Clinical Nurse Leader (CNL) Certification
Review Questions and Answers
6yoqboyqnamedqBradenqisqptqinqmicrosystem.qHeqisqterifiedqofqshotsqheqhasqtoqgetqBIDqforqn
extq3qweeks.qItqisqmostqtherapeuticqmedqrouteqforqhisqillnessq&qbecomesqhystericalqeveryqti
meqtheqmedqisqdueq&qmustqbeqheldqdownqbyqtwoqpeopleqwhileqRNqgivesqinjection.qTheyqwillq
notqhaveq3qpeopleqatqhomeqtoqdoqthis.qWorkingqonqdischargeqplanning,qwhatqshouldqyouqdo
?
A)qPlanqonqBradenqbeingqinqhospitalqforqnextq3qweeksqtoqreceiveqhisqinjections
B)qObtainqrestraintsqforqtheqparentsqtoquseqatqhomeqinqorderqtoqgiveqtheqinjection
C)qTalkqwithqMDqtoqprescribeqaqpillqinstead
D)qWorkqwithqchildqspecialistq&qsitqdownqwithqBradenqtoqfindqoutqwhatqscaresqhimqaboutqtheq
injectionsq-qCORRECTqANSWER-
D)qWorkqwithqchildqspecialistq&qsitqdownqwithqBradenqtoqdetermineqwhatqscaresqhimqaboutqi
njections
Rationale:qWorkingqwithqinterdisciplinaryqteamqtoqprovideqpatientqbestqtreatmentqisqideal.qE
ncouragingqtheqchildqtoqbecomeqinvolvedqinqhisqcareq&qlettingqhimqhelpqenablesqhimqtoqcoo
perateq&qfeelqmoreqsecure.
Aq5PsqassessmentqwasqcompletedqbyqeachqNCLqinqtheqhospital.qAsqAqCNLqyouqknowqthisqi
sqanqassessmentqof:
A)qMicrosystem
B)qMesosystem
C)qMacrosystem
D)qHealthqcareqsystemq-qCORRECTqANSWER-A)qMicrosystem
Rationale:qAq5Psqassemsnetqisqanqanalysisqfoqtheqmicrosystem.qItqconsistsqofqanalyzingqth
eqpurpose,qpatients,qprofessionals,qprocesses,q&qpatternsqofqtheqmicrosystem.
Aq65yoqmanqwithqhxqofqchestqpalpitationsqwasqseenqbyqhisqcardiologistqforqnewqonsetqpalpit
ationsq&qputqonqaqbeta-
blockerq&qtoldqtoqreturnqforqaqfollowqupqinq1qweekqafterqtakingqaqstressqtest.qTheqbetaqblocke
r'sqactionqincludes:
A)qIncreasingqtheqconsistencyqofqtheqheartqrate
B)qDeceasingqtheqabilityqofqtheqheartqmuscleqtoqcontract
C)qDecreasingqtheqchangeqofqdysrythmias
D)qIncreasingqcontractilityq&qdecreasingqheartqrateq-qCORRECTqANSWER-
D)qIncreasingqcontractilityq&qdecreasingqheartqrate
AqCNLqonqanqorthoqfloorqnoticeqlegsqonqseveralqofqwalkersqareqnotqsecure.qSheqimmediatel
yqcallsqmedicalqequipmentqtoqreplaceqwalkersqonqtheqfloorq&qputsqdefectiveqstickersqonqcurr
entqwalkers.qThisqisqanqexampleqof:
,A)qHealthqpromotion
B)qInjuryqprevention
C)qHealthqcareqinformatics
D)qDelegationq-qCORRECTqANSWER-B)qInjuryqprevention
Rationale:qProvidingqsafeqcareqisqoneqofqtheqprimaryqgoalsqofqCNLq&qthisqscenarioqprevent
edqinjuryqbyqensuringqsafeqequipment.
Aqfellowqstaffqnurseqisqstrugglingqtoqunderstandqthequseqofqaqclinicalqdecisionqsupportqsyste
mq(CDSS)qinqtheqmanagementqofqherqsepticqpatient.qYourqinitialqteachingqstrategyqincludes
:
A)qSharingqtheqlatestqclinicalqresearch
B)qAnqunderstandingqofqexpectedq&qactualqoutcomes
C)qDefiningqtheqpurposeqofqCDSS
D)qExploringqchallenges,qrisks,q&qbenefitsq-qCORRECTqANSWER-
C)qDefiningqtheqpurposeqofqCDSSq
Rationale:qCDSSqsupportsqaqsafeqpatientqcultureq&qshouldqbeqdesignedqtoqhelpqproviders
AqKoreanqpatientqisqadmittedqwhoqspeaksqlittleqEnglish.qAnqexampleqofqculturallyqcompeten
tqcareqis:
A)qFindingqaqnurseqwhoqspeaksqsomeqKorean
B)qTransferringqthatqpatientqtoqaqfloorqthatqhasqaqKorean-speakingqsecretary
C)qCallingqtheqpatient'sqfamilyqtoqseeqifqtheyqcanqspeakqanyqEnglish
D)qObtainingqaqKoreanqtranslatorq-qCORRECTqANSWER-
D)qObtainingqaqKoreanqtranslator
Rationale:qTranslatorqisqmostqeffectiveqwayqtoqdeliverqculturallyqcompetentqcare,qtheqadmis
sionqwillqbeqcomplete,qtheqstaffqwillqbeqableqtoqaccuratelyqassessqtheqpatientq&qdietaryqstaffq
willqbeqableqtoqfindqoutqanyqspecificqdietaryqconcernsqtheqpatientqmayqhave.
AqlackqofqcomplianceqwithqDVTqprophylaxisqhasqbeenqidentifiedqinqretrospectiveqchartqrevie
wsqofqallqischemicqstrokeqpatientsqinqyourqorganization.qAsqaqCNLqonqtheqneurologicalqunit,q
yourqprimaryqgoalqwillqinclude:q
A)qChallengingqtheqguidelinesqonqprimaryqpreventionqofqischemicqstrokeqwrittenqbyqtheqAm
ericanqStrokeqAssociation
B)qGainingqanqunderstandingqofqhowqDVTqprophylaxisqisqinitiatedqonqeachqstrokeqpatientqo
nqyourqunit
C)qDevelopingqanqorganization-wideqeducationalqprogramqonqDVTqprophylaxis
D)qDevelopingqaqunit-basedqteamqofqnursingqpersonnelqtoqinvestigateqtheqproblem.q-
qCORRECTqANSWER-
B)qGainingqanqunderstandingqofqhowqDVTqprophylaxisqisqinitiatedqonqeachqstrokeqpatientqo
nqyourqunit.
Rationale:
WhiteqPaper:qOneqcompetencyqisqthatqofqaqsystemsqanalyst.qAqCNLqparticipatesqinqaqsyste
mqreviewq&qconductsqaqmicrosystemqanalysis,qidentifyingqaqclinicalqissueqwithqaqfocusqonqaq
particularqpopulation.
,Aqmedqequipmentqrepqapproachesqyouqtoqincorporateqhisqnewqproductqintoqyourqunitqsuppli
es.qHeqtellsqyouqthatqthisqnewqdeviceqhasqbeenqprovenqtoqeqtheqbestqdeviceqinqitsqarenaqtoqp
reventqDVTs.qPreventingqDVTsqisqoneqofqyourqgoalsqasqtheqCNLqonqthisqmed-
surgqunit.qTheqpriceqisqonlyqslightlyqhigherqthanqtheqcurrentqequipmentqyouquseqnow,qbutqhe
qsaysqtheqresearchqshowsqyouqwillqsaveqmoneyqinqtheqlongqrunqbyqpreventingqmoreqDVTs.q
Howqdoqyouqgoqaboutqgettingqthisqnewqdevice?q
A)qSinceqyouqdoqnotqhaveqanyqpurchasingqpowerqasqtheqCNL,qyouqdirectqhimqtoqtheqdirector
qofqtheqpurchasingqdept.
B)qYouqhaveqtheqrepresentativeqspeakqwithqyourqmanager,qsinceqyourqmanagerqmustqappr
oveqallqitemsqpurchasedqforqyourqunit
C)qYouqthankqhimqforqtheqinformation,qbutqpassqonqtheqofferqsinceqitqcostsqmoreqthanqtheqeq
uipmentqyouqcurrentlyquse,q&qasqaqCNLqyouqareqonlyqlookingqforqcost-effectiveqventures
D)qYouqperformqyourqownqresearchqonqtheqdeq-qCORRECTqANSWER-
D)qYouqperformqownqresearchqonqdeviceq&qcompareqitqwithqequipmentqyouqhaveqnow.qIfqitqp
rovesqtoqebqasqgoodqasqtheqrepresentativeqsays,qyouqwillqtakeqitqforwardqtoqadministration
Rationale:qGathers,qanalyzes,q&qsynthesizesqdataqrelatedqriskqreductionq&qpatientqsafety
AqnewqgradqRNqwhoqrecentlyqgotqoutqofqorientationqapproachesqyou,qtheqCNL.qOneqofqherq
patient'sqphysiciansqwroteqanqorderqtoqplaceqanqNGqtube.qThqeRNqhasqnotqdoneqthisqsinceq
nursingqschoolq&qasksqforqyourqhelp.qHowqdoqyouqrespond?
A)qTellqherqtoqaskqtheqchargeqRN,qasqthisqisqnotqoneqofqyourqCNLqrolesq&qyouqreallyqdoqnotqh
aveqtimeqatqtheqmoment
B)qDirectqherqtoqgetqtheqpolicyq&qprocedureqguidelines,qreviewqit,qassembleqtheqneededqsup
pliesq&qthenqyouqwillqreviewqitqwithqherq&qassetqherqwithqplacingqtheqNGqtube
C)qDirectqherqtoqreviewqtheqpolicyq&qprocedureqguidelines,qassembleqtheqneededqsuppliesq
&qaskqanqavailableqLPNqtoqassistqherqwithqplacingqit
D)qReviewqtheqorder,qgatherqtheqneededqsupplies,q&qhaveqherqwatchqyouqplaceqtheqNGqtub
e,qasqsheqhasqnotqdoneqitqbeforeqasqanqRNq-qCORRECTqANSWER-
B)qDirectoqherqtoqgetqpolicyq&qprocedureqguidelines,qreviewqit,qassembleqneededqsupplies,q
&qthenqreviewqitqwithqherq&qsitqwithqplacementqofqnewqNGqtube
Rationale:qAsqclinicianqteamqmanager,qoneqofqrolesqisqtoqbeqaqresourceqforqteam,qespecially
qforqnewqgradqRNs.qFromqAACN'sqWhiteqPaper,qtheqCNLqdesigns,qimplementsq&qevaluates
qclientqcareqbyqcoordinating,qdelegatingq&qsupervisingqtheqcareqprovidedqbyqtheqhealthqcare
qteam,qincludingqlicenseqnurses,qtechniciansq&qtheqhealthqprofessionals.
AqnewqhealthqpolicyqisqbeingqvotedqonqinqCongress.qYourqprofessionalqorganizationqsuppor
tsqthisqpolicyq&qisqrecruitingqnursesqtoqgoqtoqWashington,qDCqtoqhelpqpromoteqtheirqviewq&qh
aveqaqbiggerqvoice.qYouqdoqnotqsupportqthisqpolicy.qYourqmanagerqwantsqyouqtoqgoqasqaqlea
derq&qrepresentqyourqunit.qWhatqshouldqyouqdo?
A)qYouqshouldqgo,qasqyouqneedqtoqstickqtogetherqwithqyourqprofessionalqorganizationq&qyiel
dqtoqyourqmanager
B)qLearnqmoreqaboutqtheqpolicyq&qwhyqyourqorganizationqsupportsqit
C)qYouqshouldqpolitelyqdecline,qasqyouqdoqnotqagreeqwithqtheqpolicy
D)qYouqshouldqgotqbutqrallyqagainstqtheqpolicyqsinceqyouqdoqnotqagreeqwithqit.qThisqisqAmeri
caq&qyouqareqexercisingqyourqfreedomqofqspeechq-qCORRECTqANSWER-
B)qLearnqmoreqaboutqtheqpolicyq&qwhyqyourqorganizationqsupportsqit.
, Rationale:qYouqshouldqknowqhowqyourqprofessionalqorganizationqstandsq--
qweqneedqtoqsupportqeachqotherq&qhaveqonqvoiceqasqnurses.
Aqnewqnurseqonqtheqmed-
surgqunitqapproachesqyouqwithqconcernsqaboutqoneqofqherqpatients.qSheqstatesqtheqpatientq
hasqnotqturnedqonqtheqlightsqorqTVqallqdayq&qdidqnotqorderqbreakfastqorqlunch.qSheqhadqtoqskq
theqpatientqwhatqmealqtheyqwantedq&qplaceqtheqorder.qThisqnurseqstatesqsheqisqconcernedq
aboutqtheqchangeqinqtheqpatient'sqbehavior.qLookingqatqtheqpatient'sqchart,qyouqrealizeqthisq
patientqisqJewishq&qitqisqSaturday.qWhatqisqtheqbestqresponseqtoqtheqnurse?
A)q"Theqptqisqsickq&qneedsqextraqsupportqtoday"
B)q"Theqptqneedsqtoqbeqseenqbyqtheqpsychologyqteamqforqanqevaluation"
C)qTheqptqmayqbeqfollowingqtheirqreligiousqpracticesq&qweqneedqtoqsupportqthis
D)qBeginqbeingqinqtheqhospitalq-qCORRECTqANSWER-
C)q"Theqpatientqmayqbeqfollowingqtheirqreligiousqpracticesq&qweqneedqtoqsupportqthis"
Rationale:qWeqneedqtoqsupportqpatients'qreligiousqpracticesqwheneverqpossibleqinqtheqhosp
ital.qonsideringqitqisqSaturdayq&qthisqpatientqisqJewishqmeansqtheqpatientqisqrecognizingqtheq
Sabbath.qThisqmeansqtheqpatientqwillqnotquseqanyqelectricalqdevicesqorqaskqtoquseqthem.qTh
eqstaffqwouldqhaveqtoqaskqwhetherqaqpatientqwantsqtheqTVqonqorqtheqlightsqturnedqon/off,q&qs
oqon.qPatientsqwillqalsoqnotquseqtheqphoneqorqcallqbellqsystemqduringqtheqSabbath.qStaffqnee
dqtoqbeqsensitiveqtoqpatientqneedsq&qtryqtoqaccommodateqculturalq&qspiritualqpracticesqwhe
neverqpossible.
Aqnotifiesqyouqthatqherqpatientqisqc/oqchestqpain.qAsqyouqenterqtheqroom,qtheqpatientqbecom
esqunresponsive.qUponqverificationqthatqaqpulseqIqabsent,qtheqcardiacqmonitorqrevealsqtheqp
atientqisqinqVFib.qTheqnurseqbeginsqCPR.qAsqaqCNLqyouqanticipateqtheqneedqforqwhichqtreat
mentqnext?
A)qAmiodarone
B)qLabetolol
C)qDefibriliation
D)qCardiacqcatheterizationq-qCORRECTqANSWER-C)qDefibrillation
Aqnurseqapproachesqyouq&qexpressesqherqknowledgeqdeficitqregardingqtheqdifferenceqbetw
eenqs/sqofqLq&qRqsidedqheartqfailure.qYouqexplainqtheqphysiologyqbetweenqtwoqtypesqofqhear
tqfailureq&qidentifyqwhichqofqtheqfollowingqasqaqprimaryqsymptomqofqR-sidedqheartqfailure?
A)qSOBqonqexertion
B)qHeartqmurmurq&qdistendedqveins
C)qPeripheralqedema
D)qCoolqextremitiesq&qweakqperipheralqpulsesq-qCORRECTqANSWER-
C)qPeripheralqedema
Rationale:qR-
sidedqheartqfailureqleadsqtoqcongestionqofqsystemicqcapillaries.qThisqgeneratesqexcessqfluid
qaccumulationqintqehqbodyq&qusuallyqaffectsqtheqdependentqpartsqofqtheqbodyqfirst.
Aqnurseqcalledqyouqintoqaqroomqwithqaqpatientqwhoqisqnewlyqadmittedqtoqyourqunitqwithqaqdxq
ofqUTI.qTheqptqisq86yo,qVSqrevealqtempqofq97.8,qRRq24,qHRq115,qBPq75/48.qTheqnurseqhasq
Review Questions and Answers
6yoqboyqnamedqBradenqisqptqinqmicrosystem.qHeqisqterifiedqofqshotsqheqhasqtoqgetqBIDqforqn
extq3qweeks.qItqisqmostqtherapeuticqmedqrouteqforqhisqillnessq&qbecomesqhystericalqeveryqti
meqtheqmedqisqdueq&qmustqbeqheldqdownqbyqtwoqpeopleqwhileqRNqgivesqinjection.qTheyqwillq
notqhaveq3qpeopleqatqhomeqtoqdoqthis.qWorkingqonqdischargeqplanning,qwhatqshouldqyouqdo
?
A)qPlanqonqBradenqbeingqinqhospitalqforqnextq3qweeksqtoqreceiveqhisqinjections
B)qObtainqrestraintsqforqtheqparentsqtoquseqatqhomeqinqorderqtoqgiveqtheqinjection
C)qTalkqwithqMDqtoqprescribeqaqpillqinstead
D)qWorkqwithqchildqspecialistq&qsitqdownqwithqBradenqtoqfindqoutqwhatqscaresqhimqaboutqtheq
injectionsq-qCORRECTqANSWER-
D)qWorkqwithqchildqspecialistq&qsitqdownqwithqBradenqtoqdetermineqwhatqscaresqhimqaboutqi
njections
Rationale:qWorkingqwithqinterdisciplinaryqteamqtoqprovideqpatientqbestqtreatmentqisqideal.qE
ncouragingqtheqchildqtoqbecomeqinvolvedqinqhisqcareq&qlettingqhimqhelpqenablesqhimqtoqcoo
perateq&qfeelqmoreqsecure.
Aq5PsqassessmentqwasqcompletedqbyqeachqNCLqinqtheqhospital.qAsqAqCNLqyouqknowqthisqi
sqanqassessmentqof:
A)qMicrosystem
B)qMesosystem
C)qMacrosystem
D)qHealthqcareqsystemq-qCORRECTqANSWER-A)qMicrosystem
Rationale:qAq5Psqassemsnetqisqanqanalysisqfoqtheqmicrosystem.qItqconsistsqofqanalyzingqth
eqpurpose,qpatients,qprofessionals,qprocesses,q&qpatternsqofqtheqmicrosystem.
Aq65yoqmanqwithqhxqofqchestqpalpitationsqwasqseenqbyqhisqcardiologistqforqnewqonsetqpalpit
ationsq&qputqonqaqbeta-
blockerq&qtoldqtoqreturnqforqaqfollowqupqinq1qweekqafterqtakingqaqstressqtest.qTheqbetaqblocke
r'sqactionqincludes:
A)qIncreasingqtheqconsistencyqofqtheqheartqrate
B)qDeceasingqtheqabilityqofqtheqheartqmuscleqtoqcontract
C)qDecreasingqtheqchangeqofqdysrythmias
D)qIncreasingqcontractilityq&qdecreasingqheartqrateq-qCORRECTqANSWER-
D)qIncreasingqcontractilityq&qdecreasingqheartqrate
AqCNLqonqanqorthoqfloorqnoticeqlegsqonqseveralqofqwalkersqareqnotqsecure.qSheqimmediatel
yqcallsqmedicalqequipmentqtoqreplaceqwalkersqonqtheqfloorq&qputsqdefectiveqstickersqonqcurr
entqwalkers.qThisqisqanqexampleqof:
,A)qHealthqpromotion
B)qInjuryqprevention
C)qHealthqcareqinformatics
D)qDelegationq-qCORRECTqANSWER-B)qInjuryqprevention
Rationale:qProvidingqsafeqcareqisqoneqofqtheqprimaryqgoalsqofqCNLq&qthisqscenarioqprevent
edqinjuryqbyqensuringqsafeqequipment.
Aqfellowqstaffqnurseqisqstrugglingqtoqunderstandqthequseqofqaqclinicalqdecisionqsupportqsyste
mq(CDSS)qinqtheqmanagementqofqherqsepticqpatient.qYourqinitialqteachingqstrategyqincludes
:
A)qSharingqtheqlatestqclinicalqresearch
B)qAnqunderstandingqofqexpectedq&qactualqoutcomes
C)qDefiningqtheqpurposeqofqCDSS
D)qExploringqchallenges,qrisks,q&qbenefitsq-qCORRECTqANSWER-
C)qDefiningqtheqpurposeqofqCDSSq
Rationale:qCDSSqsupportsqaqsafeqpatientqcultureq&qshouldqbeqdesignedqtoqhelpqproviders
AqKoreanqpatientqisqadmittedqwhoqspeaksqlittleqEnglish.qAnqexampleqofqculturallyqcompeten
tqcareqis:
A)qFindingqaqnurseqwhoqspeaksqsomeqKorean
B)qTransferringqthatqpatientqtoqaqfloorqthatqhasqaqKorean-speakingqsecretary
C)qCallingqtheqpatient'sqfamilyqtoqseeqifqtheyqcanqspeakqanyqEnglish
D)qObtainingqaqKoreanqtranslatorq-qCORRECTqANSWER-
D)qObtainingqaqKoreanqtranslator
Rationale:qTranslatorqisqmostqeffectiveqwayqtoqdeliverqculturallyqcompetentqcare,qtheqadmis
sionqwillqbeqcomplete,qtheqstaffqwillqbeqableqtoqaccuratelyqassessqtheqpatientq&qdietaryqstaffq
willqbeqableqtoqfindqoutqanyqspecificqdietaryqconcernsqtheqpatientqmayqhave.
AqlackqofqcomplianceqwithqDVTqprophylaxisqhasqbeenqidentifiedqinqretrospectiveqchartqrevie
wsqofqallqischemicqstrokeqpatientsqinqyourqorganization.qAsqaqCNLqonqtheqneurologicalqunit,q
yourqprimaryqgoalqwillqinclude:q
A)qChallengingqtheqguidelinesqonqprimaryqpreventionqofqischemicqstrokeqwrittenqbyqtheqAm
ericanqStrokeqAssociation
B)qGainingqanqunderstandingqofqhowqDVTqprophylaxisqisqinitiatedqonqeachqstrokeqpatientqo
nqyourqunit
C)qDevelopingqanqorganization-wideqeducationalqprogramqonqDVTqprophylaxis
D)qDevelopingqaqunit-basedqteamqofqnursingqpersonnelqtoqinvestigateqtheqproblem.q-
qCORRECTqANSWER-
B)qGainingqanqunderstandingqofqhowqDVTqprophylaxisqisqinitiatedqonqeachqstrokeqpatientqo
nqyourqunit.
Rationale:
WhiteqPaper:qOneqcompetencyqisqthatqofqaqsystemsqanalyst.qAqCNLqparticipatesqinqaqsyste
mqreviewq&qconductsqaqmicrosystemqanalysis,qidentifyingqaqclinicalqissueqwithqaqfocusqonqaq
particularqpopulation.
,Aqmedqequipmentqrepqapproachesqyouqtoqincorporateqhisqnewqproductqintoqyourqunitqsuppli
es.qHeqtellsqyouqthatqthisqnewqdeviceqhasqbeenqprovenqtoqeqtheqbestqdeviceqinqitsqarenaqtoqp
reventqDVTs.qPreventingqDVTsqisqoneqofqyourqgoalsqasqtheqCNLqonqthisqmed-
surgqunit.qTheqpriceqisqonlyqslightlyqhigherqthanqtheqcurrentqequipmentqyouquseqnow,qbutqhe
qsaysqtheqresearchqshowsqyouqwillqsaveqmoneyqinqtheqlongqrunqbyqpreventingqmoreqDVTs.q
Howqdoqyouqgoqaboutqgettingqthisqnewqdevice?q
A)qSinceqyouqdoqnotqhaveqanyqpurchasingqpowerqasqtheqCNL,qyouqdirectqhimqtoqtheqdirector
qofqtheqpurchasingqdept.
B)qYouqhaveqtheqrepresentativeqspeakqwithqyourqmanager,qsinceqyourqmanagerqmustqappr
oveqallqitemsqpurchasedqforqyourqunit
C)qYouqthankqhimqforqtheqinformation,qbutqpassqonqtheqofferqsinceqitqcostsqmoreqthanqtheqeq
uipmentqyouqcurrentlyquse,q&qasqaqCNLqyouqareqonlyqlookingqforqcost-effectiveqventures
D)qYouqperformqyourqownqresearchqonqtheqdeq-qCORRECTqANSWER-
D)qYouqperformqownqresearchqonqdeviceq&qcompareqitqwithqequipmentqyouqhaveqnow.qIfqitqp
rovesqtoqebqasqgoodqasqtheqrepresentativeqsays,qyouqwillqtakeqitqforwardqtoqadministration
Rationale:qGathers,qanalyzes,q&qsynthesizesqdataqrelatedqriskqreductionq&qpatientqsafety
AqnewqgradqRNqwhoqrecentlyqgotqoutqofqorientationqapproachesqyou,qtheqCNL.qOneqofqherq
patient'sqphysiciansqwroteqanqorderqtoqplaceqanqNGqtube.qThqeRNqhasqnotqdoneqthisqsinceq
nursingqschoolq&qasksqforqyourqhelp.qHowqdoqyouqrespond?
A)qTellqherqtoqaskqtheqchargeqRN,qasqthisqisqnotqoneqofqyourqCNLqrolesq&qyouqreallyqdoqnotqh
aveqtimeqatqtheqmoment
B)qDirectqherqtoqgetqtheqpolicyq&qprocedureqguidelines,qreviewqit,qassembleqtheqneededqsup
pliesq&qthenqyouqwillqreviewqitqwithqherq&qassetqherqwithqplacingqtheqNGqtube
C)qDirectqherqtoqreviewqtheqpolicyq&qprocedureqguidelines,qassembleqtheqneededqsuppliesq
&qaskqanqavailableqLPNqtoqassistqherqwithqplacingqit
D)qReviewqtheqorder,qgatherqtheqneededqsupplies,q&qhaveqherqwatchqyouqplaceqtheqNGqtub
e,qasqsheqhasqnotqdoneqitqbeforeqasqanqRNq-qCORRECTqANSWER-
B)qDirectoqherqtoqgetqpolicyq&qprocedureqguidelines,qreviewqit,qassembleqneededqsupplies,q
&qthenqreviewqitqwithqherq&qsitqwithqplacementqofqnewqNGqtube
Rationale:qAsqclinicianqteamqmanager,qoneqofqrolesqisqtoqbeqaqresourceqforqteam,qespecially
qforqnewqgradqRNs.qFromqAACN'sqWhiteqPaper,qtheqCNLqdesigns,qimplementsq&qevaluates
qclientqcareqbyqcoordinating,qdelegatingq&qsupervisingqtheqcareqprovidedqbyqtheqhealthqcare
qteam,qincludingqlicenseqnurses,qtechniciansq&qtheqhealthqprofessionals.
AqnewqhealthqpolicyqisqbeingqvotedqonqinqCongress.qYourqprofessionalqorganizationqsuppor
tsqthisqpolicyq&qisqrecruitingqnursesqtoqgoqtoqWashington,qDCqtoqhelpqpromoteqtheirqviewq&qh
aveqaqbiggerqvoice.qYouqdoqnotqsupportqthisqpolicy.qYourqmanagerqwantsqyouqtoqgoqasqaqlea
derq&qrepresentqyourqunit.qWhatqshouldqyouqdo?
A)qYouqshouldqgo,qasqyouqneedqtoqstickqtogetherqwithqyourqprofessionalqorganizationq&qyiel
dqtoqyourqmanager
B)qLearnqmoreqaboutqtheqpolicyq&qwhyqyourqorganizationqsupportsqit
C)qYouqshouldqpolitelyqdecline,qasqyouqdoqnotqagreeqwithqtheqpolicy
D)qYouqshouldqgotqbutqrallyqagainstqtheqpolicyqsinceqyouqdoqnotqagreeqwithqit.qThisqisqAmeri
caq&qyouqareqexercisingqyourqfreedomqofqspeechq-qCORRECTqANSWER-
B)qLearnqmoreqaboutqtheqpolicyq&qwhyqyourqorganizationqsupportsqit.
, Rationale:qYouqshouldqknowqhowqyourqprofessionalqorganizationqstandsq--
qweqneedqtoqsupportqeachqotherq&qhaveqonqvoiceqasqnurses.
Aqnewqnurseqonqtheqmed-
surgqunitqapproachesqyouqwithqconcernsqaboutqoneqofqherqpatients.qSheqstatesqtheqpatientq
hasqnotqturnedqonqtheqlightsqorqTVqallqdayq&qdidqnotqorderqbreakfastqorqlunch.qSheqhadqtoqskq
theqpatientqwhatqmealqtheyqwantedq&qplaceqtheqorder.qThisqnurseqstatesqsheqisqconcernedq
aboutqtheqchangeqinqtheqpatient'sqbehavior.qLookingqatqtheqpatient'sqchart,qyouqrealizeqthisq
patientqisqJewishq&qitqisqSaturday.qWhatqisqtheqbestqresponseqtoqtheqnurse?
A)q"Theqptqisqsickq&qneedsqextraqsupportqtoday"
B)q"Theqptqneedsqtoqbeqseenqbyqtheqpsychologyqteamqforqanqevaluation"
C)qTheqptqmayqbeqfollowingqtheirqreligiousqpracticesq&qweqneedqtoqsupportqthis
D)qBeginqbeingqinqtheqhospitalq-qCORRECTqANSWER-
C)q"Theqpatientqmayqbeqfollowingqtheirqreligiousqpracticesq&qweqneedqtoqsupportqthis"
Rationale:qWeqneedqtoqsupportqpatients'qreligiousqpracticesqwheneverqpossibleqinqtheqhosp
ital.qonsideringqitqisqSaturdayq&qthisqpatientqisqJewishqmeansqtheqpatientqisqrecognizingqtheq
Sabbath.qThisqmeansqtheqpatientqwillqnotquseqanyqelectricalqdevicesqorqaskqtoquseqthem.qTh
eqstaffqwouldqhaveqtoqaskqwhetherqaqpatientqwantsqtheqTVqonqorqtheqlightsqturnedqon/off,q&qs
oqon.qPatientsqwillqalsoqnotquseqtheqphoneqorqcallqbellqsystemqduringqtheqSabbath.qStaffqnee
dqtoqbeqsensitiveqtoqpatientqneedsq&qtryqtoqaccommodateqculturalq&qspiritualqpracticesqwhe
neverqpossible.
Aqnotifiesqyouqthatqherqpatientqisqc/oqchestqpain.qAsqyouqenterqtheqroom,qtheqpatientqbecom
esqunresponsive.qUponqverificationqthatqaqpulseqIqabsent,qtheqcardiacqmonitorqrevealsqtheqp
atientqisqinqVFib.qTheqnurseqbeginsqCPR.qAsqaqCNLqyouqanticipateqtheqneedqforqwhichqtreat
mentqnext?
A)qAmiodarone
B)qLabetolol
C)qDefibriliation
D)qCardiacqcatheterizationq-qCORRECTqANSWER-C)qDefibrillation
Aqnurseqapproachesqyouq&qexpressesqherqknowledgeqdeficitqregardingqtheqdifferenceqbetw
eenqs/sqofqLq&qRqsidedqheartqfailure.qYouqexplainqtheqphysiologyqbetweenqtwoqtypesqofqhear
tqfailureq&qidentifyqwhichqofqtheqfollowingqasqaqprimaryqsymptomqofqR-sidedqheartqfailure?
A)qSOBqonqexertion
B)qHeartqmurmurq&qdistendedqveins
C)qPeripheralqedema
D)qCoolqextremitiesq&qweakqperipheralqpulsesq-qCORRECTqANSWER-
C)qPeripheralqedema
Rationale:qR-
sidedqheartqfailureqleadsqtoqcongestionqofqsystemicqcapillaries.qThisqgeneratesqexcessqfluid
qaccumulationqintqehqbodyq&qusuallyqaffectsqtheqdependentqpartsqofqtheqbodyqfirst.
Aqnurseqcalledqyouqintoqaqroomqwithqaqpatientqwhoqisqnewlyqadmittedqtoqyourqunitqwithqaqdxq
ofqUTI.qTheqptqisq86yo,qVSqrevealqtempqofq97.8,qRRq24,qHRq115,qBPq75/48.qTheqnurseqhasq
