CNL Test Bank Comprehensive Test
Bank: 500 Questions with Verified
Answers, Exams
The CNL asked the team to brainstorm a problem during a meeting and come up with a number
of possible solutions to discuss. This type of exercise is an example of:
A. Convergent Thinking
B. Abstract Thinking
C. Critical Thinking
D. Divergent Thinking D. Divergent Thinking
The CNL on a geriatric unit observes that a recently graduated nurse appears uncomfortable
with family members of dying clients and avoids talking or interactive with them when providing
patient care. When a client's daughter began crying while the nurse was turning the client, the
nurse didn't look at or speak to the daughter but abruptly left the room. Which is the BEST
approach for the CNL to take?
A. Reassign the nurse to clients who are not dying.
B. Describe the incident to the nurse and ask for an explanation.
C. Give the nurse literature about death and dying.
D. Practice role-playing with the nurse. D. Practice role-playing with the nurse.
When a patient is admitted to the orthopedic unit with a fractured femur, the intake assessment
includes not only questions about the orthopedic problem but also questions about social
history, family history, nutrition, habits and lifestyle, sexuality, spirituality, and health concerns.
This is an example of a(n):
A. Holistic Assessment
B. Problem-Focused Assessment
C. Emergency Assessment
D. Ongoing Assessment A. Holistic Assessment
The CNL serves on a committee lobbying the state legislature to enact nurse-patient ratios.
Which of the following current issues in nursing may work against enacting ratios?
1|Page
,A. Nursing Shortage
B. Nursing Salaries
C. Nursing Education
D. Nursing Processes A. Nursing Shortage
The CNL is considering applying four difference hospitals, but they have different organizational
forms. Which of the following organization forms is likely to present the most challenges in
facilitating client-centered, interdisciplinary care?
A. Program
B. Matrix
C. Functional
D. Parallel C. Functional
Patient satisfaction scores in the emergency department (ED) have shown a downward trend
over the past three quarters. As a clinical nurse leader (CNL) in the ED, your focus is to:
A. Create a script for the triage nurse in welcoming the patient.
B. Assign a volunteer to welcome patients to the hospital.
C. Compare desired outcomes with national and state standards.
D. Write a letter of apology to each dissatisfied patient. C. Compare desired outcomes with
national and state standards.
Which of the following actions illustrates the CNL professional value of altruism?
A. Leading an interdisciplinary team looking at the remote cardiac monitoring process.
B. Sponsoring a meeting with the monitor technicians to understand their barriers in the cardiac
monitoring process.
C. Flow mapping the admission process of the remote cardiac-monitored patient.
D. Editing the policy for the remote cardiac monitoring process. B. Sponsoring a meeting with
the monitor technicians to understand their barriers in the cardiac monitoring process.
You are a CNL on the telemetry unit and orienting a newly graduated nurse. Critical thinking is
best demonstrated when:
A. The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the
hospice patient.
B. Drawing the scheduled cardiac enzymes every 8 hours.
C. Reviewing the patient care guidelines and protocols related to hourly rounding.
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,D. The CNL balances both the charge role and the preceptor role simultaneously. A. The CNL
discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice
patient.
You are a CNL selected to lead a team focused on implementing a multidisciplinary clinical
pathway for acute ischemic stroke and transient ischemic attack. The risk assessment tool that
you have adopted identifies all of the following as independent stroke risk factors except:
A. Age
B. Systolic blood pressure
C. Liver dysfunction
D. Current smoking
E. Diabetes mellitus C. Liver dysfunction
A lack of compliance with deep vein thrombosis (DVT) prophylaxis has been identified in
retrospective chart reviews of all ischemic stroke patients in your organization. As a CNL on the
neurological unit, your primary goal will include:
A. Challenging the guidelines on primary prevention of ischemic stroke written by the American
Stroke Association.
B. Gaining an understanding of how DVT prophylaxis is initiated on each stroke patient on your
unit.
C. Developing an organization-wide educational program on DVT prophylaxis.
D. Developing a unit-based team of nursing personnel to investigate the problem. B. Gaining an
understanding of how DVT prophylaxis is initiated on each stroke patient on your unit.
You are working on improving the patient discharge process. Which of these targets would best
reflect clinical microsystem outcomes?
A. Hospital length of stay
B. Time of discharge order for all medical patients to the actual time the patient left
C. Number of discharge orders on your unit entered before 11 a.m.
D. Total number of discharged patients leaving by 11 a.m. C. Number of discharge orders on
your unit entered before 11 a.m.
Electronic nursing documentation has recently been instituted in your organization. Select a
response that best defines a clinical decision support:
A. A reminder to save and sign your admission assessment
B. A visual red alert when a patient's potassium is 6.8 mEq/L
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, C. A pop-up to initiate the discharge instruction sheet with every physician discharge order
D. An electronic nursing care plan C. A pop-up to initiate the discharge instruction sheet with
every physician discharge order
In 2008, the Centers for Medicaid and Medicare Services (CMS) collaboratively with the Centers
for Disease Control and Prevention enacted a new payment provision related to eight hospital-
acquired conditions. Hospital falls and traumas occurring during a hospital stay will not receive
CMS reimbursement. Health promotion, risk reduction, and disease prevention are core
competencies of the clinical nurse leader. As a CNL on the telemetry unit, you have recognized
the importance of this issue. Which level within a system does this issue affect?
A. Microsystem
B. Mesosystem
C. Macrosystem
D. All of the above D. All of the above
Clinical nurse leaders focus on projects within a clinical microsystem. A clinical microsystem can
be best described as:
A. A department-wide program focused on improving continuity of care and patient satisfaction.
B. Trending the postoperative care on all surgical units.
C. The clinical and business processes of a single unit within an organization.
D. All medical and surgical units guided by a chief nursing officer. C. The clinical and business
processes of a single unit within an organization.
All are part of the data necessary for a CNL to fully understand and assess his or her clinical unit
except:
A. The organization financial statement
B. The target population and age distribution
C. The percentage of full-time equivalents (FTEs)
D. Rate of nosocomial infections
E. Fall rates A. The organization financial statement
The results of a quarterly report identify an increase in patient falls on the telemetry unit. Your
first action will be to:
A. Implement hourly rounding
B. Gain an understanding of patient care practices on the telemetry unit
C. Assign patient personal alarms to all patients at risk
D. Revise the current fall risk documentation form B. Gain an understanding of patient care
practices on the telemetry unit
4|Page
Bank: 500 Questions with Verified
Answers, Exams
The CNL asked the team to brainstorm a problem during a meeting and come up with a number
of possible solutions to discuss. This type of exercise is an example of:
A. Convergent Thinking
B. Abstract Thinking
C. Critical Thinking
D. Divergent Thinking D. Divergent Thinking
The CNL on a geriatric unit observes that a recently graduated nurse appears uncomfortable
with family members of dying clients and avoids talking or interactive with them when providing
patient care. When a client's daughter began crying while the nurse was turning the client, the
nurse didn't look at or speak to the daughter but abruptly left the room. Which is the BEST
approach for the CNL to take?
A. Reassign the nurse to clients who are not dying.
B. Describe the incident to the nurse and ask for an explanation.
C. Give the nurse literature about death and dying.
D. Practice role-playing with the nurse. D. Practice role-playing with the nurse.
When a patient is admitted to the orthopedic unit with a fractured femur, the intake assessment
includes not only questions about the orthopedic problem but also questions about social
history, family history, nutrition, habits and lifestyle, sexuality, spirituality, and health concerns.
This is an example of a(n):
A. Holistic Assessment
B. Problem-Focused Assessment
C. Emergency Assessment
D. Ongoing Assessment A. Holistic Assessment
The CNL serves on a committee lobbying the state legislature to enact nurse-patient ratios.
Which of the following current issues in nursing may work against enacting ratios?
1|Page
,A. Nursing Shortage
B. Nursing Salaries
C. Nursing Education
D. Nursing Processes A. Nursing Shortage
The CNL is considering applying four difference hospitals, but they have different organizational
forms. Which of the following organization forms is likely to present the most challenges in
facilitating client-centered, interdisciplinary care?
A. Program
B. Matrix
C. Functional
D. Parallel C. Functional
Patient satisfaction scores in the emergency department (ED) have shown a downward trend
over the past three quarters. As a clinical nurse leader (CNL) in the ED, your focus is to:
A. Create a script for the triage nurse in welcoming the patient.
B. Assign a volunteer to welcome patients to the hospital.
C. Compare desired outcomes with national and state standards.
D. Write a letter of apology to each dissatisfied patient. C. Compare desired outcomes with
national and state standards.
Which of the following actions illustrates the CNL professional value of altruism?
A. Leading an interdisciplinary team looking at the remote cardiac monitoring process.
B. Sponsoring a meeting with the monitor technicians to understand their barriers in the cardiac
monitoring process.
C. Flow mapping the admission process of the remote cardiac-monitored patient.
D. Editing the policy for the remote cardiac monitoring process. B. Sponsoring a meeting with
the monitor technicians to understand their barriers in the cardiac monitoring process.
You are a CNL on the telemetry unit and orienting a newly graduated nurse. Critical thinking is
best demonstrated when:
A. The CNL discusses with the physician the rationale for discontinuing cardiac monitoring in the
hospice patient.
B. Drawing the scheduled cardiac enzymes every 8 hours.
C. Reviewing the patient care guidelines and protocols related to hourly rounding.
2|Page
,D. The CNL balances both the charge role and the preceptor role simultaneously. A. The CNL
discusses with the physician the rationale for discontinuing cardiac monitoring in the hospice
patient.
You are a CNL selected to lead a team focused on implementing a multidisciplinary clinical
pathway for acute ischemic stroke and transient ischemic attack. The risk assessment tool that
you have adopted identifies all of the following as independent stroke risk factors except:
A. Age
B. Systolic blood pressure
C. Liver dysfunction
D. Current smoking
E. Diabetes mellitus C. Liver dysfunction
A lack of compliance with deep vein thrombosis (DVT) prophylaxis has been identified in
retrospective chart reviews of all ischemic stroke patients in your organization. As a CNL on the
neurological unit, your primary goal will include:
A. Challenging the guidelines on primary prevention of ischemic stroke written by the American
Stroke Association.
B. Gaining an understanding of how DVT prophylaxis is initiated on each stroke patient on your
unit.
C. Developing an organization-wide educational program on DVT prophylaxis.
D. Developing a unit-based team of nursing personnel to investigate the problem. B. Gaining an
understanding of how DVT prophylaxis is initiated on each stroke patient on your unit.
You are working on improving the patient discharge process. Which of these targets would best
reflect clinical microsystem outcomes?
A. Hospital length of stay
B. Time of discharge order for all medical patients to the actual time the patient left
C. Number of discharge orders on your unit entered before 11 a.m.
D. Total number of discharged patients leaving by 11 a.m. C. Number of discharge orders on
your unit entered before 11 a.m.
Electronic nursing documentation has recently been instituted in your organization. Select a
response that best defines a clinical decision support:
A. A reminder to save and sign your admission assessment
B. A visual red alert when a patient's potassium is 6.8 mEq/L
3|Page
, C. A pop-up to initiate the discharge instruction sheet with every physician discharge order
D. An electronic nursing care plan C. A pop-up to initiate the discharge instruction sheet with
every physician discharge order
In 2008, the Centers for Medicaid and Medicare Services (CMS) collaboratively with the Centers
for Disease Control and Prevention enacted a new payment provision related to eight hospital-
acquired conditions. Hospital falls and traumas occurring during a hospital stay will not receive
CMS reimbursement. Health promotion, risk reduction, and disease prevention are core
competencies of the clinical nurse leader. As a CNL on the telemetry unit, you have recognized
the importance of this issue. Which level within a system does this issue affect?
A. Microsystem
B. Mesosystem
C. Macrosystem
D. All of the above D. All of the above
Clinical nurse leaders focus on projects within a clinical microsystem. A clinical microsystem can
be best described as:
A. A department-wide program focused on improving continuity of care and patient satisfaction.
B. Trending the postoperative care on all surgical units.
C. The clinical and business processes of a single unit within an organization.
D. All medical and surgical units guided by a chief nursing officer. C. The clinical and business
processes of a single unit within an organization.
All are part of the data necessary for a CNL to fully understand and assess his or her clinical unit
except:
A. The organization financial statement
B. The target population and age distribution
C. The percentage of full-time equivalents (FTEs)
D. Rate of nosocomial infections
E. Fall rates A. The organization financial statement
The results of a quarterly report identify an increase in patient falls on the telemetry unit. Your
first action will be to:
A. Implement hourly rounding
B. Gain an understanding of patient care practices on the telemetry unit
C. Assign patient personal alarms to all patients at risk
D. Revise the current fall risk documentation form B. Gain an understanding of patient care
practices on the telemetry unit
4|Page
