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330 QUESTIONS AND ANSWERS ON NURSING INFORMATICS FINAL EXAM
AND STUDY GUIDE LATEST UPDATE 2025
1. Which information in an electronic medical record (EMP) helps a nurse plan &
manage a patient's post- operative care after open-heart surgery - ...ANSWER...Provider orders
2. Which information in a patient's electronic medical record (EMA), in addition to
the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels - ...ANSWER...MAR
3. A nurse is planning the care for a patient admitted to the hospital with COVID- 19
Which list of information in laboratory results over the last 72 hours
4. Which clinical note type is exempt from being shared with patients according to the
United States Core Data for Interoperability (USC DI) standards - ...ANSWER...Psychotherapy notes
5. Operating room (OR) staff are reliant upon a
manual white board for patient tracking. Recently,
surgeons
have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding use of the existing surgical information system (SIS). Which resolution can improve this workflow issue - ...ANSWER...Radio frequency identification (RFID) in patient labels
6. An informatics nurse & an emergency nurse are conducting an analysis of a patient
admission from the ER - ...ANSWER...Which tool should these nurses use for a process analysis? SWOT template
7. What is an effective way to reduce the risk of access of electronic protected health
information (ePHI) by unauthorized users - ...ANSWER...Make sure all the users adhere to security & confidential policy set forth by the facility
8. How does a healthcare policy assure access to health information by authorized users
- ...ANSWER...It creates a reliable method to verify the identities of users accessing health information
9. Which statement describes the application of meaningful use -
...ANSWER...Provider needs to show the use of the Electronic Health Record (EHR) technology
10. What is the typical role of the informatics nurse -
...ANSWER...Plans, coordinates, & facilitates education
18. What is Data governance - ...ANSWER...Defines who can take what action, upon
what data, in what situations, using what methods
19. A provider at the hospital had his laptop stolen from his vehicle. What should be on
his laptop to protect it from data breach - ...ANSWER...Encryption
21. What is the intent of the Clinical Decision Support (CDS) System -
...ANSWER...This is an application that supports healthcare practitioners in making patient- care decisions
22. What is the term for sharing a person's personal information with other
individuals electronically - ...ANSWER...Information sharing
23. When a physician arrives on the unit, a nurse is asked about the fluid status of a
patient. Where should the nurse find this information - ...ANSWER...The intake & output chart
24. Why is it important to control the number of warnings in Electronic
Health Record (EHR) - ...ANSWER...Alert fatigue
25. Which change theory begins with creating urgency -
...ANSWER...Kotter's Models
20. What is the name of the process that begins
with conception & continues through
implementation -
...ANSWER...Systems Development Life Cycle (SDLC)
26. Which act in 2009 did Meaningful Use (MU) originate
- ...ANSWER...American Recover & Reinvestment Act (ARRA) act in 2009
28. What can be installed to allow one operation to access another to enable
the exchange of data - ...ANSWER...Integration
29. Which type of chart uses rectangle, oval & diamonds in both -
...ANSWER...Flowchart
30. What is the intent of the Clinical Decision Support (CDS) System -
...ANSWER...Providing clinicians with knowledge & person specific information
31. Information may be kept secret to those with an only need to know -
...ANSWER...What is this? Information privacy is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information.
32. Which statement defines interoperability -
...ANSWER...The extent to which systems & devices can exchange data & interpret that shared data.
27. What is the primary concern driving
Nursing informatic initiative -
...ANSWER...Patient safety
33. Which two statement defines healthcare informatics
- ...ANSWER...Standardized languages & terminologies
to ensure consistent meanings across all settings
41. Where are POLST (advanced care directives) found on the computer -
...ANSWER...Media tab
- A nurse has a new order for an anti-arrhythmic drug via IV drip. What needs to be done before this medication can be safely administered - ...ANSWER...Use the 5 rights of medication administration mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request - ...ANSWER...Short time report
46. A Nursing Innovator & medsurg nurse want to capture how many patients
were seen in a day of 24 hours, how would they best see this - ...ANSWER...Flowsheet
47. What is the first thing patients should do to access their health records -
...ANSWER...Ask for access to their documents
42. What Meaningful use stage can you generate
& transmit Rx electronically - ...ANSWER...Stage 3
44. What item describes a basic network code that
determines the roles used to create & route packets
of data between network devices -
...ANSWER...Interface
45. A laboratory manager requested a report of all
patients that had a blood glucose greater than
48. Process for discovering root causes of problems & ID the solution -
...ANSWER...Root cause analysis
49. Where do you document a patient's allergy -
...ANSWER...History & physical
50. What facility first used the Barcode Medication Administration (BCMA) -
...ANSWER...Veterans hospital of Topeka, Kansas
51. If your patient's barcode bracelet is not working & you needed to pass meds
what would you do - ...ANSWER...Check the armband for damage, change the band if necessary
52. Which is a physician's clinical informatics assessment -
...ANSWER...Vital signs
53. What are the ICD ICD10 international classification of diseases -
...ANSWER...LOINC & SNOMED
- There are different systems for L&D & the hospital, Hospital system
how would you check for orders & medications
...ANSWER...Log out of L&D system & log into
the
54. Provider wants you to change an order what tab
would you look under - ...ANSWER...Order summary
tab
performance replaces Meaningful Use (MU) for physicians - ...ANSWER...HITCECH act
64. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the
task that needs to be completed during the shift - ...ANSWER...Workflow
65. When developing new clinical workflow, what is one of the first steps that should
be taken - ...ANSWER...Review old progress & old documents tell them - ...ANSWER...The screen symbols change on each screen depending on the activities done
67. Which feature will allow a user to navigate between authorized applications &
resources within a single organization - ...ANSWER...Interface
68. A nurse is entering a verbal medication order & encounters a warning the entry
is a duplicate. Which action does the nurse take - ...ANSWER...Call MD & verify order & MD enter order remotely
69. What are three common reasons for HIPPA violation citations - ...ANSWER...1. Lost
or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone
70. Which item enhances interoperability between organizations when
exchanging patient data
66. You are contacted by a confused user because
their legend changes on each screen they go into,
would you
electronically - ...ANSWER...Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging
71. What plays a primary role in the usability of an Electronic Health Record (EHR)
- ...ANSWER...Clinical workflow & efficiency
72. Stored information in the Electronic Health Record (EHR) can be instantly
searched, retrieved, combined, & reported in different ways. What is this describing - ...ANSWER...Data integrity
73. What is nursing informatics a combination of differentiating it from
other nursing disciplines - ...ANSWER...Nursing, information, & analytical sciences
74. Which two statements define healthcare informatics (HI) - ...ANSWER...A tool to
improve practice & patient care. A field that involves the secure sharing of information
75. Which Electronic Health Record (EHR) challenge can a nurse informaticist help
support & change - ...ANSWER...Analyzing & redesigning workflows
76. Which task is representative of the role of the nurse informaticist -
...ANSWER...Acting as a superuser
77. At a nursing facility, the recent quality report
details only 30% of patients received the influenza
vaccine in the prior flu season. Nurses within the
medical unit
84. What describes the goal of Electronic Health Record (EHR) incentive programs,
such as meaningful use - ...ANSWER...To promote the achievement of quality, safety, & efficiency measures selecting the proper codes to capture & bill for their rationale for why this is important - ...ANSWER...Interoperability
- The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data - ...ANSWER...DICOM standards. Health Level 7 standards.
88. A nursing clinical analyst is being interviewed by a nursing student who is
requesting a detailed explanation of the role of a nursing informaticist. Which environment where technology, information, & understanding directs nurses' judgment
services. When educating this provider on properly
selecting codes & decreasing free texting what is
a
nursing informaticist goals would this clinical analyst
offer in response - ...ANSWER...The goals facilitate an
85. In conducting & providing a quality audit, it
was noted the provider was free texting data
instead of
87. What is the responsibility of a superuser -
...ANSWER...To support the system in a given unit
& assist users with functionality & procedural
issues
89. What is the role of the informatics nurse working with Electronic Health Record
(EHR) - ...ANSWER...To improve patient safety
91. What is the harmonization of terminologies -
...ANSWER...It fosters interoperability in health information systems
92. Which item describes a basic network code that determines the rules used to
create & route packet of data between network devices - ...ANSWER...Transmission control protocol/internet protocol (TCP/IP)
93. What can be installed to allow a device to connect to the Electronic Health Record
(EHR) to enable the exchange of data - ...ANSWER...An application program interface
94. How does the health information exchange (HIE) improve interoperability within a
healthcare organization - ...ANSWER...It allows patient information to be accessible despite where the patient is receiving care
95. What are connectivity systems - ...ANSWER...They support the integration of
data across different organizations
90. What is a reason to have standardized
terminology within a healthcare setting - ...ANSWER...It
provides the effective exchange of information
between providers
this information - ...ANSWER...In the patient summary tab or history & physical
102. A nurse has a new order to begin antiarrhythmic medication via IV drip. What
needs to be done electronically before this medication can be safely administered - ...ANSWER...Scan the patient's armband & the medication
103. What is the primary purpose of a clinical decision support system (Clinical
Decision Support (CDS) System) - ...ANSWER...It provides clinicians with suggested care information
104. How is clinical decision support system (Clinical Decision Support (CDS)
System) represented in an Electronic Health Record (EHR) - ...ANSWER...Through alerts & reminders
105. In a healthcare setting, there is resistance towards using a new Electronic Health
Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) - ...ANSWER...Involve staff in the implementation process
106. Which tool highlights the areas in which information technology can
improve efficiency & support an interdisciplinary healthcare team - ...ANSWER...A workflow analysis
107. Which statement defines electronic protected health information (ePHI) -
...ANSWER...It is information used to specifically identify an individual
108. An informatics nurse is developing a web-based application for patient care.
Which statement accurately describes the internet - ...ANSWER...An unregulated network of networks
109. What is role-based access an example of -
...ANSWER...Authenticity
110. Which term refers to ensuring confidentiality when sharing a patient's electronic
personal health information - ...ANSWER...Security
111. What advice should be taken to avoid a security breach of protected health
information - ...ANSWER...Open emails only from trusted sources, change passwords as stipulated by the organization, & do no leave ePHI visible in an unsecure area
112. What is the first thing patients should do to access their health records -
...ANSWER...Use the patient portal email from the healthcare organization to create an account.
113. What represents privacy & security risks for telehealth technology -
...ANSWER...Patients have the option to use speakerphone in the telehealth apps
120. Why was Barcode Medication Administration (BCMA) adopted by healthcare
facilities - ...ANSWER...To prevent medication administration errors
122. Which merit-based incentive payment system (MIPS) performance category
replaces meaningful use for physicians - ...ANSWER...Quality of care
123. What do the goals of meaningful use & merit-based incentive programs have in
common - ...ANSWER...Improving quality of care
124. Which government organization oversees the meaningful use program -
...ANSWER...The centers for Medicare & Medicaid services (CMS)
125. What were 2 objectives of meaningful use as defined by the American
reinvestment & recovery act (ARRA) - ...ANSWER...Document patient collected data directly into the HER. Submit electronic data to health information exchanges (HIEs)
126. A healthcare provider had a hospital laptop stolen from its vehicle. What should be
on the laptop to protect it from a data breach - ...ANSWER...Two-factor authentication
121. What describes the role of decision support
within the Electronic Health Record (EHR) -
...ANSWER...It is designed to assist with timely clinical
decision making
127.What should healthcare staff who use mobile devices to access electronic
protected information (ePHI) do to protect devices before they are lost or stolen - ...ANSWER...Turn off file sharing
129. During which phase of the systems development life cycle should a system be
activated to effectively be used by end users - ...ANSWER...Implementation
130. What 3 tasks in the design phase during the systems development life
cycle (SDLC) - ...ANSWER...Plan the project, define the scope, & conduct the SWOT analysis
131. The initiating phase involves analyzing the project goals & needs. What is the
term to describe unanticipated growth of a project - ...ANSWER...Scope creep
132. A healthcare facility is changing to a new health information system.
Information from the old system needs to be input into the new system. What will the IT department do to complete this task - ...ANSWER...Migrate the data
133. Reported falls on the med surg unit as compared to the previous quarter. Which
data set informs the decision to review the protocol for falls on the med-
128. What is the name of the process that begins
with conception & continues through
implementation -
...ANSWER...Systems development life cycle (SDLC)
