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CNL (Clinical Nurse Leader) Certification EXAM & PRACTICE
EXAM TEST BANK COMPLETE 500 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
CNL (Clinical Nurse Leader) Certification EXAM A
QUESTION: You have been asked to lead the tele fall prevention committee. Which combination
of team members would best suit the initial phase of this group?
A) A behavioral health APRN
B) A staff RN
C) A physical therapist
D) The nurse manager
E) All of the Above
F) Only A, B, & D are needed - ANSWER✔✔E) All of the above
Rationale: Health promotion & disease prevention knowledge includes methods to keep an
illness or injury from occurring, diagnosis, & treating a disease in its early course. CNLs need to
work with an interdisciplinary team to make ethical decisions, develop, & monitor
comprehensive, holistic plans of care. There is a strong correlation between patient falls &
delirium. Exercise programs focused on strength, functional performance, & balance training are
effective steps in reducing inpatient falls.
QUESTION: As a CNL in the ICU, you have observed several prolonged & fragmented processes
of starting an IV line in a critically ill patient. All of the following considerations are necessary in
identifying a THEME for your improvement process except:
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A) A thorough review of the clinical unit
B) The manager's mandate for change
C) The alignment with the organization's strategic priorities
D) Input from the patient's family - ANSWER✔✔B) The manager's mandate for change
Rationale: Specific mandates for change would be considered as the team "drills down" for
further information.
QUESTION: The hospital is looking to utilize cardiac monitor watchers. Your analysis includes all
of the following except:
A) A review of an online ECG monitoring education program
B) Identifying a clinical issue with a focus on a specific population
C) Conducting a trend analysis of outcome data
D) Analyzing barriers & facilitators with the organization - ANSWER✔✔A) A review of an online
ECG monitoring education program
Rationale: Systems analysis & risk anticipation are the competencies of the CNL.
QUESTION: Several near misses were identified by ICU nurses who had mistaken invasive lines
for IV ports for medication administration. You have completed an analysis for the issue. Your
recommendations include:
A) A visual signal on all ports not intended for IV drugs
B) A double-check system for medication administration
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C) To facilitate a critical incident reporting structure that fosters a "without blame) unit culture
D) All of the Above
E) Only C - ANSWER✔✔D) All of the above
Rationale: The CNL should support the staff to identify all opportunities for improving safety in
this situation.
QUESTION: Data reported by ICU quality committee reflect challenges in the management of
the septic patient. As a CNL in the ICU, all of the following are first steps in evaluating the
delivery of client care except:
A) Knowledge of sepsis guidelines
B) Critical care clinicians staffing ratios
C) Use of clinical decision support systems
D) Differentiating sepsis from systemic inflammatory response syndrome (SIRS) - ANSWER✔✔D)
Differentiating sepsis from systemic inflammatory response syndrome (SIRS)
Rationale: Nursing leadership & advocacy reviews & evaluates care guidelines & protocols
QUESTION: A fellow staff nurse is struggling to understand the use of a clinical decision support
system (CDSS) in the management of her septic patient. Your initial teaching strategy includes:
A) Sharing the latest clinical research
B) An understanding of expected & actual outcomes
C) Defining the purpose of CDSS
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D) Exploring challenges, risks, & benefits - ANSWER✔✔C) Defining the purpose of CDSS
Rationale: CDSS supports a safe patient culture & should be designed to help providers
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.
QUESTION: 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
CNL (Clinical Nurse Leader) Certification EXAM & PRACTICE
EXAM TEST BANK COMPLETE 500 QUESTIONS AND WELL
ELABORATED ANSWERS JUST RELEASED
CNL (Clinical Nurse Leader) Certification EXAM A
QUESTION: You have been asked to lead the tele fall prevention committee. Which combination
of team members would best suit the initial phase of this group?
A) A behavioral health APRN
B) A staff RN
C) A physical therapist
D) The nurse manager
E) All of the Above
F) Only A, B, & D are needed - ANSWER✔✔E) All of the above
Rationale: Health promotion & disease prevention knowledge includes methods to keep an
illness or injury from occurring, diagnosis, & treating a disease in its early course. CNLs need to
work with an interdisciplinary team to make ethical decisions, develop, & monitor
comprehensive, holistic plans of care. There is a strong correlation between patient falls &
delirium. Exercise programs focused on strength, functional performance, & balance training are
effective steps in reducing inpatient falls.
QUESTION: As a CNL in the ICU, you have observed several prolonged & fragmented processes
of starting an IV line in a critically ill patient. All of the following considerations are necessary in
identifying a THEME for your improvement process except:
, Page 2 of 250
A) A thorough review of the clinical unit
B) The manager's mandate for change
C) The alignment with the organization's strategic priorities
D) Input from the patient's family - ANSWER✔✔B) The manager's mandate for change
Rationale: Specific mandates for change would be considered as the team "drills down" for
further information.
QUESTION: The hospital is looking to utilize cardiac monitor watchers. Your analysis includes all
of the following except:
A) A review of an online ECG monitoring education program
B) Identifying a clinical issue with a focus on a specific population
C) Conducting a trend analysis of outcome data
D) Analyzing barriers & facilitators with the organization - ANSWER✔✔A) A review of an online
ECG monitoring education program
Rationale: Systems analysis & risk anticipation are the competencies of the CNL.
QUESTION: Several near misses were identified by ICU nurses who had mistaken invasive lines
for IV ports for medication administration. You have completed an analysis for the issue. Your
recommendations include:
A) A visual signal on all ports not intended for IV drugs
B) A double-check system for medication administration
, Page 3 of 250
C) To facilitate a critical incident reporting structure that fosters a "without blame) unit culture
D) All of the Above
E) Only C - ANSWER✔✔D) All of the above
Rationale: The CNL should support the staff to identify all opportunities for improving safety in
this situation.
QUESTION: Data reported by ICU quality committee reflect challenges in the management of
the septic patient. As a CNL in the ICU, all of the following are first steps in evaluating the
delivery of client care except:
A) Knowledge of sepsis guidelines
B) Critical care clinicians staffing ratios
C) Use of clinical decision support systems
D) Differentiating sepsis from systemic inflammatory response syndrome (SIRS) - ANSWER✔✔D)
Differentiating sepsis from systemic inflammatory response syndrome (SIRS)
Rationale: Nursing leadership & advocacy reviews & evaluates care guidelines & protocols
QUESTION: A fellow staff nurse is struggling to understand the use of a clinical decision support
system (CDSS) in the management of her septic patient. Your initial teaching strategy includes:
A) Sharing the latest clinical research
B) An understanding of expected & actual outcomes
C) Defining the purpose of CDSS
, Page 4 of 250
D) Exploring challenges, risks, & benefits - ANSWER✔✔C) Defining the purpose of CDSS
Rationale: CDSS supports a safe patient culture & should be designed to help providers
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.
QUESTION: 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
