Clinical Nurse Leader (Cnl) Certification
Review Questions And Answers Well Done!!!
Patient bsatisfaction bscores bin bemergency bdepartment bhave bshown ba bdownward
btrend bover bthe bpast bthree bquarters. bAs ba bclinical bnurse bleader bin bED bfocus bis bto:
b
A) bCreate ba bscript bfor btriage bnurse bin bwelcoming bthe bpatient
B) bAssign ba bvolunteer bto bwelcome bpatients bto bthe bhospital
C) bCompare bdesired boutcomes bwith bnational b& bstate bstandards
D) bWrite ba bletter bof bapology bto beach bdissatisfied bpatient b- b bcorrect banswer- b bC)
bCompare bdesired boutcomes bwith bnational b& bState bstandards
Rationale: bClient bcare boutcomes bare ba bmeasure bof bquality bpractice. bCNLs bmust
bknow bhow bto bcompare bdesired boutcomes bthat bwill bimprove bsafety, beffectiveness,
btimeliness, befficiency, bquality, band bthe bdegree bto bwhich bthey bare bclient bcentered.
Which bof bthe bfollowing bactions billustrates bthe bCNL bprofessional bvalue bof baltruism?
A) bLeading ban binterdisciplinary bteam blooking bat bthe bremote bcardiac bmonitoring
bprocess
B) bSponsoring ba bmeeting bwith bthe bmonitor btechnicians bto bunderstand btheir
bbarriers bin bthe bcardiac bmonitoring bprocess
C) bFlow bmapping bthe badmission bprocess bof bthe bremote bcardiac-monitored bpatient
,D) bEditing bthe bpolicy bfor bthe bremote bcardiac bmonitoring bprocess. b- b bcorrect
banswer- b bB) bSponsoring ba bmeeting bwith bthe bmonitor btechnicians bto bunderstand
btheir bbarriers bin bthe bcardiac bmonitoring bprocess
Rationale: bAltruism bis ba bconcern bfor bthe bwelfare b& bwell-being bof bothers. bIn
bprofessional bpractice, baltruism bis breflected bby bthe bCNL's bconcern bfor bthe bwelfare
bof bclients, bother bnurses, band bother bhealth bcare bproviders.
You bare ba bCNL bon bthe btele bunit b& borienting ba bnewly bgraduated bnurse. bCritical
bthinking bis bbest bdemonstrated bwhen:
A) bThe bCNL bdiscusses bwith bthe bphysician bthe brationale bfor bdiscontinuing bcardiac
bmonitoring bin bthe bhospice bpatient
B) bDrawing bthe bscheduled bcardiac benzymes bq8h
Reviewing bthe bpatient bcare bguidelines b& bprotocols brelated bto bhourly brounding
D) bThe bCNL bbalances bboth bthe bcharge brole b& bthe bpreceptor brole bsimultaneously
b- b bcorrect banswer- b bA) bThe bCNL bdiscusses bwith bthe bphysician bthe brationale bfor
bdiscontinuing bcardiac bmonitoring bin bthe bhospice bpatient
Rationale: bCritical bthinking bunderlies bindependent b& binterdependent bdecision
bmaking. bCritical bthinking bincludes bquestioning, banalysis, bsynthesis, binterpretation,
binference, binductive b& bdeductive breasoning, bintuition, bapplication, b& bcreativity.
You bare ba bCNL bselected bto blead ba bteam bfocused bon bimplementing ba
bmultidisciplinary bclinical bpathway bfor bacute bischemic bstroke b& btransient bischemic
battack. bThe brisk bassessment btool bthat byou bhave badopted bidentifies ball bof bthe
bfollowing bas bindependent bstroke brisk bfactors bexcept:
A) bAge
B) bSystolic bBP
C) bLiver bdysfunction
D) bCurrent bsmoking
E) bDiabetes bmellitus b- b bcorrect banswer- b bC) bLiver bDysfunction
Rationale: bIndependent bstroke bpredictors binclude bage, bsystolic bBP, bhypertension,
bdiabetes bmellitus, bcurrent bsmoking, bestablished bcardiovascular bdisease b(any bone
bof bmyocardiac binfarction, bangina, bcoronary binsufficiency, bcongestive bheart bfailure,
bor bintermittent bclaudication), bAfib, b& bleft bventricular bhypertrophy bon bECG.
A black bof bcompliance bwith bDVT bprophylaxis bhas bbeen bidentified bin bretrospective
bchart breviews bof ball bischemic bstroke bpatients bin byour borganization. bAs ba bCNL bon
bthe bneurological bunit, byour bprimary bgoal bwill binclude: b
A) bChallenging bthe bguidelines bon bprimary bprevention bof bischemic bstroke bwritten bby
bthe bAmerican bStroke bAssociation
B) bGaining ban bunderstanding bof bhow bDVT bprophylaxis bis binitiated bon beach bstroke
bpatient bon byour bunit
C) bDeveloping ban borganization-wide beducational bprogram bon bDVT bprophylaxis
D) bDeveloping ba bunit-based bteam bof bnursing bpersonnel bto binvestigate bthe
bproblem. b- b bcorrect banswer- b bB) bGaining ban bunderstanding bof bhow bDVT
bprophylaxis bis binitiated bon beach bstroke bpatient bon byour bunit.
Rationale:
,White bPaper: bOne bcompetency bis bthat bof ba bsystems banalyst. bA bCNL bparticipates
bin ba bsystem breview b& bconducts ba bmicrosystem banalysis, bidentifying ba bclinical
bissue bwith ba bfocus bon ba bparticular bpopulation.
You bare bworking bon bimproving bthe bpatient bdischarge bprocess. bWhich bof bthese
btargets bwould bbest breflect bclinical bmicrosystem boutcomes?
A) bHospital blength bof bstay
B) bTime bof bdischarge border bfor ball bmedical bpatients bto bthe bactual btime bthe bpatient
bleft
C) bNumber bof bdischarge borders bon byour bunit bentered bbefore b11am
D) bTotal bnumber bof bdischarged bpatients bleaving bby bllam b- b bcorrect banswer- b bC)
bNumber bof bdischarge borders bon byour bunit bentered bbefore b11am
Rationale: bA bCNL bas ban boutcomes bmanager buses bdata bto bchange bpractice b& bto
bimprove boutcomes. bSelecting bthe bmost bappropriate bgoals b& btargets bwill bprovide
bmeaningful binformation.
Electronic bnursing bdocumentation bhas brecently bbeen binstituted bin borganization.
bSelect ba bresponse bthat bbest bdefines ba bclinical bdecision bsupport: b
A) bA breminder bto bsave b& bsign byour badmission bassessment
bB) bA bvisual bred-alert bwhen ba bpatient's bpotassium bis b6..8 bmEq/L
C) bA bpop-up bto binitiate bthe bdischarge binstruction bsheet bwith bevery bphysician
bdischarge border
D) bAn belectronic bnursing bcare bplan b- b bcorrect banswer- b bC) bA bpop-up bto binitiate
bthe bdischarge binstruction bsheet bwith bevery bphysician bdischarge border.
Rationale: bCDS bis ba bcomputer-based bprogram bdesigned bto bassist bclinicians bin
bmaking bclinical bdecisions bby bfiltering b& bintegrating bvast bamounts bof binformation b&
bproviding bsuggestions bfor bclinical bintervention.
CNL bfocus bon bprojects bwithin ba bclinical bmicrosystem. bA bclinical bmicrosystem bcan
bbe bbest bdescribed bas: b
A) bA bdepartment-wide bprogram bfocused bon bimproving bcontinuity bof bcare b& bpatient
bsatisfaction
B) bTrending bthe bpost-op bcare bon ball bsurgical bunits
C) bThe bclinical b& bbusiness bprocesses bof ba bsingle bunit bwithin ban borganization
D) bAll bmedical b& bsurgical bunits bguided bby ba bchief bnursing bofficer b- b bcorrect
banswer- b bC) bThe bclinical b& bbusiness bprocesses bof ba bsingle bunit bwithin ban
borganization
Rationale: bThe bmicrosystem bis bdescribed bby bthe bAACN bWhite bPaper bas bthe
bpractice blevel bof bthe bCNL.
All bare bpart bof bthe bdata bnecessary bfor ba bCNL bto bfully bunderstand b& bassess bhis
bor bher bclinical bunit bexcept:
A) bThe borganization bfinancial bstatement
B) bThe btarget bpopulation b& bage bdistribution
C) bThe bpercentage bof bFTEs
D) bRate bof bnosocomial binfections
, E) bFall brates b- b bcorrect banswer- b bA) bThe borganization bfinancial bstatement
Rationale: bA bcomprehensive bassessment bof bthe bclinical bunit bis ba bfoundation bfor
bthe bwork bof bthe bCNL bbut bdoes bnot binclude bthe bfinancial bstatement bof bthe
borganization. bIn bcomprehending bthe b"big bpicture" bof bthe borganization, bthe bCNL
bshould bhave ban bunderstanding bof bthe bfinancial bhealth bof bthe binstitution.
The bresults bof ba bquarterly breport bidentify ban bincrease bin bpatient bfalls bon bthe btele
bunit. bYour bfirst baction bwill bbe bto:
A) bImplement bhourly brounding
B) bGain ban bunderstanding bof bpatient bcare bpractices bon bthe btele bunit
C) bAssign bpatient bpersonal balarms bto ball bpatients bat brisk
D) bRevise bthe bcurrent bfall brisk bdocumentation bform b- b bcorrect banswer- b bB) bGain
ban bunderstanding bof bpatient bcare bpractices bon bthe btele bunit
Rationale: bAssessment bincludes bgathering binformation babout bthe bhealth bstatus bof
bthe bclient b& banalyzing b& bsynthesizing bthose bmaking bjudgments babout bnursing
binterventions bon bthe bbasis bof bfindings, bevaluation, b& bmanaging bof bindividual bcare
boutcomes.
You bhave bbeen basked bto blead bthe btele bfall bprevention bcommittee. bWhich
bcombination bof bteam bmembers bwould bbest bsuit bthe binitial bphase bof bthis bgroup?
A) bA bbehavioral bhealth bAPRN
B) bA bstaff bRN
C) bA bphysical btherapist
D) bThe bnurse bmanager
E) bAll bof bthe bAbove
F) bOnly bA, bB, b& bD bare bneeded b- b bcorrect banswer- b bE) bAll bof bthe babove
Rationale: bHealth bpromotion b& bdisease bprevention bknowledge bincludes bmethods bto
bkeep ban billness bor binjury bfrom boccurring, bdiagnosis, b& btreating ba bdisease bin bits
bearly bcourse. bCNLs bneed bto bwork bwith ban binterdisciplinary bteam bto bmake bethical
bdecisions, bdevelop, b& bmonitor bcomprehensive, bholistic bplans bof bcare. bThere bis ba
bstrong bcorrelation bbetween bpatient bfalls b& bdelirium. bExercise bprograms bfocused
bon bstrength, bfunctional bperformance, b& bbalance btraining bare beffective bsteps bin
breducing binpatient bfalls.
As ba bCNL bin bthe bICU, byou bhave bobserved bseveral bprolonged b& bfragmented
bprocesses bof bstarting ban bIV bline bin ba bcritically bill bpatient. bAll bof bthe bfollowing
bconsiderations bare bnecessary bin bidentifying ba bTHEME bfor byour bimprovement
bprocess bexcept:
A) bA bthorough breview bof bthe bclinical bunit
B) bThe bmanager's bmandate bfor bchange
C) bThe balignment bwith bthe borganization's bstrategic bpriorities
D) bInput bfrom bthe bpatient's bfamily b- b bcorrect banswer- b bB) bThe bmanager's bmandate
bfor bchange
Rationale: bSpecific bmandates bfor bchange bwould bbe bconsidered bas bthe bteam b"drills
bdown" bfor bfurther binformation.
Review Questions And Answers Well Done!!!
Patient bsatisfaction bscores bin bemergency bdepartment bhave bshown ba bdownward
btrend bover bthe bpast bthree bquarters. bAs ba bclinical bnurse bleader bin bED bfocus bis bto:
b
A) bCreate ba bscript bfor btriage bnurse bin bwelcoming bthe bpatient
B) bAssign ba bvolunteer bto bwelcome bpatients bto bthe bhospital
C) bCompare bdesired boutcomes bwith bnational b& bstate bstandards
D) bWrite ba bletter bof bapology bto beach bdissatisfied bpatient b- b bcorrect banswer- b bC)
bCompare bdesired boutcomes bwith bnational b& bState bstandards
Rationale: bClient bcare boutcomes bare ba bmeasure bof bquality bpractice. bCNLs bmust
bknow bhow bto bcompare bdesired boutcomes bthat bwill bimprove bsafety, beffectiveness,
btimeliness, befficiency, bquality, band bthe bdegree bto bwhich bthey bare bclient bcentered.
Which bof bthe bfollowing bactions billustrates bthe bCNL bprofessional bvalue bof baltruism?
A) bLeading ban binterdisciplinary bteam blooking bat bthe bremote bcardiac bmonitoring
bprocess
B) bSponsoring ba bmeeting bwith bthe bmonitor btechnicians bto bunderstand btheir
bbarriers bin bthe bcardiac bmonitoring bprocess
C) bFlow bmapping bthe badmission bprocess bof bthe bremote bcardiac-monitored bpatient
,D) bEditing bthe bpolicy bfor bthe bremote bcardiac bmonitoring bprocess. b- b bcorrect
banswer- b bB) bSponsoring ba bmeeting bwith bthe bmonitor btechnicians bto bunderstand
btheir bbarriers bin bthe bcardiac bmonitoring bprocess
Rationale: bAltruism bis ba bconcern bfor bthe bwelfare b& bwell-being bof bothers. bIn
bprofessional bpractice, baltruism bis breflected bby bthe bCNL's bconcern bfor bthe bwelfare
bof bclients, bother bnurses, band bother bhealth bcare bproviders.
You bare ba bCNL bon bthe btele bunit b& borienting ba bnewly bgraduated bnurse. bCritical
bthinking bis bbest bdemonstrated bwhen:
A) bThe bCNL bdiscusses bwith bthe bphysician bthe brationale bfor bdiscontinuing bcardiac
bmonitoring bin bthe bhospice bpatient
B) bDrawing bthe bscheduled bcardiac benzymes bq8h
Reviewing bthe bpatient bcare bguidelines b& bprotocols brelated bto bhourly brounding
D) bThe bCNL bbalances bboth bthe bcharge brole b& bthe bpreceptor brole bsimultaneously
b- b bcorrect banswer- b bA) bThe bCNL bdiscusses bwith bthe bphysician bthe brationale bfor
bdiscontinuing bcardiac bmonitoring bin bthe bhospice bpatient
Rationale: bCritical bthinking bunderlies bindependent b& binterdependent bdecision
bmaking. bCritical bthinking bincludes bquestioning, banalysis, bsynthesis, binterpretation,
binference, binductive b& bdeductive breasoning, bintuition, bapplication, b& bcreativity.
You bare ba bCNL bselected bto blead ba bteam bfocused bon bimplementing ba
bmultidisciplinary bclinical bpathway bfor bacute bischemic bstroke b& btransient bischemic
battack. bThe brisk bassessment btool bthat byou bhave badopted bidentifies ball bof bthe
bfollowing bas bindependent bstroke brisk bfactors bexcept:
A) bAge
B) bSystolic bBP
C) bLiver bdysfunction
D) bCurrent bsmoking
E) bDiabetes bmellitus b- b bcorrect banswer- b bC) bLiver bDysfunction
Rationale: bIndependent bstroke bpredictors binclude bage, bsystolic bBP, bhypertension,
bdiabetes bmellitus, bcurrent bsmoking, bestablished bcardiovascular bdisease b(any bone
bof bmyocardiac binfarction, bangina, bcoronary binsufficiency, bcongestive bheart bfailure,
bor bintermittent bclaudication), bAfib, b& bleft bventricular bhypertrophy bon bECG.
A black bof bcompliance bwith bDVT bprophylaxis bhas bbeen bidentified bin bretrospective
bchart breviews bof ball bischemic bstroke bpatients bin byour borganization. bAs ba bCNL bon
bthe bneurological bunit, byour bprimary bgoal bwill binclude: b
A) bChallenging bthe bguidelines bon bprimary bprevention bof bischemic bstroke bwritten bby
bthe bAmerican bStroke bAssociation
B) bGaining ban bunderstanding bof bhow bDVT bprophylaxis bis binitiated bon beach bstroke
bpatient bon byour bunit
C) bDeveloping ban borganization-wide beducational bprogram bon bDVT bprophylaxis
D) bDeveloping ba bunit-based bteam bof bnursing bpersonnel bto binvestigate bthe
bproblem. b- b bcorrect banswer- b bB) bGaining ban bunderstanding bof bhow bDVT
bprophylaxis bis binitiated bon beach bstroke bpatient bon byour bunit.
Rationale:
,White bPaper: bOne bcompetency bis bthat bof ba bsystems banalyst. bA bCNL bparticipates
bin ba bsystem breview b& bconducts ba bmicrosystem banalysis, bidentifying ba bclinical
bissue bwith ba bfocus bon ba bparticular bpopulation.
You bare bworking bon bimproving bthe bpatient bdischarge bprocess. bWhich bof bthese
btargets bwould bbest breflect bclinical bmicrosystem boutcomes?
A) bHospital blength bof bstay
B) bTime bof bdischarge border bfor ball bmedical bpatients bto bthe bactual btime bthe bpatient
bleft
C) bNumber bof bdischarge borders bon byour bunit bentered bbefore b11am
D) bTotal bnumber bof bdischarged bpatients bleaving bby bllam b- b bcorrect banswer- b bC)
bNumber bof bdischarge borders bon byour bunit bentered bbefore b11am
Rationale: bA bCNL bas ban boutcomes bmanager buses bdata bto bchange bpractice b& bto
bimprove boutcomes. bSelecting bthe bmost bappropriate bgoals b& btargets bwill bprovide
bmeaningful binformation.
Electronic bnursing bdocumentation bhas brecently bbeen binstituted bin borganization.
bSelect ba bresponse bthat bbest bdefines ba bclinical bdecision bsupport: b
A) bA breminder bto bsave b& bsign byour badmission bassessment
bB) bA bvisual bred-alert bwhen ba bpatient's bpotassium bis b6..8 bmEq/L
C) bA bpop-up bto binitiate bthe bdischarge binstruction bsheet bwith bevery bphysician
bdischarge border
D) bAn belectronic bnursing bcare bplan b- b bcorrect banswer- b bC) bA bpop-up bto binitiate
bthe bdischarge binstruction bsheet bwith bevery bphysician bdischarge border.
Rationale: bCDS bis ba bcomputer-based bprogram bdesigned bto bassist bclinicians bin
bmaking bclinical bdecisions bby bfiltering b& bintegrating bvast bamounts bof binformation b&
bproviding bsuggestions bfor bclinical bintervention.
CNL bfocus bon bprojects bwithin ba bclinical bmicrosystem. bA bclinical bmicrosystem bcan
bbe bbest bdescribed bas: b
A) bA bdepartment-wide bprogram bfocused bon bimproving bcontinuity bof bcare b& bpatient
bsatisfaction
B) bTrending bthe bpost-op bcare bon ball bsurgical bunits
C) bThe bclinical b& bbusiness bprocesses bof ba bsingle bunit bwithin ban borganization
D) bAll bmedical b& bsurgical bunits bguided bby ba bchief bnursing bofficer b- b bcorrect
banswer- b bC) bThe bclinical b& bbusiness bprocesses bof ba bsingle bunit bwithin ban
borganization
Rationale: bThe bmicrosystem bis bdescribed bby bthe bAACN bWhite bPaper bas bthe
bpractice blevel bof bthe bCNL.
All bare bpart bof bthe bdata bnecessary bfor ba bCNL bto bfully bunderstand b& bassess bhis
bor bher bclinical bunit bexcept:
A) bThe borganization bfinancial bstatement
B) bThe btarget bpopulation b& bage bdistribution
C) bThe bpercentage bof bFTEs
D) bRate bof bnosocomial binfections
, E) bFall brates b- b bcorrect banswer- b bA) bThe borganization bfinancial bstatement
Rationale: bA bcomprehensive bassessment bof bthe bclinical bunit bis ba bfoundation bfor
bthe bwork bof bthe bCNL bbut bdoes bnot binclude bthe bfinancial bstatement bof bthe
borganization. bIn bcomprehending bthe b"big bpicture" bof bthe borganization, bthe bCNL
bshould bhave ban bunderstanding bof bthe bfinancial bhealth bof bthe binstitution.
The bresults bof ba bquarterly breport bidentify ban bincrease bin bpatient bfalls bon bthe btele
bunit. bYour bfirst baction bwill bbe bto:
A) bImplement bhourly brounding
B) bGain ban bunderstanding bof bpatient bcare bpractices bon bthe btele bunit
C) bAssign bpatient bpersonal balarms bto ball bpatients bat brisk
D) bRevise bthe bcurrent bfall brisk bdocumentation bform b- b bcorrect banswer- b bB) bGain
ban bunderstanding bof bpatient bcare bpractices bon bthe btele bunit
Rationale: bAssessment bincludes bgathering binformation babout bthe bhealth bstatus bof
bthe bclient b& banalyzing b& bsynthesizing bthose bmaking bjudgments babout bnursing
binterventions bon bthe bbasis bof bfindings, bevaluation, b& bmanaging bof bindividual bcare
boutcomes.
You bhave bbeen basked bto blead bthe btele bfall bprevention bcommittee. bWhich
bcombination bof bteam bmembers bwould bbest bsuit bthe binitial bphase bof bthis bgroup?
A) bA bbehavioral bhealth bAPRN
B) bA bstaff bRN
C) bA bphysical btherapist
D) bThe bnurse bmanager
E) bAll bof bthe bAbove
F) bOnly bA, bB, b& bD bare bneeded b- b bcorrect banswer- b bE) bAll bof bthe babove
Rationale: bHealth bpromotion b& bdisease bprevention bknowledge bincludes bmethods bto
bkeep ban billness bor binjury bfrom boccurring, bdiagnosis, b& btreating ba bdisease bin bits
bearly bcourse. bCNLs bneed bto bwork bwith ban binterdisciplinary bteam bto bmake bethical
bdecisions, bdevelop, b& bmonitor bcomprehensive, bholistic bplans bof bcare. bThere bis ba
bstrong bcorrelation bbetween bpatient bfalls b& bdelirium. bExercise bprograms bfocused
bon bstrength, bfunctional bperformance, b& bbalance btraining bare beffective bsteps bin
breducing binpatient bfalls.
As ba bCNL bin bthe bICU, byou bhave bobserved bseveral bprolonged b& bfragmented
bprocesses bof bstarting ban bIV bline bin ba bcritically bill bpatient. bAll bof bthe bfollowing
bconsiderations bare bnecessary bin bidentifying ba bTHEME bfor byour bimprovement
bprocess bexcept:
A) bA bthorough breview bof bthe bclinical bunit
B) bThe bmanager's bmandate bfor bchange
C) bThe balignment bwith bthe borganization's bstrategic bpriorities
D) bInput bfrom bthe bpatient's bfamily b- b bcorrect banswer- b bB) bThe bmanager's bmandate
bfor bchange
Rationale: bSpecific bmandates bfor bchange bwould bbe bconsidered bas bthe bteam b"drills
bdown" bfor bfurther binformation.
