CNML COMPREHENSIVE EXAM SCRIPT COMPLETE QUESTIONS VERIFIED SOLUTIONS
CNML EXAM Script 2026/2027 Questions and
Answers Verified Solutions Latest Update
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
Question:
Minimum Staffing.
Answer:
Minimum staff needed to operate unit usually determined by law, hospital policy, and pt safety
Question:
Breakeven.
Answer:
Needed in order not to lose money; minimum patients needed to meet budget using minimum
staffing; can't control admissions but some would work with staffing office to ensure minimum
occupancy occurred
Question:
Medicare.
Answer:
Federal program that helps those over 65, those on dialysis/ESRD, and combines with state run
Medicaid, younger people who are permanently disabled, and physician residency training
,Question:
EMTALA.
Answer:
Emergency Medical Treatment and Active Labor Act: must treat people in ED regardless of ability
to pay, citizenship, and legal status
Question:
Case Mix Index.
Answer:
A system that classifies patients by age, diagnosis, treatment, clinical, and financial categories to
develop the reimbursement rate
Question:
Productive Time.
Answer:
2080 hours - Benefit hours
Question:
Revenue.
Answer:
Gross = $ charged Net = $ collected
Question:
OE for Budgets.
Answer:
Operating Expenses: salaries, supplies, rent, non-productive time, etc.
,Question:
Margin.
Answer:
Difference between expenses and how much money is collected Margins down = less gross or net
income Margins up = more gross or net income
Question:
Workload Per Day.
Answer:
Total workload hours / 365 days / 24 hours
Question:
Costs in a Budget.
Answer:
Fixed, variable & non-recurring (like installing new piece of equipment or 100th anniversary party
for the hospital)
Question:
Replacement Factor.
Answer:
Adding up the benefit time because nurses don't actually work 2080 hours per year; add this to the
total FTE's
Question:
HCAHPS.
Answer:
Hospital Consumer Assessment of Healthcare Providers and Systems: national survey asking
patients how their stay was
, Question:
National Labor Relations Act (NLRA).
Answer:
(AKA: Wagner Act) Passed to end the depression; prevented employers from cutting wages; lots of
power to unions/employees; 1974 amendments created union needs to give notice before striking,
no strikes during notice time, written notice to employers about new contract need, mediation needs,
board of inquiry to settle disputes, and allowed employees to bow out of joining; created unfair labor
practices against employers from stopping unions or discriminating against union employees Rights
of unions/workers
Question:
Labor Management Relations Act.
Answer:
(AKA: Taft-Hartley Act) Listed union restrictions to even out rights between employees and
employers from the NLRA/Wagner Act; placed restrictions on labor organizations like forcing
employees to join or refusing to bargain; created code of contact for unions Rights of management
Question:
Civil Rights Act of 1964.
Answer:
Prohibits discrimination against race, religion, sex, creed, color, gender, national origin
Question:
Recognition Phase of Negotiations.
Answer:
Need 30% of nurses to sign individualized authorization cards before labor union can rep them
Question:
CNML EXAM Script 2026/2027 Questions and
Answers Verified Solutions Latest Update
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
Question:
Minimum Staffing.
Answer:
Minimum staff needed to operate unit usually determined by law, hospital policy, and pt safety
Question:
Breakeven.
Answer:
Needed in order not to lose money; minimum patients needed to meet budget using minimum
staffing; can't control admissions but some would work with staffing office to ensure minimum
occupancy occurred
Question:
Medicare.
Answer:
Federal program that helps those over 65, those on dialysis/ESRD, and combines with state run
Medicaid, younger people who are permanently disabled, and physician residency training
,Question:
EMTALA.
Answer:
Emergency Medical Treatment and Active Labor Act: must treat people in ED regardless of ability
to pay, citizenship, and legal status
Question:
Case Mix Index.
Answer:
A system that classifies patients by age, diagnosis, treatment, clinical, and financial categories to
develop the reimbursement rate
Question:
Productive Time.
Answer:
2080 hours - Benefit hours
Question:
Revenue.
Answer:
Gross = $ charged Net = $ collected
Question:
OE for Budgets.
Answer:
Operating Expenses: salaries, supplies, rent, non-productive time, etc.
,Question:
Margin.
Answer:
Difference between expenses and how much money is collected Margins down = less gross or net
income Margins up = more gross or net income
Question:
Workload Per Day.
Answer:
Total workload hours / 365 days / 24 hours
Question:
Costs in a Budget.
Answer:
Fixed, variable & non-recurring (like installing new piece of equipment or 100th anniversary party
for the hospital)
Question:
Replacement Factor.
Answer:
Adding up the benefit time because nurses don't actually work 2080 hours per year; add this to the
total FTE's
Question:
HCAHPS.
Answer:
Hospital Consumer Assessment of Healthcare Providers and Systems: national survey asking
patients how their stay was
, Question:
National Labor Relations Act (NLRA).
Answer:
(AKA: Wagner Act) Passed to end the depression; prevented employers from cutting wages; lots of
power to unions/employees; 1974 amendments created union needs to give notice before striking,
no strikes during notice time, written notice to employers about new contract need, mediation needs,
board of inquiry to settle disputes, and allowed employees to bow out of joining; created unfair labor
practices against employers from stopping unions or discriminating against union employees Rights
of unions/workers
Question:
Labor Management Relations Act.
Answer:
(AKA: Taft-Hartley Act) Listed union restrictions to even out rights between employees and
employers from the NLRA/Wagner Act; placed restrictions on labor organizations like forcing
employees to join or refusing to bargain; created code of contact for unions Rights of management
Question:
Civil Rights Act of 1964.
Answer:
Prohibits discrimination against race, religion, sex, creed, color, gender, national origin
Question:
Recognition Phase of Negotiations.
Answer:
Need 30% of nurses to sign individualized authorization cards before labor union can rep them
Question:
