1
CNL CLINICAL NURSE LEADER EXAM 2025 |
COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED
Which of the following actions illustrates the CNL professional value of altruism?
A) Leading an interdisciplinary team looking at the remote cardiac monitoring
process
B) Sponsoring a meeting with the monitor technicians to understand their barriers
in the cardiac monitoring process
C) Flow mapping the admission process of the remote cardiac-monitored patient
D) Editing the policy for the remote cardiac monitoring process. - (ANSWER)B)
Sponsoring a meeting with the monitor technicians to understand their barriers in
the cardiac monitoring process
Rationale: Altruism is a concern for the welfare & well-being of others. In
professional practice, altruism is reflected by the CNL's concern for the welfare of
clients, other nurses, and other health care providers.
You are a CNL on the tele unit & orienting a newly graduated nurse. Critical
thinking is best demonstrated when:
A) The CNL discusses with the physician the rationale for discontinuing cardiac
monitoring in the hospice patient
B) Drawing the scheduled cardiac enzymes q8h
Reviewing the patient care guidelines & protocols related to hourly rounding
D) The CNL balances both the charge role & the preceptor role simultaneously -
(ANSWER)A) The CNL discusses with the physician the rationale for discontinuing
cardiac monitoring in the hospice patient
, 2
Rationale: Critical thinking underlies independent & interdependent decision
making. Critical thinking includes questioning, analysis, synthesis, interpretation,
inference, inductive & deductive reasoning, intuition, application, & creativity.
To get more questions with correct answers email
banks and other E books - (ANSWER)
You are a CNL selected to lead a team focused on implementing a
multidisciplinary clinical pathway for acute ischemic stroke & transient ischemic
attack. The risk assessment tool that you have adopted identifies all of the
following as independent stroke risk factors except:
A) Age
B) Systolic BP
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus - (ANSWER)C) Liver Dysfunction
Rationale: Independent stroke predictors include age, systolic BP, hypertension,
diabetes mellitus, current smoking, established cardiovascular disease (any one of
myocardiac infarction, angina, coronary insufficiency, congestive heart failure, or
intermittent claudication), Afib, & left ventricular hypertrophy on ECG.
A lack of compliance with DVT prophylaxis has been identified in retrospective
chart reviews of all ischemic stroke patients in your organization. As a CNL on the
neurological unit, your primary goal will include:
A) Challenging the guidelines on primary prevention of ischemic stroke written by
the American Stroke Association
, 3
B) Gaining an understanding of how DVT prophylaxis is initiated on each stroke
patient on your unit
C) Developing an organization-wide educational program on DVT prophylaxis
D) Developing a unit-based team of nursing personnel to investigate the problem.
- (ANSWER)B) Gaining an understanding of how DVT prophylaxis is initiated on
each stroke patient on your unit.
Rationale:
White Paper: One competency is that of a systems analyst. A CNL participates in a
system review & conducts a microsystem analysis, identifying a clinical issue with
a focus on a particular population.
Patient satisfaction scores in emergency department have shown a downward
trend over the past three quarters. As a clinical nurse leader in ED focus is to:
A) Create a script for triage nurse in welcoming the patient
B) Assign a volunteer to welcome patients to the hospital
C) Compare desired outcomes with national & state standards
D) Write a letter of apology to each dissatisfied patient - (ANSWER)C) Compare
desired outcomes with national & State standards
Rationale: Client care outcomes are a measure of quality practice. CNLs must
know how to compare desired outcomes that will improve safety, effectiveness,
timeliness, efficiency, quality, and the degree to which they are client centered.
You are working on improving the patient discharge process. Which of these
targets would best reflect clinical microsystem outcomes?
A) Hospital length of stay
, 4
B) Time of discharge order for all medical patients to the actual time the patient
left
C) Number of discharge orders on your unit entered before 11am
D) Total number of discharged patients leaving by llam - (ANSWER)C) Number of
discharge orders on your unit entered before 11am
Rationale: A CNL as an outcomes manager uses data to change practice & to
improve outcomes. Selecting the most appropriate goals & targets will provide
meaningful information.
Electronic nursing documentation has recently been instituted in organization.
Select a response that best defines a clinical decision support:
A) A reminder to save & sign your admission assessment
B) A visual red-alert when a patient's potassium is 6..8 mEq/L
C) A pop-up to initiate the discharge instruction sheet with every physician
discharge order
D) An electronic nursing care plan - (ANSWER)C) A pop-up to initiate the
discharge instruction sheet with every physician discharge order.
Rationale: CDS is a computer-based program designed to assist clinicians in
making clinical decisions by filtering & integrating vast amounts of information &
providing suggestions for clinical intervention.
CNL focus on projects within a clinical microsystem. A clinical microsystem can be
best described as:
A) A department-wide program focused on improving continuity of care & patient
satisfaction
CNL CLINICAL NURSE LEADER EXAM 2025 |
COMPLETE QUESTIONS AND CORRECT ANSWERS
WITH RATIONALES | GRADED A+ | VERIFIED
ANSWERS | JUST RELEASED
Which of the following actions illustrates the CNL professional value of altruism?
A) Leading an interdisciplinary team looking at the remote cardiac monitoring
process
B) Sponsoring a meeting with the monitor technicians to understand their barriers
in the cardiac monitoring process
C) Flow mapping the admission process of the remote cardiac-monitored patient
D) Editing the policy for the remote cardiac monitoring process. - (ANSWER)B)
Sponsoring a meeting with the monitor technicians to understand their barriers in
the cardiac monitoring process
Rationale: Altruism is a concern for the welfare & well-being of others. In
professional practice, altruism is reflected by the CNL's concern for the welfare of
clients, other nurses, and other health care providers.
You are a CNL on the tele unit & orienting a newly graduated nurse. Critical
thinking is best demonstrated when:
A) The CNL discusses with the physician the rationale for discontinuing cardiac
monitoring in the hospice patient
B) Drawing the scheduled cardiac enzymes q8h
Reviewing the patient care guidelines & protocols related to hourly rounding
D) The CNL balances both the charge role & the preceptor role simultaneously -
(ANSWER)A) The CNL discusses with the physician the rationale for discontinuing
cardiac monitoring in the hospice patient
, 2
Rationale: Critical thinking underlies independent & interdependent decision
making. Critical thinking includes questioning, analysis, synthesis, interpretation,
inference, inductive & deductive reasoning, intuition, application, & creativity.
To get more questions with correct answers email
banks and other E books - (ANSWER)
You are a CNL selected to lead a team focused on implementing a
multidisciplinary clinical pathway for acute ischemic stroke & transient ischemic
attack. The risk assessment tool that you have adopted identifies all of the
following as independent stroke risk factors except:
A) Age
B) Systolic BP
C) Liver dysfunction
D) Current smoking
E) Diabetes mellitus - (ANSWER)C) Liver Dysfunction
Rationale: Independent stroke predictors include age, systolic BP, hypertension,
diabetes mellitus, current smoking, established cardiovascular disease (any one of
myocardiac infarction, angina, coronary insufficiency, congestive heart failure, or
intermittent claudication), Afib, & left ventricular hypertrophy on ECG.
A lack of compliance with DVT prophylaxis has been identified in retrospective
chart reviews of all ischemic stroke patients in your organization. As a CNL on the
neurological unit, your primary goal will include:
A) Challenging the guidelines on primary prevention of ischemic stroke written by
the American Stroke Association
, 3
B) Gaining an understanding of how DVT prophylaxis is initiated on each stroke
patient on your unit
C) Developing an organization-wide educational program on DVT prophylaxis
D) Developing a unit-based team of nursing personnel to investigate the problem.
- (ANSWER)B) Gaining an understanding of how DVT prophylaxis is initiated on
each stroke patient on your unit.
Rationale:
White Paper: One competency is that of a systems analyst. A CNL participates in a
system review & conducts a microsystem analysis, identifying a clinical issue with
a focus on a particular population.
Patient satisfaction scores in emergency department have shown a downward
trend over the past three quarters. As a clinical nurse leader in ED focus is to:
A) Create a script for triage nurse in welcoming the patient
B) Assign a volunteer to welcome patients to the hospital
C) Compare desired outcomes with national & state standards
D) Write a letter of apology to each dissatisfied patient - (ANSWER)C) Compare
desired outcomes with national & State standards
Rationale: Client care outcomes are a measure of quality practice. CNLs must
know how to compare desired outcomes that will improve safety, effectiveness,
timeliness, efficiency, quality, and the degree to which they are client centered.
You are working on improving the patient discharge process. Which of these
targets would best reflect clinical microsystem outcomes?
A) Hospital length of stay
, 4
B) Time of discharge order for all medical patients to the actual time the patient
left
C) Number of discharge orders on your unit entered before 11am
D) Total number of discharged patients leaving by llam - (ANSWER)C) Number of
discharge orders on your unit entered before 11am
Rationale: A CNL as an outcomes manager uses data to change practice & to
improve outcomes. Selecting the most appropriate goals & targets will provide
meaningful information.
Electronic nursing documentation has recently been instituted in organization.
Select a response that best defines a clinical decision support:
A) A reminder to save & sign your admission assessment
B) A visual red-alert when a patient's potassium is 6..8 mEq/L
C) A pop-up to initiate the discharge instruction sheet with every physician
discharge order
D) An electronic nursing care plan - (ANSWER)C) A pop-up to initiate the
discharge instruction sheet with every physician discharge order.
Rationale: CDS is a computer-based program designed to assist clinicians in
making clinical decisions by filtering & integrating vast amounts of information &
providing suggestions for clinical intervention.
CNL focus on projects within a clinical microsystem. A clinical microsystem can be
best described as:
A) A department-wide program focused on improving continuity of care & patient
satisfaction
