CNL Certification Exam 2024 Verified Winter 2024 Exam
GRADED A+ (REAL EXAM)
Who can function as an important ally to the CNL in engaging frontline staff in a
major initiative?
◦ A) content expert
◦ B) unit champion
◦ C) initiative sponsor ◦ D) Senior leadership - ANSWER: B) unit champion
Promotion of personal goals for professional development and continuing education
is a hallmark of the CNL role. Ultimately, what is the importance of professional
development?
◦ A) Maintaining professional practice competencies
◦ B) fulfillment of the CNL as a lifelong learner
◦ C) providing an example of professional nursing to peers ◦ D) all of the above -
ANSWER: D. All of the above
As the CNL is integrated into practice, what best defines his or her level of practice?
◦ A) Unit system
◦ B) Mesosystem ◦ C) Microsystem ◦ D) macrosystem - ANSWER: C) Microsystem
The primary focus of the CNL is best defined as:
◦ A) Delivery of high quality, evidence based, culturally competent care at the
patient's bedside
◦ B) Educating and mentoring peers to improve clinical competence
◦ C) Providing patient care management and leadership of the interdisciplinary
team meetings
◦ D) Evaluating and supporting evidence-based practice decisions to ensure best
possible outcomes - ANSWER: ◦ D) Evaluating and supporting evidence-based
practice decisions to ensure best possible outcomes
Sustaining process improvement requires the use of appropriate learning principles
and strategies. The CNL function that best utilizes this competency is:
◦ A) Advocate
◦ B) Educator
◦ C) Clinician
◦ D) Information manager - ANSWER: B) Educator
A nurse on the unit comes to you and says that every shift he works day or night he
finds at least one of his patients without an ID band in place. He is very concerned
about patient safety and feels a harmful mistake could occur in the near future if the
practice on the unit is not improved. How should you help this nurse?
◦ A) Perform daily audits on all of the patients and report results to management
◦ B) have the unit secretary make new ID bands for all of the patients daily so the
charge nurse can place new bands on the patients daily
,◦ C) Research a new style of patient ID bands since the current product does not stay
on the patient properly
◦ D) provide support to the nurse on the unit who determines the problem and help
him identify areas in the process to improve patient identification - ANSWER: D)
provide support to the nurse on the unit who determines the problem and help him
identify areas in the process to improve patient identification
Lisa is a CNL who works with high risk OB patients both inpatient and outpatient. Lisa
follows each patient throughout her episodes of care, ensuring the patient receives
streamlines, comprehensive care. Which critical component of lateral integration
best describes what Lisa is demonstrating
• A) coordination
• B) collaboration
• C) communication • D) Evaluation - ANSWER: • A) coordination
A patient with multiple comorbidities, has been hospitalized for over 3 months.
During this period, she has not progressed and has had a tracheostomy and
percutaneous endoscopic gastronomy (PEG) tube placed. Two of the daughters
refused to make the patient DNR, while the son and husband want the patient to be
DNR. As a CNL, you are conflicted and want the best outcome for the patient. What
is the best step for you to take?
• A) find out if the patient has an advanced directive or wants to be a DNR
• B) prevent the patient from being a DNR
• C) call the physician to make the decision
• D) make the patient a DNR according to the husband's wishes - ANSWER: A) find
out if the patient has an advanced directive or wants to be a DNR
• Which stage of Lewin's change theory involves explaining that the current situation
must change
• A) unfreezing • B) adoption
• C) evaluation • D) change - ANSWER: A) unfreezing
A client on your unit is going home to finish rehab following a bilateral total knee
replacement. You as the CNL would be enacting the function of lateral integrator by
which of the following?
• A) delivering the bedside discharge education
• B) helping the client arrange transportation home
• C) making a checklist of the client's belongings to ensure nothing was left behind
• D) ensuring follow-up appointments and services, including transportation, have
been scheduled - ANSWER: D) ensuring follow-up appointments and services,
including transportation, have been scheduled
The CNL knows in order to serve as a lateral integrator she or he must conduct
ongoing evaluation of care delivery systems and processes. Which of the following is
the best example of how the CNL demonstrates evaluation
• A) ensures each member of the team clearly understands each member's role
, • B) conducts an ongoing analysis of risk to promote patient safety • C) synthesizes
gathered information to find common goals and
shares this with the team
• D) fosters open rapport across professional boundaries - ANSWER: • B) conducts
an ongoing analysis of risk to promote patient safety
Consideration of your unit's nurse workflow, specific challenges, and needs of clients
on your unit, staff experiences and staff ratios are examples of which of the following
important CNL function components?
• A) ongoing evaluation
• B) collaboration
• C) advanced clinical assessment • D) knowledge management - ANSWER: A)
ongoing evaluation
You are caring for Sarah, a 90 year old grandmother recovering from heart failure.
You know that she is ready to go home because:
• A) her ECG is normal, SPO2 is normal, and she has supportive family to help care
for her at home
• B) she tells you she is ready to go home
• C) you observe her ambulating in the hallway, free from dyspnea
• D) she says she is free from dyspnea and fatigue, she has a follow- up appointment
set up for the following Monday morning, and her daughter said that she can drive
her to the appointment - ANSWER: C) you observe her ambulating in the hallway,
free from dyspnea
A Vietnamese patient is admitted with pneumonia on a medical-surgical unit. The
patient appears very nervous when the medical staff enters the room. As the CNL,
what is the best course of action to take in this situation?
• A) try to talk to the patient calmly and ease his fears
• B) call language services and request a Vietnamese interpreter
• C) ask your housekeeper who is from Vietnam to come in and interpret for the
medical staff
• D) keep all interactions with the patient as brief as possible - ANSWER: B) call
language services and request a Vietnamese interpreter
Isabella is a 62 year old female who enters the community health clinic where you
are employed as a CNL. The front desk staff approaches you and states that Isabella
has refused to complete the standard health questionnaire form and health
information release form. Isabella states that she forgot her glasses and that she will
just take the form home to complete. Which of the following would be the most
appropriate response?
• A) tell the front desk staff to send the forms home with Isabella and provide her
with a prepaid envelope to send the forms back to the office
• B) inform Isabella that many people have difficulty understanding these forms, and
ask if she would like you or someone to help her complete the forms
• C) explain the importance of completing the forms to Isabella and ensure she
completes the forms prior to entering the examination room
GRADED A+ (REAL EXAM)
Who can function as an important ally to the CNL in engaging frontline staff in a
major initiative?
◦ A) content expert
◦ B) unit champion
◦ C) initiative sponsor ◦ D) Senior leadership - ANSWER: B) unit champion
Promotion of personal goals for professional development and continuing education
is a hallmark of the CNL role. Ultimately, what is the importance of professional
development?
◦ A) Maintaining professional practice competencies
◦ B) fulfillment of the CNL as a lifelong learner
◦ C) providing an example of professional nursing to peers ◦ D) all of the above -
ANSWER: D. All of the above
As the CNL is integrated into practice, what best defines his or her level of practice?
◦ A) Unit system
◦ B) Mesosystem ◦ C) Microsystem ◦ D) macrosystem - ANSWER: C) Microsystem
The primary focus of the CNL is best defined as:
◦ A) Delivery of high quality, evidence based, culturally competent care at the
patient's bedside
◦ B) Educating and mentoring peers to improve clinical competence
◦ C) Providing patient care management and leadership of the interdisciplinary
team meetings
◦ D) Evaluating and supporting evidence-based practice decisions to ensure best
possible outcomes - ANSWER: ◦ D) Evaluating and supporting evidence-based
practice decisions to ensure best possible outcomes
Sustaining process improvement requires the use of appropriate learning principles
and strategies. The CNL function that best utilizes this competency is:
◦ A) Advocate
◦ B) Educator
◦ C) Clinician
◦ D) Information manager - ANSWER: B) Educator
A nurse on the unit comes to you and says that every shift he works day or night he
finds at least one of his patients without an ID band in place. He is very concerned
about patient safety and feels a harmful mistake could occur in the near future if the
practice on the unit is not improved. How should you help this nurse?
◦ A) Perform daily audits on all of the patients and report results to management
◦ B) have the unit secretary make new ID bands for all of the patients daily so the
charge nurse can place new bands on the patients daily
,◦ C) Research a new style of patient ID bands since the current product does not stay
on the patient properly
◦ D) provide support to the nurse on the unit who determines the problem and help
him identify areas in the process to improve patient identification - ANSWER: D)
provide support to the nurse on the unit who determines the problem and help him
identify areas in the process to improve patient identification
Lisa is a CNL who works with high risk OB patients both inpatient and outpatient. Lisa
follows each patient throughout her episodes of care, ensuring the patient receives
streamlines, comprehensive care. Which critical component of lateral integration
best describes what Lisa is demonstrating
• A) coordination
• B) collaboration
• C) communication • D) Evaluation - ANSWER: • A) coordination
A patient with multiple comorbidities, has been hospitalized for over 3 months.
During this period, she has not progressed and has had a tracheostomy and
percutaneous endoscopic gastronomy (PEG) tube placed. Two of the daughters
refused to make the patient DNR, while the son and husband want the patient to be
DNR. As a CNL, you are conflicted and want the best outcome for the patient. What
is the best step for you to take?
• A) find out if the patient has an advanced directive or wants to be a DNR
• B) prevent the patient from being a DNR
• C) call the physician to make the decision
• D) make the patient a DNR according to the husband's wishes - ANSWER: A) find
out if the patient has an advanced directive or wants to be a DNR
• Which stage of Lewin's change theory involves explaining that the current situation
must change
• A) unfreezing • B) adoption
• C) evaluation • D) change - ANSWER: A) unfreezing
A client on your unit is going home to finish rehab following a bilateral total knee
replacement. You as the CNL would be enacting the function of lateral integrator by
which of the following?
• A) delivering the bedside discharge education
• B) helping the client arrange transportation home
• C) making a checklist of the client's belongings to ensure nothing was left behind
• D) ensuring follow-up appointments and services, including transportation, have
been scheduled - ANSWER: D) ensuring follow-up appointments and services,
including transportation, have been scheduled
The CNL knows in order to serve as a lateral integrator she or he must conduct
ongoing evaluation of care delivery systems and processes. Which of the following is
the best example of how the CNL demonstrates evaluation
• A) ensures each member of the team clearly understands each member's role
, • B) conducts an ongoing analysis of risk to promote patient safety • C) synthesizes
gathered information to find common goals and
shares this with the team
• D) fosters open rapport across professional boundaries - ANSWER: • B) conducts
an ongoing analysis of risk to promote patient safety
Consideration of your unit's nurse workflow, specific challenges, and needs of clients
on your unit, staff experiences and staff ratios are examples of which of the following
important CNL function components?
• A) ongoing evaluation
• B) collaboration
• C) advanced clinical assessment • D) knowledge management - ANSWER: A)
ongoing evaluation
You are caring for Sarah, a 90 year old grandmother recovering from heart failure.
You know that she is ready to go home because:
• A) her ECG is normal, SPO2 is normal, and she has supportive family to help care
for her at home
• B) she tells you she is ready to go home
• C) you observe her ambulating in the hallway, free from dyspnea
• D) she says she is free from dyspnea and fatigue, she has a follow- up appointment
set up for the following Monday morning, and her daughter said that she can drive
her to the appointment - ANSWER: C) you observe her ambulating in the hallway,
free from dyspnea
A Vietnamese patient is admitted with pneumonia on a medical-surgical unit. The
patient appears very nervous when the medical staff enters the room. As the CNL,
what is the best course of action to take in this situation?
• A) try to talk to the patient calmly and ease his fears
• B) call language services and request a Vietnamese interpreter
• C) ask your housekeeper who is from Vietnam to come in and interpret for the
medical staff
• D) keep all interactions with the patient as brief as possible - ANSWER: B) call
language services and request a Vietnamese interpreter
Isabella is a 62 year old female who enters the community health clinic where you
are employed as a CNL. The front desk staff approaches you and states that Isabella
has refused to complete the standard health questionnaire form and health
information release form. Isabella states that she forgot her glasses and that she will
just take the form home to complete. Which of the following would be the most
appropriate response?
• A) tell the front desk staff to send the forms home with Isabella and provide her
with a prepaid envelope to send the forms back to the office
• B) inform Isabella that many people have difficulty understanding these forms, and
ask if she would like you or someone to help her complete the forms
• C) explain the importance of completing the forms to Isabella and ensure she
completes the forms prior to entering the examination room
