NR 599 FINAL EXAM Question and Answer
2026 | Complete Study Guide | A+ Verified
• Why is it difficult to integrate information from all hospital departments into a single
hospital information system?
a. Individual departments want to obtain & maintain specialized systems
b. Hospital departments are organized along vertical lines while the continuum of care
for patients flows along horizontal lines
c. Patient care systems & financial management systems are incompatible with each
other
d. Each department is required by law & the Joint Commission on Accreditation of
Hospitals& Health Care Organizations to maintain specific information for billing &
accreditation purposese. Individual departments do not see the value in comprehensive
patient records -✓✓b. Hospital departments are organized along vertical lines while the
continuum of care for patients flows along horizontal lines
• The nurse understands that nursing informatics is recognized as a specialty area of
practice by which statement? (CO 7)
There is a need for nursing informatics interests to gain representation by work groups
and organizations within the United States.
The use of information and computer technology as a tool to process information to
support all areas of nursing, including practice, education, administration and research.
A formal educational program at the master's level must be completed before a nurse is
eligible to sit for the credentialing examination.
As a differentiated practice, nursing informatics is focused upon the client, the
environment, health, and the nurse. -✓✓The use of information and computer
technology as a tool to process information to support all areas of nursing, including
practice, education, administration and research.
• Which statement by the nurse verifies that the nurse is "information literate"? (C0 1)
"I can use software applications such as word processing, spreadsheets, and
presentations." "I utilize databases in the health care setting to input client information
such as skin condition."
"I use email over the Internet to correspond with clients and provide information."
"I understand how to search for a website and evaluate its usefulness for health care
needs." -✓✓"I understand how to search for a website and evaluate its usefulness for
health care needs."
• The nurse gathers much data when caring for clients. Which is an example of the
higher-level "information" useful in caring for clients?
,Lab work results include an electrolyte panel and complete blood count with differential.
After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
The client is a widowed 64-year-old black male admitted with prostatitis.
The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F.,
and oxygen saturation of 98%. -✓✓After receiving Rocephin (ceftriaxone sodium) 1.0
gram IV yesterday, the client reported feeling better today.
• Which statement best distinguishes the difference between information literacy and
computer literacy? (CO 1)
Information literacy is the foundation of the EHR whereas computer literacy helps the
nurse to access data.
A nurse can extrapolate data with computer literacy and not information skills.
Information literacy forms the basis for ongoing learning whereas computer literacy
refers to a familiarity with the use of personal computers.
Information literacy is unnecessary in health care whereas computer literacy provides
the basis for computer order entry. -✓✓Information literacy forms the basis for ongoing
learning whereas computer literacy refers to a familiarity with the use of personal
computers.
• Which statement regarding pressures that drive the health care delivery system today
is not accurate? (CO 7)
Evidence-based practice is supported with technology that enables the health care
provider to utilize up-to-date research findings.
Managed care may utilize disease management to identify clients with chronic
conditions, and treat them effectively to minimize complications and cost.
The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE). -✓✓The current and projected nursing
shortage may be eliminated by instituting technology enhancements in the acute care
setting.
• Which action indicates the nurse is functioning as a knowledge worker? (CO 1)
, The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the
intake of 1040 ml and the output of 1100 ml, and records these data in the electronic
medical record. The nurse auscultates hypoactive bowel sounds while doing a client
assessment eight hours
postoperatively after abdominal surgery and documents the assessment in the
electronic medical record.
The nurse auscultates diminished breath sounds in a postoperative client the morning
after abdominal surgery and encourages the client to turn, cough, and deep breathe
every hour instead of every two hours.
The nurse administers four units of regular insulin to the client whose blood glucose is
240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic
medical administration record. -✓✓The nurse auscultates diminished breath sounds in
a postoperative client the morning after abdominal surgery and encourages the client to
turn, cough, and deep breathe every hour instead of every two hours.
• Which of these is an advantage in the use of Personal Digital Assistants (PDAs) in the
health care setting? (CO7)
Data loss is minimized due to long battery life and ease of backups.
PDAs may be synchronized with any network without the use of special equipment or
software.
Current medication information may be easily stored and compared to actual client data.
PDAs minimize the chance of interception of data transmission. -✓✓Current medication
information may be easily stored and compared to actual client data.
• Equipment and hardware selection are based on personal and institutional needs.
Which of the following answers are considered when selecting a system? (CO 7)
Number of workers needed to access computer at one time.
Backup options
Storage capacity
Program execution time
Budget constraints
All of the above -✓✓All of the above
• Knowledge discovery in databases offers the health care team trended patterns that
can be transformed into useful data. Which nursing role can best benefit from
knowledge discovery as it pertains to evidence-based practice? (CO7)
The nurse as researcher
The nurse as administrator
The nurse at point of care The nurse as educator -✓✓The nurse as researcher
2026 | Complete Study Guide | A+ Verified
• Why is it difficult to integrate information from all hospital departments into a single
hospital information system?
a. Individual departments want to obtain & maintain specialized systems
b. Hospital departments are organized along vertical lines while the continuum of care
for patients flows along horizontal lines
c. Patient care systems & financial management systems are incompatible with each
other
d. Each department is required by law & the Joint Commission on Accreditation of
Hospitals& Health Care Organizations to maintain specific information for billing &
accreditation purposese. Individual departments do not see the value in comprehensive
patient records -✓✓b. Hospital departments are organized along vertical lines while the
continuum of care for patients flows along horizontal lines
• The nurse understands that nursing informatics is recognized as a specialty area of
practice by which statement? (CO 7)
There is a need for nursing informatics interests to gain representation by work groups
and organizations within the United States.
The use of information and computer technology as a tool to process information to
support all areas of nursing, including practice, education, administration and research.
A formal educational program at the master's level must be completed before a nurse is
eligible to sit for the credentialing examination.
As a differentiated practice, nursing informatics is focused upon the client, the
environment, health, and the nurse. -✓✓The use of information and computer
technology as a tool to process information to support all areas of nursing, including
practice, education, administration and research.
• Which statement by the nurse verifies that the nurse is "information literate"? (C0 1)
"I can use software applications such as word processing, spreadsheets, and
presentations." "I utilize databases in the health care setting to input client information
such as skin condition."
"I use email over the Internet to correspond with clients and provide information."
"I understand how to search for a website and evaluate its usefulness for health care
needs." -✓✓"I understand how to search for a website and evaluate its usefulness for
health care needs."
• The nurse gathers much data when caring for clients. Which is an example of the
higher-level "information" useful in caring for clients?
,Lab work results include an electrolyte panel and complete blood count with differential.
After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
The client is a widowed 64-year-old black male admitted with prostatitis.
The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F.,
and oxygen saturation of 98%. -✓✓After receiving Rocephin (ceftriaxone sodium) 1.0
gram IV yesterday, the client reported feeling better today.
• Which statement best distinguishes the difference between information literacy and
computer literacy? (CO 1)
Information literacy is the foundation of the EHR whereas computer literacy helps the
nurse to access data.
A nurse can extrapolate data with computer literacy and not information skills.
Information literacy forms the basis for ongoing learning whereas computer literacy
refers to a familiarity with the use of personal computers.
Information literacy is unnecessary in health care whereas computer literacy provides
the basis for computer order entry. -✓✓Information literacy forms the basis for ongoing
learning whereas computer literacy refers to a familiarity with the use of personal
computers.
• Which statement regarding pressures that drive the health care delivery system today
is not accurate? (CO 7)
Evidence-based practice is supported with technology that enables the health care
provider to utilize up-to-date research findings.
Managed care may utilize disease management to identify clients with chronic
conditions, and treat them effectively to minimize complications and cost.
The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE). -✓✓The current and projected nursing
shortage may be eliminated by instituting technology enhancements in the acute care
setting.
• Which action indicates the nurse is functioning as a knowledge worker? (CO 1)
, The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the
intake of 1040 ml and the output of 1100 ml, and records these data in the electronic
medical record. The nurse auscultates hypoactive bowel sounds while doing a client
assessment eight hours
postoperatively after abdominal surgery and documents the assessment in the
electronic medical record.
The nurse auscultates diminished breath sounds in a postoperative client the morning
after abdominal surgery and encourages the client to turn, cough, and deep breathe
every hour instead of every two hours.
The nurse administers four units of regular insulin to the client whose blood glucose is
240 at 11:30 a.m. per physician's sliding scale orders and documents it on the electronic
medical administration record. -✓✓The nurse auscultates diminished breath sounds in
a postoperative client the morning after abdominal surgery and encourages the client to
turn, cough, and deep breathe every hour instead of every two hours.
• Which of these is an advantage in the use of Personal Digital Assistants (PDAs) in the
health care setting? (CO7)
Data loss is minimized due to long battery life and ease of backups.
PDAs may be synchronized with any network without the use of special equipment or
software.
Current medication information may be easily stored and compared to actual client data.
PDAs minimize the chance of interception of data transmission. -✓✓Current medication
information may be easily stored and compared to actual client data.
• Equipment and hardware selection are based on personal and institutional needs.
Which of the following answers are considered when selecting a system? (CO 7)
Number of workers needed to access computer at one time.
Backup options
Storage capacity
Program execution time
Budget constraints
All of the above -✓✓All of the above
• Knowledge discovery in databases offers the health care team trended patterns that
can be transformed into useful data. Which nursing role can best benefit from
knowledge discovery as it pertains to evidence-based practice? (CO7)
The nurse as researcher
The nurse as administrator
The nurse at point of care The nurse as educator -✓✓The nurse as researcher
