CNL certification review questions
and answers updated 2026
AMteamMcharterMincludesMallMexceptMwhichMofMtheMfollowing?
A.MClearlyMdefinedMgoals
B.MSpecificMoutcomes
C.MTeamMmemberMroles
D.MTimeMallottedMforMeachMactivityM-
MAnswerMD.MRationale:MAMteamMcharterMisManMessentialMwrittenMagreementMdefiningM
whatMtheMteamMisMgoingMtoMaccomplish,MhowMsuccessMwillMbeMmeasured,MandMdefini
ngMteamMmemberMroles.
AsMaMclinicalMnurseMleaderM(CNL),MyouMknowMaMpotentialMuseMofMaMpatient'sMindividu
alMelectronicMhealthMrecordMisMitsMuseMin
A.MFindingMrelevantMevidence-basedMliterature
B.MPerformingMaMrootMcauseManalysis
C.MImplementingMaMbestMpracticeMchange
D.MReviewingMunitMpracticeMtrendsM-
MAnswerMB.MRationale:MEachMisMaMpotentialMuseMofMhealthcareMinformationMtechnology
,MbutMonlyMtheMrootMcauseManalysisMinvolvesMtheMuseMofMaMpatient'sMmedicalMrecord.
LateralMintegrationMisMbasedMonMtheMunderstandingMofMwhichMofMtheMfollowing?
A.MPatient-specificMhealthcareMneeds
B.MTheMinterdependencyMofMallMhealthcareMdisciplines
C.MTheMvarietyMofMhealthcareMdeliveryMsettings
D.MChangesMinMpatientMcareMneedsMoverMtimeM-
MAnswerMB.MRationale:MLateralMintegrationMisMbasedMonMtheMunderstandingMthatMallMd
isciplinesMofMhealthcareMareMinterdependentMandMessentialMinMprovidingMcompleteMcare
MtoMtheMpatient.
WhenMperformingMongoingMassessmentMofMaMprocessMorMsystem,MtheMclinicalMnurseMle
aderM(CNL)MshouldMincludeMallMofMtheMfollowing,Mexcept:
,A.MEfficacy
B.MSatisfaction
C.MEfficiency
D.MEaseMofMchangeM-
MAnswerMD.MRationale:MEaseMofMchangeMmayMbeMconsidered;MhoweverMitMshouldMnot
MpreventMtheMCNLMfromMtakingMactionMtoMimproveMaMsystemMorMprocessMthatMimpro
vesMsafety,Mefficacy,Msatisfaction,Mefficiency,MorMqualityMofMcare.
AsMaMclinicalMnurseMleaderM(CNL)MonManMacuteMcareMfloor,MyouMrecognizeMtheMimpor
tanceMofMlateralMintegration.MWhichMofMtheMfollowingMexamplesMofMyourMroleMasMaMC
NLMillustratesMtheMroleMofMongoingMevaluationMinMlateralMintegration?
A.MPerformingMriskManalysisMtoMensureMclientMsafety
B.MAssessingMtheMappropriatenessMandMrelevancyMofMcurrentMorMnewlyMemergingMhealt
hcareMinformation
C.MSynthesizingMdataMtoMfindMaMcommonMgoal
D.MFosteringMrapportMacrossMprofessionalMboundariesM-
MAnswerMB.MRationale:MAssessingMnewMorMcurrentMinformationMisMkeyMtoMtheMprocess
MofMongoingMevaluation.MPerformingMaMriskManalysisMtoMensureMclientMsafetyMisMpartM
ofMtheMearlyMcoordinationMstages.MSynthesizingMdataMisMtheMroleMofMcollaboration.MFos
teringMrapportMisMaMkeyMaspectMofMcommunication.
AsMaMclinicalMnurseMleaderM(CNL)MonManMacuteMcareMfloor,MyouMrecognizeMtheMimpor
tanceMofMlateralMintegration.MWhichMofMtheMfollowingMexamplesMofMyourMroleMasMaMC
NLMillustratesMtheMroleMofMcollaborationMinMlateralMintegration?
A.MMonitoringMtheMplanMofMcareMforMspecificMpatientsMandMpopulations
B.MClearlyMdelegatingMtasksMandMresponsibilitiesMwithinMaMteam
C.MTranslatingMfromMdiscipline-specificMlanguageMtoMaMcommonMmessageMandMgoals
D.MKeepingMallMmembersMofMtheMteamMinformedMofMcurrentMstatusMandMprocessM-
MAnswerMC.MRationale:MTranslatingMtheMmessageMtoMformMaMcommonMgoalMexemplifies
McollaborationMwithinMaMteam.MMonitoringMinvolvesMongoingMevaluation;MclearMdelegatio
nMofMtasksMisManMimportantMaspectMofMcoordination;MupdatingMonMstatusMisMclearMco
mmunication.
MonitoringMinvolvesM_____________M_______________.M-MAnswerMongoingMevaluation
,clearMdelegationMofMtasksMisManMimportantMaspectMofM_____________.M-
MAnswerMcoordination
updatingMonMstatusMisMclearM_______________.M-MAnswerMcommunication
PerformingMaMriskManalysisMtoMensureMclientMsafetyMisMpartMofMtheMearlyM__________
___Mstages.M-MAnswerMcoordination
InMorderMtoMpracticeMhorizontalMleadership,MtheMclinicalMnurseMleaderM(CNL)MneedsMaM
"toolMkit"MofMskills.MTheseMincludeMallMexceptMwhichMofMtheMfollowing?
A.MVerticalMintegration
B.MUseMofMfeedback
C.MHealthcareMoutcomes
D.MGuidingMEBPMpracticeM-
MAnswerMA.MRationale:MCriticalMskillsMinMorderMtoMpracticeMhorizontalMleadershipMinclud
eMguidingMevidence-
basedMpractice,MhealthcareMoutcomes,MlateralMintegration,MuseMofMfeedback,Mcoaching,Ma
ndMleadingMteams.
TheMclinicalMnurseMleaderM(CNL)Mfacilitates,Mcoordinates,MandMoverseesMcareMprovidedM
byMtheMhealthcareMteam.MThisMbestMdescribesMwhichMofMtheMfollowingMroles?
A.MRiskManticipator
B.MLateralMintegrator
C.MTeamMmanager
D.MOutcomesMmanagerM-
MAnswerMB.MRationale:MLateralMintegrationMofMcareMinvolvesMtheMCNLMasMtheMleaderM
ofMcare;MoverseeingMcareMprovidedMbyMtheMhealthcareMteam;MidentifyingMbarriers;Mand
MworkingMwithMtheMteamMtoMproactivelyMmanageMpotentialMproblems.
FosteringMrapportMisMaMkeyMaspectMofM_________________M-MAnswerMcommunication
synthasizingMdataMisM___________M-MAnswerMcollaboration
, AMmaleMpatientMseenMatMyourMclinicMsaysMheMhasMrecentlyMpurchasedMaMgymMmemb
ershipMandMrequestsMinformationMaboutMwhatMtypesMofMexercisesMheMshouldMstartMwit
hMwhenMbeginning.MAsMtheMclinicalMnurseMleaderM(CNL)MforMtheMclinic,MyouMrecognize
MthisMpatientMisMmostMlikelyMinMwhichMofMProchaskaMandMDiClemente'sMTranstheoretica
lMModelMforMstagesMofMchange:
A.MContemplation
B.MPreparation
C.MAction
D.MMaintenanceM-
MAnswerMB.MRationale:MBasedMonMProchaskaMandMDiClemente'sMTranstheoreticalMModel,
MthisMpatientMisMinMtheMpreparationMstage;MheMhasMtakenMsomeMstepsMtowardMaction
MshowingMheMisMseriouslyMplanningMchangeMinMtheMnearMfutureMthroughMfinancialMco
mmitmentMandMresearch.MHeMhasMnotMyetMreachedMtheMactionMphaseMbecauseMheMha
sMnotMyetMmodifiedMtheMbehavior
IreneMisMaMclinicalMnurseMleaderM(CNL)MinMaMsmallMcommunityMhospital.MIreneMwasMta
skedMwithMleadingManMinterdisciplinaryMteamMtoMimproveMtheMtransitionMfromMemergen
cyMroomM(ER)MtoMtheMmedicalMunit.MDuringMaMmeeting,MtheMERMnursesMandMtheMme
dicalMunitMnursesMargueMoverMtheMcauseMofMdelays,MblamingMoneManother.MTheMteam
MisMnowMdisruptiveMandMnotMfocusedMonMtheMgoalsMofMthisMgroup.MWhichMofMtheMf
ollowingMshouldMtheMCNLMdoMfirstMtoMresolveMthisMconflict?
A.MDefineMtheMproblem.
B.MDevelopMplanMofMaction.
C.MEvaluateMunderlyingMcauses.
D.MDetermineManMapproach.M-
MAnswerMA.MRationale:MTheMfirstMstepMinMproblemMsolvingMisMtoMdefineMtheMproblem.
DianeMisMaM43-year-
oldMfemaleMwhoMhasMbeenMreadmittedMthreeMtimesMinMtheMpastM6MmonthsMwithMchr
onicMobstructiveMpulmonaryMdiseaseM(COPD)Mexacerbations.MDianeMhasMbeenMdescribedM
asMnoncompliantMwithMtakingMherMmedicationsMandMsheMcontinuesMtoMsmokeMhalfMaM
packMofMcigarettesMdaily.MWhichMofMtheMfollowingMbestMdescribesMtheMfirstMcriticalMste
pMwhenMdevelopingMaMplanMofMcareMforMDiane?
A.MReferMDianeMtoMaMsmokingMcessationMclass.
and answers updated 2026
AMteamMcharterMincludesMallMexceptMwhichMofMtheMfollowing?
A.MClearlyMdefinedMgoals
B.MSpecificMoutcomes
C.MTeamMmemberMroles
D.MTimeMallottedMforMeachMactivityM-
MAnswerMD.MRationale:MAMteamMcharterMisManMessentialMwrittenMagreementMdefiningM
whatMtheMteamMisMgoingMtoMaccomplish,MhowMsuccessMwillMbeMmeasured,MandMdefini
ngMteamMmemberMroles.
AsMaMclinicalMnurseMleaderM(CNL),MyouMknowMaMpotentialMuseMofMaMpatient'sMindividu
alMelectronicMhealthMrecordMisMitsMuseMin
A.MFindingMrelevantMevidence-basedMliterature
B.MPerformingMaMrootMcauseManalysis
C.MImplementingMaMbestMpracticeMchange
D.MReviewingMunitMpracticeMtrendsM-
MAnswerMB.MRationale:MEachMisMaMpotentialMuseMofMhealthcareMinformationMtechnology
,MbutMonlyMtheMrootMcauseManalysisMinvolvesMtheMuseMofMaMpatient'sMmedicalMrecord.
LateralMintegrationMisMbasedMonMtheMunderstandingMofMwhichMofMtheMfollowing?
A.MPatient-specificMhealthcareMneeds
B.MTheMinterdependencyMofMallMhealthcareMdisciplines
C.MTheMvarietyMofMhealthcareMdeliveryMsettings
D.MChangesMinMpatientMcareMneedsMoverMtimeM-
MAnswerMB.MRationale:MLateralMintegrationMisMbasedMonMtheMunderstandingMthatMallMd
isciplinesMofMhealthcareMareMinterdependentMandMessentialMinMprovidingMcompleteMcare
MtoMtheMpatient.
WhenMperformingMongoingMassessmentMofMaMprocessMorMsystem,MtheMclinicalMnurseMle
aderM(CNL)MshouldMincludeMallMofMtheMfollowing,Mexcept:
,A.MEfficacy
B.MSatisfaction
C.MEfficiency
D.MEaseMofMchangeM-
MAnswerMD.MRationale:MEaseMofMchangeMmayMbeMconsidered;MhoweverMitMshouldMnot
MpreventMtheMCNLMfromMtakingMactionMtoMimproveMaMsystemMorMprocessMthatMimpro
vesMsafety,Mefficacy,Msatisfaction,Mefficiency,MorMqualityMofMcare.
AsMaMclinicalMnurseMleaderM(CNL)MonManMacuteMcareMfloor,MyouMrecognizeMtheMimpor
tanceMofMlateralMintegration.MWhichMofMtheMfollowingMexamplesMofMyourMroleMasMaMC
NLMillustratesMtheMroleMofMongoingMevaluationMinMlateralMintegration?
A.MPerformingMriskManalysisMtoMensureMclientMsafety
B.MAssessingMtheMappropriatenessMandMrelevancyMofMcurrentMorMnewlyMemergingMhealt
hcareMinformation
C.MSynthesizingMdataMtoMfindMaMcommonMgoal
D.MFosteringMrapportMacrossMprofessionalMboundariesM-
MAnswerMB.MRationale:MAssessingMnewMorMcurrentMinformationMisMkeyMtoMtheMprocess
MofMongoingMevaluation.MPerformingMaMriskManalysisMtoMensureMclientMsafetyMisMpartM
ofMtheMearlyMcoordinationMstages.MSynthesizingMdataMisMtheMroleMofMcollaboration.MFos
teringMrapportMisMaMkeyMaspectMofMcommunication.
AsMaMclinicalMnurseMleaderM(CNL)MonManMacuteMcareMfloor,MyouMrecognizeMtheMimpor
tanceMofMlateralMintegration.MWhichMofMtheMfollowingMexamplesMofMyourMroleMasMaMC
NLMillustratesMtheMroleMofMcollaborationMinMlateralMintegration?
A.MMonitoringMtheMplanMofMcareMforMspecificMpatientsMandMpopulations
B.MClearlyMdelegatingMtasksMandMresponsibilitiesMwithinMaMteam
C.MTranslatingMfromMdiscipline-specificMlanguageMtoMaMcommonMmessageMandMgoals
D.MKeepingMallMmembersMofMtheMteamMinformedMofMcurrentMstatusMandMprocessM-
MAnswerMC.MRationale:MTranslatingMtheMmessageMtoMformMaMcommonMgoalMexemplifies
McollaborationMwithinMaMteam.MMonitoringMinvolvesMongoingMevaluation;MclearMdelegatio
nMofMtasksMisManMimportantMaspectMofMcoordination;MupdatingMonMstatusMisMclearMco
mmunication.
MonitoringMinvolvesM_____________M_______________.M-MAnswerMongoingMevaluation
,clearMdelegationMofMtasksMisManMimportantMaspectMofM_____________.M-
MAnswerMcoordination
updatingMonMstatusMisMclearM_______________.M-MAnswerMcommunication
PerformingMaMriskManalysisMtoMensureMclientMsafetyMisMpartMofMtheMearlyM__________
___Mstages.M-MAnswerMcoordination
InMorderMtoMpracticeMhorizontalMleadership,MtheMclinicalMnurseMleaderM(CNL)MneedsMaM
"toolMkit"MofMskills.MTheseMincludeMallMexceptMwhichMofMtheMfollowing?
A.MVerticalMintegration
B.MUseMofMfeedback
C.MHealthcareMoutcomes
D.MGuidingMEBPMpracticeM-
MAnswerMA.MRationale:MCriticalMskillsMinMorderMtoMpracticeMhorizontalMleadershipMinclud
eMguidingMevidence-
basedMpractice,MhealthcareMoutcomes,MlateralMintegration,MuseMofMfeedback,Mcoaching,Ma
ndMleadingMteams.
TheMclinicalMnurseMleaderM(CNL)Mfacilitates,Mcoordinates,MandMoverseesMcareMprovidedM
byMtheMhealthcareMteam.MThisMbestMdescribesMwhichMofMtheMfollowingMroles?
A.MRiskManticipator
B.MLateralMintegrator
C.MTeamMmanager
D.MOutcomesMmanagerM-
MAnswerMB.MRationale:MLateralMintegrationMofMcareMinvolvesMtheMCNLMasMtheMleaderM
ofMcare;MoverseeingMcareMprovidedMbyMtheMhealthcareMteam;MidentifyingMbarriers;Mand
MworkingMwithMtheMteamMtoMproactivelyMmanageMpotentialMproblems.
FosteringMrapportMisMaMkeyMaspectMofM_________________M-MAnswerMcommunication
synthasizingMdataMisM___________M-MAnswerMcollaboration
, AMmaleMpatientMseenMatMyourMclinicMsaysMheMhasMrecentlyMpurchasedMaMgymMmemb
ershipMandMrequestsMinformationMaboutMwhatMtypesMofMexercisesMheMshouldMstartMwit
hMwhenMbeginning.MAsMtheMclinicalMnurseMleaderM(CNL)MforMtheMclinic,MyouMrecognize
MthisMpatientMisMmostMlikelyMinMwhichMofMProchaskaMandMDiClemente'sMTranstheoretica
lMModelMforMstagesMofMchange:
A.MContemplation
B.MPreparation
C.MAction
D.MMaintenanceM-
MAnswerMB.MRationale:MBasedMonMProchaskaMandMDiClemente'sMTranstheoreticalMModel,
MthisMpatientMisMinMtheMpreparationMstage;MheMhasMtakenMsomeMstepsMtowardMaction
MshowingMheMisMseriouslyMplanningMchangeMinMtheMnearMfutureMthroughMfinancialMco
mmitmentMandMresearch.MHeMhasMnotMyetMreachedMtheMactionMphaseMbecauseMheMha
sMnotMyetMmodifiedMtheMbehavior
IreneMisMaMclinicalMnurseMleaderM(CNL)MinMaMsmallMcommunityMhospital.MIreneMwasMta
skedMwithMleadingManMinterdisciplinaryMteamMtoMimproveMtheMtransitionMfromMemergen
cyMroomM(ER)MtoMtheMmedicalMunit.MDuringMaMmeeting,MtheMERMnursesMandMtheMme
dicalMunitMnursesMargueMoverMtheMcauseMofMdelays,MblamingMoneManother.MTheMteam
MisMnowMdisruptiveMandMnotMfocusedMonMtheMgoalsMofMthisMgroup.MWhichMofMtheMf
ollowingMshouldMtheMCNLMdoMfirstMtoMresolveMthisMconflict?
A.MDefineMtheMproblem.
B.MDevelopMplanMofMaction.
C.MEvaluateMunderlyingMcauses.
D.MDetermineManMapproach.M-
MAnswerMA.MRationale:MTheMfirstMstepMinMproblemMsolvingMisMtoMdefineMtheMproblem.
DianeMisMaM43-year-
oldMfemaleMwhoMhasMbeenMreadmittedMthreeMtimesMinMtheMpastM6MmonthsMwithMchr
onicMobstructiveMpulmonaryMdiseaseM(COPD)Mexacerbations.MDianeMhasMbeenMdescribedM
asMnoncompliantMwithMtakingMherMmedicationsMandMsheMcontinuesMtoMsmokeMhalfMaM
packMofMcigarettesMdaily.MWhichMofMtheMfollowingMbestMdescribesMtheMfirstMcriticalMste
pMwhenMdevelopingMaMplanMofMcareMforMDiane?
A.MReferMDianeMtoMaMsmokingMcessationMclass.