CNL Previous Quiz 35 Questions with Verified Answers
A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisf
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CNL Previous Quiz 35 Questions with Verified Answers
A nurse is having difficulty managing assignments at work, which results in a feeling of "failure" and tasks that are not completed or that are not completed satisfactory. This mentor suggests some tips for time management. These include (select all that apply):
A. Focusing on activities to be completed, rather than on objectives
B. Planning for tomorrow today
C. Making certain that the last hours are the most productive in tying up loose ends
D. Maintaining a log of how the nurse spends time (no need to worry about using complete sentences)
E. Picking five major objectives for the day and not stopping until they are achieved - CORRECT ANSWER B and D
The nurse hopes to improve time management skills using the ABC prioritization approach. Which tasks would be prioritized as "B"? (select all that apply):
A. Turn in time sheet due in 3 days
B. Review dress code policy to give feedback before appointment in the morning
C. Perform blood glucose test on a patient admitted with Kussmaul respirations and change in level of consciousness
D. Complete patient teaching prior to discharge in 2 hours
E. Review procedure for inserting a PIC line to assist with procedure later this morning - CORRECT ANSWER B, D, and E
A nurse takes a day to travel to a state park where she can sit by the river alone to reflect over recent events and put things into perspective. She recalls the time she was complimented for her ability to deal with a difficult patient and another time when she was criticized for lack of teamwork. This nurse is improving which source of energy?
A. Emotional
B. Spiritual
C. Physical
D. Mental - CORRECT ANSWER B
A nurse is hoping for a promotion and seeks the help of a coach to improve time management skills. The first task assigned by the coach is for the nurse to list all external distractors this prevent organization and completion of tasks. The nurse would include (select all that apply):
A. Waiting for oncoming shift to start walking rounds
B. Failure to delegate tasks to the licensed practical nurse and unlicensed assistive personnel and instead, completing the task herself
C. Talking with a patient's family member who is also a personal friend
D. Spending time thinking about the vacation to the beach
E. Using the Internet to read about a new drug that will be administered; then taking time to look for news about the profession, new legislation about the Patient Protection and Affordable Care Act, and new uniforms for the season - CORRECT ANSWER A and C only
A nurse realized that much time is wasted during shift report when coworkers discuss personal items such as recent movies or department store sales. Which statement would help with time management during this critical interaction?
A. "Let's talk only about one movie you recently watched"
B. "I like to know about department store sales, but we need to et through this report, so let's talk about sales as we walk between patient rooms"
C. "I know your shift has been busy. What went wrong?"
D. "I have the list of patients, let's start with revisions to the plan of care and scheduled activities for the next shift" - CORRECT ANSWER D
A nurse in an acute care facility helps patients understand how to prevent diabetic neuropathies. This nurse is functioning in the role of:
A. Change agent
B. Educator
C. Manager
D. Coordinator - CORRECT ANSWER B
The nurse who organizes screenings for employees, assesses the work environment for hazards, and teaches health-promoting activities is employed in the field of:
A. Infection-control
B. Occupational Healh
C. Informatics
D. Care coordination - CORRECT ANSWER B
In differentiating between interprofessional and multidisciplinary:
A. Multidisciplinary refers to the care of many diverse patients by one discipline
B. Interprofessional involves members of many disciplines working together to provide patient care to a distinct population
C. Interprofessional refers to members of the same discipline working together to provide patient care to a district population
D. Interprofessional is the use of multiple interventions by nurses with varying levels of education - CORRECT ANSWER B
The primary focus of the care provider role for the nurse involves:
A. Using the nursing process to provide guidance to the patient in recovery
B. Encouraging consumer self-responsibility and emphasizing health promotion/maintenance
C. Focusing on increasing satisfaction among professional nurses
D. Advancing nursing practice through research - CORRECT ANSWER A
A nurse tallies the patient satisfaction surveys and approves the use of an agency nurse because of the high census. This nurse is involved in which nursing role?
A. Change agent
B. Educator
C. Manager
D. Coordination - CORRECT ANSWER C
Advanced practice nurses are prepared minimally at the master's degree level with prescriptive privileges; these professionals include: (select all that apply)
A. Nurse practitioner
B. Nursing administrator
C. Certified nurse-midwife
D. Clinical nurse specialist - CORRECT ANSWER A, C, and D
What characteristics are associated with the clinical nurse leader? (Select all that apply)
A. Provide care at the bedside for complex patients
B. Identifies the best resources at the lowest price to achieve best health outcomes for a client
C. Serves as care coordinator whose practice is limited to acute care settings
D. Is an advanced practice nurse with an earned doctorate in nursing - CORRECT ANSWER A and B
A new graduate nurse desires a position in labor and delivery; however, no position is available. What is the best advice for this nurse?
A. Continue to study to keep skills current and wait for desired position
B. Return to college until a position in labor or delivery opens
C. Accept another nursing position and transfer into ;labor and delivery when a position is available
D. Practice obstetrical skills in a simulation lab then present evidence of competency to potential employer - CORRECT ANSWER C
A patient is admitted for a hip replacement complicated by uncontrolled diabetes and early dementia. The nurse coordinates referrals to an endocrinologist to establish an insulin protocol and organizes out-patient physical therapy in an Alzheimer's assisted living facility upon discharge. The role of this nurse is the:
A. Informatics specialist
B. Educator
C. Case manager
D. Quality manager - CORRECT ANSWER C
A person from an underrepresented background in nursing is interested in entering nursing school and researches the ethnicity, age, and gender make-up of the nursing profession and finds:
A. Nursing is a career field that is primarily made up of women younger than 30 years
B. The number of male RNs has steadily increased and is equal to the number of female RNs
C. The majority of RNs are white or non-Hispanic
D. More than half of all RNs are ages 55 through 65 - CORRECT ANSWER C
Which trend is an effect of the nursing shortage on nursing education?
A. Only devoted qualified nurses are continuing to provide bedside nursing because of the complexity of care required, resulting in excellent preceptorships for students
B. The number of applicants to nursing programs has risen, but enrollment is limited because of a decrease in the number of available scholarships and grants
C. With an increase in the number of nurses who are entering graduate school to escape bedside nursing, students will soon enjoy a lower faculty/student ratio
D. Students may be assigned to preceptors who have not yet developed expertise in the field of interest - CORRECT ANSWER D
The first university to offer nursing graduates a baccalaureate degree was:
A. Columbia Teachers College
B. Yale University
C. Harvard University
D. the New York Regents Program - CORRECT ANSWER B
A new trend in nursing education that is consistent with real-world practice is focused on:
A. Outcomes
B. Objectives
C. Goals
D. Subjective appraisals - CORRECT ANSWER A
The number of reported medical errors demonstrates a need for what priority intervention?
A. Simulation experiences
B. Performance competency exercises
C. Comprehensive instructor-constructed examinations
D. Detailed care planning exercises - CORRECT ANSWER B
A current trend is for students to be evaluated to determine whether they demonstrate competence in the actual client care environment or with a standardized patient. This process occurs in addition to or instead of traditional pencil-and-paper evaluations. This type of evaluation is referred to as:
A. Core practice competencies
B. Continuing competence
C. Distance learning
D. Performance-based assessment - CORRECT ANSWER D
A nursing student scores 95% on the written examination for the adult health course. To be successful in this course, this same student must then perform an indwelling catheter insertion and wound care in a simulated environment meeting core competencies. The student asks, "What are core competencies?" The nursing instructor replies, "Core competencies are:
A. a trend used in nursing education to reduce attrition in prelicensure students"
B. those skills necessary for safe, competent nursing practice"
C. educational opportunities that provide remediation when student is unable to perform psychomotor skills correctly"
D. critical thinking exercises aimed to improve reading and math skills" - CORRECT ANSWER B
When preparing to complete a competency examination involving a neurologic assessment in a simulation laboratory, the nurse reviews the critical elements, which consists of:
A. those steps that result in life or death of a client
B. required criteria that must be incorporated into the assessment for the desired outcome
C. fundamental strategies unique to complex dynamic care environments
D. objective data that can be used to determine the likelihood that the client will recover - CORRECT ANSWER B
Which experience is best designed to support a nursing student's preparation for interprofessional team participation?
A. attending a seminar on interprofessional team cooperation
B. completing a preceptorship with an advanced practice nurse
C. carrying for three patients with varying medical diagnoses
D. presenting patient information at the daily care planning meeting on a mental health unit - CORRECT ANSWER D
A person interested in employment in the health care sector has less than 1 year to pursue his or her education and wants to focus on functional aspects of patient care. He/she desired to work in a long-term facility. Which type of nursing program should this person request information about?
A. Bachelor's degree in nursing (BSN)
B. Licensed practical nurse (LPN)
C. Associates degree in nursing
D. Master's degree in nursing - CORRECT ANSWER B
A nurse is concerned that the policy of using povidone-iodine (Betadine) to clean foot ulcers may lead to unwarranted allergic reactions and drying of surrounding tissue. A literature review is performed to determine the "best practice" related to care of foot ulcers. This nurse: (select all that apply)
A. is applying evidence-based practice to the clinical setting
B. is using critical thinking to change procedures performed in the care of foot ulcers
C. is minimally educated at the master's level and participating in research to provide cost-effective care (soap is less expensive that povidone-iodine)
D. lacks clinical competence in health assessment and in application of theory to the clinical setting
E. is using information to problem-solve and ensure safe, competent care - CORRECT ANSWER A, B, and E
T/F: Nurse practice acts are written and passed by legislators - CORRECT ANSWER True
T/F: A group of registered nurses with ADN degrees are concerned that the minimum educational standard for licensure as a registered nurse is being raised to the bachelor's (BSN) level. After contacting the American Nurses Association, they learn they will be "grandfathered" in . Under the "grandfather clause", nurses with associate degrees will continue to use the title of "registered nurse" - CORRECT ANSWER True
T/F: A nurse holds a license in one state but wishes to practice in a second state that is not participating in a nurse licensure compact agreement. The nurse is granted licensure on payment of a fee but does not retake the licensure examination. The nurse obtains licensure in the second state through sunset legislation - CORRECT ANSWER False
T/F: When participating in a nurse licensure compact, the nurse is held responsible for complying with the nursing practice laws in the state where practicing at the time care is rendered - CORRECT ANSWER True
T/F: A graduate of a nursing school in the United States plans to practice nursing in Paris, France. To request licensure to practice in Paris, the nurse must contact the Graduate of Foreign Nursing Schools to complete a special examination - CORRECT ANSWER False
T/F: Individual state boards of nursing establish the "rules" for nursing practice - CORRECT ANSWER True
T/F: The primary purpose of nursing licensure is to protect the public - CORRECT ANSWER True
The advanced practice nurse who is seeking information about requirements for practice in a specialized area should contact the:
A. American Nurses Association
B. National League for Nursing
C. American Nurses Credentialing Center
D. National Council of State Boards of Nursing - CORRECT ANSWER C
Current trends in telecommunications and increased mobility of nurses have led to the approval of a mutual recognition model of nursing regulation, in which nurses are allowed to practice in states that are compact states without obtaining a license in each state. On which website would a nurse find a list of current compact states?
A. National League for Nursing
B. National Council of State Board of Nursing
C. American Associate of Colleges of Nursing
D. Commission on Collegiate Nursing Education - CORRECT ANSWER B
A nurse who wishes to practice in another state: (select all that apply)
A. must retake the NCLEX-RN for that state
B should determine whether that state is a compact state
C. may obtain licensure by endorsement
D. must revoke licensure in the current state because nurses cannot be licensed in more than one state concurrently - CORRECT ANSWER B and C
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