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Clinical Nurse Leader (CNL) Certification Review Questions - King & Gerard.
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Clinical Nurse Leader (CNL) Certification Review Questions - King & Gerard.
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Clinical Nurse Leader (CNL) CertificationReview Questions - King & Gerard
Patient .satisfaction .scores .in .emergency .department .have .shown .a .downward .trend .over .the .past .t
hree .quarters. .As .a .clinical .nurse .leader .in .ED .focus .is .to: .
A) .Create .a .script .for .triage .nurse .in .welcoming .the .patient
B) .Assign .a .volunteer .to .welcome .patients .to .the .hospital
C) .Compare .desired .outcomes .with .national .& .state .standards
D) .Write .a .letter .of .apology .to .each .dissatisfied .patient .- .(correct .answer) .-
C) .Compare .desired .outcomes .with .national .& .State .standards
Rationale: .Client .care .outcomes .are .a .measure .of .quality .practice. .CNLs .must .know .how .to .compare
.desired .outcomes .that .will .improve .safety, .effectiveness, .timeliness, .efficiency, .quality, .and .the .degr
ee .to .which .they .are .client .centered.
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 .mo
nitoring .process
C) .Flow .mapping .the .admission .process .of .the .remote .cardiac-monitored .patient
D) .Editing .the .policy .for .the .remote .cardiac .monitoring .process. .- .(correct .answer) .-
B) .Sponsoring .a .meeting .with .the .monitor .technicians .to .understand .their .barriers .in .the .cardiac .mo
nitoring .process
Rationale: .Altruism .is .a .concern .for .the .welfare .& .well-
being .of .others. .In .professional .practice, .altruism .is .reflected .by .the .CNL's .concern .for .the .welfare .o
f .clients, .other .nurses, .and .other .health .care .providers.
,You .are .a .CNL .on .the .tele .unit .& .orienting .a .newly .graduated .nurse. .Critical .thinking .is .best .demon
strated .when:
A) .The .CNL .discusses .with .the .physician .the .rationale .for .discontinuing .cardiac .monitoring .in .the .ho
spice .patient
B) .Drawing .the .scheduled .cardiac .enzymes .q8h
Reviewing .the .patient .care .guidelines .& .protocols .related .to .hourly .rounding
D) .The .CNL .balances .both .the .charge .role .& .the .preceptor .role .simultaneously .- .(correct .answer) .-
A) .The .CNL .discusses .with .the .physician .the .rationale .for .discontinuing .cardiac .monitoring .in .the .ho
spice .patient
Rationale: .Critical .thinking .underlies .independent .& .interdependent .decision .making. .Critical .thinking
.includes .questioning, .analysis, .synthesis, .interpretation, .inference, .inductive .& .deductive .reasoning, .i
ntuition, .application, .& .creativity.
You .are .a .CNL .selected .to .lead .a .team .focused .on .implementing .a .multidisciplinary .clinical .pathway .
for .acute .ischemic .stroke .& .transient .ischemic .attack. .The .risk .assessment .tool .that .you .have .adopt
ed .identifies .all .of .the .following .as .independent .stroke .risk .factors .except:
A) .Age
B) .Systolic .BP
C) .Liver .dysfunction
D) .Current .smoking
E) .Diabetes .mellitus .- .(correct .answer) .-C) .Liver .Dysfunction
Rationale: .Independent .stroke .predictors .include .age, .systolic .BP, .hypertension, .diabetes .mellitus, .cu
rrent .smoking, .established .cardiovascular .disease .
(any .one .of .myocardiac .infarction, .angina, .coronary .insufficiency, .congestive .heart .failure, .or .intermi
ttent .claudication), .Afib, .& .left .ventricular .hypertrophy .on .ECG.
A .lack .of .compliance .with .DVT .prophylaxis .has .been .identified .in .retrospective .chart .reviews .of .all .is
chemic .stroke .patients .in .your .organization. .As .a .CNL .on .the .neurological .unit, .your .primary .goal .wil
l .include: .
A) .Challenging .the .guidelines .on .primary .prevention .of .ischemic .stroke .written .by .the .American .Stro
ke .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. .- .
(correct .answer) .-
B) .Gaining .an .understanding .of .how .DVT .prophylaxis .is .initiated .on .each .stroke .patient .on .your .unit
.
Rationale:
White .Paper: .One .competency .is .that .of .a .systems .analyst. .A .CNL .participates .in .a .system .review .&
.conducts .a .microsystem .analysis, .identifying .a .clinical .issue .with .a .focus .on .a .particular .population.
You .are .working .on .improving .the .patient .discharge .process. .Which .of .these .targets .would .best .refl
ect .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 .11am
D) .Total .number .of .discharged .patients .leaving .by .llam .- .(correct .answer) .-
C) .Number .of .discharge .orders .on .your .unit .entered .before .11am
Rationale: .A .CNL .as .an .outcomes .manager .uses .data .to .change .practice .& .to .improve .outcomes. .Sel
ecting .the .most .appropriate .goals .& .targets .will .provide .meaningful .information.
Electronic .nursing .documentation .has .recently .been .instituted .in .organization. .Select .a .response .that
.best .defines .a .clinical .decision .support: .
A) .A .reminder .to .save .& .sign .your .admission .assessment
.B) .A .visual .red-alert .when .a .patient's .potassium .is .6..8 .mEq/L
C) .A .pop-up .to .initiate .the .discharge .instruction .sheet .with .every .physician .discharge .order
D) .An .electronic .nursing .care .plan .- .(correct .answer) .-C) .A .pop-
up .to .initiate .the .discharge .instruction .sheet .with .every .physician .discharge .order.
Rationale: .CDS .is .a .computer-
based .program .designed .to .assist .clinicians .in .making .clinical .decisions .by .filtering .& .integrating .vast
.amounts .of .information .& .providing .suggestions .for .clinical .intervention.
CNL .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 .& .patient .satisfaction
B) .Trending .the .post-op .care .on .all .surgical .units
, C) .The .clinical .& .business .processes .of .a .single .unit .within .an .organization
D) .All .medical .& .surgical .units .guided .by .a .chief .nursing .officer .- .(correct .answer) .-
C) .The .clinical .& .business .processes .of .a .single .unit .within .an .organization
Rationale: .The .microsystem .is .described .by .the .AACN .White .Paper .as .the .practice .level .of .the .CNL.
All .are .part .of .the .data .necessary .for .a .CNL .to .fully .understand .& .assess .his .or .her .clinical .unit .exce
pt:
A) .The .organization .financial .statement
B) .The .target .population .& .age .distribution
C) .The .percentage .of .FTEs
D) .Rate .of .nosocomial .infections
E) .Fall .rates .- .(correct .answer) .-A) .The .organization .financial .statement
Rationale: .A .comprehensive .assessment .of .the .clinical .unit .is .a .foundation .for .the .work .of .the .CNL .
but .does .not .include .the .financial .statement .of .the .organization. .In .comprehending .the ."big .picture"
.of .the .organization, .the .CNL .should .have .an .understanding .of .the .financial .health .of .the .institution.
The .results .of .a .quarterly .report .identify .an .increase .in .patient .falls .on .the .tele .unit. .Your .first .actio
n .will .be .to:
A) .Implement .hourly .rounding
B) .Gain .an .understanding .of .patient .care .practices .on .the .tele .unit
C) .Assign .patient .personal .alarms .to .all .patients .at .risk
D) .Revise .the .current .fall .risk .documentation .form .- .(correct .answer) .-
B) .Gain .an .understanding .of .patient .care .practices .on .the .tele .unit
Rationale: .Assessment .includes .gathering .information .about .the .health .status .of .the .client .& .analyzi
ng .& .synthesizing .those .making .judgments .about .nursing .interventions .on .the .basis .of .findings, .eval
uation, .& .managing .of .individual .care .outcomes.
You .have .been .asked .to .lead .the .tele .fall .prevention .committee. .Which .combination .of .team .memb
ers .would .best .suit .the .initial .phase .of .this .group?
A) .A .behavioral .health .APRN
B) .A .staff .RN
C) .A .physical .therapist
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