CNML EXAM SCRIPT 2026 COMPLETE
QUESTIONS AND SOLUTIONS GRADED A+
◉ 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
◉ Minimum Staffing. Answer: Minimum staff needed to operate unit
usually determined by law, hospital policy, and pt safety
◉ 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
,◉ 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
◉ EMTALA. Answer: Emergency Medical Treatment and Active
Labor Act: must treat people in ED regardless of ability to pay,
citizenship, and legal status
◉ Case Mix Index. Answer: A system that classifies patients by age,
diagnosis, treatment, clinical, and financial categories to develop the
reimbursement rate
◉ Productive Time. Answer: 2080 hours - Benefit hours
◉ Revenue. Answer: Gross = $ charged
Net = $ collected
◉ OE for Budgets. Answer: Operating Expenses: salaries, supplies,
rent, non-productive time, etc.
◉ 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
◉ Workload Per Day. Answer: Total workload hours / 365 days / 24
hours
◉ Costs in a Budget. Answer: Fixed, variable & non-recurring (like
installing new piece of equipment or 100th anniversary party for the
hospital)
◉ 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
◉ HCAHPS. Answer: Hospital Consumer Assessment of Healthcare
Providers and Systems: national survey asking patients how their
stay was
◉ 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
QUESTIONS AND SOLUTIONS GRADED A+
◉ 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
◉ Minimum Staffing. Answer: Minimum staff needed to operate unit
usually determined by law, hospital policy, and pt safety
◉ 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
,◉ 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
◉ EMTALA. Answer: Emergency Medical Treatment and Active
Labor Act: must treat people in ED regardless of ability to pay,
citizenship, and legal status
◉ Case Mix Index. Answer: A system that classifies patients by age,
diagnosis, treatment, clinical, and financial categories to develop the
reimbursement rate
◉ Productive Time. Answer: 2080 hours - Benefit hours
◉ Revenue. Answer: Gross = $ charged
Net = $ collected
◉ OE for Budgets. Answer: Operating Expenses: salaries, supplies,
rent, non-productive time, etc.
◉ 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
◉ Workload Per Day. Answer: Total workload hours / 365 days / 24
hours
◉ Costs in a Budget. Answer: Fixed, variable & non-recurring (like
installing new piece of equipment or 100th anniversary party for the
hospital)
◉ 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
◉ HCAHPS. Answer: Hospital Consumer Assessment of Healthcare
Providers and Systems: national survey asking patients how their
stay was
◉ 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
