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AACN CNL (CMC) Practice Tests & Test Prep by Exam Edge - Topics


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Understanding what is on the AACN CNL exam is crucial step in preparing for the exam. You will need to have an understanding of the testing domain (topics covered) to be sure you are studing the correct information.

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There is no doubt that this is a strategic step in achieving certification and advancing your career.

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AACN Clinical Nurse Leader Exam Blueprint

Understanding the exact breakdown of the AACN Clinical Nurse Leader test will help you know what to expect and how to most effectively prepare. The AACN Clinical Nurse Leader has multiple-choice questions The exam will be broken down into the sections below:

AACN Clinical Nurse Leader Exam Blueprint
Domain Name % Number of
Questions
Nursing Leadership 33% 33
Illness and Disease Management 30% 30
Care Environment Management 37% 37

AACN Clinical Nurse Leader - Exam Topics Sample Questions

Different approaches that are being attempted for nurse
staffing would include which of the following?
 

Correct Answer:
all of the above  
the question addresses the various strategies being implemented to manage nurse staffing effectively. the offered approaches include 10-hour shifts, team rotation, weekend nurse staffing, and a collective option labeled "all of the above."

the correct answer to the question is "all of the above," indicating that all the listed options are being employed to address staffing challenges in the nursing field. this choice reflects the reality that a combination of diverse scheduling and staffing strategies is necessary to meet the dual goals of accommodating the needs and preferences of nursing staff and ensuring adequate patient care coverage.

the rationale behind these staffing approaches includes: 1. **modified work weeks (10 or 12-hour shifts):** longer shifts allow for more days off in a week, which can improve work-life balance for nurses. this can make the profession more attractive and help retain staff. 2. **premium day weekend nurse staffing:** offering higher pay for weekend shifts can incentivize nurses to work these less desirable hours, ensuring that patient care does not suffer during weekends when staffing might otherwise be reduced. 3. **premium vacation night staffing:** similar to weekend staffing, offering higher pay for night shifts can help fill these roles that are typically harder to staff due to the challenging nature of night work. 4. **team rotation:** rotating teams can help manage burnout and fatigue by ensuring no single team is continuously subjected to the most challenging shifts or work conditions.

each of these approaches addresses specific aspects of the staffing challenge: - **shift length adjustments** (like 10 or 12-hour shifts) tackle the issue of work-life balance. - **financial incentives** (like premium pay for nights and weekends) address the issue of undesirable hours by compensating nurses better for working these times. - **team rotation** helps in distributing workload evenly and preventing burnout.

the ongoing challenge for nursing administration is to keep adapting these strategies to meet the evolving needs of both the nursing staff and the patients they care for. this requires open-mindedness and creativity in developing solutions that are both effective in delivering patient care and fair to the nurses. as healthcare environments and patient needs continue to change, so too must the approaches to nurse staffing.

Provision Four (4) of the Code of Ethics for Nurses reads: "The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse's obligation to provide optimum patient care."  Of the following, which is an example of this provision?

Correct Answer:
the nurse must act under a code of ethical conduct that is grounded in moral principles of fidelity and respect for dignity, worth, and self-determination of patients.
provision four of the code of ethics for nurses emphasizes the importance of nurses being responsible and accountable for their individual nursing practices. this provision also highlights the necessity for nurses to make judgments on the appropriate delegation of tasks to ensure optimum patient care. let’s explore why choice b correctly exemplifies this provision.

choice b states: "the nurse must act under a code of ethical conduct that is grounded in moral principles of fidelity and respect for dignity, worth, and self-determination of patients." this choice directly reflects the essential principles outlined in provision four. acting under a code of ethical conduct based on fidelity means that nurses are faithful to their commitments and promises, especially regarding their responsibilities towards patients. respecting the dignity, worth, and self-determination of patients emphasizes the nurse's role in recognizing and upholding the intrinsic value and autonomy of each patient.

this choice inherently involves accountability and responsibility. by adhering to these moral principles, nurses are demonstrating their commitment to responsible practice. this includes making well-considered decisions about which tasks can be safely and appropriately delegated to other healthcare team members, ensuring that patient care remains safe, effective, and aligned with ethical standards. by doing so, nurses are not only accountable for their direct actions but also for the overall management and outcomes of nursing care provided under their supervision.

in contrast, the other options do not explicitly connect to the specific responsibilities outlined in provision four. they lack direct references to the delegation of tasks and the nurse's responsibility for ensuring optimal patient care through ethical practice and decision-making. hence, these choices do not serve as appropriate examples of this specific provision.

therefore, choice b is the best representation of provision four of the code of ethics for nurses as it encapsulates the essence of a nurse’s ethical responsibility and accountability in both direct patient care and broader nursing practice management. this includes making informed decisions about task delegation consistent with maintaining the highest standards of patient care.