CNL EXAM (Mock Exam) EXAM TEST BANK
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What is the best way for the CNL to analyze systems and outcome datasets to anticipate
individual client risk and improve quality care?
A)Perform a root cause analysis of all postoperative patients who have been readmitted to your
unit within the last year
B) Perform a FMEA.
C)Utilize the Complexity Theory to make the needed changes to the defective systems
D) Perform a PDSA.
- answer_ANS B: A FMEA is proactive and anticipates potential risks rather than looking back on
events that have happened that need to be changed.
Sam is a homeless 59-year-old male admitted with CHF. He arrives alone and crying. His vitals
are BP 173/96, HR 83, O2 86%, and temperature 98.9°F. During your assessment, you notice
multiple bruises and lacerations.
His clothes are torn and soiled. According to Maslow's Hierarchy of Needs, what should you do
first?
A) Inquire about his bruises and lacerations
B)Call the social worker regarding shelter placement
C)Ask why he is crying
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D) Apply oxygen
- answer_ANS D: According to Maslow's Hierarchy of Needs, physiological needs have to be met
first, then safety, love/belonging, esteem and, finally, self-actualization.
Jen is an obese patient admitted with COPD and CHTN. Part of her social history is that she
smokes 2 ppd. Her CNL, Erika, makes a goal for her to decrease by one cigarette a day until
there are no more by August 1st. This goal will not work because:
A)There is not a measurable outcome
B)Jen should decrease by two cigarettes a day
C)The patient has COPD
D) Jen should help make the goal
- answer_ANS D: In order for a goal to be effective and the patient to be compliant, it should be
mutually set by the CNL and patient.
All of the following are components of evidence-based practice and clinical decision making
except:
A) Clinical expertise
B)Information about patient preferences and values
C) Research utilization
D) Evidence from research and theories
- answer_ANS C: Research utilization uses knowledge typically based on only one study,
whereas EBP looks at evidence from research, evidence-based theories, opinion leaders/expert
panels, evidence from patient assessment and history, clinical expertise, and information about
patient preferences and values.
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Julie, a CNL, hears that another hospital does hourly rounding and thinks this is a great idea to
reduce falls on her unit. She meets with her interdisciplinary team and they decide to try this on
their unit. She informs the rest of the staff and makes a start date. What did Julie forget to do?
A) Look at the latest evidence/literature review
B)Ask her nurse manager
C) Ask other units if they do hourly rounding
D) Get data from the other hospital
- answer_ANS A: When making a change, it is important to look at the EBP by performing a
literature review and then decide whether there is sufficient evidence to make the change or
whether there is not much literature on the topic to collect data to see if the change is effective.
As a member or leader of a team, a CNL remembers essential qualities of the CNL role and
therapeutic use of self, genuineness, warmth, empathy, maturity, and self-awareness. These
qualities support the CNL role in:
A) Leading the interprofessional team to align the unit goals with hospital goals
B) Education of staff nurses in the microsystem on the importance of these qualities
C) Working with the team to develop policies and procedures
D) Establishing trust and promoting interprofessional communication within the team -
answer_ANS - D: The essential qualities of a CNL support establishing trust and promoting
communication within interprofessional teams, as well as coordinating of care. Those qualities
are not necessary for developing policies and procedures, educating nurses, or aligning goals.
What is the first essential key to implementing a change in a microsystem?
A) A clear vision of what outcomes are to be accomplished
B) A strategic plan
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C)Persistence on the change implementation to be successful
D)Belief the change will be a success
- answer_A: A clear vision of what is to be accomplished by the change is the first element to a
successful outcome. The others come after the vision is made.
A 5Ps assessment was completed by each CNL in the hospital. As a CNL, you know this is an
assessment of the:
Microsystem
Mesosystem
Macrosystem
Health care system
- answer_ANS A: A 5Ps assessment is an analysis of the microsystem. It consists of analyzing the
purpose, patients, professionals, processes, and patterns of the microsystem.
Which terms are most important to the topic of ethics?
A) Beliefs, autonomy, and authority
B)Respect for others, authority, and tradition
C)Maleficence, values, and beliefs
D) Beneficence, nonmaleficence, and justice
- answer_D- Beneficence, nonmaleficence, and justice are considered to be three of the basic
ethical principles commonly used in healthcare ethics, while the others are an aspect of a
principle.
Advocacy can be a challenging role for the CNL, as sometimes a patient or the healthcare proxy
makes a decision with which the CNL does not agree. If a well-informed decision is made to
refuse or stop care, the CNL should:
Try to talk the patient/proxy into continuing treatment
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