CNML UPDATED ACTUAL EXAM QUESTIONS CORRECT ANSWERS GRADED A PLUS
CNML Examination TEST 2026/2027 Questions and
Answers Verified Solutions Latest Update
Question:
Zero-Based Budget.
Answer:
With each new budget (i.e. fiscal year), it is determined which programs/areas get money; no
historical context is used; may rank packages and then only fund top-ranked ones; can be
time-consuming way to create a budget
Question:
Variance Calculation & Reminders.
Answer:
Variance $ /Budgeted $ X 100 = % difference; contract staff on separate line of budget; many staff
sick costs more than a few staff on LOA
Question:
Cost of Nursing Services Calculation.
Answer:
Nurse Time X (Avg. RN Hourly Rate + Benefits + Indirects) = Total Nursing Cost per DRG
Question:
General Nurse Staffing Calculation.
Answer:
# of RNs needed X days open / # days worked per RN
Question:
,FTE Definition & Calculation.
Answer:
Full-time equivalent = full- time employee paid for 1 year FTE = (Hours per shift X # of days
worked) / 40 hours
Question:
Fixed Costs.
Answer:
Stay the same no matter the census: manager salaries, keeping phones on, rent, etc.
Question:
Variable Costs.
Answer:
Change with census and how much staffing is used
Question:
Net Revenue Calculation.
Answer:
Gross Revenue - Deductions from Revenue (DRGs and the Contractual allowances paid by
insurance companies)
Question:
UAP.
Answer:
Unlicensed assistive personnel (CNA's)
Question:
,ADC.
Answer:
Average daily census (patients in a bed at midnight)
Question:
Total Patient Days Calculation.
Answer:
ADC X Days open per year (for SCH - ADC X 365)
Question:
Nurse Hours Per Patient Day (HPPD) Calculation.
Answer:
Total Direct Care Hours / Total Patient Days = # of RN hours needed to provide care for a pt. for 24
hours. For example - for 12 hour staff and 12 workers each shift you multiply 12 staff X 2 shifts =
24 staff X 12 hours each = 288 divided by midnight census of 31 = NHPPD
Question:
VBP.
Answer:
Value-based purchasing: how CMS determines how much to reimburse a hospital for care
(benchmarked standards and how they are meeting it); quality of care & following best practice &
patient experience
Question:
Per Diem Rate.
Answer:
Negotiated pay for services by insurance companies regardless of what services were actually
completed; per day admitted
, Question:
UOS.
Answer:
Unit of service: patient days for inpatient nursing but could be visits or # of procedures or whatever
that healthcare organization counts
Question:
RVU.
Answer:
Relative value unit: what ancillary services might use to add up their UOS; # of hi-flows hooked up
or vents started for RT., for example
Question:
ALOS Calculation.
Answer:
Average length of stay = # of pt. days / # of discharges (in same time period)
Question:
CPUOS.
Answer:
Cost per unit of service = salaries / UOS
Question:
Productivity.
Answer:
# of staff hours or $'s / # of UOS RN hours / patients in beds @ midnight (HOC) RN salaries / UOS
Output / input Amount of work performed by a set # of staff
CNML Examination TEST 2026/2027 Questions and
Answers Verified Solutions Latest Update
Question:
Zero-Based Budget.
Answer:
With each new budget (i.e. fiscal year), it is determined which programs/areas get money; no
historical context is used; may rank packages and then only fund top-ranked ones; can be
time-consuming way to create a budget
Question:
Variance Calculation & Reminders.
Answer:
Variance $ /Budgeted $ X 100 = % difference; contract staff on separate line of budget; many staff
sick costs more than a few staff on LOA
Question:
Cost of Nursing Services Calculation.
Answer:
Nurse Time X (Avg. RN Hourly Rate + Benefits + Indirects) = Total Nursing Cost per DRG
Question:
General Nurse Staffing Calculation.
Answer:
# of RNs needed X days open / # days worked per RN
Question:
,FTE Definition & Calculation.
Answer:
Full-time equivalent = full- time employee paid for 1 year FTE = (Hours per shift X # of days
worked) / 40 hours
Question:
Fixed Costs.
Answer:
Stay the same no matter the census: manager salaries, keeping phones on, rent, etc.
Question:
Variable Costs.
Answer:
Change with census and how much staffing is used
Question:
Net Revenue Calculation.
Answer:
Gross Revenue - Deductions from Revenue (DRGs and the Contractual allowances paid by
insurance companies)
Question:
UAP.
Answer:
Unlicensed assistive personnel (CNA's)
Question:
,ADC.
Answer:
Average daily census (patients in a bed at midnight)
Question:
Total Patient Days Calculation.
Answer:
ADC X Days open per year (for SCH - ADC X 365)
Question:
Nurse Hours Per Patient Day (HPPD) Calculation.
Answer:
Total Direct Care Hours / Total Patient Days = # of RN hours needed to provide care for a pt. for 24
hours. For example - for 12 hour staff and 12 workers each shift you multiply 12 staff X 2 shifts =
24 staff X 12 hours each = 288 divided by midnight census of 31 = NHPPD
Question:
VBP.
Answer:
Value-based purchasing: how CMS determines how much to reimburse a hospital for care
(benchmarked standards and how they are meeting it); quality of care & following best practice &
patient experience
Question:
Per Diem Rate.
Answer:
Negotiated pay for services by insurance companies regardless of what services were actually
completed; per day admitted
, Question:
UOS.
Answer:
Unit of service: patient days for inpatient nursing but could be visits or # of procedures or whatever
that healthcare organization counts
Question:
RVU.
Answer:
Relative value unit: what ancillary services might use to add up their UOS; # of hi-flows hooked up
or vents started for RT., for example
Question:
ALOS Calculation.
Answer:
Average length of stay = # of pt. days / # of discharges (in same time period)
Question:
CPUOS.
Answer:
Cost per unit of service = salaries / UOS
Question:
Productivity.
Answer:
# of staff hours or $'s / # of UOS RN hours / patients in beds @ midnight (HOC) RN salaries / UOS
Output / input Amount of work performed by a set # of staff
