Clinical_Nurse_Leader_CNL_Certification_Review_
Questions_King_Gerard
1. Patient satisfaction scores in emergency C) Compare desired outcomes with national
department have shown a downward & State standards
trend over the past three quarters. As a Rationale: Client care outcomes are a mea-
clinical nurse leader in ED focus is to: sure of quality practice. CNLs must know how
A) Create a script for triage nurse in wel- to compare desired outcomes that will im-
coming the patient prove safety, effectiveness, timeliness, effi-
B) Assign a volunteer to welcome patients ciency, quality, and the degree to which they
to the hospital are client centered.
C) Compare desired outcomes with na-
tional & state standards
D) Write a letter of apology to each dissat-
isfied patient
2. Which of the following actions illustrates B) Sponsoring a meeting with the monitor
the CNL professional value of altruism? technicians to understand their barriers in
A) Leading an interdisciplinary team look- the cardiac monitoring process
ing at the remote cardiac monitoring Rationale: Altruism is a concern for the wel-
process fare & well-being of others. In professional
B) Sponsoring a meeting with the monitor practice, altruism is reflected by the CNL's
technicians to understand their barriers concern for the welfare of clients, other nurs-
in the cardiac monitoring process es, and other health care providers.
C) Flow mapping the admission process
of the remote cardiac-monitored patient
D) Editing the policy for the remote car-
diac monitoring process.
3. You are a CNL on the tele unit & orienting A) The CNL discusses with the physician the
a newly graduated nurse. Critical thinking rationale for discontinuing cardiac monitor-
is best demonstrated when: ing in the hospice patient
A) The CNL discusses with the physician Rationale: Critical thinking underlies inde-
the rationale for discontinuing cardiac pendent & interdependent decision making.
monitoring in the hospice patient Critical thinking includes questioning, analy-
, B) Drawing the scheduled cardiac en- sis, synthesis, interpretation, inference, in-
zymes q8h ductive & deductive reasoning, intuition, ap-
Reviewing the patient care guidelines & plication, & creativity.
protocols related to hourly rounding
D) The CNL balances both the charge role
& the preceptor role simultaneously
4. You are a CNL selected to lead a team C) Liver Dysfunction
focused on implementing a multidiscipli- Rationale: Independent stroke predictors in-
nary clinical pathway for acute ischemic clude age, systolic BP, hypertension, dia-
stroke & transient ischemic attack. The betes mellitus, current smoking, established
risk assessment tool that you have adopt- cardiovascular disease (any one of myocar-
ed identifies all of the following as inde- diac infarction, angina, coronary insufficien-
pendent stroke risk factors except: cy, congestive heart failure, or intermittent
A) Age claudication), Afib, & left ventricular hypertro-
B) Systolic BP phy on ECG.
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus
5. A lack of compliance with DVT prophylaxis B) Gaining an understanding of how DVT
has been identified in retrospective chart prophylaxis is initiated on each stroke patient
reviews of all ischemic stroke patients in on your unit.
your organization. As a CNL on the neu- Rationale:
rological unit, your primary goal will in- White Paper: One competency is that of a
clude: systems analyst. A CNL participates in a sys-
A) Challenging the guidelines on primary tem review & conducts a microsystem analy-
prevention of ischemic stroke written by sis, identifying a clinical issue with a focus on
the American Stroke Association a particular population.
B) Gaining an understanding of how DVT
prophylaxis is initiated on each stroke pa-
tient on your unit
, C) Developing an organization-wide edu-
cational program on DVT prophylaxis
D) Developing a unit-based team of nurs-
ing personnel to investigate the problem.
6. You are working on improving the patient C) Number of discharge orders on your unit
discharge process. Which of these targets entered before 11am
would best reflect clinical microsystem Rationale: A CNL as an outcomes manager
outcomes? uses data to change practice & to improve
A) Hospital length of stay outcomes. Selecting the most appropriate
B) Time of discharge order for all med- goals & targets will provide meaningful infor-
ical patients to the actual time the patient mation.
left
C) Number of discharge orders on your
unit entered before 11am
D) Total number of discharged patients
leaving by llam
7. Electronic nursing documentation has re- C) A pop-up to initiate the discharge instruc-
cently been instituted in organization. Se- tion sheet with every physician discharge or-
lect a response that best defines a clinical der.
decision support: Rationale: CDS is a computer-based program
A) A reminder to save & sign your admis- designed to assist clinicians in making clin-
sion assessment ical decisions by filtering & integrating vast
B) A visual red-alert when a patient's amounts of information & providing sugges-
potassium is 6..8 mEq/L tions for clinical intervention.
C) A pop-up to initiate the discharge in-
struction sheet with every physician dis-
charge order
D) An electronic nursing care plan
8.
, CNL focus on projects within a clinical mi- C) The clinical & business processes of a sin-
crosystem. A clinical microsystem can be gle unit within an organization
best described as: Rationale: The microsystem is described by
A) A department-wide program focused the AACN White Paper as the practice level of
on improving continuity of care & patient the CNL.
satisfaction
B) Trending the post-op care on all surgi-
cal units
C) The clinical & business processes of a
single unit within an organization
D) All medical & surgical units guided by
a chief nursing officer
9. All are part of the data necessary for a A) The organization financial statement
CNL to fully understand & assess his or Rationale: A comprehensive assessment of
her clinical unit except: the clinical unit is a foundation for the work
A) The organization financial statement of the CNL but does not include the financial
B) The target population & age distribu- statement of the organization. In compre-
tion hending the "big picture" of the organization,
C) The percentage of FTEs the CNL should have an understanding of the
D) Rate of nosocomial infections financial health of the institution.
E) Fall rates
10. The results of a quarterly report identify B) Gain an understanding of patient care
an increase in patient falls on the tele practices on the tele unit
unit. Your first action will be to: Rationale: Assessment includes gathering in-
A) Implement hourly rounding formation about the health status of the
B) Gain an understanding of patient care client & analyzing & synthesizing those mak-
practices on the tele unit ing judgments about nursing interventions
C) Assign patient personal alarms to all on the basis of findings, evaluation, & man-
patients at risk aging of individual care outcomes.
Questions_King_Gerard
1. Patient satisfaction scores in emergency C) Compare desired outcomes with national
department have shown a downward & State standards
trend over the past three quarters. As a Rationale: Client care outcomes are a mea-
clinical nurse leader in ED focus is to: sure of quality practice. CNLs must know how
A) Create a script for triage nurse in wel- to compare desired outcomes that will im-
coming the patient prove safety, effectiveness, timeliness, effi-
B) Assign a volunteer to welcome patients ciency, quality, and the degree to which they
to the hospital are client centered.
C) Compare desired outcomes with na-
tional & state standards
D) Write a letter of apology to each dissat-
isfied patient
2. Which of the following actions illustrates B) Sponsoring a meeting with the monitor
the CNL professional value of altruism? technicians to understand their barriers in
A) Leading an interdisciplinary team look- the cardiac monitoring process
ing at the remote cardiac monitoring Rationale: Altruism is a concern for the wel-
process fare & well-being of others. In professional
B) Sponsoring a meeting with the monitor practice, altruism is reflected by the CNL's
technicians to understand their barriers concern for the welfare of clients, other nurs-
in the cardiac monitoring process es, and other health care providers.
C) Flow mapping the admission process
of the remote cardiac-monitored patient
D) Editing the policy for the remote car-
diac monitoring process.
3. You are a CNL on the tele unit & orienting A) The CNL discusses with the physician the
a newly graduated nurse. Critical thinking rationale for discontinuing cardiac monitor-
is best demonstrated when: ing in the hospice patient
A) The CNL discusses with the physician Rationale: Critical thinking underlies inde-
the rationale for discontinuing cardiac pendent & interdependent decision making.
monitoring in the hospice patient Critical thinking includes questioning, analy-
, B) Drawing the scheduled cardiac en- sis, synthesis, interpretation, inference, in-
zymes q8h ductive & deductive reasoning, intuition, ap-
Reviewing the patient care guidelines & plication, & creativity.
protocols related to hourly rounding
D) The CNL balances both the charge role
& the preceptor role simultaneously
4. You are a CNL selected to lead a team C) Liver Dysfunction
focused on implementing a multidiscipli- Rationale: Independent stroke predictors in-
nary clinical pathway for acute ischemic clude age, systolic BP, hypertension, dia-
stroke & transient ischemic attack. The betes mellitus, current smoking, established
risk assessment tool that you have adopt- cardiovascular disease (any one of myocar-
ed identifies all of the following as inde- diac infarction, angina, coronary insufficien-
pendent stroke risk factors except: cy, congestive heart failure, or intermittent
A) Age claudication), Afib, & left ventricular hypertro-
B) Systolic BP phy on ECG.
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus
5. A lack of compliance with DVT prophylaxis B) Gaining an understanding of how DVT
has been identified in retrospective chart prophylaxis is initiated on each stroke patient
reviews of all ischemic stroke patients in on your unit.
your organization. As a CNL on the neu- Rationale:
rological unit, your primary goal will in- White Paper: One competency is that of a
clude: systems analyst. A CNL participates in a sys-
A) Challenging the guidelines on primary tem review & conducts a microsystem analy-
prevention of ischemic stroke written by sis, identifying a clinical issue with a focus on
the American Stroke Association a particular population.
B) Gaining an understanding of how DVT
prophylaxis is initiated on each stroke pa-
tient on your unit
, C) Developing an organization-wide edu-
cational program on DVT prophylaxis
D) Developing a unit-based team of nurs-
ing personnel to investigate the problem.
6. You are working on improving the patient C) Number of discharge orders on your unit
discharge process. Which of these targets entered before 11am
would best reflect clinical microsystem Rationale: A CNL as an outcomes manager
outcomes? uses data to change practice & to improve
A) Hospital length of stay outcomes. Selecting the most appropriate
B) Time of discharge order for all med- goals & targets will provide meaningful infor-
ical patients to the actual time the patient mation.
left
C) Number of discharge orders on your
unit entered before 11am
D) Total number of discharged patients
leaving by llam
7. Electronic nursing documentation has re- C) A pop-up to initiate the discharge instruc-
cently been instituted in organization. Se- tion sheet with every physician discharge or-
lect a response that best defines a clinical der.
decision support: Rationale: CDS is a computer-based program
A) A reminder to save & sign your admis- designed to assist clinicians in making clin-
sion assessment ical decisions by filtering & integrating vast
B) A visual red-alert when a patient's amounts of information & providing sugges-
potassium is 6..8 mEq/L tions for clinical intervention.
C) A pop-up to initiate the discharge in-
struction sheet with every physician dis-
charge order
D) An electronic nursing care plan
8.
, CNL focus on projects within a clinical mi- C) The clinical & business processes of a sin-
crosystem. A clinical microsystem can be gle unit within an organization
best described as: Rationale: The microsystem is described by
A) A department-wide program focused the AACN White Paper as the practice level of
on improving continuity of care & patient the CNL.
satisfaction
B) Trending the post-op care on all surgi-
cal units
C) The clinical & business processes of a
single unit within an organization
D) All medical & surgical units guided by
a chief nursing officer
9. All are part of the data necessary for a A) The organization financial statement
CNL to fully understand & assess his or Rationale: A comprehensive assessment of
her clinical unit except: the clinical unit is a foundation for the work
A) The organization financial statement of the CNL but does not include the financial
B) The target population & age distribu- statement of the organization. In compre-
tion hending the "big picture" of the organization,
C) The percentage of FTEs the CNL should have an understanding of the
D) Rate of nosocomial infections financial health of the institution.
E) Fall rates
10. The results of a quarterly report identify B) Gain an understanding of patient care
an increase in patient falls on the tele practices on the tele unit
unit. Your first action will be to: Rationale: Assessment includes gathering in-
A) Implement hourly rounding formation about the health status of the
B) Gain an understanding of patient care client & analyzing & synthesizing those mak-
practices on the tele unit ing judgments about nursing interventions
C) Assign patient personal alarms to all on the basis of findings, evaluation, & man-
patients at risk aging of individual care outcomes.
