Clinical Nurse Leader (CNL) Certification Review Questions

Clinical Nurse Leader (CNL) Certification Review Questions Patient satisfaction scores in emergency department have shown a downward trend over the past three quarters. As a clinical nurse leader in ED focus 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 - C) Compare desired outcomes with national & State standards Rationale: Client care outcomes are a measure of quality practice. CNLs must know how to compare desired outcomes that will improve safety, effectiveness, timeliness, efficiency, quality, and the degree to which they are client centered. Which of the following actions illustrates the CNL professional value of altruism? A) Leading an interdisciplinary team looking at the remote cardiac monitoring process 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. - B) Sponsoring a meeting with the monitor technicians to understand their barriers in the cardiac monitoring process Rationale: Altruism is a concern for the welfare & well-being of others. In professional practice, altruism is reflected by the CNL's concern for the welfare of clients, other nurses, and other health care providers. You are a CNL on the tele unit & orienting a newly graduated nurse. Critical thinking is best demonstrated when: A) The CNL discusses with the physician the rationale for 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 - A) The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice patient Rationale: Critical thinking underlies independent & interdependent decision making. Critical thinking includes questioning, analysis, synthesis, interpretation, inference, inductive & deductive reasoning, intuition, application, & creativity. You are a CNL selected to lead a team focused on implementing a multidisciplinary clinical pathway for acute ischemic stroke & transient ischemic attack. The risk assessment tool that you have 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 - C) Liver Dysfunction Rationale: Independent stroke predictors include age, systolic BP, hypertension, diabetes mellitus, current smoking, established cardiovascular disease (any one of myocardiac infarction, angina, coronary insufficiency, congestive heart failure, or intermittent claudication), Afib, & left ventricular hypertrophy on ECG.