Adult-Gerontology CNS Test Evidence-Based Practice & Systems Leadership 2

Question 1

Which patient safety event classification requires immediate review and root cause analysis?

Accepted Answer

Sentinel events involving unexpected death or serious physical harm

Answer

Near misses reported by staff anonymously

Answer

Minor medication calculation errors intercepted before reaching patients

Answer

Patient complaints about communication issues

Question 2

Hand hygiene compliance is the single most effective measure to prevent:

Accepted Answer

Healthcare-associated infections including CLABSI, CAUTI, SSI, and C. difficile transmission

Answer

Ventilator-associated pneumonia alone

Answer

Medication administration errors

Answer

Patient falls in the hospital setting

Question 3

The CNS role in nursing staff education is best described as:

Accepted Answer

Serving as a clinical expert who mentors, educates, and develops staff competencies to improve unit-level practice

Answer

Replacing bedside nurses during skill-intensive procedures

Answer

Managing nursing orientation programs as an administrative function

Answer

Providing annual mandatory education only when required by accreditors

Question 4

Clinical benchmarking in quality improvement involves comparing:

Accepted Answer

Current performance metrics against external standards, national databases, or high-performing organizations

Answer

A single patient's outcomes over time only

Answer

Nursing satisfaction scores with physician satisfaction only

Answer

Cost data between competing hospitals without clinical adjustment

Question 5

SBAR communication in healthcare is used to:

Accepted Answer

Provide structured, concise situation-background-assessment-recommendation handoffs to reduce communication errors

Answer

Document complex patient histories in the medical record

Answer

Report adverse events to administration after incidents occur

Answer

Conduct interdisciplinary team meetings

Question 6

The NACNS certification examination for Adult-Gerontology CNS requires demonstration of competency in:

Accepted Answer

Advanced clinical practice, consultation, collaboration, evidence-based practice, leadership, and ethical practice across adult-gerontology populations

Answer

Primary care and prescriptive authority only

Answer

Pediatric and neonatal intensive care competencies

Answer

Psychiatric mental health nursing exclusively