CNL PRACTICE QUESTIONS AND ANSWERS

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- 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. What organizational theory is used with rapid, unpredictable, and constant change? A. Systems theory B. Chaos theory C. Change theory D. Traditional theory - Answer- Answer B—Rationale: Chaos theory is used to understand rapidly changing, unpredictable health care environments. 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 appointments." D. "I will attend a smoking cessation class, because I know smoking increases my risk for diabetes." - Answer- Answer D—Rationale: Modifiable risk factors are lifestyle factors that a person can alter in order to prevent disease. Smoking cessation class is an interven