CNL EXAM LATEST VERSION EXAM
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES| ALREADY GRADED A+
Sarah, an 18-year-old female college student, presents to the university health center
reporting she woke up in a stranger's apartment with odd discharge in her underwear
that may be semen. The last thing she remembers from the night before was having a
drink called a hurricane. She reports that the drink was given to her from a very nice
man she had never met before while dancing at a local pub. She has no visible injuries.
Her vital signs are stable, and she reports vaginal soreness as her only symptom. Who
would be best suited to assume care for Sarah at this point?
A) A Sexual Assault Nurse Examiner (SANE)
B) LPN with years of experience at the health center
C) RN who knows Sarah from previous visits
D) An emergency department (ED) physician - Answer ✔✔- A) A Sexual Assault Nurse
Examiner (SANE)
Rationale: While both an RN and an LPN could help with gathering vitals and basic
information from the patient, a SANE is trained to gather appropriate information from
the patient and properly obtain forensic evidence from the patient. It is unnecessary to
transfer the patient to the ED if a SANE is available at the facility. Furthermore, an
emergency physician may not be trained for forensic collection.
Team-based healthcare involves the delivery of services to:
A) Patients and families by a healthcare team member
B) Patients, families and communities by at least two healthcare team members
C) Communities by one or two healthcare team members
D) Patients, families and communities by one healthcare team member - Answer ✔✔-
B) Patients, families and communities by at least two healthcare team members
Rationale: Option B is the definition of team-based healthcare. It needs at least two
team members and may be delivered to patients, families, and/or communities.
A CNL takes on a new role at a university health center. The CNL needs to become
oriented to this new population and their needs. The CNL discovers Healthy Campus
2020, a spinoff of Healthy People 2020 for colleges.
Healthy Campus 2020 is filled with material to address within the student population,
such as obesity, sexually transmitted infections, and anxiety.
Through conducting the microsystem assessment, the CNL discovers a free program on
campus called Exercise is Medicine.
,EIM offers free assistance with developing a nutrition and physical activity regimen to
the patient's lifestyle. They also help motivate, adjust the nutrition and physical activity
plans as the person progresses.What level of prevention is promoting proper nutrition
and exercise for patients with obesity?
A) Tertiary Prevention
B) Primary Prevention
C) Secondary Prevention
D) Quaternary Prevention - Answer ✔✔- B) Primary Prevention
Rationale: Promoting proper nutrition and exercise for patients with obesity is an
example of primary prevention, as this aims to prevent disease processes. Secondary
prevention refers to measures done for early detection of disease to initiate effective
treatment and decrease/prevent complications. Tertiary prevention reduces the
limitations resulting from the diseases.
The CNL works on a cardiopulmonary stepdown unit. Within the last two months the
CNL has noticed an increase in catheter-associated urinary tract infections (CAUTI) in
the unit. During the root cause analysis, an area of opportunity is identified as a nurse-
sensitive issue.
Which options below include the key individuals the CNL should include on a CAUTI
reduction team?
A) Clinical nurse manager, quality nurse, staff nurse
B) Charge nurse, staff nurse, infection control
C) Quality nurse, staff nurse, information technology representation, infection control
nurse, physician
D) Clinical nurse manager, infection control, executive leadership, information
technology representation - Answer ✔✔- C) Quality nurse, staff nurse, information
technology representation, infection control nurse, physician
Rationale: Interprofessional team composition is critical to quality improvement or
evidencebased projects. The CNL must identify internal and external stakeholders who
will assist to identify the problem(s) and those with decision-making authority and the
ability to participate in project planning and implementation. The clinical nurse manager
and executive leadership, although they could assist with decision-making, may offer
very little to problem identification and most likely will not participate in project planning
and implementation. Often overlooked is the information technology (IT) resource. IT
representation can bring knowledge on how to access appropriate data to the team and
may be able to help design a database and methods to analyze measures for
evaluation.
The CNL is educating the unit staff on the differences between research and evidence-
based practice (EBP). Which of the following is correct when comparing research and
EBP?
A) With EBP, you identify a clinical problem and develop a research study.
B) No literature review has to be done ® for EBP, but it must be done with
, research.
C) With EBP, you should present and/or publish your findings, and with research you
should not present.
D) EBP occurs when there is one or more best practices that can be applied, and
research is when there is a gap in knowledge and a practice needs to be created. -
Answer ✔✔- D) EBP occurs when there is one or more best practices that can be
applied, and research is when there is a gap in knowledge and a practice needs to be
created.
Rationale: With both EBP and research you will identify the clinical problem, you will be
able to publish and present findings, and complete literature reviews. EBP will occur
when one or more practices in the literature may be applied and research occurs when
there is a gap in knowledge.
Chris is a 25-year-old male presenting to the ED with complaints of chest pain,
shortness of breath, and palpitations. He has no medical hx except frequent use of
cocaine, tobacco, and alcohol. An EKG is performed and shows atrial fibrillation and his
troponins are negative. The physician wants to admit him for monitoring and more
testing. Chris is alert and oriented x 4; ambulatory with a steady gait; BP 164/95, RR 24,
02 sat 95% on room air. His HR is 109, and temp 98.4. The patient states that he does
have a job but that he sleeps on different friends' couches every night and does not
have a permanent residence. He states that he does not have any health insurance.
A patient has agreed to enter a drug and alcohol program when he is discharged. Who
would be the best person to consult to assist in this matter?
A) Chief nursing officer
B) Physician
C) Clinical case manager
D) Pastoral care - Answer ✔✔- C) Clinical case manager
Rationale: The clinical case manager would be the most appropriate person to assist
the patient in entering a drug and alcohol program at discharge. The chief nursing
officer, physician, and pastoral care are not the best options to assist the patient in this
manner.
A CNL works on a cardiac surgery unit. Within two months, the CNL has noticed an
increase in 30-day readmissions for open heart surgery patients. During a RCA the CNL
identifies opportunity around transitions of care and communication with the
cardiothoracic surgery ambulatory clinic and home care companies.
Which group of stakeholders should the CNL invite to the meeting to brainstorm ways to
improve care of patients with indwelling catheters?
A) Clinical nurse manager, staff nurse representatives, cardiothoracic surgery attending
and advanced practice providers, and case management
B) All the staff nurses, the clinic office nurses, and the unit educator
COMPLETE QUESTIONS AND CORRECT
DETAILED ANSWERS WITH
RATIONALES| ALREADY GRADED A+
Sarah, an 18-year-old female college student, presents to the university health center
reporting she woke up in a stranger's apartment with odd discharge in her underwear
that may be semen. The last thing she remembers from the night before was having a
drink called a hurricane. She reports that the drink was given to her from a very nice
man she had never met before while dancing at a local pub. She has no visible injuries.
Her vital signs are stable, and she reports vaginal soreness as her only symptom. Who
would be best suited to assume care for Sarah at this point?
A) A Sexual Assault Nurse Examiner (SANE)
B) LPN with years of experience at the health center
C) RN who knows Sarah from previous visits
D) An emergency department (ED) physician - Answer ✔✔- A) A Sexual Assault Nurse
Examiner (SANE)
Rationale: While both an RN and an LPN could help with gathering vitals and basic
information from the patient, a SANE is trained to gather appropriate information from
the patient and properly obtain forensic evidence from the patient. It is unnecessary to
transfer the patient to the ED if a SANE is available at the facility. Furthermore, an
emergency physician may not be trained for forensic collection.
Team-based healthcare involves the delivery of services to:
A) Patients and families by a healthcare team member
B) Patients, families and communities by at least two healthcare team members
C) Communities by one or two healthcare team members
D) Patients, families and communities by one healthcare team member - Answer ✔✔-
B) Patients, families and communities by at least two healthcare team members
Rationale: Option B is the definition of team-based healthcare. It needs at least two
team members and may be delivered to patients, families, and/or communities.
A CNL takes on a new role at a university health center. The CNL needs to become
oriented to this new population and their needs. The CNL discovers Healthy Campus
2020, a spinoff of Healthy People 2020 for colleges.
Healthy Campus 2020 is filled with material to address within the student population,
such as obesity, sexually transmitted infections, and anxiety.
Through conducting the microsystem assessment, the CNL discovers a free program on
campus called Exercise is Medicine.
,EIM offers free assistance with developing a nutrition and physical activity regimen to
the patient's lifestyle. They also help motivate, adjust the nutrition and physical activity
plans as the person progresses.What level of prevention is promoting proper nutrition
and exercise for patients with obesity?
A) Tertiary Prevention
B) Primary Prevention
C) Secondary Prevention
D) Quaternary Prevention - Answer ✔✔- B) Primary Prevention
Rationale: Promoting proper nutrition and exercise for patients with obesity is an
example of primary prevention, as this aims to prevent disease processes. Secondary
prevention refers to measures done for early detection of disease to initiate effective
treatment and decrease/prevent complications. Tertiary prevention reduces the
limitations resulting from the diseases.
The CNL works on a cardiopulmonary stepdown unit. Within the last two months the
CNL has noticed an increase in catheter-associated urinary tract infections (CAUTI) in
the unit. During the root cause analysis, an area of opportunity is identified as a nurse-
sensitive issue.
Which options below include the key individuals the CNL should include on a CAUTI
reduction team?
A) Clinical nurse manager, quality nurse, staff nurse
B) Charge nurse, staff nurse, infection control
C) Quality nurse, staff nurse, information technology representation, infection control
nurse, physician
D) Clinical nurse manager, infection control, executive leadership, information
technology representation - Answer ✔✔- C) Quality nurse, staff nurse, information
technology representation, infection control nurse, physician
Rationale: Interprofessional team composition is critical to quality improvement or
evidencebased projects. The CNL must identify internal and external stakeholders who
will assist to identify the problem(s) and those with decision-making authority and the
ability to participate in project planning and implementation. The clinical nurse manager
and executive leadership, although they could assist with decision-making, may offer
very little to problem identification and most likely will not participate in project planning
and implementation. Often overlooked is the information technology (IT) resource. IT
representation can bring knowledge on how to access appropriate data to the team and
may be able to help design a database and methods to analyze measures for
evaluation.
The CNL is educating the unit staff on the differences between research and evidence-
based practice (EBP). Which of the following is correct when comparing research and
EBP?
A) With EBP, you identify a clinical problem and develop a research study.
B) No literature review has to be done ® for EBP, but it must be done with
, research.
C) With EBP, you should present and/or publish your findings, and with research you
should not present.
D) EBP occurs when there is one or more best practices that can be applied, and
research is when there is a gap in knowledge and a practice needs to be created. -
Answer ✔✔- D) EBP occurs when there is one or more best practices that can be
applied, and research is when there is a gap in knowledge and a practice needs to be
created.
Rationale: With both EBP and research you will identify the clinical problem, you will be
able to publish and present findings, and complete literature reviews. EBP will occur
when one or more practices in the literature may be applied and research occurs when
there is a gap in knowledge.
Chris is a 25-year-old male presenting to the ED with complaints of chest pain,
shortness of breath, and palpitations. He has no medical hx except frequent use of
cocaine, tobacco, and alcohol. An EKG is performed and shows atrial fibrillation and his
troponins are negative. The physician wants to admit him for monitoring and more
testing. Chris is alert and oriented x 4; ambulatory with a steady gait; BP 164/95, RR 24,
02 sat 95% on room air. His HR is 109, and temp 98.4. The patient states that he does
have a job but that he sleeps on different friends' couches every night and does not
have a permanent residence. He states that he does not have any health insurance.
A patient has agreed to enter a drug and alcohol program when he is discharged. Who
would be the best person to consult to assist in this matter?
A) Chief nursing officer
B) Physician
C) Clinical case manager
D) Pastoral care - Answer ✔✔- C) Clinical case manager
Rationale: The clinical case manager would be the most appropriate person to assist
the patient in entering a drug and alcohol program at discharge. The chief nursing
officer, physician, and pastoral care are not the best options to assist the patient in this
manner.
A CNL works on a cardiac surgery unit. Within two months, the CNL has noticed an
increase in 30-day readmissions for open heart surgery patients. During a RCA the CNL
identifies opportunity around transitions of care and communication with the
cardiothoracic surgery ambulatory clinic and home care companies.
Which group of stakeholders should the CNL invite to the meeting to brainstorm ways to
improve care of patients with indwelling catheters?
A) Clinical nurse manager, staff nurse representatives, cardiothoracic surgery attending
and advanced practice providers, and case management
B) All the staff nurses, the clinic office nurses, and the unit educator
