Which of the following actions B) Sponsoring a meeting with the monitor technicians to
illustrates the CNL professional understand their barriers in the cardiac monitoring process
value of altruism? Rationale: Altruism is a concern for the welfare & well-being of
A) Leading an interdisciplinary others. In professional practice, altruism is reflected by the CNL's
team looking at the remote concern for the welfare of clients, other nurses, and other health
cardiac monitoring process care providers.
B) Sponsoring a meeting with the
monitor technicians to
understand their barriers in the
cardiac monitoring process
C) Flow mapping the admission
process of the remote cardiac-
monitored patient
D) Editing the policy for the
remote cardiac monitoring
process.
You are a CNL on the tele unit & A) The CNL discusses with the physician the rationale for
orienting a newly graduated discontinuing cardiac monitoring in the hospice patient
nurse. Critical thinking is best Rationale: Critical thinking underlies independent &
demonstrated when: interdependent decision making. Critical thinking includes
A) The CNL discusses with the questioning, analysis, synthesis, interpretation, inference, inductive
physician the rationale for & deductive reasoning, intuition, application, & creativity.
discontinuing cardiac monitoring
in the hospice patient
B) Drawing the scheduled
cardiac enzymes q8h
Reviewing the patient care
guidelines & protocols related to
hourly rounding
D) The CNL balances both the
charge role & the preceptor role
simultaneously
,To get more questions with
correct answers email
banks and other E books
You are a CNL selected to lead a C) Liver Dysfunction
team focused on implementing a Rationale: Independent stroke predictors include age, systolic BP,
multidisciplinary clinical pathway hypertension, diabetes mellitus, current smoking, established
for acute ischemic stroke & cardiovascular disease (any one of myocardiac infarction, angina,
transient ischemic attack. The risk coronary insufficiency, congestive heart failure, or intermittent
assessment tool that you have claudication), Afib, & left ventricular hypertrophy on ECG.
adopted identifies all of the
following as independent stroke
risk factors except:
A) Age
B) Systolic BP
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus
,A lack of compliance with DVT B) Gaining an understanding of how DVT prophylaxis is initiated on
prophylaxis has been identified in each stroke patient on your unit.
retrospective chart reviews of all Rationale:
ischemic stroke patients in your White Paper: One competency is that of a systems analyst. A CNL
organization. As a CNL on the participates in a system review & conducts a microsystem analysis,
neurological unit, your primary identifying a clinical issue with a focus on a particular population.
goal will include:
A) Challenging the guidelines on
primary prevention of ischemic
stroke written by the American
Stroke Association
B) Gaining an understanding of
how DVT prophylaxis is initiated
on each stroke patient on your
unit
C) Developing an organization-
wide educational program on
DVT prophylaxis
D) Developing a unit-based team
of nursing personnel to
investigate the problem.
Patient satisfaction scores in C) Compare desired outcomes with national & State standards
emergency department have Rationale: Client care outcomes are a measure of quality practice.
shown a downward trend over CNLs must know how to compare desired outcomes that will
the past three quarters. As a improve safety, effectiveness, timeliness, efficiency, quality, and the
clinical nurse leader in ED focus degree to which they are client centered.
is to:
A) Create a script for triage nurse
in welcoming the patient
B) Assign a volunteer to welcome
patients to the hospital
C) Compare desired outcomes
with national & state standards
D) Write a letter of apology to
each dissatisfied patient
, You are working on improving C) Number of discharge orders on your unit entered before 11am
the patient discharge process. Rationale: A CNL as an outcomes manager uses data to change
Which of these targets would practice & to improve outcomes. Selecting the most appropriate
best reflect clinical microsystem goals & targets will provide meaningful information.
outcomes?
A) Hospital length of stay
B) Time of discharge order for all
medical patients to the actual
time the patient left
C) Number of discharge orders
on your unit entered before 11am
D) Total number of discharged
patients leaving by llam
Electronic nursing documentation C) A pop-up to initiate the discharge instruction sheet with every
has recently been instituted in physician discharge order.
organization. Select a response Rationale: CDS is a computer-based program designed to assist
that best defines a clinical clinicians in making clinical decisions by filtering & integrating vast
decision support: amounts of information & providing suggestions for clinical
A) A reminder to save & sign your intervention.
admission assessment
B) A visual red-alert when a
patient's potassium is 6..8 mEq/L
C) A pop-up to initiate the
discharge instruction sheet with
every physician discharge order
D) An electronic nursing care
plan
illustrates the CNL professional understand their barriers in the cardiac monitoring process
value of altruism? Rationale: Altruism is a concern for the welfare & well-being of
A) Leading an interdisciplinary others. In professional practice, altruism is reflected by the CNL's
team looking at the remote concern for the welfare of clients, other nurses, and other health
cardiac monitoring process care providers.
B) Sponsoring a meeting with the
monitor technicians to
understand their barriers in the
cardiac monitoring process
C) Flow mapping the admission
process of the remote cardiac-
monitored patient
D) Editing the policy for the
remote cardiac monitoring
process.
You are a CNL on the tele unit & A) The CNL discusses with the physician the rationale for
orienting a newly graduated discontinuing cardiac monitoring in the hospice patient
nurse. Critical thinking is best Rationale: Critical thinking underlies independent &
demonstrated when: interdependent decision making. Critical thinking includes
A) The CNL discusses with the questioning, analysis, synthesis, interpretation, inference, inductive
physician the rationale for & deductive reasoning, intuition, application, & creativity.
discontinuing cardiac monitoring
in the hospice patient
B) Drawing the scheduled
cardiac enzymes q8h
Reviewing the patient care
guidelines & protocols related to
hourly rounding
D) The CNL balances both the
charge role & the preceptor role
simultaneously
,To get more questions with
correct answers email
banks and other E books
You are a CNL selected to lead a C) Liver Dysfunction
team focused on implementing a Rationale: Independent stroke predictors include age, systolic BP,
multidisciplinary clinical pathway hypertension, diabetes mellitus, current smoking, established
for acute ischemic stroke & cardiovascular disease (any one of myocardiac infarction, angina,
transient ischemic attack. The risk coronary insufficiency, congestive heart failure, or intermittent
assessment tool that you have claudication), Afib, & left ventricular hypertrophy on ECG.
adopted identifies all of the
following as independent stroke
risk factors except:
A) Age
B) Systolic BP
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus
,A lack of compliance with DVT B) Gaining an understanding of how DVT prophylaxis is initiated on
prophylaxis has been identified in each stroke patient on your unit.
retrospective chart reviews of all Rationale:
ischemic stroke patients in your White Paper: One competency is that of a systems analyst. A CNL
organization. As a CNL on the participates in a system review & conducts a microsystem analysis,
neurological unit, your primary identifying a clinical issue with a focus on a particular population.
goal will include:
A) Challenging the guidelines on
primary prevention of ischemic
stroke written by the American
Stroke Association
B) Gaining an understanding of
how DVT prophylaxis is initiated
on each stroke patient on your
unit
C) Developing an organization-
wide educational program on
DVT prophylaxis
D) Developing a unit-based team
of nursing personnel to
investigate the problem.
Patient satisfaction scores in C) Compare desired outcomes with national & State standards
emergency department have Rationale: Client care outcomes are a measure of quality practice.
shown a downward trend over CNLs must know how to compare desired outcomes that will
the past three quarters. As a improve safety, effectiveness, timeliness, efficiency, quality, and the
clinical nurse leader in ED focus degree to which they are client centered.
is to:
A) Create a script for triage nurse
in welcoming the patient
B) Assign a volunteer to welcome
patients to the hospital
C) Compare desired outcomes
with national & state standards
D) Write a letter of apology to
each dissatisfied patient
, You are working on improving C) Number of discharge orders on your unit entered before 11am
the patient discharge process. Rationale: A CNL as an outcomes manager uses data to change
Which of these targets would practice & to improve outcomes. Selecting the most appropriate
best reflect clinical microsystem goals & targets will provide meaningful information.
outcomes?
A) Hospital length of stay
B) Time of discharge order for all
medical patients to the actual
time the patient left
C) Number of discharge orders
on your unit entered before 11am
D) Total number of discharged
patients leaving by llam
Electronic nursing documentation C) A pop-up to initiate the discharge instruction sheet with every
has recently been instituted in physician discharge order.
organization. Select a response Rationale: CDS is a computer-based program designed to assist
that best defines a clinical clinicians in making clinical decisions by filtering & integrating vast
decision support: amounts of information & providing suggestions for clinical
A) A reminder to save & sign your intervention.
admission assessment
B) A visual red-alert when a
patient's potassium is 6..8 mEq/L
C) A pop-up to initiate the
discharge instruction sheet with
every physician discharge order
D) An electronic nursing care
plan
