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CLN (Clinical Nurse Leader) Exam Practice Test
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Avg score: 54% • Most missed: “STOPP and START criteria are utilized to prevent”
CNLs (Clinical Nurse Leaders) are a relatively new innovation in the practice of nursing, initiated in 2003 by the American Association of Colleges of Nursing (AACN) in response to a demand for general practice nurses with advanced training in the latest improvements in healthcare delivery systems, safety protocols, and quality assurance measures.  To become a licensed CNL, you start by earning a Bachelor of Science in Nursing (BSN) degree and attaining licensure as a Registered Nurse (RN). RNs may then enroll in a Master of Science in Nursing (MSN) program with a CNL specialization.... Show more
CLN (Clinical Nurse Leader) Exam Practice Test
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25 Questions

1. In the event of a disaster, which initial strategy could be employed to increase a hospital’s surge capacity?
2. It is the CNL’s responsibility to ensure that staff members in ambulatory care are meeting National Patient Safety Goals. Under the Joint Commission’s Ambulatory Care National Patient Safety Goals (2014), the three steps that healthcare providers must take to prevent mistakes in surgery are (1) ensure surgery is on the correct patient and correct body part, (2) mark the correct place on the patient’s body, and (3)
3. When calculating nurse to patient ratios, which of the following are generally included?
4. As part of the promotion of a culture of safety, the organization has introduced a Just Culture approach. One of the nurses on the CNL’s team needs to transfer an obese client from the bed to a wheelchair, and protocol calls for a two-person transfer. However, the nurse believes he can safely transfer the client alone since other staff members are occupied. The nurse begins the transfer, but the client panics and begins resisting, resulting in a fall to the floor. While x-rays show no fractures, the client is bruised and in pain.
How would this type of safety event be classified under the Just Culture model?
5. A 78-year-old client who has undergone a hip replacement is in the first postoperative day and has been recovering well, but when the nurse does an hourly round, she finds the client exhibiting sudden onset of acute change in mental status. He is agitated and disoriented, and his speech is rambling at times, but symptoms are fluctuating.
When discussing the assessment with the nurse, the CNL suggest that the nurse administer the
6. A hospice client with metastatic pancreatic cancer has lost 50 pounds and now weighs only 102 pounds and is very cachectic with loss of adipose tissue and muscle wasting. The client’s pain has been treated with fentanyl patches (50 mg), which are changed every 3 days, but the client’s pain control is very poor, and she is taking one to two OxyContin (oxycodone) 5 mg tablets every 4 to 6 hours for breakthrough pain. A novice hospice nurse asks the CNL for advice about pain control. Which of the following is the BEST first action?
7. The CNL is leading a team working with clients who are at-risk for development of heart disease and diabetes because of lifestyle, diet, and obesity. Considering the Health Belief Model, which concept is most likely to affect a person’s willingness to make changes?
8. The CNL is a new graduate and part of the Millennial generation but is working with an interdisciplinary team comprised primarily of Baby Boomers and Generation Xers. Considering generational differences, the CNL is probably
9. When looking at benchmarks, the CNL notes that the unit ranks 69% in one category. This means that the unit
10. Which of the following poses the greatest risk to an organization’s computer network security?
11. The CNL encourages team members to gain leadership experience. One novice team member states she doesn’t understand the need to develop leadership skills since she is not part of management and has little experience. Which of the following is the best response?
12. The CNL is calculating worked hours per patient day (WHPPD) and has budgeted 8 WHPPD, so nurses are expected to provide 8 hours of direct client care in 24 hours. However, nurses required 10 hours to deliver direct client care. What percentage of productivity is the unit operating at?
13. Which type of operational budget requires that each cost center have revenue and costs determined for the entire budget period and a fixed budget developed?
14. SWOT analysis is most commonly used to develop a(n)
15. In the nominal group technique, the CNL as group leader identifies an issue, and then the FIRST step to decision-making is
16. A client has been admitted to the unit with metastatic ovarian cancer and has chosen to undergo aggressive therapy rather than hospice care. At which point in the client’s disease should the CNL recommend that the client receive palliative care?
17. A client was admitted to an acute care hospital under the Medicare Inpatient Prospective Payment System (IPPS). When documenting diagnoses that were present on admission (POA), the nurse failed to examine the client’s sacral area to observe for a pressure sore. However, a small sacral pressure sore was documented 2 days after admission when noted by an unlicensed assistive personnel who was bathing the client. Subsequently, the pressure sore enlarged and required debridement and prolonged treatment. The pressure sore was noted and coded on discharge papers.
When considering reimbursement for the condition, the CNL anticipates that Medicare
18. The CNL wants to utilize de Bono’s Six Thinking Hats technique for thinking and problem solving. With this model, if the CNL functions as the Blue Hat, which of the following actions is the CNL responsible for?
19. On the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAPHS) survey, one question asks how often nurses carefully listened to the client. The hospital scored as follows:
72% Always.
18% Usually.
8% Sometimes.
2% Never.
Which score will be reported on Hospital Compare?
20. In states (such as California) or organizations that mandate a specific patient to nurse ratio, under what circumstances may the patient to nurse ratio generally be bypassed?
21. The CNL wants to collect data about patient satisfaction with outpatient treatment. Which of the following may be utilized for quantitative data collection?
22. The CNL anticipates that in the future Medicare payments will be increasingly
23. While patient safety has improved, the CNL observes that injuries to nursing staff and unlicensed assistive personnel on the medical-surgical unit have increased, resulting in increased absenteeism and increased costs to the unit. The CNL notes that most injuries occur when staff members are lifting or transferring patients, especially because many patients are overweight. Which is the BEST solution to the problem?
24. According to the CNL Standards of Conduct, concern for and advocating for the welfare of clients and staff and demonstrating understanding of others’ beliefs and values is related to
25. A CNL is from a low-context culture (the United States) but works on a team with a number of immigrant staff from high-context cultures (Japan, Mexico, Fiji, Saudi Arabia). The CNL expects that the biggest disparity between the CNL and the team members will be with

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