CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
1. A new graduate nurse, Jenny, ap-
proaches you and states she needs help
removing a peripherally inserted central
catheter (PICC). Which of the following
is the best response when acting as a
horizontal leader? Answer C—Rationale: The clinical nurse
leader (CNL) acts as a horizontal leader
A. Remove the PICC yourself by helping the new graduate nurse to
B. Tell Jenny to find the policy and then learn through sharing knowledge and
remove the PICC coaching, rather than doing the task for
C. Help Jenny find the policy and review the nurse.
it with her. Coach Jenny while she re-
moves the PICC and provide feedback
D. Help Jenny find the policy and refer
her to a nurse with 12 years of experi-
ence for assistance
2. What organizational theory is used
with rapid, unpredictable, and constant
change?
Answer B—Rationale: Chaos theory is
A. Systems theory used to understand rapidly changing, un-
B. Chaos theory predictable health care environments.
C. Change theory
D. Traditional theory
3. A 65-year-old African American male
was admitted to your microsystem with
hyperglycemia. The patient has a his-
tory of hypertension, gout, obesity, and
smoking. The patient has a family histo- Answer D—Rationale: Modifiable risk
ry of diabetes and hypertension. Which factors are lifestyle factors that a per-
statement by the patient demonstrates son can alter in order to prevent disease.
his understanding of modifiable risk fac- Smoking cessation class is an interven-
tors for diabetes? tion for modifying the risk factor of smok-
ing.
A. "As I get older, my risk for diabetes
increases."
B. "I know that a family history of dia-
betes is a risk factor, so I will educate my
, CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
children on diabetes prevention."
C. "I will keep a record of all my blood
sugars to take to my doctor's appoint-
ments."
D. "I will attend a smoking cessation
class, because I know smoking increas-
es my risk for diabetes."
4. Your hospital is currently trialing the
integration of the clinical nurse leader
(CNL) role. At the', 'end of the trial im-
plementation period how can you, as the Answer B—Rationale: The CNL should
CNL, best illustrate the effectiveness of present the effect and outcomes to illus-
your role during this trial? trate the importance of the integration of
his or her role. Increased patient satis-
A. Refer to increased patient satisfaction faction is not necessarily directly relat-
scores over the course of the trial ed to the CNL. Presentation of projects
B. Present data that demonstrates the ef- and tasks completed does not address
fect of the CNL and outcomes achieved measurable outcomes. Performance re-
over the course of the trial view of the individual does not indicate
C. Present a list of projects and tasks outcomes were affected.
completed over the course of the trial
D. Refer to your performance review over
the course of the trial
5. You are a CNL on an oncology unit.
Recently, there has been an increase in
the number of catheter- associated uri-
nary tract infections (CAUTIs) on your Answer D—Rationale: CNLs should
unit. After shadowing nurses and aides gather and disseminate evidence to
you observed a variety of practices, tech- solve clinical problems; however, that
niques, and expectations surrounding should not be the initial step. Further re-
daily catheter care. Your hospital does view of hospital practices and policies
not have a current policy or procedure re- may come after this issue is addressed.
garding catheter care. As the CNL, what Creation of a rubric for educating pa-
should you do next? tients and staff on catheter care may
come after reviewing evidence. The CNL
A. Review current evidence for catheter
care practice and disseminate evidence
to the staff
, CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
B. Form an interdisciplinary team meet-
ing to evaluate current hospital catheter
care policies
C. Create a rubric for educating patients
should act to solve the clinical issue in
and staff on catheter care
the short term, and evaluate the need
D. Discuss with the unit manager the
for a larger policy to address gaps in
clinical issue and create a set of evi-
practice hospital-wide.
dence-based unit expectations and prac-
tices for the oncology unit. Evaluate the
need to address this issue with a hospi-
tal-wide policy or procedure
6. A 50-year-old woman with a history
of stage 3 chronic obstructive pulmonary
disease (COPD) presents to the emer-
Answer A—Rationale: Based on the clin-
gency department (ED) with increased
ical scenario, the pH is decreased (less
shortness of breath. Based on your lab
than 7.35); therefore, the patient has aci-
results, what is the acid-base disorder?
dosis. The PaCO2 is elevated (more than
Labs as follows: pH 7.25 PaCO2 50
45 mmHg), which is also consistent with
mmHg HCO3 22 mEq/L PO2 75 SpO2
the pH.', 'The HCO3 is within normal
88% Na + 136 BUN 18
limits, which suggests the kidneys are
A. Uncompensated respiratory acidosis not compensating. COPD is commonly
B. Metabolic acidosis associated with respiratory acidosis.
C. Respiratory acidosis
D. Uncompensated respiratory acidosis
7. A CNL evaluates a 17-year-old pa-
tient who has been a victim of rape. The
patient has visible bruising and a head
laceration. After the CNL's assessment,
Answer D—Rationale: Legally, there
law enforcement officials have contact-
must be consent from the patient to
ed the CNL requesting information re-
share information with law enforcement
garding the attack and the visible injuries
and to abide by Health Insurance Porta-
seen during the visit. The CNL knows
bility and Accountability Act (HIPAA) reg-
she must first:
ulations.
A. Take pictures and complete the rape
kit
B. Provide law enforcement with a record
, CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
as requested
C. Call the patient's parents first
D. Explain to the patient in order to obtain
consent for release of records
8. A CNL in the neonatal intensive care
unit (NICU) is collecting data on the
hours worked weekly by the staff nurses.
The CNL wants to see if there is a normal
distribution of hours worked. What tech-
nique is the best to display the distribu- Answer D—Rationale: Histogram is a
tion of the data collected? graphical representation, showing a visu-
al impression of the distribution of data.
A. Run chart
B. Fishbone chart
C. Failure modes and effects analysis
(FMEA) chart
D. Histogram chart
9. Your pediatric oncology unit is con-
sidering the implementation of a so-
cial/activity program for child clients that Answer C—Rationale: While social inter-
would provide volunteer social interac- action and activities may provide distrac-
tions and age-appropriate activities to tion to clients and prevent poor client ex-
admitted clients. As the CNL for this unit, periences, such a program would most
you recognize this intervention as a way importantly meet the holistic needs of
to: young clients that may otherwise be ne-
glected during a lengthy hospital stay.
A. Be helpful to the floor staff by distract- They also act to integrate such services
ing clients with the medical care being delivered,
B. Be a wasteful expenditure meeting the CNL's call to develop and
C. Meet the psychosocial needs of integrate services across settings in a
clients holistic manner.
D. Prevent poor client experience ratings
on discharge surveys
10. When assessing a new microsystem,
the CNL will often use a tool known as
the "5 Ps." As a CNL, you recognize the
"5 Ps" to include are:
A. Purpose, patients, process, patterns,
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
1. A new graduate nurse, Jenny, ap-
proaches you and states she needs help
removing a peripherally inserted central
catheter (PICC). Which of the following
is the best response when acting as a
horizontal leader? Answer C—Rationale: The clinical nurse
leader (CNL) acts as a horizontal leader
A. Remove the PICC yourself by helping the new graduate nurse to
B. Tell Jenny to find the policy and then learn through sharing knowledge and
remove the PICC coaching, rather than doing the task for
C. Help Jenny find the policy and review the nurse.
it with her. Coach Jenny while she re-
moves the PICC and provide feedback
D. Help Jenny find the policy and refer
her to a nurse with 12 years of experi-
ence for assistance
2. What organizational theory is used
with rapid, unpredictable, and constant
change?
Answer B—Rationale: Chaos theory is
A. Systems theory used to understand rapidly changing, un-
B. Chaos theory predictable health care environments.
C. Change theory
D. Traditional theory
3. A 65-year-old African American male
was admitted to your microsystem with
hyperglycemia. The patient has a his-
tory of hypertension, gout, obesity, and
smoking. The patient has a family histo- Answer D—Rationale: Modifiable risk
ry of diabetes and hypertension. Which factors are lifestyle factors that a per-
statement by the patient demonstrates son can alter in order to prevent disease.
his understanding of modifiable risk fac- Smoking cessation class is an interven-
tors for diabetes? tion for modifying the risk factor of smok-
ing.
A. "As I get older, my risk for diabetes
increases."
B. "I know that a family history of dia-
betes is a risk factor, so I will educate my
, CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
children on diabetes prevention."
C. "I will keep a record of all my blood
sugars to take to my doctor's appoint-
ments."
D. "I will attend a smoking cessation
class, because I know smoking increas-
es my risk for diabetes."
4. Your hospital is currently trialing the
integration of the clinical nurse leader
(CNL) role. At the', 'end of the trial im-
plementation period how can you, as the Answer B—Rationale: The CNL should
CNL, best illustrate the effectiveness of present the effect and outcomes to illus-
your role during this trial? trate the importance of the integration of
his or her role. Increased patient satis-
A. Refer to increased patient satisfaction faction is not necessarily directly relat-
scores over the course of the trial ed to the CNL. Presentation of projects
B. Present data that demonstrates the ef- and tasks completed does not address
fect of the CNL and outcomes achieved measurable outcomes. Performance re-
over the course of the trial view of the individual does not indicate
C. Present a list of projects and tasks outcomes were affected.
completed over the course of the trial
D. Refer to your performance review over
the course of the trial
5. You are a CNL on an oncology unit.
Recently, there has been an increase in
the number of catheter- associated uri-
nary tract infections (CAUTIs) on your Answer D—Rationale: CNLs should
unit. After shadowing nurses and aides gather and disseminate evidence to
you observed a variety of practices, tech- solve clinical problems; however, that
niques, and expectations surrounding should not be the initial step. Further re-
daily catheter care. Your hospital does view of hospital practices and policies
not have a current policy or procedure re- may come after this issue is addressed.
garding catheter care. As the CNL, what Creation of a rubric for educating pa-
should you do next? tients and staff on catheter care may
come after reviewing evidence. The CNL
A. Review current evidence for catheter
care practice and disseminate evidence
to the staff
, CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
B. Form an interdisciplinary team meet-
ing to evaluate current hospital catheter
care policies
C. Create a rubric for educating patients
should act to solve the clinical issue in
and staff on catheter care
the short term, and evaluate the need
D. Discuss with the unit manager the
for a larger policy to address gaps in
clinical issue and create a set of evi-
practice hospital-wide.
dence-based unit expectations and prac-
tices for the oncology unit. Evaluate the
need to address this issue with a hospi-
tal-wide policy or procedure
6. A 50-year-old woman with a history
of stage 3 chronic obstructive pulmonary
disease (COPD) presents to the emer-
Answer A—Rationale: Based on the clin-
gency department (ED) with increased
ical scenario, the pH is decreased (less
shortness of breath. Based on your lab
than 7.35); therefore, the patient has aci-
results, what is the acid-base disorder?
dosis. The PaCO2 is elevated (more than
Labs as follows: pH 7.25 PaCO2 50
45 mmHg), which is also consistent with
mmHg HCO3 22 mEq/L PO2 75 SpO2
the pH.', 'The HCO3 is within normal
88% Na + 136 BUN 18
limits, which suggests the kidneys are
A. Uncompensated respiratory acidosis not compensating. COPD is commonly
B. Metabolic acidosis associated with respiratory acidosis.
C. Respiratory acidosis
D. Uncompensated respiratory acidosis
7. A CNL evaluates a 17-year-old pa-
tient who has been a victim of rape. The
patient has visible bruising and a head
laceration. After the CNL's assessment,
Answer D—Rationale: Legally, there
law enforcement officials have contact-
must be consent from the patient to
ed the CNL requesting information re-
share information with law enforcement
garding the attack and the visible injuries
and to abide by Health Insurance Porta-
seen during the visit. The CNL knows
bility and Accountability Act (HIPAA) reg-
she must first:
ulations.
A. Take pictures and complete the rape
kit
B. Provide law enforcement with a record
, CNL Verified Multiple Choice and Conceptual Actual Exam
Questions Reviewed 100% Correct Detailed Answers
>> Guaranteed Pass!!Current Update
as requested
C. Call the patient's parents first
D. Explain to the patient in order to obtain
consent for release of records
8. A CNL in the neonatal intensive care
unit (NICU) is collecting data on the
hours worked weekly by the staff nurses.
The CNL wants to see if there is a normal
distribution of hours worked. What tech-
nique is the best to display the distribu- Answer D—Rationale: Histogram is a
tion of the data collected? graphical representation, showing a visu-
al impression of the distribution of data.
A. Run chart
B. Fishbone chart
C. Failure modes and effects analysis
(FMEA) chart
D. Histogram chart
9. Your pediatric oncology unit is con-
sidering the implementation of a so-
cial/activity program for child clients that Answer C—Rationale: While social inter-
would provide volunteer social interac- action and activities may provide distrac-
tions and age-appropriate activities to tion to clients and prevent poor client ex-
admitted clients. As the CNL for this unit, periences, such a program would most
you recognize this intervention as a way importantly meet the holistic needs of
to: young clients that may otherwise be ne-
glected during a lengthy hospital stay.
A. Be helpful to the floor staff by distract- They also act to integrate such services
ing clients with the medical care being delivered,
B. Be a wasteful expenditure meeting the CNL's call to develop and
C. Meet the psychosocial needs of integrate services across settings in a
clients holistic manner.
D. Prevent poor client experience ratings
on discharge surveys
10. When assessing a new microsystem,
the CNL will often use a tool known as
the "5 Ps." As a CNL, you recognize the
"5 Ps" to include are:
A. Purpose, patients, process, patterns,
