CLINICAL NURSE LEADER (CNL)
CERTIFICATION REVIEW QUESTIONS -
KING & GERARD QUESTIONS WITH
CORRECT ANSWERS
Patient ssatisfaction sscores sin semergency sdepartment shave sshown sa sdownward strend
sover sthe spast sthree squarters. sAs sa sclinical snurse sleader sin sED sfocus sis sto: s
A) sCreate sa sscript sfor striage snurse sin swelcoming sthe spatient
B) sAssign sa svolunteer sto swelcome spatients sto sthe shospital
C) sCompare sdesired soutcomes swith snational s& sstate sstandards
D) sWrite sa sletter sof sapology sto seach sdissatisfied spatient s- sans--C) sCompare sdesired
soutcomes swith snational s& sState sstandards
Rationale: sClient scare soutcomes sare sa smeasure sof squality spractice. sCNLs smust sknow
show sto scompare sdesired soutcomes sthat swill simprove ssafety, seffectiveness, stimeliness,
sefficiency, squality, sand sthe sdegree sto swhich sthey sare sclient scentered.
Which sof sthe sfollowing sactions sillustrates sthe sCNL sprofessional svalue sof saltruism?
A) sLeading san sinterdisciplinary steam slooking sat sthe sremote scardiac smonitoring sprocess
B) sSponsoring sa smeeting swith sthe smonitor stechnicians sto sunderstand stheir sbarriers sin
sthe scardiac smonitoring sprocess
C) sFlow smapping sthe sadmission sprocess sof sthe sremote scardiac-monitored spatient
D) sEditing sthe spolicy sfor sthe sremote scardiac smonitoring sprocess. s- sans--B) sSponsoring sa
smeeting swith sthe smonitor stechnicians sto sunderstand stheir sbarriers sin sthe scardiac
smonitoring sprocess
Rationale: sAltruism sis sa sconcern sfor sthe swelfare s& swell-being sof sothers. sIn sprofessional
spractice, saltruism sis sreflected sby sthe sCNL's sconcern sfor sthe swelfare sof sclients, sother
snurses, sand sother shealth scare sproviders.
You sare sa sCNL son sthe stele sunit s& sorienting sa snewly sgraduated snurse. sCritical sthinking sis
sbest sdemonstrated swhen:
A) sThe sCNL sdiscusses swith sthe sphysician sthe srationale sfor sdiscontinuing scardiac
smonitoring sin sthe shospice spatient
B) sDrawing sthe sscheduled scardiac senzymes sq8h
Reviewing sthe spatient scare sguidelines s& sprotocols srelated sto shourly srounding
D) sThe sCNL sbalances sboth sthe scharge srole s& sthe spreceptor srole ssimultaneously s- sans--
A) sThe sCNL sdiscusses swith sthe sphysician sthe srationale sfor sdiscontinuing scardiac
smonitoring sin sthe shospice spatient
,Rationale: sCritical sthinking sunderlies sindependent s& sinterdependent sdecision smaking.
sCritical sthinking sincludes squestioning, sanalysis, ssynthesis, sinterpretation, sinference,
sinductive s& sdeductive sreasoning, sintuition, sapplication, s& screativity.
You sare sa sCNL sselected sto slead sa steam sfocused son simplementing sa smultidisciplinary
sclinical spathway sfor sacute sischemic sstroke s& stransient sischemic sattack. sThe srisk
sassessment stool sthat syou shave sadopted sidentifies sall sof sthe sfollowing sas sindependent
sstroke srisk sfactors sexcept:
A) sAge
B) sSystolic sBP
C) sLiver sdysfunction
D) sCurrent ssmoking
E) sDiabetes smellitus s- sans--C) sLiver sDysfunction
Rationale: sIndependent sstroke spredictors sinclude sage, ssystolic sBP, shypertension,
sdiabetes smellitus, scurrent ssmoking, sestablished scardiovascular sdisease s(any sone sof
smyocardiac sinfarction, sangina, scoronary sinsufficiency, scongestive sheart sfailure, sor
sintermittent sclaudication), sAfib, s& sleft sventricular shypertrophy son sECG.
A slack sof scompliance swith sDVT sprophylaxis shas sbeen sidentified sin sretrospective schart
sreviews sof sall sischemic sstroke spatients sin syour sorganization. sAs sa sCNL son sthe
sneurological sunit, syour sprimary sgoal swill sinclude: s
A) sChallenging sthe sguidelines son sprimary sprevention sof sischemic sstroke swritten sby sthe
sAmerican sStroke sAssociation
B) sGaining san sunderstanding sof show sDVT sprophylaxis sis sinitiated son seach sstroke
spatient son syour sunit
C) sDeveloping san sorganization-wide seducational sprogram son sDVT sprophylaxis
D) sDeveloping sa sunit-based steam sof snursing spersonnel sto sinvestigate sthe sproblem. s-
sans--B) sGaining san sunderstanding sof show sDVT sprophylaxis sis sinitiated son seach sstroke
spatient son syour sunit.
Rationale:
White sPaper: sOne scompetency sis sthat sof sa ssystems sanalyst. sA sCNL sparticipates sin sa
ssystem sreview s& sconducts sa smicrosystem sanalysis, sidentifying sa sclinical sissue swith sa
sfocus son sa sparticular spopulation.
You sare sworking son simproving sthe spatient sdischarge sprocess. sWhich sof sthese stargets
swould sbest sreflect sclinical smicrosystem soutcomes?
A) sHospital slength sof sstay
B) sTime sof sdischarge sorder sfor sall smedical spatients sto sthe sactual stime sthe spatient sleft
C) sNumber sof sdischarge sorders son syour sunit sentered sbefore s11am
D) sTotal snumber sof sdischarged spatients sleaving sby sllam s- sans--C) sNumber sof sdischarge
sorders son syour sunit sentered sbefore s11am
Rationale: sA sCNL sas san soutcomes smanager suses sdata sto schange spractice s& sto simprove
soutcomes. sSelecting sthe smost sappropriate sgoals s& stargets swill sprovide smeaningful
sinformation.
,Electronic snursing sdocumentation shas srecently sbeen sinstituted sin sorganization. sSelect sa
sresponse sthat sbest sdefines sa sclinical sdecision ssupport: s
A) sA sreminder sto ssave s& ssign syour sadmission sassessment
sB) sA svisual sred-alert swhen sa spatient's spotassium sis s6..8 smEq/L
C) sA spop-up sto sinitiate sthe sdischarge sinstruction ssheet swith severy sphysician sdischarge
sorder
D) sAn selectronic snursing scare splan s- sans--C) sA spop-up sto sinitiate sthe sdischarge
sinstruction ssheet swith severy sphysician sdischarge sorder.
Rationale: sCDS sis sa scomputer-based sprogram sdesigned sto sassist sclinicians sin smaking
sclinical sdecisions sby sfiltering s& sintegrating svast samounts sof sinformation s& sproviding
ssuggestions sfor sclinical sintervention.
CNL sfocus son sprojects swithin sa sclinical smicrosystem. sA sclinical smicrosystem scan sbe
sbest sdescribed sas: s
A) sA sdepartment-wide sprogram sfocused son simproving scontinuity sof scare s& spatient
ssatisfaction
B) sTrending sthe spost-op scare son sall ssurgical sunits
C) sThe sclinical s& sbusiness sprocesses sof sa ssingle sunit swithin san sorganization
D) sAll smedical s& ssurgical sunits sguided sby sa schief snursing sofficer s- sans--C) sThe sclinical s&
sbusiness sprocesses sof sa ssingle sunit swithin san sorganization
Rationale: sThe smicrosystem sis sdescribed sby sthe sAACN sWhite sPaper sas sthe spractice
slevel sof sthe sCNL.
All sare spart sof sthe sdata snecessary sfor sa sCNL sto sfully sunderstand s& sassess shis sor sher
sclinical sunit sexcept:
A) sThe sorganization sfinancial sstatement
B) sThe starget spopulation s& sage sdistribution
C) sThe spercentage sof sFTEs
D) sRate sof snosocomial sinfections
E) sFall srates s- sans--A) sThe sorganization sfinancial sstatement
Rationale: sA scomprehensive sassessment sof sthe sclinical sunit sis sa sfoundation sfor sthe swork
sof sthe sCNL sbut sdoes snot sinclude sthe sfinancial sstatement sof sthe sorganization. sIn
scomprehending sthe s"big spicture" sof sthe sorganization, sthe sCNL sshould shave san
sunderstanding sof sthe sfinancial shealth sof sthe sinstitution.
The sresults sof sa squarterly sreport sidentify san sincrease sin spatient sfalls son sthe stele sunit.
sYour sfirst saction swill sbe sto:
A) sImplement shourly srounding
B) sGain san sunderstanding sof spatient scare spractices son sthe stele sunit
C) sAssign spatient spersonal salarms sto sall spatients sat srisk
D) sRevise sthe scurrent sfall srisk sdocumentation sform s- sans--B) sGain san sunderstanding sof
spatient scare spractices son sthe stele sunit
Rationale: sAssessment sincludes sgathering sinformation sabout sthe shealth sstatus sof sthe
sclient s& sanalyzing s& ssynthesizing sthose smaking sjudgments sabout snursing sinterventions
son sthe sbasis sof sfindings, sevaluation, s& smanaging sof sindividual scare soutcomes.
, You shave sbeen sasked sto slead sthe stele sfall sprevention scommittee. sWhich scombination sof
steam smembers swould sbest ssuit sthe sinitial sphase sof sthis sgroup?
A) sA sbehavioral shealth sAPRN
B) sA sstaff sRN
C) sA sphysical stherapist
D) sThe snurse smanager
E) sAll sof sthe sAbove
F) sOnly sA, sB, s& sD sare sneeded s- sans--E) sAll sof sthe sabove
Rationale: sHealth spromotion s& sdisease sprevention sknowledge sincludes smethods sto
skeep san sillness sor sinjury sfrom soccurring, sdiagnosis, s& streating sa sdisease sin sits searly
scourse. sCNLs sneed sto swork swith san sinterdisciplinary steam sto smake sethical sdecisions,
sdevelop, s& smonitor scomprehensive, sholistic splans sof scare. sThere sis sa sstrong scorrelation
sbetween spatient sfalls s& sdelirium. sExercise sprograms sfocused son sstrength, sfunctional
sperformance, s& sbalance straining sare seffective ssteps sin sreducing sinpatient sfalls.
As sa sCNL sin sthe sICU, syou shave sobserved sseveral sprolonged s& sfragmented sprocesses
sof sstarting san sIV sline sin sa scritically sill spatient. sAll sof sthe sfollowing sconsiderations sare
snecessary sin sidentifying sa sTHEME sfor syour simprovement sprocess sexcept:
A) sA sthorough sreview sof sthe sclinical sunit
B) sThe smanager's smandate sfor schange
C) sThe salignment swith sthe sorganization's sstrategic spriorities
D) sInput sfrom sthe spatient's sfamily s- sans--B) sThe smanager's smandate sfor schange
Rationale: sSpecific smandates sfor schange swould sbe sconsidered sas sthe steam s"drills
sdown" sfor sfurther sinformation.
The shospital sis slooking sto sutilize scardiac smonitor swatchers. sYour sanalysis sincludes sall sof
sthe sfollowing sexcept:
A) sA sreview sof san sonline sECG smonitoring seducation sprogram
B) sIdentifying sa sclinical sissue swith sa sfocus son sa sspecific spopulation
C) sConducting sa strend sanalysis sof soutcome sdata
D) sAnalyzing sbarriers s& sfacilitators swith sthe sorganization s- sans--A) sA sreview sof san sonline
sECG smonitoring seducation sprogram
Rationale: sSystems sanalysis s& srisk santicipation sare sthe scompetencies sof sthe sCNL.
Several snear smisses swere sidentified sby sICU snurses swho shad smistaken sinvasive slines
sfor sIV sports sfor smedication sadministration. sYou shave scompleted san sanalysis sfor sthe
sissue. sYour srecommendations sinclude:
A) sA svisual ssignal son sall sports snot sintended sfor sIV sdrugs
B) sA sdouble-check ssystem sfor smedication sadministration
C) sTo sfacilitate sa scritical sincident sreporting sstructure sthat sfosters sa s"without sblame) sunit
sculture
D) sAll sof sthe sAbove
E) sOnly sC s- sans--D) sAll sof sthe sabove
Rationale: sThe sCNL sshould ssupport sthe sstaff sto sidentify sall sopportunities sfor simproving
ssafety sin sthis ssituation.
