MSN Exit Exam Questions With Complete Solutions
3 Primary goals of ACA Correct Answer Make affordable
health insurance available to more people. The law provides
consumers with subsidies ("premium tax credits") that lower
costs for households with incomes between 100% and 400% of
the federal poverty level.
Expand the Medicaid program to cover all adults with income
below 138% of the federal poverty level. (Not all states have
expanded their Medicaid programs.)
Support innovative medical care delivery methods designed to
lower the costs of health care generally.
5 steps of Rogers change theory are: Correct Answer
Knowledge - person becomes aware of an innovation and has
some idea of how it functions,
Persuasion - person forms a favorable or unfavorable attitude
toward the innovation,
Decision - person engages in activities that lead to a choice to
adopt or reject the innovation,
Implementation - person puts an innovation into use,
Confirmation - person evaluates the results of an innovation-
decision already made.
80 yo admitted with cough/chills/CP/dyspnea. T-102, R 26,
PNA is suspected. What intervention is most appropriate to do
FIRST by the CNL? Correct Answer Start antibiotics
A CNL compares the average length of stay for hip
replacements between 2 hospitals to promote quality
,improvement, what is this an example of? Correct Answer
Benchmarking
A CNL implements an evidence-based practice project to
decrease CVL line infections, the CNL knows in order to gain
staff buy-in he/she should disperse information by Correct
Answer Story telling
Story-telling would allow staff to relate and see the need more
tangibly. Brings real life example to need and makes it
meaningful
A CNL notes patient satisfaction with pain control is in 25th
percentile, when investigating what the issue is it would be most
appropriate for the CNL to Correct Answer investigate -
perform chart audits to ensure compliance with pain assessments
A CNL on a cardiac med unit was looking at heart failure and
saw and increased 30 day readmission rate, they implemented a
post admission 48hr call as a QI to decrease 30 day
readmissions: What is the CNLs outcome measure? Correct
Answer percent of patient readmissions
A CNL on a cardiac med unit was looking at heart failure and
saw and increased 30 day readmission rate, they implemented a
post admission 48hr call as a QI to decrease 30 day
readmissions: What is the process measure the CNL used to
collect readmit improvements? Correct Answer Reasons for
admissions
A CNL on a cardiac med unit was looking at heart failure and
saw and increased 30 day readmission rate, they implemented a
, post admission 48hr call as a QI to decrease 30 day
readmissions: Why would a CNL use balancing measures?
Correct Answer Ensure other aspects are not damaged as a
result of implementing QI project
A new ventricular assist device is beings introduced as a bridge
to cardiac transplant. What is most appropriate action of CNL to
ensure safety Correct Answer Conduct a FMEA prior to use
of device
A nursing director asks CNL to facilitate clinical competencies
about HAIs, while rounding they overhear RNs complaining
stating they don't know why they must have competencies on
something they know and have been doing for years. CNL most
appropriate action Correct Answer ... Facilitate a meeting so
nurses can discuss and opinions valued
Adjourning Correct Answer Many teams will reach this stage
eventually. For example, project teams exist for only a fixed
period, and even permanent teams may be disbanded through
organizational restructuring.
Team members who like routine, or who have developed close
working relationships with colleagues, may find this stage
difficult, particularly if their future now looks uncertain.
Affordable healthcare act: Correct Answer The
comprehensive health care reform law enacted in March 2010
(sometimes known as ACA, PPACA, or "Obamacare").
Animal Research/Lab Studies Correct Answer Information
begins at the bottom of the pyramid: this is where ideas and
3 Primary goals of ACA Correct Answer Make affordable
health insurance available to more people. The law provides
consumers with subsidies ("premium tax credits") that lower
costs for households with incomes between 100% and 400% of
the federal poverty level.
Expand the Medicaid program to cover all adults with income
below 138% of the federal poverty level. (Not all states have
expanded their Medicaid programs.)
Support innovative medical care delivery methods designed to
lower the costs of health care generally.
5 steps of Rogers change theory are: Correct Answer
Knowledge - person becomes aware of an innovation and has
some idea of how it functions,
Persuasion - person forms a favorable or unfavorable attitude
toward the innovation,
Decision - person engages in activities that lead to a choice to
adopt or reject the innovation,
Implementation - person puts an innovation into use,
Confirmation - person evaluates the results of an innovation-
decision already made.
80 yo admitted with cough/chills/CP/dyspnea. T-102, R 26,
PNA is suspected. What intervention is most appropriate to do
FIRST by the CNL? Correct Answer Start antibiotics
A CNL compares the average length of stay for hip
replacements between 2 hospitals to promote quality
,improvement, what is this an example of? Correct Answer
Benchmarking
A CNL implements an evidence-based practice project to
decrease CVL line infections, the CNL knows in order to gain
staff buy-in he/she should disperse information by Correct
Answer Story telling
Story-telling would allow staff to relate and see the need more
tangibly. Brings real life example to need and makes it
meaningful
A CNL notes patient satisfaction with pain control is in 25th
percentile, when investigating what the issue is it would be most
appropriate for the CNL to Correct Answer investigate -
perform chart audits to ensure compliance with pain assessments
A CNL on a cardiac med unit was looking at heart failure and
saw and increased 30 day readmission rate, they implemented a
post admission 48hr call as a QI to decrease 30 day
readmissions: What is the CNLs outcome measure? Correct
Answer percent of patient readmissions
A CNL on a cardiac med unit was looking at heart failure and
saw and increased 30 day readmission rate, they implemented a
post admission 48hr call as a QI to decrease 30 day
readmissions: What is the process measure the CNL used to
collect readmit improvements? Correct Answer Reasons for
admissions
A CNL on a cardiac med unit was looking at heart failure and
saw and increased 30 day readmission rate, they implemented a
, post admission 48hr call as a QI to decrease 30 day
readmissions: Why would a CNL use balancing measures?
Correct Answer Ensure other aspects are not damaged as a
result of implementing QI project
A new ventricular assist device is beings introduced as a bridge
to cardiac transplant. What is most appropriate action of CNL to
ensure safety Correct Answer Conduct a FMEA prior to use
of device
A nursing director asks CNL to facilitate clinical competencies
about HAIs, while rounding they overhear RNs complaining
stating they don't know why they must have competencies on
something they know and have been doing for years. CNL most
appropriate action Correct Answer ... Facilitate a meeting so
nurses can discuss and opinions valued
Adjourning Correct Answer Many teams will reach this stage
eventually. For example, project teams exist for only a fixed
period, and even permanent teams may be disbanded through
organizational restructuring.
Team members who like routine, or who have developed close
working relationships with colleagues, may find this stage
difficult, particularly if their future now looks uncertain.
Affordable healthcare act: Correct Answer The
comprehensive health care reform law enacted in March 2010
(sometimes known as ACA, PPACA, or "Obamacare").
Animal Research/Lab Studies Correct Answer Information
begins at the bottom of the pyramid: this is where ideas and
