Page 1 of 259
CNL (Clinical Nurse Leader) Certification EXAM A, B, C & STUDY
GUIDE TEST BANK COMPLETE 550 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
CNL (Clinical Nurse Leader) Certification EXAM A
QUESTION: As a CNL, you can advocate for nursing as a profession by doing all of these EXCEPT:
A. Participate in nursing education.
B. Participate in nursing organizations like American Nurses Association, Sigma Theta Tau, or
Clinical Nurse Leader Association.
C. Participate in a discussion with the physician about the care of a specific patient.
D. Participate in efforts to establish legislation that supports nurses practicing to the full extent
of their licensure. - ANSWER✔✔C. Participate in a discussion with the physician about the care
of a specific patient.
QUESTION: J. R. is a 77-year-old who underwent an MRI of his brain due to new onset
confusion. He has a history of lung cancer and the results of the MRI of the brain reveals new
nodules indicative of brain metastasis. He tells his daughter that he does not want any future
chemotherapy treatments and there is "nothing more to be done!" The daughter feels there
should be other options available for her father and wants to meet with the oncologist. With
permission from the patient, a meeting was coordinated by the CNL to include the patient, the
oncologist, the social worker, the hospitalist, the clergy, and the palliative care nurse. The CNL
hopes that organizing a meeting with all disciplines will result in open dialogue concerning
several options and goals of care for J. R. The CNL is practicing:
A. Care coordination
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B. As an educator
C. As a negotiator for best care
D. Patient advocacy - ANSWER✔✔D. Patient advocacy
QUESTION: The central principles of advocacy include all of the following EXCEPT:
A. Protection of the patients' autonomy
B. Developing a new interprofessional team
C. Advancement and protection of the profession
D. Social justice - ANSWER✔✔B. Developing a new interprofessional team
QUESTION: Grace is a CNL and is very active in the international organization of the Clinical
Nurse Leader Association (CNLA). She currently serves on the board as the CNLA treasurer. By
her involvement in the CNLA, Grace is demonstrating:
A. Her desire to have a social network of friends
B. Advocacy by serving as a member of a professional nursing organization
C. Completing a major requirement to maintain her CNL certification
D. Completing an important step to implement the CNL role - ANSWER✔✔B. Advocacy by
serving as a member of a professional nursing organization
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QUESTION: As an advocate, the CNL should build partnerships with community organizations
to:
A. Increase revenue from these target community members.
B. Identify problem areas to avoid when planning expansions of services.
C. Identify and address health disparities and perceived discrimination in the healthcare system.
D. Avoid bad public relations. - ANSWER✔✔C. Identify and address health disparities and
perceived discrimination in the healthcare system.
As a CNL utilizing horizontal leadership, it is also important for the CNL to be aware of the
different theories that serve as a foundation of healthcare delivery. Which theory is derived
from the chaos model and is used to understand a rapidly changing, unpredictable healthcare
environment?
A. Change Theory
B. Systems Theory
C. Unpredictable Theory
D. Complexity Theory - ANSWER✔✔Complexity theory
used to understand a rapidly changing, unpredictable healthcare environment. It has its origins
in the chaos model (e.g., changes are rapid, random, and frequent) (Cannon & Boswell, 2010)
QUESTION: John, a 28-year-old male, is admitted to the progressive care unit after a
tracheostomy placement following a respiratory distress episode. Prior to admission John was
living independently at home. John has been in the hospital for 68 days and has regressed to
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only being able to stand for several minutes at a time. The clinical case manager (CCM)
mentioned in the morning huddle that the patient's discharge options are limited at this time.
As a leader, who should the CNL include in the team to discuss the process of discharge
planning before finalizing the plan with John?
A. Physician, staff nurse, social worker, CCM, patient, physical therapy, occupational therapy,
and speech therapy
B. Rehabilitation liaison, physician, and speech therapist)
C. Patient's family, physician, and social worker
D. Skilled nursing facility liaison, CCM, staff nurse, and dietician - ANSWER✔✔A. Physician, staff
nurse, social worker, CCM, patient, physical therapy, occupational therapy, and speech therapy
QUESTION: A staff nurse was asked to take a patient's weight in order for a physician to
calculate the appropriate dose for a new drug. The nurse documented the weight with just a
number. It is discovered that the nurse actually documented the weight in pounds instead of
kilograms and subsequently the patient was given the incorrect dose of the medication. This
resulted in a sentinel event. The CNL for the microsystem creates an interprofessional team to
do a root cause analysis. Which type of leadership is the CNL demonstrating?
A. Servant Leadership
B. Interprofessional Leadership
C. Horizontal Leadership
D. Team-Based Leadership - ANSWER✔✔C. Horizontal Leadership
CNL (Clinical Nurse Leader) Certification EXAM A, B, C & STUDY
GUIDE TEST BANK COMPLETE 550 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
CNL (Clinical Nurse Leader) Certification EXAM A
QUESTION: As a CNL, you can advocate for nursing as a profession by doing all of these EXCEPT:
A. Participate in nursing education.
B. Participate in nursing organizations like American Nurses Association, Sigma Theta Tau, or
Clinical Nurse Leader Association.
C. Participate in a discussion with the physician about the care of a specific patient.
D. Participate in efforts to establish legislation that supports nurses practicing to the full extent
of their licensure. - ANSWER✔✔C. Participate in a discussion with the physician about the care
of a specific patient.
QUESTION: J. R. is a 77-year-old who underwent an MRI of his brain due to new onset
confusion. He has a history of lung cancer and the results of the MRI of the brain reveals new
nodules indicative of brain metastasis. He tells his daughter that he does not want any future
chemotherapy treatments and there is "nothing more to be done!" The daughter feels there
should be other options available for her father and wants to meet with the oncologist. With
permission from the patient, a meeting was coordinated by the CNL to include the patient, the
oncologist, the social worker, the hospitalist, the clergy, and the palliative care nurse. The CNL
hopes that organizing a meeting with all disciplines will result in open dialogue concerning
several options and goals of care for J. R. The CNL is practicing:
A. Care coordination
, Page 2 of 259
B. As an educator
C. As a negotiator for best care
D. Patient advocacy - ANSWER✔✔D. Patient advocacy
QUESTION: The central principles of advocacy include all of the following EXCEPT:
A. Protection of the patients' autonomy
B. Developing a new interprofessional team
C. Advancement and protection of the profession
D. Social justice - ANSWER✔✔B. Developing a new interprofessional team
QUESTION: Grace is a CNL and is very active in the international organization of the Clinical
Nurse Leader Association (CNLA). She currently serves on the board as the CNLA treasurer. By
her involvement in the CNLA, Grace is demonstrating:
A. Her desire to have a social network of friends
B. Advocacy by serving as a member of a professional nursing organization
C. Completing a major requirement to maintain her CNL certification
D. Completing an important step to implement the CNL role - ANSWER✔✔B. Advocacy by
serving as a member of a professional nursing organization
, Page 3 of 259
QUESTION: As an advocate, the CNL should build partnerships with community organizations
to:
A. Increase revenue from these target community members.
B. Identify problem areas to avoid when planning expansions of services.
C. Identify and address health disparities and perceived discrimination in the healthcare system.
D. Avoid bad public relations. - ANSWER✔✔C. Identify and address health disparities and
perceived discrimination in the healthcare system.
As a CNL utilizing horizontal leadership, it is also important for the CNL to be aware of the
different theories that serve as a foundation of healthcare delivery. Which theory is derived
from the chaos model and is used to understand a rapidly changing, unpredictable healthcare
environment?
A. Change Theory
B. Systems Theory
C. Unpredictable Theory
D. Complexity Theory - ANSWER✔✔Complexity theory
used to understand a rapidly changing, unpredictable healthcare environment. It has its origins
in the chaos model (e.g., changes are rapid, random, and frequent) (Cannon & Boswell, 2010)
QUESTION: John, a 28-year-old male, is admitted to the progressive care unit after a
tracheostomy placement following a respiratory distress episode. Prior to admission John was
living independently at home. John has been in the hospital for 68 days and has regressed to
, Page 4 of 259
only being able to stand for several minutes at a time. The clinical case manager (CCM)
mentioned in the morning huddle that the patient's discharge options are limited at this time.
As a leader, who should the CNL include in the team to discuss the process of discharge
planning before finalizing the plan with John?
A. Physician, staff nurse, social worker, CCM, patient, physical therapy, occupational therapy,
and speech therapy
B. Rehabilitation liaison, physician, and speech therapist)
C. Patient's family, physician, and social worker
D. Skilled nursing facility liaison, CCM, staff nurse, and dietician - ANSWER✔✔A. Physician, staff
nurse, social worker, CCM, patient, physical therapy, occupational therapy, and speech therapy
QUESTION: A staff nurse was asked to take a patient's weight in order for a physician to
calculate the appropriate dose for a new drug. The nurse documented the weight with just a
number. It is discovered that the nurse actually documented the weight in pounds instead of
kilograms and subsequently the patient was given the incorrect dose of the medication. This
resulted in a sentinel event. The CNL for the microsystem creates an interprofessional team to
do a root cause analysis. Which type of leadership is the CNL demonstrating?
A. Servant Leadership
B. Interprofessional Leadership
C. Horizontal Leadership
D. Team-Based Leadership - ANSWER✔✔C. Horizontal Leadership