CNL STUDY TEST QUESTIONS WITH
100% CORRECT ANSWERS
A nurse is trying to determine the difference between evidence-based practice (EBP)
and research. She approaches her unit CNL to assist her in her dilemma. What
statement best describes the appropriate response by the CNL?
• A) EBP involves critiquing and synthesizing evidence, while research involves
designing a study because there is a gap in knowledge
• B) EBP needs institutional review board approval, while research does not
• C) EBP involves collecting and analyzing data, while research includes critiquing and
synthesizing evidence
• D) in EBP the first step is identifying a clinical problem, while in research identifying a
clinical problem is the last step - Answer- A) EBP involves critiquing and synthesizing
evidence, while research involves designing a study because there is a gap in
knowledge
You are the unit-based council chair for shared governance of a high-acuity progressive
care unit. You notice that the staff is not aware of new evidence in caring for this patient
population. You discuss this with the management team and the CNL to determine what
can be done to increase the staff awareness and knowledge of EBP. What strategy can
best be used to increase evidence into practice?
• A) start a journal club with help from CNL
• B) learn how to determine if an article is peer-reviewed • C) encourage nurses to
conduct research
• D) Discuss the importance of EBP in a staff meeting - Answer- A) start a journal club
with help from CNL
A staff nurse is performing a literature review on the best tool for determining health
literacy for diabetic patients. When analyzing and appraising the literature, what
methods can the nurse use to determine if the study is flawed?
• A) are the results of the literature reliable and critical?
• B) are the results of the literature effective and modifiable? • C) are the results of the
literature valid and reliable?
• D) are the results of the literature valid and modifiable? - Answer- C) are the results of
the literature valid and reliable?
You are in the process of initiating a mobility team and protocol on your unit. What
members of the interdisciplinary team should be considered?
A. nursing staff, PT, nurse manager, OT, CNL, clinical nurse specialist and physician
,B. PT, physician, nursing assistants, manager and CNL
C. medical social worker, physician, nursing staff, PT and CNL
D. PT, OT, nursing staff and the discharge coordinator - Answer- A. nursing staff, PT,
nurse manager, OT, CNL, clinical nurse specialist and physician
Which of the following best demonstrates how the CNL exhibits collaboration?
A. sets and shares clear goals for teams
B. keeps all team members informed by emailing updates
C. includes all contributors to the health care delivery process in the team, including
patients/family, and seeks consultation from all members when making decisions
D. monitors and evaluates the use of technology and information systems - Answer- C.
includes all contributors to the health care delivery process in the team, including
patients/family, and seeks consultation from all members when making decisions
You decide to develop a PICOT question and initiate a literature review. Which of the
following statements best exemplifies the PICOT method?
• A) for patients 65 years and older, the use of an influenza/pneumonia (PNA) vaccine
will reduce the risk of developing pneumonia.
• B) for patients 65 and older, the use of an influenza/PNA vaccine will reduce the risk of
developing pneumonia when compared to patients not receiving vaccination within a
year
• C) for patients 65 years and older, the use of an influenza/PNA vaccine will reduce the
pneumonia
• D) for patients at UVA, the use of an influenza/PNA vaccine will reduce the risk of
developing pneumonia in a year - Answer- B) for patients 65 and older, the use of an
influenza/PNA vaccine will reduce the risk of developing pneumonia when compared to
patients not receiving vaccination within a year
As a CNL student, you are aware that quantitative research is related to numeric data
with statistical analysis, while qualitative research focuses on non- numeric forms of
research. Which of the following is an example of a quantitative study?
• A) personal interviews
• B) randomized controlled trial • C) ethnography
• D) phenomenology - Answer- B) randomized controlled trial
The CNL on the unit has an idea to generate a new EBP study. He has conducted a
literature review and critical appraisal. The CNL has also developed a collaborative
interprofessional team to be part of the planning process. He has established a date for
the research design meeting. What pertinent information should be included in his
outline of the study in preparation for this meeting?
• A) form an interprofessional team
• B) perform a review of literature
• C) consult with another CNL
• D) indicate the aim of the study and research question - Answer- D) indicate the aim of
the study and research question
, Joe completed an evidence-based practice (EBP) study that resulted in 25% reduction
in noise on the unit and increased patient satisfaction to 100% for patients always
saying it is quiet at night. Utilizing the EBP process, what would Joe's next step be?
• A) apply for a poster presentation for a national conference • B) compare results to a
similar unit in the hospital
• C) Identify stakeholders within the organization
• D) conduct a literature search and assess validity - Answer- A) apply for a poster
presentation for a national conference
Who can function as an important ally to the CNL in engaging frontline staff in a major
initiative?
◦ A) content expert
◦ B) unit champion
◦ C) initiative sponsor ◦ D) Senior leadership - Answer- B) unit champion
Promotion of personal goals for professional development and continuing education is a
hallmark of the CNL role. Ultimately, what is the importance of professional
development?
◦ A) Maintaining professional practice competencies
◦ B) fulfillment of the CNL as a lifelong learner
◦ C) providing an example of professional nursing to peers ◦ D) all of the above -
Answer- D. All of the above
As the CNL is integrated into practice, what best defines his or her level of practice?
◦ A) Unit system
◦ B) Mesosystem ◦ C) Microsystem ◦ D) macrosystem - Answer- C) Microsystem
The primary focus of the CNL is best defined as:
◦ A) Delivery of high quality, evidence based, culturally competent care at the patient's
bedside
◦ B) Educating and mentoring peers to improve clinical competence
◦ C) Providing patient care management and leadership of the interdisciplinary
team meetings
◦ D) Evaluating and supporting evidence-based practice decisions to ensure best
possible outcomes - Answer- ◦ D) Evaluating and supporting evidence-based practice
decisions to ensure best possible outcomes
Sustaining process improvement requires the use of appropriate learning principles and
strategies. The CNL function that best utilizes this competency is:
◦ A) Advocate
◦ B) Educator
◦ C) Clinician
◦ D) Information manager - Answer- B) Educator
100% CORRECT ANSWERS
A nurse is trying to determine the difference between evidence-based practice (EBP)
and research. She approaches her unit CNL to assist her in her dilemma. What
statement best describes the appropriate response by the CNL?
• A) EBP involves critiquing and synthesizing evidence, while research involves
designing a study because there is a gap in knowledge
• B) EBP needs institutional review board approval, while research does not
• C) EBP involves collecting and analyzing data, while research includes critiquing and
synthesizing evidence
• D) in EBP the first step is identifying a clinical problem, while in research identifying a
clinical problem is the last step - Answer- A) EBP involves critiquing and synthesizing
evidence, while research involves designing a study because there is a gap in
knowledge
You are the unit-based council chair for shared governance of a high-acuity progressive
care unit. You notice that the staff is not aware of new evidence in caring for this patient
population. You discuss this with the management team and the CNL to determine what
can be done to increase the staff awareness and knowledge of EBP. What strategy can
best be used to increase evidence into practice?
• A) start a journal club with help from CNL
• B) learn how to determine if an article is peer-reviewed • C) encourage nurses to
conduct research
• D) Discuss the importance of EBP in a staff meeting - Answer- A) start a journal club
with help from CNL
A staff nurse is performing a literature review on the best tool for determining health
literacy for diabetic patients. When analyzing and appraising the literature, what
methods can the nurse use to determine if the study is flawed?
• A) are the results of the literature reliable and critical?
• B) are the results of the literature effective and modifiable? • C) are the results of the
literature valid and reliable?
• D) are the results of the literature valid and modifiable? - Answer- C) are the results of
the literature valid and reliable?
You are in the process of initiating a mobility team and protocol on your unit. What
members of the interdisciplinary team should be considered?
A. nursing staff, PT, nurse manager, OT, CNL, clinical nurse specialist and physician
,B. PT, physician, nursing assistants, manager and CNL
C. medical social worker, physician, nursing staff, PT and CNL
D. PT, OT, nursing staff and the discharge coordinator - Answer- A. nursing staff, PT,
nurse manager, OT, CNL, clinical nurse specialist and physician
Which of the following best demonstrates how the CNL exhibits collaboration?
A. sets and shares clear goals for teams
B. keeps all team members informed by emailing updates
C. includes all contributors to the health care delivery process in the team, including
patients/family, and seeks consultation from all members when making decisions
D. monitors and evaluates the use of technology and information systems - Answer- C.
includes all contributors to the health care delivery process in the team, including
patients/family, and seeks consultation from all members when making decisions
You decide to develop a PICOT question and initiate a literature review. Which of the
following statements best exemplifies the PICOT method?
• A) for patients 65 years and older, the use of an influenza/pneumonia (PNA) vaccine
will reduce the risk of developing pneumonia.
• B) for patients 65 and older, the use of an influenza/PNA vaccine will reduce the risk of
developing pneumonia when compared to patients not receiving vaccination within a
year
• C) for patients 65 years and older, the use of an influenza/PNA vaccine will reduce the
pneumonia
• D) for patients at UVA, the use of an influenza/PNA vaccine will reduce the risk of
developing pneumonia in a year - Answer- B) for patients 65 and older, the use of an
influenza/PNA vaccine will reduce the risk of developing pneumonia when compared to
patients not receiving vaccination within a year
As a CNL student, you are aware that quantitative research is related to numeric data
with statistical analysis, while qualitative research focuses on non- numeric forms of
research. Which of the following is an example of a quantitative study?
• A) personal interviews
• B) randomized controlled trial • C) ethnography
• D) phenomenology - Answer- B) randomized controlled trial
The CNL on the unit has an idea to generate a new EBP study. He has conducted a
literature review and critical appraisal. The CNL has also developed a collaborative
interprofessional team to be part of the planning process. He has established a date for
the research design meeting. What pertinent information should be included in his
outline of the study in preparation for this meeting?
• A) form an interprofessional team
• B) perform a review of literature
• C) consult with another CNL
• D) indicate the aim of the study and research question - Answer- D) indicate the aim of
the study and research question
, Joe completed an evidence-based practice (EBP) study that resulted in 25% reduction
in noise on the unit and increased patient satisfaction to 100% for patients always
saying it is quiet at night. Utilizing the EBP process, what would Joe's next step be?
• A) apply for a poster presentation for a national conference • B) compare results to a
similar unit in the hospital
• C) Identify stakeholders within the organization
• D) conduct a literature search and assess validity - Answer- A) apply for a poster
presentation for a national conference
Who can function as an important ally to the CNL in engaging frontline staff in a major
initiative?
◦ A) content expert
◦ B) unit champion
◦ C) initiative sponsor ◦ D) Senior leadership - Answer- B) unit champion
Promotion of personal goals for professional development and continuing education is a
hallmark of the CNL role. Ultimately, what is the importance of professional
development?
◦ A) Maintaining professional practice competencies
◦ B) fulfillment of the CNL as a lifelong learner
◦ C) providing an example of professional nursing to peers ◦ D) all of the above -
Answer- D. All of the above
As the CNL is integrated into practice, what best defines his or her level of practice?
◦ A) Unit system
◦ B) Mesosystem ◦ C) Microsystem ◦ D) macrosystem - Answer- C) Microsystem
The primary focus of the CNL is best defined as:
◦ A) Delivery of high quality, evidence based, culturally competent care at the patient's
bedside
◦ B) Educating and mentoring peers to improve clinical competence
◦ C) Providing patient care management and leadership of the interdisciplinary
team meetings
◦ D) Evaluating and supporting evidence-based practice decisions to ensure best
possible outcomes - Answer- ◦ D) Evaluating and supporting evidence-based practice
decisions to ensure best possible outcomes
Sustaining process improvement requires the use of appropriate learning principles and
strategies. The CNL function that best utilizes this competency is:
◦ A) Advocate
◦ B) Educator
◦ C) Clinician
◦ D) Information manager - Answer- B) Educator
