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1. What techniques is the best to display the distribution of the data collected?
A. Run chart
B. Fishbone chart
C. FMEA chart
D. Histogram chart - ANSWER D. Rationale: graphic illustation for distribution
of data without timelines (run chart) or sentinel events (fishbone)
2. The CNL is performing RCA for spike in number of CAUTIs over the last 6
months. Realizing CMS operates on a pay-for-performance basis, you develop a
CAUTI task force in an effort to reduce costs.
This is an example of
A. Implementing cost reduction and savings
B. Anticipating risk and designing plans of care to Improve outcomes
C Evaluating the effect of the health care financing on care access and patient
outcomes
D. Applying basic business and economic principles to the microsystem - ANSWER
B. rationale core competencies
, 3. The CNL notices increased number of CLBSI on your unit. You conduct a
literature search and, after critiquing and synthesizing the available evidence, you
find that central line bundles have been shown to decrease CLBSI. You want to
implement this bundle on your unit, and plan to evaluate the effect of this change.
Which of the following best describes this process?
A. PDSA
B. Research
C. QI
D. EBP - ANSWER D. Rationale: EBP involves applying research evidence to
clinical practice in order to improve patient outcomes
4. The CNL successfully implemented an EBP project utilizing music therapy to
help with pain control in sickle cell patients on a medical-surgical unit. The CNL
was asked by the CNO to implement the project within the medical division. What
system will the CNL be working in?
A. mesosystem
B. macrosystme
C. microsystem
D. unit-based system - ANSWER A. rationale: multiple microsystems
5. A mother presents to ED with 8-month infant who has the following symptoms:
coughing, recurring respiratory infections, fatty stools, and failure to thrive. Upon
examination, the infants vitals are as follows: T 99.4 HR 150, RR 65, BP 88/50. A
CNL in the ED receives a phone call from the lab stating that Staphylococcus
aureus was found coloniezed in the patient's airway. A
,As the CNL in the ED, you associate the patients condition with which following
disease?
A. Asthma
B. Lobar pneumonia
C. Cystic fibrosis
D. Croup - ANSWER C. rationale: respiratory infections, FFT, and fatty stools
6. What is the best tool utilized by the CNL to implement change?
A. research study
B. Meta-analysis
C. PDSA
D. SDSA - ANSWER C. quickly test ideas
7. A group composed of unit-based council members was put on a task force to
improve discharge planning b/c pts reported feeling rushed and unprepared at
discharge. A decision was made to create a discharge planning nurse position to
educate patients the night before the discharge. Even though the new nurses did
not like this solution, they deferred to the senior nurses of this group who were
adamant about implementing this posiiton. Which barrier to effective teamwork
does this exemplify?
A. Physical threats
B. Groupthink
C. Team dysfunction
, D. Authority gradient - ANSWER B. rationale: phenomenon that occurs when
group members try to minimize conflict and reach consensus too ealry without
fully vetting all ideas and consequences
8. While QI efforts can yield many benefits in health care, as the CNL you
recognize which of the following to be the most important potential effect of a
nursing QI effort?
A. Increased hospital cash flow/decreased expense
B. Increased competitiveness with other facilities
C. Reduction in lawsuits/liability
D. Improvement of nursing quality indicators - ANSWER D. patient-centered
9. Team coordination skills can help avoid all of the following except:
A. Undefined team member roles
B. Poor membership involvement
C. Member conflict
D. Confusion regarding next steps - ANSWER C. conflict usually arises in groups
at some point
10. The CNL of the heart failiure unit encourages the staff to earn advanced
degrees, obtain certifications, and present and publish EBP projects. The CNL
exhibitis which type of leadership style?
A. Relational
B. Transactional