NGN: 500 Real Exam Questions and Answers With Approved
Rationales || A+ Graded || 100% Pass || Brandnew!!!!!!!!!!!
A nurse is reviewing ways informatics supports cost containment in healthcare. Which action
best demonstrates this?
A. Providing free Wi-Fi for patients
B. Using barcode medication systems to track supply use
C. Installing more tablets in patient rooms
D. Increasing paper charting availability
Answer: B
Rationale:
Barcode medication administration systems reduce waste, prevent overstocking, and
improve inventory tracking. This directly lowers costs by optimizing supply chain
management and reducing medication errors.
Which legislation allows patients to access and request corrections to their health records?
A. ARRA
B. HIPAA
C. HITECH
D. CMS Act
Answer: B
Rationale:
HIPAA guarantees patient rights to access, review, and request amendments to their health
records, promoting transparency and patient autonomy.
Which action is a HIPAA violation?
A. Emailing lab results on secure hospital network
B. Documenting at bedside with family present
C. Texting a wound image between nurses
D. Entering vitals into EHR
Answer: C
Rationale:
Texting patient images creates risk of unauthorized access and storage outside secure
systems, violating confidentiality standards even if clinical intent is valid.
,Which activity best supports research and knowledge creation using informatics?
A. Surveying nurses about training satisfaction
B. Tracking wound healing outcomes with and without interventions
C. Using messaging apps for communication
D. Creating electronic shift schedules
Answer: B
Rationale:
Comparative clinical data collection allows analysis of outcomes, which is foundational to
evidence-based research.
What is the first action when receiving a patient photo on a personal device?
A. Report nurse immediately
B. Document event
C. Delete photo
D. Save for evidence
Answer: C
Rationale:
Immediate deletion removes the breach source and prevents further unauthorized exposure
before escalation.
CMS public reporting of hospital data primarily allows comparison of:
A. Physician performance
B. Infection rates and quality outcomes
C. Technology availability
D. Staff satisfaction
Answer: B
Rationale:
CMS focuses on measurable outcomes like hospital-acquired infections to improve
transparency and accountability.
Which organization provides evidence-based clinical guidelines?
A. CDC
B. AHRQ
C. QSEN
D. WHO
Answer: B
,Rationale:
AHRQ specializes in research and evidence-based guidelines for improving healthcare
quality.
Which informatics tools support safe discharge teaching? (Select all that apply)
A. Translation software
B. Free Wi-Fi access
C. Educational videos
D. Medication reminder apps
E. EHR side-effect review
Answer: A, C, D, E
Rationale:
These tools directly enhance understanding, adherence, and accessibility of discharge
instructions.
Which technology supports communication with cognitively impaired patients?
A. Video education
B. Drawing interface
C. Translation app
D. Email reminders
Answer: B
Rationale:
Visual communication tools (drawing/pictures) help patients with cognitive deficits express
understanding nonverbally.
Which support safe nursing informatics practice? (Select all that apply)
A. Medication alerts
B. Digital imaging access
C. Direct nurse-call systems
D. Telehealth follow-up
E. Public Wi-Fi
Answer: A, B, C, D
Rationale:
These systems enhance safety, communication, and clinical decision-making. Public Wi-Fi
introduces security risks.
, What defines meaningful EHR use?
A. Using only templates
B. Responding to alerts appropriately
C. Ignoring system prompts
D. Documenting minimally
Answer: B
Rationale:
Meaningful use includes engaging with decision-support tools to improve patient outcomes.
What should a new nurse focus on regarding technology?
A. Evaluating peers
B. Learning unfamiliar procedures using technology
C. Designing systems
D. Auditing hospital software
Answer: B
Rationale:
Entry-level nurses primarily use technology as a learning and clinical support tool.
A standardized plan of care for common conditions is called:
A. Concept map
B. Critical pathway
C. Flow sheet
D. SOAP note
Answer: B
Rationale:
Critical pathways outline standardized daily care steps for predictable outcomes.
Primary goal of nursing informatics is to:
A. Improve communication and health outcomes
B. Replace nurses with technology
C. Reduce documentation
D. Automate all decisions
Answer: A
Rationale:
NI enhances healthcare delivery through better information management and
communication.