and Technology 2025 | nr103 | practice +
proctored exam | 45 q&A + rationales | EHR EMR
HIPAA telehealth | NGN Format | 100 % pass |
brand-new!!!
A nurse is reviewing quality reporting systems used by the Centers for Medicare and
Medicaid Services (CMS). Which resource should the nurse use to find evidence-based
clinical practice guidelines to reduce hospital-acquired complications?
A. Agency for Healthcare Research and Quality (AHRQ)
B. Centers for Disease Control and Prevention (CDC)
C. National Institutes of Health (NIH)
D. World Health Organization (WHO)
Correct answer: A
Rationale: The Agency for Healthcare Research and Quality (AHRQ) provides evidence-based
clinical practice guidelines focused on improving patient safety, reducing hospital-acquired
conditions, and improving health outcomes. CMS uses quality measures from multiple
sources, but AHRQ specifically develops and disseminates guidelines to reduce preventable
adverse events in healthcare settings. The CDC focuses more on public health surveillance
and infection prevention rather than broad clinical practice guideline development. NIH
primarily supports biomedical research, and WHO provides global health recommendations,
not hospital-level practice guidelines.
A nurse is determining whether a communication method violates HIPAA. Which situation
represents a HIPAA violation?
A. Sending wound photos via secure hospital messaging system
B. Texting a client’s wound image between nurses for care planning
C. Documenting wound assessment in the electronic health record
D. Discussing wound care during a secure staff meeting
Correct answer: B
Rationale: Sending identifiable patient images via unsecured personal texting systems
violates HIPAA because protected health information (PHI) is being transmitted outside
, secure, encrypted healthcare communication platforms. Even if the intent is clinical
collaboration, unauthorized devices and apps pose privacy risks. Secure hospital systems
designed for PHI are acceptable. Documentation in the EHR and secure discussions are
compliant practices.
A healthcare facility is using informatics in research to improve outcomes. Which example
demonstrates use of technology for generating scholarly knowledge?
A. Tracking wound healing times with and without antibiotics in a database
B. Using bar codes to administer medications safely
C. Sending discharge instructions via email
D. Using electronic charting for vital signs
Correct answer: A
Rationale: Research-based data collection and analysis, such as comparing healing times
under different treatment conditions, represents informatics used to generate new scientific
knowledge. This supports evidence-based practice development. Bar coding systems
improve safety, not research knowledge. Email instructions and electronic charting support
communication and documentation but do not directly contribute to research generation.
Which legislation gives clients the right to access and amend their medical records?
A. Health Information Portability and Accountability Act (HIPAA)
B. Affordable Care Act (ACA)
C. Emergency Medical Treatment and Labor Act (EMTALA)
D. Social Security Act
Correct answer: A
Rationale: HIPAA guarantees patients the right to access their health records and request
corrections to inaccurate information. This promotes transparency, patient autonomy, and
privacy protection. EMTALA ensures emergency treatment regardless of ability to pay, but
does not address medical record rights.
A nurse is caring for a cognitively impaired client. Which technology best improves
communication?
A. Electronic drawing screen for visual communication
B. Printed discharge instructions
C. Standard verbal teaching only
D. Written consent forms