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EHR and Health Informatics Midterm Exam, Exams of Nursing

University of St. Thomas (St. Thomas)Nursing

A midterm exam focused on electronic health records (ehr) and related concepts in health informatics. It covers topics such as ehr applications, data privacy (hipaa), clinical documentation, and the use of informatics in healthcare. The exam includes multiple-choice questions and true/false statements designed to assess understanding of key principles and practices in health informatics. It also addresses the importance of evidence-based practice, patient safety, and effective communication in healthcare settings. The questions require students to apply their knowledge to practical scenarios, such as medication administration, order processing, and patient discharge instructions. The exam also covers topics such as the role of clinical informaticists, the use of cpoe, and the importance of quality documentation. The questions are designed to assess understanding of key principles and practices in health informatics.

Typology: Exams

2024/2025

Available from 05/19/2025

dennis-mburu
dennis-mburu 🇺🇸

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Midterm Exam 2025.
1. Which EHR application provides a color-coded list display of details for scheduled,
unscheduled, pending, past due and completed types of medication medications and
fluids?
A. Electronic Medication Administration Record (eMAR)
B. Barcode Mediation Administration Record (BCMA)
C. Computerized Provider Order Entry (CPOE)
D. Drug-Allergy-Food Interaction Checking Database (DAF-ICdb)
2. What does EHR stand for?
A. Early Health Record
B. Electronic Heal Record
C. Electronic Health Record
D. Elective Health Record
3. Malware: “malicious” and “software” is used to refer to any intrusive, unwanted,
software that is designed to compromise, damage or destroy your computer, device,
network or the data contained within it.
A. True
B. False
4. eMAR (Electronic Medical Administration Record) is able to (select all that apply):
A. Display information about the drug dose
B. Display laboratory results and parameters
5. The Clinical Informaticist is responsible for reviewing which type of data for the facility
(select all that apply):
A. Clinical assignments
B. Medication scanning reports
C. CPOE reports
D. Patient arm band scanning reports
E. Data reported out to State and Federal agencies
6. What is HIPPA?
A. A Federal law that provides data privacy and security of patient health information
B. A State law that secures the information data of a patient’s diagnosis
C. A State law that allows healthcare personnel to discuss patient information
D. Federal law that provides security rules about health care insurance
D. Display information about the right time
C. Display information about the drug route
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Midterm Exam 2025.

  1. Which EHR application provides a color-coded list display of details for scheduled, unscheduled, pending, past due and completed types of medication medications and fluids? A. Electronic Medication Administration Record (eMAR) B. Barcode Mediation Administration Record (BCMA) C. Computerized Provider Order Entry (CPOE) D. Drug-Allergy-Food Interaction Checking Database (DAF-ICdb)
  2. What does EHR stand for? A. Early Health Record B. Electronic Heal Record C. Electronic Health Record D. Elective Health Record
  3. Malware: “malicious” and “software” is used to refer to any intrusive, unwanted, software that is designed to compromise, damage or destroy your computer, device, network or the data contained within it. A. True B. False
  4. eMAR (Electronic Medical Administration Record) is able to (select all that apply): A. Display information about the drug dose B. Display laboratory results and parameters
  5. The Clinical Informaticist is responsible for reviewing which type of data for the facility (select all that apply): A. Clinical assignments B. Medication scanning reports C. CPOE reports D. Patient arm band scanning reports E. Data reported out to State and Federal agencies
  6. What is HIPPA? A. A Federal law that provides data privacy and security of patient health information B. A State law that secures the information data of a patient’s diagnosis C. A State law that allows healthcare personnel to discuss patient information D. Federal law that provides security rules about health care insurance D. Display information about the right time C. Display information about the drug route
  1. What year was the Health Insurance Portability and Accountability Act of? A. 1994 B. 1992 C. 1998 D. 1996
  2. The nurse calls the physician to report a critical hemoglobin of 6.8. The physician orders 1 unit of PRBC. The nurse enters the order and selects the ordering physician’s name. Which communication source will the nurse utilize to process the order? A. Process Existing MD Order B. MEC Approved Protocol e-Sign C. Written by Provider on Paper D. Telephone/Read-Back e-Sign
  3. The hospital has been on downtime for the last 8 hours and the nurse has received 8 physician orders written on paper. Once the EHR comes back online, the nurse must enter all the orders in the system. Which communication source will the nurse utilize to process the order? A. Process Existing MD Order B. MEC Approved Protocol e-Sign C. Written by Provider on Paper D. Telephone/Read-Back e-Sign
  4. The Master Index Storage uniquely identifies each patient from all others. What is an example of this type of storage? A. FIN (Financial Information Number) B. Meditech Expanse C. MRN (Medical Record Number) D. The patient’s social security number
  5. Which of the following best describes Evidence Based Practice (EBP)? A. React to a problem with the patient, address the problem with the patient, escalate the problem using the chain of command, notify the physician B. Identifies a problem, retrieves relevant evidence, critically addresses the strength of the evidence, applies the evidence to improve patient outcomes C. Identifies a problem, retrieves relevant evidence, document the perceived problem, attempt to apply it to the patient D. Something that you only use in healthcare only if you have enough time
  1. Information regarding the patient’s health status may not be released to non-healthcare team members because: A. Regulations require healthcare institutions to document evidence of physical and emotional well-being B. Reimbursement issues related to patient care and procedures may be of concern C. Legal and ethical obligations require healthcare providers to keep information strictly confidential D. Fragmentation of nursing and medical care procedures may be identified
  2. The purpose of the medical record is to provide communication, legal documentation, reimbursement, education, research, auditing, and monitoring. A. True B. False
  3. What are the guidelines for quality documentation? A. Opinion Based, Complete, Current, Organized B. Factual, Accurate, Complete, Current, Organized C. Accurate, Clear, Concise, Organized D. Factual, Accurate, Complete, Late, Organized
  4. The nurse admitted a patient with a medical diagnosis of congestive heart failure (CHF). When conducting the admission interview, the nurse should record: A. What the charge nurse said about the patient in the break room B. Objective data that is observed C. Lengthy entry using lay terminology D. Abbreviations that are only familiar to the nurse
  5. You are discharging Mrs. Smith with a new diagnosis of hypertension and the physician has sent a prescription of amlodipine 5 mg PO q daily to the pharmacy. How will you explain this information to Mrs. Smith? A. Mrs. Smith, the doctor diagnosed you with hypertension, he is sending you home with a prescription of amlodipine, be sure to pick it up today. B. Mrs. Smith you have high blood pressure, to control this, take the medication the doctor prescribed. C. Mrs. Smith, you were in the hospital for high blood pressure, the doctor prescribed you with a medication called amlodipine 5mg which you should take every morning with breakfast. I already gave it to you today so you will begin tomorrow. Be sure to monitor your salt intake and blood pressure every day. I have included all the information for you on your discharge packet as well as the location of the pharmacy. D. Mrs. Smith you were in the hospital for something called hypertension, please make sure to take your medication every morning. Also, you need to exercise and monitor your salt intake. If you have any questions, make sure to call your daughter, she can help you.
  1. What is the purpose of the incident report? A. To exchange information among healthcare members B. To provide information about patients from one unit to the other C. To ensure proper care for the patient D. Aid in the hospital’s quality improvement program
  2. Public health informatics is the discipline in which informatics methods and tools are used to solve public health problems or support population and public health goals. A. True B. False
  3. The ED nurse calls the telemetry unit to give report on a patient that is being admitted for COPD exacerbation. Which handoff process will the ED nurse utilize? A. BATHE B. SBAR C. Ticket to Ride D. KARDEX
  4. Your charge nurse notifies you that you will be receiving a new patient from the ED. You receive report on your patient, and you are ready to review the chart. Where do you go to look at the Emergency Physician’s note? A. Worklist B. Patient Care C. Notes D. Reports
  5. Critical result values are color coded in what color to show that they are abnormal? A. Blue B. Red C. Yellow D. Orange
  6. The nurse is ready to give the patient their morning medications. Before administering the medication, what will you ask the patient to identify them? A. The patient’s name and room number B. The patient’s name and date of birth C. The patient’s name and social security number D. Look at the armband and compare the name and date of birth to the EHR.
  1. While the hospital environment is considered high risk, select the scenario below that has the highest risk for injuries. A. An RN working in a busy telemetry unit that has 6 patients B. A nurse working in a nursing home who is on the 3rd night shift in a row C. A charge nurse working in ICU with 2 patients and an orientee D. A PACU nurse taking care of 1 patient in an outpatient facility
  2. From the videos viewed in the classroom, give 2 examples of patient safety issues that have been discussed.
  3. List 2 different types of EHR systems (fill in the blank) Meditech and Epic
  4. Which EHR are we utilizing in the classroom? (fill in the blank) Meditech