GALEN COLLEGE OF NURSING
Course Code: AID 1040
Instructor:
Date: 2026
FINAL EXAM – INTRODUCTION TO ARTIFICIAL
INTELLIGENCE AND DIGITAL LITERACY
Multiple Choice (MCQ)
A hospital uses an AI-driven system for triaging patients. The system tends
to prioritize younger patients over elderly patients despite similar symptoms.
This is an example of:
a) Data privacy breach
b) Algorithmic bias
c) Information literacy
d) Digital literacy
Answer: b) Algorithmic bias
Rationale: The AI’s prioritization reflects bias in the algorithm likely due to
skewed training data or design flaws, impacting fair patient care.
What is the primary reason for enforcing HIPAA regulations when using AI-
powered electronic health records (EHRs)?
a) To improve algorithm accuracy
b) To ensure patient data privacy and security
c) To increase computational speed
d) To reduce staffing needs
Answer: b) To ensure patient data privacy and security
Rationale: HIPAA safeguards protect patients' personal health information
during any digital or AI interactions.
1
,Which skill set best describes digital literacy for a nurse using AI diagnostics
software?
a) Ability to operate computer hardware only
b) Ability to critically evaluate, interpret, and responsibly use digital tools
c) Coding in Python
d) Memorizing medical terminology
Answer: b) Ability to critically evaluate, interpret, and responsibly use digital
tools
Rationale: Digital literacy involves understanding and effectively using digital
technology, especially in healthcare settings.
Which ethical principle is most challenged when AI systems recommend
treatment options without human oversight?
a) Autonomy
b) Beneficence
c) Justice
d) Accountability
Answer: d) Accountability
Rationale: Without oversight, it is unclear who is responsible for errors,
raising concerns about accountability.
When using AI to analyze patient data, which action reduces risk of data
breaches?
a) Sharing passwords with other staff
b) Ensuring data encryption and controlled access
c) Uploading data to public cloud without restrictions
d) Storing data on unsecured personal devices
Answer: b) Ensuring data encryption and controlled access
Rationale: Proper encryption and access control protect sensitive patient
information.
True/False
AI tools in nursing can fully replace clinical judgment without need for human
review.
Answer: False
2
, Rationale: AI tools support but do not replace the critical thinking and ethical
judgment of clinicians.
Digital literacy includes knowing how to assess the credibility of online health
information.
Answer: True
Rationale: Evaluating information quality is a core element of digital literacy.
Algorithmic bias can lead to health disparities among minority groups.
Answer: True
Rationale: Biased data or algorithms may produce inequitable health
outcomes.
Data privacy concerns are irrelevant if AI systems do not store patient
identifiers.
Answer: False
Rationale: Even de-identified data can sometimes be re-identified; privacy
remains a concern.
Ethical AI use in healthcare requires transparency about how algorithms
make decisions.
Answer: True
Rationale: Transparency ensures trust and informs clinicians and patients.
Short Answer
11. Explain why nurses should be concerned about algorithmic bias when
using AI diagnostic tools.
Answer: Nurses should be concerned because biased algorithms can lead to
misdiagnoses or unequal treatment, adversely affecting patient safety and
care quality.
12. Identify two risks associated with improper handling of patient data in
digital systems.
Answer: Data breaches resulting in privacy violations and unauthorized
access leading to potential identity theft or misuse of information.
13. Define ‘information literacy’ in the context of nursing practice.
3
Course Code: AID 1040
Instructor:
Date: 2026
FINAL EXAM – INTRODUCTION TO ARTIFICIAL
INTELLIGENCE AND DIGITAL LITERACY
Multiple Choice (MCQ)
A hospital uses an AI-driven system for triaging patients. The system tends
to prioritize younger patients over elderly patients despite similar symptoms.
This is an example of:
a) Data privacy breach
b) Algorithmic bias
c) Information literacy
d) Digital literacy
Answer: b) Algorithmic bias
Rationale: The AI’s prioritization reflects bias in the algorithm likely due to
skewed training data or design flaws, impacting fair patient care.
What is the primary reason for enforcing HIPAA regulations when using AI-
powered electronic health records (EHRs)?
a) To improve algorithm accuracy
b) To ensure patient data privacy and security
c) To increase computational speed
d) To reduce staffing needs
Answer: b) To ensure patient data privacy and security
Rationale: HIPAA safeguards protect patients' personal health information
during any digital or AI interactions.
1
,Which skill set best describes digital literacy for a nurse using AI diagnostics
software?
a) Ability to operate computer hardware only
b) Ability to critically evaluate, interpret, and responsibly use digital tools
c) Coding in Python
d) Memorizing medical terminology
Answer: b) Ability to critically evaluate, interpret, and responsibly use digital
tools
Rationale: Digital literacy involves understanding and effectively using digital
technology, especially in healthcare settings.
Which ethical principle is most challenged when AI systems recommend
treatment options without human oversight?
a) Autonomy
b) Beneficence
c) Justice
d) Accountability
Answer: d) Accountability
Rationale: Without oversight, it is unclear who is responsible for errors,
raising concerns about accountability.
When using AI to analyze patient data, which action reduces risk of data
breaches?
a) Sharing passwords with other staff
b) Ensuring data encryption and controlled access
c) Uploading data to public cloud without restrictions
d) Storing data on unsecured personal devices
Answer: b) Ensuring data encryption and controlled access
Rationale: Proper encryption and access control protect sensitive patient
information.
True/False
AI tools in nursing can fully replace clinical judgment without need for human
review.
Answer: False
2
, Rationale: AI tools support but do not replace the critical thinking and ethical
judgment of clinicians.
Digital literacy includes knowing how to assess the credibility of online health
information.
Answer: True
Rationale: Evaluating information quality is a core element of digital literacy.
Algorithmic bias can lead to health disparities among minority groups.
Answer: True
Rationale: Biased data or algorithms may produce inequitable health
outcomes.
Data privacy concerns are irrelevant if AI systems do not store patient
identifiers.
Answer: False
Rationale: Even de-identified data can sometimes be re-identified; privacy
remains a concern.
Ethical AI use in healthcare requires transparency about how algorithms
make decisions.
Answer: True
Rationale: Transparency ensures trust and informs clinicians and patients.
Short Answer
11. Explain why nurses should be concerned about algorithmic bias when
using AI diagnostic tools.
Answer: Nurses should be concerned because biased algorithms can lead to
misdiagnoses or unequal treatment, adversely affecting patient safety and
care quality.
12. Identify two risks associated with improper handling of patient data in
digital systems.
Answer: Data breaches resulting in privacy violations and unauthorized
access leading to potential identity theft or misuse of information.
13. Define ‘information literacy’ in the context of nursing practice.
3
