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1. Which data in a medical record would inform the nurse that a PRN pain medication can be
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administered to the patient? - CORRECT ANSWER -
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The medication administration record and the nursing assessment notes from the last s
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hift indicate the patient's level of comfort.
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2. Which information in a patient's medical record will help a nurse plan and manage the
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patient's pain? - CORRECT ANSWER -Physician orders
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3. A patient completes the course of treatment for tuberculosis and is ready to be dischar
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ged home. Which instructions should be included in the patient's discharge education?
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- CORRECT ANSWER -Importance of completing the medication prescribed.
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4. After a patient's assessment, a nurse observes a decrease in respiration and wheezing o n
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auscultation. Which data set in the medical record informs the decision to implement the
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ineffective airway clearance nursing care plan? - CORRECT ANSWER -
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The radiology report impression indicates pulmonary infiltrates and the nursing assess
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ment indicates a decrease in respirations.
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5. The health administrator at a clinic observes an increase in the number of patients with a
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complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the elec
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tronic health record (EHR) will provide a cross-
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reference to the impacted patient population? - CORRECT ANSWER -
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Patient demographic records
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6. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
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stabilizing? - CORRECT ANSWER -Graphical trending
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7. After a patient's initial assessment, a nurse observes an increase in edema, bilateral cra
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ckles, and persistent cough. Which data set in the medical record from the last shift inf
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, orms the decision to implement the fluid volume overload care plan? - CORRECT
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ANSWER -Nursing flowsheet and intake and output record
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8. Which data set in the electronic health record (EHR) will assist in evaluating the numbe r
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of positive influenza tests at a facility within the past year? - CORRECT ANSWER -
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Laboratory records
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9. Which patients are ideally positioned to fully engage in their care? -
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CORRECT ANSWER -Patients that are recovering well after a full night of sleep.
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10. A nurse is teaching a patient-
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centered health education course at a hospital. As an informatics nurse leveraging tech
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mnology to help improve patient understanding, which learner would be more likely to h
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mave a low health literacy and require more focus? - CORRECT ANSWER -
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An elderly person
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11. What is true about improving health literacy? - CORRECT ANSWER -
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mImproving health literacy leads to better patient outcomes.m m m m m m m
12. A nurse assists with implementing a new remote patient monitoring (RPM) system for c
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mollecting patient data, which improves patient outcomes. Which task is a high priority f or
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man informatics clinician when implementing a new technology for patient data collec
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mtion? - CORRECT ANSWER -Identify and define the goal of the technology.
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13. Patient use of technology has increased dramatically. While patients are more active in
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mtheir care, a nurse notes they are often misinformed or obtain information that is inacc
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murate. Which recommendation should the nurse give to ensure education is accurate? -
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mCORRECT ANSWER -List credible education resources for the patient's research.
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14. What does the informatics nurse recommend to increase attendance to follow-
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mup appointments? - CORRECT ANSWER -Automated text or email reminders
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, 15. Pharmacy adds a field into the medication administration record to document the lot n
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mumber when a chemo medication is administered but fails to communicate this to the n
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murse responsible for the medication administration documentation. What is a conseque
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mnce of this action? - CORRECT ANSWER -
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Pharmacy cannot determine if there is a problem with a medication batch.
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16. A nurse thinks the electronic health record (EHR) has too many documentation fields,
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mmaking it difficult to know where to document some items. As a result, the nurse uses t he
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mnotes instead or in addition to documenting in a specific field in the health record. What is
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mthe least significant impact of this action? - CORRECT ANSWER -
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Duplicate documentation appears multiple times in the chart.
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17. A nurse is working in a medical-
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surgical unit assigned care for five patients. The nurse has many tasks to accomplish du
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mring a shift. Which informatics solution assists in ensuring these tasks are accomplished
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? - CORRECT ANSWER -Electronic checklist
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18. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? -
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CORRECT ANSWER -Financial
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19. A project team is moving a hospital from using paper charting to using an electronic he
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malth record for documentation. How should the project team roll out the software to re
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mduce the impact on the hospital? - CORRECT ANSWER -A large stand-
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alone department should go live first.
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20. While reviewing electronic nursing documentation, a nurse identifies that a patient's vit al
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msigns have declined since the previous shift. Which health information system assiste d in
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mthis identification? - CORRECT ANSWER -Electronic health record (EHR)
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21. The nurse manager of an outpatient laboratory clinic is investigating decreased patient
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msatisfaction scores and cited delays in receiving lab results. The first step is to review tes
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