Clinical Nurse Leader Exam Patient Safety & Quality Improvement 3

Question 1

A CNL reviews data showing a 20% increase in pressure injury rates over 3 months. What is the BEST initial action?

Accepted Answer

Convene a multidisciplinary team to analyze contributing factors

Answer

Immediately mandate pressure injury prevention training for all nurses

Answer

Purchase new pressure-relieving mattresses for all beds

Answer

File a quality report with hospital administration

Question 2

The SBAR tool is used by CNLs primarily for which purpose?

Accepted Answer

Structured communication during patient handoffs and escalation

Answer

Documenting nursing assessments in the EHR

Answer

Conducting root cause analysis after adverse events

Answer

Organizing quality improvement project timelines

Question 3

Which concept describes the degree to which health services increase the likelihood of desired health outcomes and are consistent with current professional knowledge?

Accepted Answer

Quality of care

Answer

Patient satisfaction

Answer

Evidence-based practice

Answer

Clinical competency

Question 4

A CNL is reviewing incident reports and notices that medication errors spike on night shifts. This is an example of which type of data analysis?

Accepted Answer

Stratified analysis

Answer

Regression analysis

Answer

Correlation analysis

Answer

Descriptive statistics

Question 5

Which tool would a CNL use to prioritize which quality problems to address first based on frequency and impact?

Accepted Answer

Pareto chart

Answer

Run chart

Answer

Scatter diagram

Answer

Control chart

Question 6

A CNL notices that hand hygiene compliance drops significantly after visiting hours. This finding should be reported using which quality improvement tool to show the change over time?

Accepted Answer

Run chart

Answer

Fishbone diagram

Answer

Failure mode and effects analysis (FMEA)

Answer

Affinity diagram