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Clinical Nurse Leader (CNL) Certification
2025- 2026
CNL Certification Comprehensive (multiple choice) Exam
Questions and Answers | 100% Pass Guaranteed | Graded A+ |
Read All Instructions Carefully and Answer All the
Questions Correctly Good Luck: -
1. 1. A new graduate nurse, Jenny, approaches you and states she
needs help removing a peripherally inserted central catheter
(PICC). Which of the following is the best response when acting
as a horizontal leader?
A. Remove the PICC yourself
B. Tell Jenny to find the policy and then remove the PICC
C. Help Jenny find the policy and review it with her. Coach Jenny
while she removes the PICC and provide feedback
D. Help Jenny find the policy and refer her to a nurse with 12 years of
experience for assistance: =Answer>> C—Rationale: The
clinical nurse leader (CNL) acts as a horizontal leader by
helping the new graduate nurse to learn through sharing
knowledge and coaching, rather than doing the task for the
nurse.
2. 2. What organizational theory is used with rapid, unpredictable,
and con- stant change?
A. Systems theory
B. Chaos theory
C. Change theory
D. Traditional theory: =Answer>> B—Rationale: Chaos
theory is used to understand rapidly changing, unpredictable
health care environments.
3. 3. A 65-year-old African American male was admitted to your
microsystem with hyperglycemia. The patient has a history of
hypertension, gout, obesity, and smoking. The patient has a family
, history of diabetes and hypertension. Which statement by the
patient demonstrates his understanding of modifiable risk factors
for diabetes?
A. "As I get older, my risk for diabetes increases."
B. "I know that a family history of diabetes is a risk factor, so I will
educate my children on diabetes prevention."
C. "I will keep a record of all my blood sugars to take to my doctor's
appoint- ments."
D. "I will attend a smoking cessation class, because I know smoking
increases my risk for diabetes.": =Answer>> D—Rationale:
Modifiable risk factors are lifestyle factors that a person can
alter in order to prevent disease. Smoking cessation class is an
intervention for modifying the risk factor of smoking.
4. 4. Your hospital is currently trialing the integration of the clinical
nurse leader (CNL) role. At the', 'end of the trial implementation
period how can you, as the CNL, best illustrate the effectiveness of
your role during this trial?
A. Refer to increased patient satisfaction scores over the course of
the trial
B. Present data that demonstrates the effect of the CNL and
outcomes achieved over the course of the trial
C. Present a list of projects and tasks completed over the course of
the trial
D. Refer to your performance review over the course of the trial:
=Answer>> B—Rationale: The CNL should present the
effect and outcomes to illustrate the importance of the
integration of his or her role. Increased patient satisfaction is
not necessarily directly related to the CNL. Presentation of
projects and tasks completed does not address measurable
outcomes. Performance review of the individual does not
indicate outcomes were affected.
5. 5. You are a CNL on an oncology unit. Recently, there has been an
increase in the number of catheter- associated urinary tract
infections (CAUTIs) on your unit. After shadowing nurses and
aides you observed a variety of practices, techniques, and
, expectations surrounding daily catheter care. Your hospital does
not have a current policy or procedure regarding catheter care. As
the CNL, what should you do next?
A. Review current evidence for catheter care practice and
disseminate evi- dence to the staff
B. Form an interdisciplinary team meeting to evaluate current
hospital catheter care policies
C. Create a rubric for educating patients and staff on catheter care
D. Discuss with the unit manager the clinical issue and create a set of
evi- dence-based unit expectations and practices for the oncology
unit. Evaluate the need to address this issue with a hospital-wide
policy or procedure: An- swer D—Rationale: CNLs should
gather and disseminate evidence to solve clinical problems;
however, that should not be the initial step. Further review of
hospital practices and policies may come after this issue is
addressed. Creation of a rubric for educating patients and staff
on catheter care may come after reviewing evidence. The CNL
should act to solve the clinical issue in the short term, and
evaluate the need for a larger policy to address gaps in
practice hospital-wide.
6. 6. A 50-year-old woman with a history of stage 3 chronic
obstructive pul- monary disease (COPD) presents to the
emergency department (ED) with in- creased shortness of breath.
Based on your lab results, what is the acid-base disorder?
Labs as follows: pH 7.25 PaCO2 50 mmHg HCO3 22 mEq/L PO2 75
SpO2 88%
Na + 136 BUN 18
A. Uncompensated respiratory acidosis
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