Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
1. Patient satisfaction scores in emergency depart- C) Compare desired out-
ment have shown a downward trend over the past comes with national & State
three quarters. As a clinical nurse leader in ED focus standards
is to: Rationale: Client care out-
A) Create a script for triage nurse in welcoming the comes are a measure of qual-
patient ity practice. CNLs must know
B) Assign a volunteer to welcome patients to the how to compare desired out-
hospital comes that will improve safe-
C) Compare desired outcomes with national & state ty, effectiveness, timeliness,
standards efficiency, quality, and the de-
D) Write a letter of apology to each dissatisfied pa- gree to which they are client
tient centered.
2. Which of the following actions illustrates the CNL B) Sponsoring a meeting
professional value of altruism? with the monitor technicians
A) Leading an interdisciplinary team looking at the to understand their barri-
remote cardiac monitoring process ers in the cardiac monitoring
B) Sponsoring a meeting with the monitor techni- process
cians to understand their barriers in the cardiac Rationale: Altruism is a con-
monitoring process cern for the welfare &
C) Flow mapping the admission process of the re- well-being of others. In pro-
mote cardiac-monitored patient fessional practice, altruism is
D) Editing the policy for the remote cardiac monitor- reflected by the CNL's concern
ing process. for the welfare of clients, oth-
er nurses, and other health
care providers.
3. You are a CNL on the tele unit & orienting a newly A) The CNL discusses with
graduated nurse. Critical thinking is best demon- the physician the rationale for
strated when: discontinuing cardiac moni-
A) The CNL discusses with the physician the ra- toring in the hospice patient
tionale for discontinuing cardiac monitoring in the Rationale: Critical thinking
, Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
hospice patient underlies independent & in-
B) Drawing the scheduled cardiac enzymes q8h terdependent decision mak-
Reviewing the patient care guidelines & protocols ing. Critical thinking includes
related to hourly rounding questioning, analysis, synthe-
D) The CNL balances both the charge role & the sis, interpretation, inference,
preceptor role simultaneously inductive & deductive reason-
ing, intuition, application, &
creativity.
4. You are a CNL selected to lead a team focused on im- C) Liver Dysfunction
plementing a multidisciplinary clinical pathway for Rationale: Independent
acute ischemic stroke & transient ischemic attack. stroke predictors include age,
The risk assessment tool that you have adopted systolic BP, hypertension, dia-
identifies all of the following as independent stroke betes mellitus, current smok-
risk factors except: ing, established cardiovascu-
A) Age lar disease (any one of my-
B) Systolic BP ocardiac infarction, angina,
C) Liver dysfunction coronary insufficiency, con-
D) Current smoking gestive heart failure, or in-
E) Diabetes mellitus termittent claudication), Afib,
& left ventricular hypertrophy
on ECG.
5. A lack of compliance with DVT prophylaxis has been B) Gaining an understanding
identified in retrospective chart reviews of all is- of how DVT prophylaxis is ini-
chemic stroke patients in your organization. As a tiated on each stroke patient
CNL on the neurological unit, your primary goal will on your unit.
include: Rationale:
A) Challenging the guidelines on primary preven- White Paper: One competen-
tion of ischemic stroke written by the American cy is that of a systems ana-
Stroke Association lyst. A CNL participates in a
B) Gaining an understanding of how DVT prophylax- system review & conducts a
, Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
is is initiated on each stroke patient on your unit microsystem analysis, identi-
C) Developing an organization-wide educational fying a clinical issue with a
program on DVT prophylaxis focus on a particular popula-
D) Developing a unit-based team of nursing person- tion.
nel to investigate the problem.
6. You are working on improving the patient discharge C) Number of discharge or-
process. Which of these targets would best reflect ders on your unit entered be-
clinical microsystem outcomes? fore 11am
A) Hospital length of stay Rationale: A CNL as an out-
B) Time of discharge order for all medical patients comes manager uses data to
to the actual time the patient left change practice & to improve
C) Number of discharge orders on your unit entered outcomes. Selecting the most
before 11am appropriate goals & targets
D) Total number of discharged patients leaving by will provide meaningful infor-
llam mation.
7. Electronic nursing documentation has recently C) A pop-up to initiate the dis-
been instituted in organization. Select a response charge instruction sheet with
that best defines a clinical decision support: every physician discharge or-
A) A reminder to save & sign your admission assess- der.
ment Rationale: CDS is a comput-
B) A visual red-alert when a patient's potassium is er-based program designed
6..8 mEq/L to assist clinicians in making
C) A pop-up to initiate the discharge instruction clinical decisions by filtering
sheet with every physician discharge order & integrating vast amounts of
D) An electronic nursing care plan information & providing sug-
gestions for clinical interven-
tion.
8. CNL focus on projects within a clinical microsystem. C) The clinical & business
A clinical microsystem can be best described as: processes of a single unit
, Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
A) A department-wide program focused on improv- within an organization
ing continuity of care & patient satisfaction Rationale: The microsystem is
B) Trending the post-op care on all surgical units described by the AACN White
C) The clinical & business processes of a single unit Paper as the practice level of
within an organization the CNL.
D) All medical & surgical units guided by a chief
nursing officer
9. All are part of the data necessary for a CNL to fully A) The organization financial
understand & assess his or her clinical unit except: statement
A) The organization financial statement Rationale: A comprehensive
B) The target population & age distribution assessment of the clinical unit
C) The percentage of FTEs is a foundation for the work
D) Rate of nosocomial infections of the CNL but does not in-
E) Fall rates clude the financial statement
of the organization. In com-
prehending the "big picture"
of the organization, the CNL
should have an understand-
ing of the financial health of
the institution.
10. The results of a quarterly report identify an increase B) Gain an understanding of
in patient falls on the tele unit. Your first action will patient care practices on the
be to: tele unit
A) Implement hourly rounding Rationale: Assessment in-
B) Gain an understanding of patient care practices cludes gathering information
on the tele unit about the health status of the
C) Assign patient personal alarms to all patients at client & analyzing & synthesiz-
risk ing those making judgments
D) Revise the current fall risk documentation form about nursing interventions
on the basis of findings, eval-
Study online at https://quizlet.com/_6nxhpo
1. Patient satisfaction scores in emergency depart- C) Compare desired out-
ment have shown a downward trend over the past comes with national & State
three quarters. As a clinical nurse leader in ED focus standards
is to: Rationale: Client care out-
A) Create a script for triage nurse in welcoming the comes are a measure of qual-
patient ity practice. CNLs must know
B) Assign a volunteer to welcome patients to the how to compare desired out-
hospital comes that will improve safe-
C) Compare desired outcomes with national & state ty, effectiveness, timeliness,
standards efficiency, quality, and the de-
D) Write a letter of apology to each dissatisfied pa- gree to which they are client
tient centered.
2. Which of the following actions illustrates the CNL B) Sponsoring a meeting
professional value of altruism? with the monitor technicians
A) Leading an interdisciplinary team looking at the to understand their barri-
remote cardiac monitoring process ers in the cardiac monitoring
B) Sponsoring a meeting with the monitor techni- process
cians to understand their barriers in the cardiac Rationale: Altruism is a con-
monitoring process cern for the welfare &
C) Flow mapping the admission process of the re- well-being of others. In pro-
mote cardiac-monitored patient fessional practice, altruism is
D) Editing the policy for the remote cardiac monitor- reflected by the CNL's concern
ing process. for the welfare of clients, oth-
er nurses, and other health
care providers.
3. You are a CNL on the tele unit & orienting a newly A) The CNL discusses with
graduated nurse. Critical thinking is best demon- the physician the rationale for
strated when: discontinuing cardiac moni-
A) The CNL discusses with the physician the ra- toring in the hospice patient
tionale for discontinuing cardiac monitoring in the Rationale: Critical thinking
, Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
hospice patient underlies independent & in-
B) Drawing the scheduled cardiac enzymes q8h terdependent decision mak-
Reviewing the patient care guidelines & protocols ing. Critical thinking includes
related to hourly rounding questioning, analysis, synthe-
D) The CNL balances both the charge role & the sis, interpretation, inference,
preceptor role simultaneously inductive & deductive reason-
ing, intuition, application, &
creativity.
4. You are a CNL selected to lead a team focused on im- C) Liver Dysfunction
plementing a multidisciplinary clinical pathway for Rationale: Independent
acute ischemic stroke & transient ischemic attack. stroke predictors include age,
The risk assessment tool that you have adopted systolic BP, hypertension, dia-
identifies all of the following as independent stroke betes mellitus, current smok-
risk factors except: ing, established cardiovascu-
A) Age lar disease (any one of my-
B) Systolic BP ocardiac infarction, angina,
C) Liver dysfunction coronary insufficiency, con-
D) Current smoking gestive heart failure, or in-
E) Diabetes mellitus termittent claudication), Afib,
& left ventricular hypertrophy
on ECG.
5. A lack of compliance with DVT prophylaxis has been B) Gaining an understanding
identified in retrospective chart reviews of all is- of how DVT prophylaxis is ini-
chemic stroke patients in your organization. As a tiated on each stroke patient
CNL on the neurological unit, your primary goal will on your unit.
include: Rationale:
A) Challenging the guidelines on primary preven- White Paper: One competen-
tion of ischemic stroke written by the American cy is that of a systems ana-
Stroke Association lyst. A CNL participates in a
B) Gaining an understanding of how DVT prophylax- system review & conducts a
, Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
is is initiated on each stroke patient on your unit microsystem analysis, identi-
C) Developing an organization-wide educational fying a clinical issue with a
program on DVT prophylaxis focus on a particular popula-
D) Developing a unit-based team of nursing person- tion.
nel to investigate the problem.
6. You are working on improving the patient discharge C) Number of discharge or-
process. Which of these targets would best reflect ders on your unit entered be-
clinical microsystem outcomes? fore 11am
A) Hospital length of stay Rationale: A CNL as an out-
B) Time of discharge order for all medical patients comes manager uses data to
to the actual time the patient left change practice & to improve
C) Number of discharge orders on your unit entered outcomes. Selecting the most
before 11am appropriate goals & targets
D) Total number of discharged patients leaving by will provide meaningful infor-
llam mation.
7. Electronic nursing documentation has recently C) A pop-up to initiate the dis-
been instituted in organization. Select a response charge instruction sheet with
that best defines a clinical decision support: every physician discharge or-
A) A reminder to save & sign your admission assess- der.
ment Rationale: CDS is a comput-
B) A visual red-alert when a patient's potassium is er-based program designed
6..8 mEq/L to assist clinicians in making
C) A pop-up to initiate the discharge instruction clinical decisions by filtering
sheet with every physician discharge order & integrating vast amounts of
D) An electronic nursing care plan information & providing sug-
gestions for clinical interven-
tion.
8. CNL focus on projects within a clinical microsystem. C) The clinical & business
A clinical microsystem can be best described as: processes of a single unit
, Clinical Nurse Leader (CNL) Certification Review Questions - King & Gera
Study online at https://quizlet.com/_6nxhpo
A) A department-wide program focused on improv- within an organization
ing continuity of care & patient satisfaction Rationale: The microsystem is
B) Trending the post-op care on all surgical units described by the AACN White
C) The clinical & business processes of a single unit Paper as the practice level of
within an organization the CNL.
D) All medical & surgical units guided by a chief
nursing officer
9. All are part of the data necessary for a CNL to fully A) The organization financial
understand & assess his or her clinical unit except: statement
A) The organization financial statement Rationale: A comprehensive
B) The target population & age distribution assessment of the clinical unit
C) The percentage of FTEs is a foundation for the work
D) Rate of nosocomial infections of the CNL but does not in-
E) Fall rates clude the financial statement
of the organization. In com-
prehending the "big picture"
of the organization, the CNL
should have an understand-
ing of the financial health of
the institution.
10. The results of a quarterly report identify an increase B) Gain an understanding of
in patient falls on the tele unit. Your first action will patient care practices on the
be to: tele unit
A) Implement hourly rounding Rationale: Assessment in-
B) Gain an understanding of patient care practices cludes gathering information
on the tele unit about the health status of the
C) Assign patient personal alarms to all patients at client & analyzing & synthesiz-
risk ing those making judgments
D) Revise the current fall risk documentation form about nursing interventions
on the basis of findings, eval-
