This question is a delicate one, and you need to show respect for the onboarding process, then give a moderately ambitious project that you could execute. This concept is often called your 'value proposition' in marketing. "Hire me because I'll do X."

But remember, this is your campaign promise. If hired, it will likely be your first target to meet, and depending on the environment, it could make or break your initial impression. The best approach is to give a functional analysis of the employers' needs and your skills.

Tell the interviewer your impact goal, should you be the successful candidate. If you want to make an impact with your answer, refer to the immediate needs of the company, such as increasing budgets or improving patient care.

"My first goal is to meet my manager and coworkers and ask what is needed on the unit. Once I determine how I can make a positive impact, I will then make a plan to make it happen."

"If hired today, my first accomplishment would be to complete the new employee orientation, familiarize myself with Cedars-Sinai's policies and procedures, and introduce myself to my colleagues."