribed medications?
d- In children, how does acetaminophen compared to ibuprofen affect fever?

10. Which type of study is a statistical technique that summarizes the results of several studies in a
single weighted estimate, in which more weight is given to results of studies with more events
and sometimes to studies of higher quality
a- Meta-analysis
b- Systematic Review
c- Randomized Controlled Trial
d- Controlled Clinical Trial

3
2. Mention in order the seven critical steps of the Evidence base practice? (4 marks)

1- Formulation of an answerable question (PICOT)

………………………………………………………………………………………………

2- Systematic searching
………………………………………………………………………………………………

3- Appraisal of the validity, relevance and applicability

………………………………………………………………………………………………

4- Integration of the research evidence with other information

………………………………………………………………………………………………

5- Implementation
………………………………………………………………………………………………

6- Evaluation
………………………………………………………………………………………………

7- Disseminate EBP results

………………………………………………………………………………………………

From the attach article “Al Omari O (2015). Knowledge and attitudes of Jordanian nursing
students toward children’s pain assessment and management: A cross-sectional study. Journal of
Nursing Education and Practice, 6(3): 51-58.” Answer the following Questions? (6 Marks)

1- What is/ are aim/aims of study? Critique?

This study aimed to evaluate current fourth-year nursing students’ knowledge and attitude
towards pain management in children.

2- Critique the result section of the article?

The results showed that Jordanian nursing students have poor knowledge and attitudes
towards paediatric pain assessment and management. Jordanian nursing students need more
educational materials throughout their study plans and curriculums regarding paediatric pain
assessment and management. According to Hewitt (2010), nursing students need to be
equipped with pharmacological knowledge and skill to deliver safe medication care.

4
3- What is the study design, Where the study take place?

A cross-sectional study, in three private universities in Jordan

4- Which instruments used in this study, is valid and reliable?

 Paediatric Nurses’ Knowledge and Attitudes Survey Regarding Pain (PNKAS) was used
to depict nurses’ students’ knowledge and attitudes toward children in pain.

 Test re-test reliability (r = .67) was established, and Cronbach’s alpha was 0.75, with a
range of “0.75 to 0.78, which displayed an acceptable level of internal consistency.

 The researcher used the original English form of the questionnaire, as English is the
language of study at all nursing faculties in Jordan

5- Mention 2 limitations of the study?

1- Most of the participants had some work experience, which may produce biased results.
2- Its results cannot be generalized to the entire population because the study consisted of a
convenience sample of three private universities and ignored the wide-spread public
universities.