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Nursing QUESTION #9199
Question 1
Which level of evidence is considered the STRONGEST in the hierarchy of evidence-based nursing practice?
  • Expert opinion and clinical experience
  • Randomized Controlled Trial (RCT)
  • Systematic review and meta-analysis of RCTs✔️
  • Cohort studies with control groups
Correct Answer Explanation
Correct Answer: C — Systematic Review and Meta-Analysis of RCTs

Hierarchy of Evidence (Oxford Levels):
LevelEvidence TypeStrength
ISystematic Reviews / Meta-Analyses of RCTsStrongest
IIIndividual RCTsStrong
IIIControlled trials without randomizationModerate
IVCohort / Case-control studiesModerate-weak
VSystematic reviews of descriptive studiesWeak
VISingle descriptive or qualitative studiesVery weak
VIIExpert opinion / AuthorityWeakest
Meta-analyses pool data from multiple RCTs, giving greater statistical power and reducing random error.