CNL Questions 51-100 with
Accurate Answers
*A 16-year-old female with a history of smoking, tanning bed use, and sexual
activity presents to the emergency department (ED) with a mole that is
continuously bleeding and itchy. The patient is concerned that this might be a
sexually transmitted disease (STD) because the mole is on her inner thigh. Upon
examination, the mole is asymmetrical, 7 mm big, and has uneven borders. As a
CNL, you know these characteristics represent which of the following?*
A. Genital herpes
B. Human papillomavirus
C. Basal cell carcinoma
D. Malignant melanoma correct answer Answer D—Rationale: The ABCDE's of
malignant melanoma include asymmetrical; uneven borders;
variety of colors; large diameter greater than 6 mm; and evolving.
*A 28-year-old patient with asthma is requesting the pneumococcal vaccine.
Which of the following conditions are appropriate for receiving the pneumococcal
vaccine?*
A. Congestive heart failure (CHF), HIV, diabetes, pregnancy
B. CHF, HIV, diabetes, sickle cell disease
C. Diabetes, chemotherapy, sickle cell disease, pregnancy
D. Pregnancy, CHF, diabetes, chemotherapy correct answer Answer B—Rationale:
All of these medical conditions require a patient to receive the pneumococcal
vaccination.
,*A 55-year-old male is readmitted to the hospital with hypertension four times
within the past 8 months due to medication noncompliance. The patient has been
given a blood pressure machine, set up with a PCP, and arranged telehealth
services in previous admissions. During your discussion with the patient, he states
that he is taking his medication as his doctor prescribed. The patient brought his
medications into the hospital, so you ask him to hand you his blood pressure
medication bottle. The patient hands you the bottle labeled Neurontin. Which of
the following would be the next best step for you to take as the CNL?*
A. Obtain records from the patient's primary care provider
B. Coordinate a family meeting with the patient and the care team
C. Have the patient hand you the rest of the bottles, tell you what each
medication is, and describe how and when he takes that medication
D. Consult with a pharmacist to deter correct answer Answer C—Rationale:
Oftentimes, patients develop coping skills to help with limited literacy, leading
health care providers to misjudge their ability to comprehend patient teaching. By
having the patient explain how and when he takes medications, the CNL can
assess the patient's ability to understand his regimen. The patient may have
difficulty reading and may need an alternative method for understanding his
regimen such as color coding bottles rather than reading labels.
*A certified nursing assistant (CNA) approaches the unit CNL to discuss her
frustrations in attaining appropriate equipment for patient care. The CNA explains
that the clean utility room is too far and that staff constantly have to make
frequent trips. The CNA wants to know what steps to take to make a change. As a
CNL, what statement best describes the appropriate response?*
A. "We will just have to adjust to what we have right now."
, B. "Well, you have identified a problem, the next step is to review any literature
that can help resolve our issue."
C. "I suggest that you and the staff take the appropriate equipment to your
rooms."
D. "Well, let us implement the process that another unit is using." correct answer
Answer B—Rationale: The CNA already identified a problem, the first step of EBP.
The second step of
the EBP process is to review the literature.
*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 correct answer Answer D—Rationale: While the CNL might be useful in
any of these areas, ensuring proper scheduling of follow-up care with other
providers is a function of coordination, a key component of the CNL's role as a
lateral integrator.
*A CNL on a medical unit is following up with patients on warfarin therapy post-
discharge and concludes that patients are not receiving adequate education on
medication administration. The CNL formulates an action plan and develops a
team to improve warfarin discharge education. What competency was portrayed
by the CNL?*
Accurate Answers
*A 16-year-old female with a history of smoking, tanning bed use, and sexual
activity presents to the emergency department (ED) with a mole that is
continuously bleeding and itchy. The patient is concerned that this might be a
sexually transmitted disease (STD) because the mole is on her inner thigh. Upon
examination, the mole is asymmetrical, 7 mm big, and has uneven borders. As a
CNL, you know these characteristics represent which of the following?*
A. Genital herpes
B. Human papillomavirus
C. Basal cell carcinoma
D. Malignant melanoma correct answer Answer D—Rationale: The ABCDE's of
malignant melanoma include asymmetrical; uneven borders;
variety of colors; large diameter greater than 6 mm; and evolving.
*A 28-year-old patient with asthma is requesting the pneumococcal vaccine.
Which of the following conditions are appropriate for receiving the pneumococcal
vaccine?*
A. Congestive heart failure (CHF), HIV, diabetes, pregnancy
B. CHF, HIV, diabetes, sickle cell disease
C. Diabetes, chemotherapy, sickle cell disease, pregnancy
D. Pregnancy, CHF, diabetes, chemotherapy correct answer Answer B—Rationale:
All of these medical conditions require a patient to receive the pneumococcal
vaccination.
,*A 55-year-old male is readmitted to the hospital with hypertension four times
within the past 8 months due to medication noncompliance. The patient has been
given a blood pressure machine, set up with a PCP, and arranged telehealth
services in previous admissions. During your discussion with the patient, he states
that he is taking his medication as his doctor prescribed. The patient brought his
medications into the hospital, so you ask him to hand you his blood pressure
medication bottle. The patient hands you the bottle labeled Neurontin. Which of
the following would be the next best step for you to take as the CNL?*
A. Obtain records from the patient's primary care provider
B. Coordinate a family meeting with the patient and the care team
C. Have the patient hand you the rest of the bottles, tell you what each
medication is, and describe how and when he takes that medication
D. Consult with a pharmacist to deter correct answer Answer C—Rationale:
Oftentimes, patients develop coping skills to help with limited literacy, leading
health care providers to misjudge their ability to comprehend patient teaching. By
having the patient explain how and when he takes medications, the CNL can
assess the patient's ability to understand his regimen. The patient may have
difficulty reading and may need an alternative method for understanding his
regimen such as color coding bottles rather than reading labels.
*A certified nursing assistant (CNA) approaches the unit CNL to discuss her
frustrations in attaining appropriate equipment for patient care. The CNA explains
that the clean utility room is too far and that staff constantly have to make
frequent trips. The CNA wants to know what steps to take to make a change. As a
CNL, what statement best describes the appropriate response?*
A. "We will just have to adjust to what we have right now."
, B. "Well, you have identified a problem, the next step is to review any literature
that can help resolve our issue."
C. "I suggest that you and the staff take the appropriate equipment to your
rooms."
D. "Well, let us implement the process that another unit is using." correct answer
Answer B—Rationale: The CNA already identified a problem, the first step of EBP.
The second step of
the EBP process is to review the literature.
*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 correct answer Answer D—Rationale: While the CNL might be useful in
any of these areas, ensuring proper scheduling of follow-up care with other
providers is a function of coordination, a key component of the CNL's role as a
lateral integrator.
*A CNL on a medical unit is following up with patients on warfarin therapy post-
discharge and concludes that patients are not receiving adequate education on
medication administration. The CNL formulates an action plan and develops a
team to improve warfarin discharge education. What competency was portrayed
by the CNL?*
