NRS 450 Exam 3 V3 | NRS 450 Nursing Informatics
| Actual Q&A with Rationale (NRS450 Exam 3) |
Grand Canyon University
1. The Informatics Nurse Specialist (INS) is educating staff on the core objectives of
Meaningful Use Stage 2. Which of the following are considered core objectives? (Select all
that apply)
A. Use of computerized provider order entry (CPOE)
B. Record and chart changes in vital signs
C. Generate and transmit permissible prescriptions electronically (eRx)
D. Maintain an up-to-date problem list of current and active diagnoses
E. Transition to paper-based charting for redundancy
F. Provide patients the ability to view online, download, and transmit their health
information
Correct Answer: A, B, C, D, F
Explanation: Meaningful Use Stage 2 focuses on advanced clinical processes and patient
engagement. The objectives include CPOE, electronic prescribing, maintaining active
diagnosis lists, and providing patients with electronic access to their records. Paper-based
charting is not an objective as the goal is to enhance the digital environment.
,2. When implementing a Clinical Decision Support System (CDSS), which of the following is
the primary goal of the system within a hospital setting?
A. To replace the clinical judgment of the registered nurse
B. To provide clinicians with patient-specific information to enhance healthcare delivery
C. To automate all nursing tasks to reduce staffing costs
D. To function as a storage database for historical medical records
Correct Answer: B
Explanation: The primary goal of a CDSS is to provide clinicians with timely, patient-
specific information to improve decision-making. It is intended to support, not replace,
clinical judgment by offering alerts, reminders, and diagnostic assistance. This
enhancement helps improve patient outcomes and safety across the delivery system.
3. The HIPAA Security Rule requires covered entities to implement specific safeguards. Which
of the following is an example of a technical safeguard?
A. Locked office doors
B. Employee background checks
C. Workstation placement away from public view
D. Unique user identification and encryption
Correct Answer: D
, Explanation: Technical safeguards focus on the technology and policy that protect ePHI
and control access to it. Encryption and unique user IDs ensure that only authorized
individuals can access and interpret data. Locked doors and workstation placement are
considered physical safeguards, not technical ones.
4. A nurse is reviewing the benefits of telehealth for a patient living in a rural area. Which
outcomes are associated with the use of telehealth? (Select all that apply)
A. Decreased travel time for the patient
B. Increased access to specialists
C. Elimination of the need for any in-person visits
D. Improved monitoring of chronic conditions
E. Reduced healthcare costs for the patient
Correct Answer: A, B, D, E
Explanation: Telehealth significantly benefits rural patients by reducing the time and
expense of travel while increasing access to specialized care. It allows for continuous
monitoring of chronic diseases through remote devices, which can lead to better health
management. However, it does not entirely eliminate the necessity of in-person visits for
certain physical assessments or procedures.
5. A nurse is using a Barcode Medication Administration (BCMA) system. What is the primary
purpose of this technology?
A. To track the location of medications in the pharmacy
| Actual Q&A with Rationale (NRS450 Exam 3) |
Grand Canyon University
1. The Informatics Nurse Specialist (INS) is educating staff on the core objectives of
Meaningful Use Stage 2. Which of the following are considered core objectives? (Select all
that apply)
A. Use of computerized provider order entry (CPOE)
B. Record and chart changes in vital signs
C. Generate and transmit permissible prescriptions electronically (eRx)
D. Maintain an up-to-date problem list of current and active diagnoses
E. Transition to paper-based charting for redundancy
F. Provide patients the ability to view online, download, and transmit their health
information
Correct Answer: A, B, C, D, F
Explanation: Meaningful Use Stage 2 focuses on advanced clinical processes and patient
engagement. The objectives include CPOE, electronic prescribing, maintaining active
diagnosis lists, and providing patients with electronic access to their records. Paper-based
charting is not an objective as the goal is to enhance the digital environment.
,2. When implementing a Clinical Decision Support System (CDSS), which of the following is
the primary goal of the system within a hospital setting?
A. To replace the clinical judgment of the registered nurse
B. To provide clinicians with patient-specific information to enhance healthcare delivery
C. To automate all nursing tasks to reduce staffing costs
D. To function as a storage database for historical medical records
Correct Answer: B
Explanation: The primary goal of a CDSS is to provide clinicians with timely, patient-
specific information to improve decision-making. It is intended to support, not replace,
clinical judgment by offering alerts, reminders, and diagnostic assistance. This
enhancement helps improve patient outcomes and safety across the delivery system.
3. The HIPAA Security Rule requires covered entities to implement specific safeguards. Which
of the following is an example of a technical safeguard?
A. Locked office doors
B. Employee background checks
C. Workstation placement away from public view
D. Unique user identification and encryption
Correct Answer: D
, Explanation: Technical safeguards focus on the technology and policy that protect ePHI
and control access to it. Encryption and unique user IDs ensure that only authorized
individuals can access and interpret data. Locked doors and workstation placement are
considered physical safeguards, not technical ones.
4. A nurse is reviewing the benefits of telehealth for a patient living in a rural area. Which
outcomes are associated with the use of telehealth? (Select all that apply)
A. Decreased travel time for the patient
B. Increased access to specialists
C. Elimination of the need for any in-person visits
D. Improved monitoring of chronic conditions
E. Reduced healthcare costs for the patient
Correct Answer: A, B, D, E
Explanation: Telehealth significantly benefits rural patients by reducing the time and
expense of travel while increasing access to specialized care. It allows for continuous
monitoring of chronic diseases through remote devices, which can lead to better health
management. However, it does not entirely eliminate the necessity of in-person visits for
certain physical assessments or procedures.
5. A nurse is using a Barcode Medication Administration (BCMA) system. What is the primary
purpose of this technology?
A. To track the location of medications in the pharmacy
