Cassidy, a CNL at an outpatient setting sees an increase of Japanese patients. This is a
culture she doesn't know much about & does n't have much education materials to
give to patients in this language. She goes online to valid websites & learns more
about the culture & their health care practices. She also discovers a site within her
heath care system that translates information & has handouts in 12 different languages.
Cassidy demonstrated knowledge of:
A) Team coordination
B) Injury reduction
C) Health care informatics
D) Health care policy
,Give this one a try later!
C) Health care informatics
Rationale: Health care informatics applies using technology to improve
patient care.
As the CNL on a Med-Surg unit, you are asked to participate in a RCA of a group of
sentinel events that have occurred recently throughout the hospital. Your team
determines that a lack of effective communication in emergent situations is the root
problem. Now what?
A) Lead the team in researching EBP improvements to implement a better way of
communicating during emergencies
B) Submit your findings to the administration that assigned you this task
C) Share the findings with the units that had these sentinel events & instruct them to
come up with better, research-based communication techniques
D) Take the findings directly to the individuals involved int he sentinel events & show
them what they need to improve to prevent the adverse outcomes
Give this one a try later!
A) Lead the team in researching EBP improvements to implement a better
way of communicating
Rationale: Once you discover what ht problem is, a solution needs to be
created. This is something that should be non punitive & benefit the whole
hospital. Focusing on individuals will not be beneficial to the big picture.
You are reviewing a patient's morning lab values. Pt's Hgb dropped from 12.5 to 7.3.
The RN has called MD & received orders for 2units of PRBCs to be transfused. Pt was
admitted for diabetic ketoacidosis. What is the next step you should perform?
A) Research whether the pt has ever had a history of any anemia or GI bleeding
B) Assess pt for s/s of bleeding
,C) Call MD & inform him to redraw the labs
D) Review rest of pt's lab values
Give this one a try later!
B) Assess pt for s/s of bleeding
Rationale: If the significant decrease in Hgb is unexpected & lab error is
suspected, the clinician must first assess pt to ensure no s/s of bleeding
are present.
A patient care nurse, Kristin, comes to you about a new idea she has to provide better
patient care. You agree this is great idea. You should:
A) Research latest evidence on this topic
B) Set up a meeting with interdisciplinary team to discuss
C) implant the change
D) Encourage Krisin to take on this project
Give this one a try later!
D) Encourage Kristin to take on this project
Rationale: As a leader we should encourage others to get involved & help
them be successful by providing support & knowledge using EBP
When assessing a patient for a dx of pneumonia, it is more difficult to make a proper
diagnosis in the absence of the following symptom:
A) Cough
B) Cyanosis
C) Tachycardia
D) Bradycardia
Give this one a try later!
, A) Cough
Rationale: Cough is one of the paramount symptoms to help diagnose
pneumonia.
To be culturally competent as a CNL is best found to be an example of which form of
nursing leadership?
A) Lateral integration of care services
B) Horizontal leadership
C) Advocacy
D) Vertical leadership
Give this one a try later!
C) Advocacy
Rationale: An effective advocacy is needed during assessment,
intervention, evaluate, & teaching to use cultural competence for
communication to be effective
All are part of the data necessary for a CNL to fully understand & assess his or her
clinical unit except:
A) The organization financial statement
B) The target population & age distribution
C) The percentage of FTEs
D) Rate of nosocomial infections
E) Fall rates
Give this one a try later!
culture she doesn't know much about & does n't have much education materials to
give to patients in this language. She goes online to valid websites & learns more
about the culture & their health care practices. She also discovers a site within her
heath care system that translates information & has handouts in 12 different languages.
Cassidy demonstrated knowledge of:
A) Team coordination
B) Injury reduction
C) Health care informatics
D) Health care policy
,Give this one a try later!
C) Health care informatics
Rationale: Health care informatics applies using technology to improve
patient care.
As the CNL on a Med-Surg unit, you are asked to participate in a RCA of a group of
sentinel events that have occurred recently throughout the hospital. Your team
determines that a lack of effective communication in emergent situations is the root
problem. Now what?
A) Lead the team in researching EBP improvements to implement a better way of
communicating during emergencies
B) Submit your findings to the administration that assigned you this task
C) Share the findings with the units that had these sentinel events & instruct them to
come up with better, research-based communication techniques
D) Take the findings directly to the individuals involved int he sentinel events & show
them what they need to improve to prevent the adverse outcomes
Give this one a try later!
A) Lead the team in researching EBP improvements to implement a better
way of communicating
Rationale: Once you discover what ht problem is, a solution needs to be
created. This is something that should be non punitive & benefit the whole
hospital. Focusing on individuals will not be beneficial to the big picture.
You are reviewing a patient's morning lab values. Pt's Hgb dropped from 12.5 to 7.3.
The RN has called MD & received orders for 2units of PRBCs to be transfused. Pt was
admitted for diabetic ketoacidosis. What is the next step you should perform?
A) Research whether the pt has ever had a history of any anemia or GI bleeding
B) Assess pt for s/s of bleeding
,C) Call MD & inform him to redraw the labs
D) Review rest of pt's lab values
Give this one a try later!
B) Assess pt for s/s of bleeding
Rationale: If the significant decrease in Hgb is unexpected & lab error is
suspected, the clinician must first assess pt to ensure no s/s of bleeding
are present.
A patient care nurse, Kristin, comes to you about a new idea she has to provide better
patient care. You agree this is great idea. You should:
A) Research latest evidence on this topic
B) Set up a meeting with interdisciplinary team to discuss
C) implant the change
D) Encourage Krisin to take on this project
Give this one a try later!
D) Encourage Kristin to take on this project
Rationale: As a leader we should encourage others to get involved & help
them be successful by providing support & knowledge using EBP
When assessing a patient for a dx of pneumonia, it is more difficult to make a proper
diagnosis in the absence of the following symptom:
A) Cough
B) Cyanosis
C) Tachycardia
D) Bradycardia
Give this one a try later!
, A) Cough
Rationale: Cough is one of the paramount symptoms to help diagnose
pneumonia.
To be culturally competent as a CNL is best found to be an example of which form of
nursing leadership?
A) Lateral integration of care services
B) Horizontal leadership
C) Advocacy
D) Vertical leadership
Give this one a try later!
C) Advocacy
Rationale: An effective advocacy is needed during assessment,
intervention, evaluate, & teaching to use cultural competence for
communication to be effective
All are part of the data necessary for a CNL to fully understand & assess his or her
clinical unit except:
A) The organization financial statement
B) The target population & age distribution
C) The percentage of FTEs
D) Rate of nosocomial infections
E) Fall rates
Give this one a try later!
