Clinical Nurse Leader (CNL) Certification Reviewed Set Exam Questions With Revised Correct Answers & Rationales < Already Passed!!>
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Course
Clinical nurse leader certification
Institution
Clinical Nurse Leader Certification
Clinical Nurse Leader (CNL)
Certification Reviewed Set Exam
Questions With Revised Correct
Answers & Rationales
< Already Passed!!>
You are the CNL at an outpatient care clinic providing care to
families in the area. You have noticed it is difficult to get families
to bring their ...
Clinical Nurse Leader (CNL)
Certification Reviewed Set Exam
Questions With Revised Correct
Answers & Rationales
< Already Passed!!>
You are the CNL at an outpatient care clinic providing care to
families in the area. You have noticed it is difficult to get families
to bring their children in for their immunizations, & children are
often off schedule. How can the clinic best address this issue to
meet the needs of their patient populations?
A) Educate families on immunizations, their purpose, & their
children's schedule
B) Provide reminder phone calls to families the day before a
scheduled appointment
C) If possible, offer extended clinic hours 1 to 2 nights a week, so
parents can come in after work
D) Use the clinic data to determine why families are not coming to
appointments - ANSWER ✔ : D) Use the clinic data to determine
why families are not coming to appointments
Rationale: Before making changes at the clinic, it would be best to
look at the data objectively to determine what is causing the
problem. Answers A, B, & C assume you know the families'
reasons for not coming to appointments.
You are the CNL in the day surgery center & have found that
many patients come to the center unprepared on the morning of
surgery. This delays surgery start times & backs up the OR
,schedule for the day. The whole surgery team is frustrated. How
can the process be fixed?
A) Change the first surgery start time & delay it by 20min
B) Institute presuregery phone calls 2 to 3 days prior to a patient's
scheduled appointment
C) Stagger surgery start times more throughout the day
D) Reschedule patient show come to the center unprepared -
ANSWER ✔ : B) Institute presuregery phone calls 2 to 3 days
prior to a patient's scheduled appointment
Rationale: Having a nurse call the patient before the morning of
surgery will allow the patient to ask questions & review what to do
the night before & the morning of surgery, to help ensure patients
arrive to the center ready & prepared for surgery. This may also
help reduce patient anxiety prior to a procedure, thus arriving
better prepared.
Per the epidemiology report, your unit's hand hygiene scores
have steadily decreased over the past 3 months. When reporting
these metrics at a staff meeting, most of the staff replies saying,
"It's the doctors fault, we always wash our hands." How do you
work to change the culture of the unit?
A) Have secret shoppers monitor the staff & hand out tickets to
hand hygiene offenders
B) Collect hand hygiene metrics related to the unit staff only & use
these data to educate staff
C) Have a hand hygiene campaign to reinvigorate staff
D) Investigate the barriers to hand hygiene & collaborate with staff
to reduce these barriers - ANSWER ✔ : D) Investigate the
barriers to hand hygiene & collaborate with staff to reduce these
barriers
Rationale: Giving staff warnings, presenting objective data &
highlighting a problem may improve compliance only slightly.
Finding out the root cause for noncompliance & collaborating with
staff to find viable solutions will change for unit culture over time &
,empower staff to make positive changes to their work
environment.
A new nurse on the med-surg unit approaches you with concerns
about one of her patients. She states the patient has not turned
on the lights or TV all day & did not order breakfast or lunch. She
had to sk the patient what meal they wanted & place the order.
This nurse states she is concerned about the change in the
patient's behavior. Looking at the patient's chart, you realize this
patient is Jewish & it is Saturday. What is the best response to the
nurse?
A) "The pt is sick & needs extra support today"
B) "The pt needs to be seen by the psychology team for an
evaluation"
C) The pt may be following their religious practices & we need to
support this
D) Begin being in the hospital - ANSWER ✔ : C) "The patient
may be following their religious practices & we need to support
this"
Rationale: We need to support patients' religious practices
whenever possible in the hospital. onsidering it is Saturday & this
patient is Jewish means the patient is recognizing the Sabbath.
This means the patient will not use any electrical devices or ask to
use them. The staff would have to ask whether a patient wants
the TV on or the lights turned on/off, & so on. Patients will also not
use the phone or call bell system during the Sabbath. Staff need
to be sensitive to patient needs & try to accommodate cultural &
spiritual practices whenever possible.
When trying to implement a change in the outpatient family clinic,
which group of staff should the CNL focus on more?
A) Late majority
B) Early majority
C) Laggards
, D) Innovators - ANSWER ✔ : A) Late majority
Rationale: The innovators & early majority are going to be
supportive of change & become champions for the project. The
laggards make up a minority portion of the group & will be the last
to adopt change. However, the late majority, which makes up a
large percentage of the group, is the percentage that will need the
most support during a change & they will be resistant
As the CNL on medical unit, which of the following interventions
would you support to reduce the readmission rate on your unit?
A) Keep patients one extra day to ensure they are prepared for
discharge home
B) Arrange for all patients to have at least 1 week of visiting
nursing post-discharge
C) Review discharge instructions with the patient and one family
member
D) Begin discharge planning & teaching on the day of admission -
ANSWER ✔ : D) Begin discharge planning & teaching on the day
of admission
Rationale: Using every opportunity to communicate to & educate
the patient & family on their care & planning for discharge will
better prepare the patient & family for returning home.
You are the CNL on a 32-bed med-surg unit. When you walk into
the unit, you observe a novice nurse looking extremely busy &
stressed. How can you best support her transition on the unit?
A) Ask the charge nurse to decrease her patient assignment
B) Give some of her morning medications
C) Pull the nurse off the unit during her shift
D) Meet with this nurse after the shift to discuss organization -
ANSWER ✔ : D) Meet with this nurse after the shift to discuss
organization
Rationale: As the CNL you should meet with the novice nurse
when she is not scheduled to offer support, guidance, &
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