CNL Exam Practice Questions and
Correct Answers Verified
3tbasictreasonsttotintroducetchanget-tCORRECTtANSWER-1)tTotsolvetatproblem
2)tTotimprovetefficiency
3)tTotreducetunnecessarytworkloadtfortsometgroup
3tSourcestoftConflictt-tCORRECTtANSWER-
Intrapersonal:tconflicttwithintselft(shouldtItcalltintsicktandtattendtmytdaughter'stbirthdaytparty
-tItaskedtfortthetdaytofftandtdidn'ttgettit)
Interpersonal-
personttotperson,tortteamttotteam.tPersonalitytconflicttwithtatpeer,tortangertattthetemergencyt
departmentttransferringtatpatienttduringtreport.
Organizational:takatastIntergrouptconflict,tcompetitiontfortresourcestistantexample.tQualityto
ftpatienttcaret(nursetpatienttratio)tcompetingtwithtCOST!
5tOrganizationtTheoriest-tCORRECTtANSWER-1.tClassicalt
2.tNeoclassicalt
3.tSystemstTheory
4.tContingencytTheory
5.tChaostTheory
7tConflicttManagementtTechniquest-tCORRECTtANSWER-Avoiding:tignoringtthetconflict
-tPos(+):tdoestnottmaketatbigtdealtouttoftnothingt
-tNeg(-):tconflicttcantbecometbiggertthantanticipated
Accommodating:tsmoothingtout,tcooperating;tonetsidetgivestinttotthetothertside.
-
tPos(+):tOnetsidetistmoretconcernedtw/antissuetthantthetothertside,tthistworks;tstakestnotthig
htenoughtfortothertsidettotbetconcernedtabout,tthistworks.
-tNeg(-):tOnetsidetholdstmoretpowertandtcantforcetthetothertsidettotgivetin;tthe
importancetoftthetstakestaretnottastapparentttotonetsidetastthetother.
Competing:tforcing,tthet2tort3tsidestmusttcompetetfortthetgoal.
-tPos(+):tProducestatwinner,tgoodtwhenttimetistshorttandtstakestarethigh.
-tNeg(-
):tProducestatLOSER!tLeavestangertandtresentmenttontlosingtsidest(thinktHiltertaftertGerm
anytwastdestroyedtintWWI)
,Compromising:teachtsidetgivestsomethingtuptandtgainstsomething.
-tPos(+):tNotonetshouldtwintortlosetbothtshouldtgaintsomething;tgoodtfortdisagreements
betweentindividuals.
-tNeg(-
):tMaytcausetatreturnttotthetconflicttiftwhattistgiventuptbecomestmoretimportanttthantthetorigin
altgoal.
Negotiating:thigh-leveltdiscussiontthattseekstagreementtbuttnotnecessarilytconsensus.
-tPos(+):tStakestaretverythigh,tandtsolutiontistrathertpermanent;toftentinvolvestpowerful
groupst(thinktlegaltissues).
-tNeg(-):tAgreementstaretpermanent,teventthoughteachtsidethastgainstandtlosses.
7tConflicttManagementtTechniquest(Continued)t-tCORRECTtANSWER-
Collaborating:tbothtsidestworkttotdeveloptoptimaltoutcomes.tConsideredtBEST!!
-
tPos(+):tBesttsolutiontfortthetconflicttandtencompassestalltimportanttgoalsttoteachtsidet(thistr
emindstmetoftorganizingtTaketBacktthetNighttMarches-
tlotstandtlotstofttalkingtandtmakingtsureteveryonetistincluded...)
-tNeg(-):tTakestatlottofttime;trequirestcommitmentttotsuccess.
Confronting:timmediatetandtobvioustmovementttotstoptconflicttattthetverytstart.
-tPos(+):tDoestnottallowtconflictttottaketroot;tverytpowerful.
-tNeg(-):tMaketleavetimpressiontthattconflicttistnotttolerated;tmaytmaketsomethingtbigtout
oftnothing.
Atgoodtexampletoftatsearchabletdatabasetfortevidencetontbesttpracticestintnursingtis:t
A.tERIC
B.tLEXIS/NEXIS
C.tCochranetDatabasetoftSystematictReviewstD.tOhioLinkt-tCORRECTtANSWER-
C.tCochranetDatabasetoftSystematictReviews
AtkeytdifferencetbetweentthetCNStandtCNLtroletistthattthetCNS:
A.tTranslatestnursingtresearchtintotpractice
B.tDevelops,timplementstandtcoordinatestorganizationaltstandards,tpoliciestandtprocedure
st
C.tProvidestexperttknowledgetandtskilltintatspecializedtareatoftpractice
D.tParticipatestintinterdisciplinarytdecisiontmakingt-tCORRECTtANSWER-
C.tProvidestexperttknowledgetandtskilltintatspecializedtareatoftpractice
Atmedicationterrortleadingttotthetdeathtoftatpatientthastoccurredtintyourthealthcaretagencyta
ndtreportedttotJCAHOtastatsentineltevent.tAstatnursingtleader,tatkeytsteptfromtthetperspectiv
etoftJCAHOtaftertatsentinelteventtwouldtbettotdotwhichtonetoftthetfollowing:
A.tDeterminetwhotcausedttheterrort
B.tDiscusstthetincidenttwithtstafft
C.tInitiatetatroottcausetanalysis
D.tEvaluatetstaffingtpatternst-tCORRECTtANSWER-C.tInitiatetatroottcausetanalysis
,Atnewtcaretdeliverytsystemthastrecentlytbeentimplementedtintyourthealthcaretagency.tTher
ethastbeentsignificanttdiscussiontabouttthetaddedtcoststoftthetnewtmodel.tAstatnursingtleade
r,tyoutrecognizetthattthetkeytfactortoftacceptancetintthistcosttconstrainedthealthcaretenviron
menttwilltbe:
A.tStafftsatisfaction
B.tPatienttOutcomes
C.tStafftretention
D.tQualitytImprovementt-tCORRECTtANSWER-B.tPatienttOutcomes
AtnovicetnursetreportsttotyoutthatthertpatienttistChinesetandt"doestnottgetthowtseriousthistca
ncertistbecausethetaskstfewtquestionstandtshowstlittletemotion".tIntconsideringtwhattyoutkno
wtabouttculturaltcommunication,twhichtonetoftthetfollowingtstatementstwouldtbetthetbesttiniti
altresponsettotthetnovicetnurse:
A.tHetmaytnottunderstandtEnglish.
B.tYoutmaytnotthavetbeentthoroughtintyourtpatienttteaching.
C.tWetshouldtwaittuntiltthetfamilytcomestintandtthentassesstthetsituation.
D.tThetAsiantculturetteachestselftcontroltandtcontroltoftemotionstsotthistwilltneedtfurthertasse
ssment.t-tCORRECTtANSWER-
D.tThetAsiantculturetteachestselftcontroltandtcontroltoftemotionstsotthistwilltneedtfurthertasse
ssment.
AtpatienttistadmittedttotyourtERtcomplainingtoftchesttpaintintthetmid-
sternaltareatthattoccurredtwhenthetistmowingtthetlawn.tYoutaretreviewingtthethistoryttakentb
ytonetoftyourtnursesttotruletouttangina.tWhichtoftthetfollowingtcharacteristicstoftthetchecktpai
ntwouldtmaketatdiagnosistoftanginatlesstlikely:
A.tThetpaintwastalsotfelttintthetbacktoftthetneckt
B.tThetpaintfelttliketatburningtsensation
C.tThetpaintlastedt15tminutes
D.tThetpaintwastatstabbing,tknifetliketsensationt-tCORRECTtANSWER-
D.tThetpaintwastatstabbing,tknifetliketsensation
Atpatienttistadmittedttotyourtunittaftertexperiencingtseizures.tInthelpingtatnovicetnursetdottheti
nitialtnursingtassessment,tyoutremindthertthattthetmosttimportanttinformationtintseizuretass
essmenttistusuallytprovidedtby:
A.tAtCTtScan
B.tAntEEG
C.tAntEyewitness
D.tMagnetictResonancetImagingt-tCORRECTtANSWER-C.tAntEyewitness
Accountabilityt-tCORRECTtANSWER-Acceptingtownershiptfortthetresultstortlacktthereof.
Adequatetsampletsizetfortaststudytistdefinedtby:
A.tAtminimumtofttentsubjectstpertvariable
B.tAtminimumtoftthirtytsubjectstfortatdescriptivetstudy
C.tAnticipatedteffecttsize,tpowertoftthetstatisticalttests,tandtsignificancetlevelt
, D.tMaturitytoftthetconceptstbeingtstudiedt-tCORRECTtANSWER-
C.tAnticipatedteffecttsize,tpowertoftthetstatisticalttests,tandtsignificancetlevel
Albuteroltistantexampletof:t
A.tAntihistamine
B.tβ2-adrenergictagonistt
C.tCorticosteroid
D.tAntitussivet-tCORRECTtANSWER-B.tβ2-adrenergictagonist
Antindicatortoftatseveretasthmatattacktrequiringtemergencyttreatmenttincludes:t
A.tProlongedtexpiration
B.tBilateraltrales
C.tChestttightness
D.tInaudibletbreathtsoundst-tCORRECTtANSWER-D.tInaudibletbreathtsounds
AstatCNL,tyoutmeettwithtstafftaftertatsentinelteventtintyourtworktareatandtaretaskedtabouttthet
cause.tNotconclusivetfindingsthavetbeentreachedtbuttyourtaretawaretfromtyourtreadingtthattt
hetmosttfrequenttcausetoftsentinelteventstistwhichtonetoftthetfollowing:
A.tProceduraltComplicationst
B.tStaffing
C.tCompetencytIssues
D.tCommunicationtIssuest-tCORRECTtANSWER-D.tCommunicationtIssues
AspectstoftprofessionaltnursingtpracticetthattCANNOTtbetdelegatedtare:t
A.tMonitoringtandtRecording
B.tImplementationtandtFeedback
C.tAssessmenttandtEvaluation
D.tReportingtandtRecordingt-tCORRECTtANSWER-C.tAssessmenttandtEvaluation
Autocratictleadershipt-tCORRECTtANSWER-
Atleadershiptstyletthattassumestindividualstaretmotivatedtbytexternaltforces;ttherefore,tthetl
eadertmakestalltthetdecisionstandtdirectstthetfollowers'tbehavior.
Autonomyt-tCORRECTtANSWER-
Respecttfortantindividualstrightttotselftdetermination;trespecttfortindividualtliberty
BehavioraltTheoryt-tCORRECTtANSWER-Behavioralttheorytistbasedtupontthetbelieftthat:
1.tLeaderstcantbetmade,trathertthantaretborn
2.tPeopletcantlearnttotbecometsuccessfultleaderstthroughtteachingtandtobservation
Thistleadershipttheorytfocusestontthetactionstoftleaders,tnottonttheirtqualities.
Iftsuccesstcantbetdefinedtinttermstoftdesirabletactions,tthentittshouldtbeteasytfortothertpeoplet
totacttintthetsametway.
Correct Answers Verified
3tbasictreasonsttotintroducetchanget-tCORRECTtANSWER-1)tTotsolvetatproblem
2)tTotimprovetefficiency
3)tTotreducetunnecessarytworkloadtfortsometgroup
3tSourcestoftConflictt-tCORRECTtANSWER-
Intrapersonal:tconflicttwithintselft(shouldtItcalltintsicktandtattendtmytdaughter'stbirthdaytparty
-tItaskedtfortthetdaytofftandtdidn'ttgettit)
Interpersonal-
personttotperson,tortteamttotteam.tPersonalitytconflicttwithtatpeer,tortangertattthetemergencyt
departmentttransferringtatpatienttduringtreport.
Organizational:takatastIntergrouptconflict,tcompetitiontfortresourcestistantexample.tQualityto
ftpatienttcaret(nursetpatienttratio)tcompetingtwithtCOST!
5tOrganizationtTheoriest-tCORRECTtANSWER-1.tClassicalt
2.tNeoclassicalt
3.tSystemstTheory
4.tContingencytTheory
5.tChaostTheory
7tConflicttManagementtTechniquest-tCORRECTtANSWER-Avoiding:tignoringtthetconflict
-tPos(+):tdoestnottmaketatbigtdealtouttoftnothingt
-tNeg(-):tconflicttcantbecometbiggertthantanticipated
Accommodating:tsmoothingtout,tcooperating;tonetsidetgivestinttotthetothertside.
-
tPos(+):tOnetsidetistmoretconcernedtw/antissuetthantthetothertside,tthistworks;tstakestnotthig
htenoughtfortothertsidettotbetconcernedtabout,tthistworks.
-tNeg(-):tOnetsidetholdstmoretpowertandtcantforcetthetothertsidettotgivetin;tthe
importancetoftthetstakestaretnottastapparentttotonetsidetastthetother.
Competing:tforcing,tthet2tort3tsidestmusttcompetetfortthetgoal.
-tPos(+):tProducestatwinner,tgoodtwhenttimetistshorttandtstakestarethigh.
-tNeg(-
):tProducestatLOSER!tLeavestangertandtresentmenttontlosingtsidest(thinktHiltertaftertGerm
anytwastdestroyedtintWWI)
,Compromising:teachtsidetgivestsomethingtuptandtgainstsomething.
-tPos(+):tNotonetshouldtwintortlosetbothtshouldtgaintsomething;tgoodtfortdisagreements
betweentindividuals.
-tNeg(-
):tMaytcausetatreturnttotthetconflicttiftwhattistgiventuptbecomestmoretimportanttthantthetorigin
altgoal.
Negotiating:thigh-leveltdiscussiontthattseekstagreementtbuttnotnecessarilytconsensus.
-tPos(+):tStakestaretverythigh,tandtsolutiontistrathertpermanent;toftentinvolvestpowerful
groupst(thinktlegaltissues).
-tNeg(-):tAgreementstaretpermanent,teventthoughteachtsidethastgainstandtlosses.
7tConflicttManagementtTechniquest(Continued)t-tCORRECTtANSWER-
Collaborating:tbothtsidestworkttotdeveloptoptimaltoutcomes.tConsideredtBEST!!
-
tPos(+):tBesttsolutiontfortthetconflicttandtencompassestalltimportanttgoalsttoteachtsidet(thistr
emindstmetoftorganizingtTaketBacktthetNighttMarches-
tlotstandtlotstofttalkingtandtmakingtsureteveryonetistincluded...)
-tNeg(-):tTakestatlottofttime;trequirestcommitmentttotsuccess.
Confronting:timmediatetandtobvioustmovementttotstoptconflicttattthetverytstart.
-tPos(+):tDoestnottallowtconflictttottaketroot;tverytpowerful.
-tNeg(-):tMaketleavetimpressiontthattconflicttistnotttolerated;tmaytmaketsomethingtbigtout
oftnothing.
Atgoodtexampletoftatsearchabletdatabasetfortevidencetontbesttpracticestintnursingtis:t
A.tERIC
B.tLEXIS/NEXIS
C.tCochranetDatabasetoftSystematictReviewstD.tOhioLinkt-tCORRECTtANSWER-
C.tCochranetDatabasetoftSystematictReviews
AtkeytdifferencetbetweentthetCNStandtCNLtroletistthattthetCNS:
A.tTranslatestnursingtresearchtintotpractice
B.tDevelops,timplementstandtcoordinatestorganizationaltstandards,tpoliciestandtprocedure
st
C.tProvidestexperttknowledgetandtskilltintatspecializedtareatoftpractice
D.tParticipatestintinterdisciplinarytdecisiontmakingt-tCORRECTtANSWER-
C.tProvidestexperttknowledgetandtskilltintatspecializedtareatoftpractice
Atmedicationterrortleadingttotthetdeathtoftatpatientthastoccurredtintyourthealthcaretagencyta
ndtreportedttotJCAHOtastatsentineltevent.tAstatnursingtleader,tatkeytsteptfromtthetperspectiv
etoftJCAHOtaftertatsentinelteventtwouldtbettotdotwhichtonetoftthetfollowing:
A.tDeterminetwhotcausedttheterrort
B.tDiscusstthetincidenttwithtstafft
C.tInitiatetatroottcausetanalysis
D.tEvaluatetstaffingtpatternst-tCORRECTtANSWER-C.tInitiatetatroottcausetanalysis
,Atnewtcaretdeliverytsystemthastrecentlytbeentimplementedtintyourthealthcaretagency.tTher
ethastbeentsignificanttdiscussiontabouttthetaddedtcoststoftthetnewtmodel.tAstatnursingtleade
r,tyoutrecognizetthattthetkeytfactortoftacceptancetintthistcosttconstrainedthealthcaretenviron
menttwilltbe:
A.tStafftsatisfaction
B.tPatienttOutcomes
C.tStafftretention
D.tQualitytImprovementt-tCORRECTtANSWER-B.tPatienttOutcomes
AtnovicetnursetreportsttotyoutthatthertpatienttistChinesetandt"doestnottgetthowtseriousthistca
ncertistbecausethetaskstfewtquestionstandtshowstlittletemotion".tIntconsideringtwhattyoutkno
wtabouttculturaltcommunication,twhichtonetoftthetfollowingtstatementstwouldtbetthetbesttiniti
altresponsettotthetnovicetnurse:
A.tHetmaytnottunderstandtEnglish.
B.tYoutmaytnotthavetbeentthoroughtintyourtpatienttteaching.
C.tWetshouldtwaittuntiltthetfamilytcomestintandtthentassesstthetsituation.
D.tThetAsiantculturetteachestselftcontroltandtcontroltoftemotionstsotthistwilltneedtfurthertasse
ssment.t-tCORRECTtANSWER-
D.tThetAsiantculturetteachestselftcontroltandtcontroltoftemotionstsotthistwilltneedtfurthertasse
ssment.
AtpatienttistadmittedttotyourtERtcomplainingtoftchesttpaintintthetmid-
sternaltareatthattoccurredtwhenthetistmowingtthetlawn.tYoutaretreviewingtthethistoryttakentb
ytonetoftyourtnursesttotruletouttangina.tWhichtoftthetfollowingtcharacteristicstoftthetchecktpai
ntwouldtmaketatdiagnosistoftanginatlesstlikely:
A.tThetpaintwastalsotfelttintthetbacktoftthetneckt
B.tThetpaintfelttliketatburningtsensation
C.tThetpaintlastedt15tminutes
D.tThetpaintwastatstabbing,tknifetliketsensationt-tCORRECTtANSWER-
D.tThetpaintwastatstabbing,tknifetliketsensation
Atpatienttistadmittedttotyourtunittaftertexperiencingtseizures.tInthelpingtatnovicetnursetdottheti
nitialtnursingtassessment,tyoutremindthertthattthetmosttimportanttinformationtintseizuretass
essmenttistusuallytprovidedtby:
A.tAtCTtScan
B.tAntEEG
C.tAntEyewitness
D.tMagnetictResonancetImagingt-tCORRECTtANSWER-C.tAntEyewitness
Accountabilityt-tCORRECTtANSWER-Acceptingtownershiptfortthetresultstortlacktthereof.
Adequatetsampletsizetfortaststudytistdefinedtby:
A.tAtminimumtofttentsubjectstpertvariable
B.tAtminimumtoftthirtytsubjectstfortatdescriptivetstudy
C.tAnticipatedteffecttsize,tpowertoftthetstatisticalttests,tandtsignificancetlevelt
, D.tMaturitytoftthetconceptstbeingtstudiedt-tCORRECTtANSWER-
C.tAnticipatedteffecttsize,tpowertoftthetstatisticalttests,tandtsignificancetlevel
Albuteroltistantexampletof:t
A.tAntihistamine
B.tβ2-adrenergictagonistt
C.tCorticosteroid
D.tAntitussivet-tCORRECTtANSWER-B.tβ2-adrenergictagonist
Antindicatortoftatseveretasthmatattacktrequiringtemergencyttreatmenttincludes:t
A.tProlongedtexpiration
B.tBilateraltrales
C.tChestttightness
D.tInaudibletbreathtsoundst-tCORRECTtANSWER-D.tInaudibletbreathtsounds
AstatCNL,tyoutmeettwithtstafftaftertatsentinelteventtintyourtworktareatandtaretaskedtabouttthet
cause.tNotconclusivetfindingsthavetbeentreachedtbuttyourtaretawaretfromtyourtreadingtthattt
hetmosttfrequenttcausetoftsentinelteventstistwhichtonetoftthetfollowing:
A.tProceduraltComplicationst
B.tStaffing
C.tCompetencytIssues
D.tCommunicationtIssuest-tCORRECTtANSWER-D.tCommunicationtIssues
AspectstoftprofessionaltnursingtpracticetthattCANNOTtbetdelegatedtare:t
A.tMonitoringtandtRecording
B.tImplementationtandtFeedback
C.tAssessmenttandtEvaluation
D.tReportingtandtRecordingt-tCORRECTtANSWER-C.tAssessmenttandtEvaluation
Autocratictleadershipt-tCORRECTtANSWER-
Atleadershiptstyletthattassumestindividualstaretmotivatedtbytexternaltforces;ttherefore,tthetl
eadertmakestalltthetdecisionstandtdirectstthetfollowers'tbehavior.
Autonomyt-tCORRECTtANSWER-
Respecttfortantindividualstrightttotselftdetermination;trespecttfortindividualtliberty
BehavioraltTheoryt-tCORRECTtANSWER-Behavioralttheorytistbasedtupontthetbelieftthat:
1.tLeaderstcantbetmade,trathertthantaretborn
2.tPeopletcantlearnttotbecometsuccessfultleaderstthroughtteachingtandtobservation
Thistleadershipttheorytfocusestontthetactionstoftleaders,tnottonttheirtqualities.
Iftsuccesstcantbetdefinedtinttermstoftdesirabletactions,tthentittshouldtbeteasytfortothertpeoplet
totacttintthetsametway.
