CNL Care Transitions & Discharge Planning 2

Question 1

During medication reconciliation at discharge, the CNL discovers a patient was prescribed two anticoagulants — one new and one pre-admission. The FIRST action should be:

Accepted Answer

Clarify the discrepancy with the prescribing physician before discharge

Answer

Medication discrepancies must be clarified with the prescribing physician before discharge to prevent potentially life-threatening duplication errors.

Question 2

The BOOST (Better Outcomes by Optimizing Safe Transitions) tool is primarily used to:

Accepted Answer

Identify patients at high risk for readmission so targeted interventions can be applied

Answer

Project BOOST uses validated risk assessment tools to identify patients at high risk for 30-day readmission so that focused discharge interventions can be applied.

Question 3

Which element is considered a CORE component of an effective transition of care record (transition of care summary)?

Accepted Answer

Reconciled medication list, active problem list, and pending test results

Answer

A complete transition of care summary must include a reconciled medication list, active problems, and pending results to ensure safe handoffs between providers.

Question 4

A CNL is implementing a bundle to reduce heart failure readmissions. Which intervention has the HIGHEST evidence for reducing 30-day readmissions in this population?

Accepted Answer

Patient self-monitoring of daily weight with a clear action plan for weight gain

Answer

Daily weight self-monitoring with a clear action plan (when to call, when to go to ER) is among the highest-evidence interventions for reducing heart failure readmissions.

Question 5

When using the 'teach-back' method during discharge education, the nurse's CORRECT approach is to ask:

Accepted Answer

'Can you explain to me in your own words how to take this medication?'

Answer

Teach-back requires the patient to demonstrate understanding by explaining or demonstrating in their own words, rather than answering a yes/no comprehension question.

Clinical Nurse Leader Certification Practice Test

Clinical Nurse Leader Certification Practice Test

CNL Care Transitions & Discharge Planning 2