C785 Exam Prep 2024 | Accurate and Verified Solutions for Guaranteed Success

C785 Exam Prep 2024 | Accurate and Verified Solutions for Guaranteed Success Macroevolution - ANS large-scale evolutionary changes that take place over long periods of time heritable variation - ANS differences that are passed on from parent to offspring Adaptation - ANS A trait that helps an organism survive and reproduce DNA replication - ANS The process in which DNA makes a duplicate copy of itself. DNA polymerase - ANS An enzyme that catalyzes the formation of the DNA molecule. semiconservative - ANS method of replication that implies that each new strand of DNA is half original and half new template strand - ANS the strand of DNA that specifies the complementary mRNA molecule Primer - ANS short segments of DNA that guide DNA polymerase to the section of DNA to copy Helicase - ANS An enzyme that untwists the double helix of DNA at the replication forks. Gene - ANS DNA segments that serve as the key functional units in hereditary transmission. silent mutation - ANS A mutation that changes a single nucleotide, but does not change the amino acid created. missense mutation - ANS subsitution of wrong nucleotide into DNA; still produces a protein nonsense mutation - ANS subsitution of wrong nucleotide into DNA that produces an early stop codon frameshift mutation - ANS mutation that involves the insertion or deletion of a nucleotide in the DNA sequence Mutation - ANS A rare change in the DNA of a gene, ultimately creating genetic diversity. gene expression - ANS process by which a gene produces its product and the product carries out its function Central Dogma of Molecular Biology - ANS DNA --> RNA --> Protein Transcription - ANS DNA to RNA RNA polymerase - ANS Enzyme that links together the growing chain of ribonucleotides during transcription. Promoter - ANS Specific region of a gene where RNA polymerase can bind and begin transcription terminator - ANS In prokaryotes, a special sequence of nucleotides in DNA that marks the end of a gene. Codon - ANS The three-base sequence of nucleotides in mRNA stop codon - ANS codon that signals to ribosomes to stop translation start codon - ANS codon that signals to ribosomes to begin translation; codes for the first amino acid in a protein Anticodon - ANS group of three bases on a tRNA molecule that are complementary to an mRNA codon mRNA (messenger RNA) - ANS The form of RNA which is created as a blueprint from DNA; carries instructions for making a protein tRNA (transfer RNA) - ANS The form of RNA that carries each amino acid to the ribsome to form the polypeptide chain (protein) rRNA (ribosomal RNA) - ANS type of RNA that makes up the major part of ribosomes Species - ANS A group of similar organisms that can breed and produce fertile offspring. Population - ANS A group of individuals that belong to the same species and live in the same area gene pool - ANS Combined genetic information of all the members of a particular population evolutionary fitness - ANS success in passing genes to the next generation adaptive trait - ANS a heritable trait that enhances an individuals fitness; an evolutionary adaption sexual selection - ANS when individuals select mates based on heritable traits artificial selection - ANS selective breeding of plants and animals to promote the occurrence of desirable traits in offspring gene flow (migration) - ANS movement of alleles from one population to another genetic drift - ANS random change in allele frequencies that occurs in small populations bottleneck effect - ANS a reduction in the genetic diversity of a population caused by a reduction in its size founder effect - ANS a change in a population descended from a small number of colonizing individuals Clade - ANS a group of species that includes an ancestral species and all its descendants Genus - ANS A classification grouping that consists of a number of similar, closely related species Order - ANS (biology) taxonomic group containing one or more families Class - ANS In classification, a group of closely related orders Phylum - ANS (biology) the major taxonomic group of animals and plants Kingdom - ANS large taxonomic group, consisting of closely related phyla Family - ANS (biology) a taxonomic group containing one or more genera Speciation - ANS the formation of new and distinct species in the course of evolution. allopatric speciation - ANS The formation of new species in populations that are geographically isolated from one another. sympatric speciation - ANS The formation of new species in populations that live in the same geographic area Polyploidy - ANS A chromosomal alteration in which the organism possesses more than two complete chromosome sets. endemic species - ANS species that are native to and found only within a limited area homologous feature - ANS similar features that originated in a shared ancestor phylogenetic tree (phylogeny) - ANS A family tree that shows the evolutionary relationships thought to exist among groups of organisms Cladogram - ANS Diagram that shows the evolutionary relationships among a group of organisms Ecology - ANS Scientific study of interactions among organisms and between organisms and their environment population ecology - ANS the study of factors that cause populations to increase or decrease ecological community - ANS group of species that live together and interact with each other interspecific interaction - ANS A relationship between individuals of two or more species in a community. Mutualism - ANS A relationship between two species in which both species benefit Predation - ANS An interaction in which one organism kills another for food. competition - ANS Interaction among organisms that vie for the same resource in an ecosystem Symbiosis - ANS A close relationship between two species that benefits at least one of the species. Commensalism - ANS A relationship between two organisms in which one organism benefits and the other is unaffected introduced species - ANS species moved by humans to new geographic areas, either intentionally or accidentally foundation species - ANS a species which often forms the major structural portion of the habitat indirect interaction - ANS one species affects another through a third, intermediary species keystone species - ANS A species that influences the survival of many other species in an ecosystem trophic level - ANS each step in a food chain or food web Producer - ANS An organism that can make its own food. Consumer - ANS An organism that obtains energy by feeding on other organisms Detritivore - ANS organism that feeds on plant and animal remains and other dead matter Decomposer - ANS An organism that breaks down wastes and dead organisms energy pyramid - ANS A diagram that shows the amount of energy that moves from one feeding level to another in a food web biochemical cycle - ANS the circulation of substances through living organisms from or to the environment. Eutrophication - ANS rapid algal growth caused by an excess of nitrates (NO3)- and phosphates (PO4)3- in water Physical Disturbance - ANS anything that changes the physical structure of the habitat (fire, waves, tree-fall, plowing) resource depletion - ANS the act of using resources faster than they can be restored or replaced habitat loss - ANS The destruction of habitats that usually results from human activities anthropogenic climate change - ANS climate change which is human caused, either directly or indirectly 1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery - ANS Provider orders 2. Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels - ANS MAR 3. A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of information in the electronic medical record (EMR) will help the nurse plan the care for this patient - ANS The patient's laboratory results over the last 72 hours 4. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards - ANS Psychotherapy notes 5. Operating room (OR) staff are reliant upon a manual white board for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding use of the existing surgical information system (SIS). Which resolution can improve this workflow issue - ANS Radio frequency identification (RFID) in patient labels 6. An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER - ANS Which tool should these nurses use for a process analysis? SWOT template 7. What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users - ANS Make sure all the users adhere to security & confidential policy set forth by the facility 8. How does a healthcare policy assure access to health information by authorized users - ANS It creates a reliable method to verify the identities of users accessing health information 9. Which statement describes the application of meaningful use - ANS Provider needs to show the use of the Electronic Health Record (EHR) technology 10. What is the typical role of the informatics nurse - ANS Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group 11. A patients glucose blood sugar is 400. What is a one-time kind of report - ANS Ad Hoc 12. Which clinical information technology enables providers to document patient assessments - ANS Vitals signs capture 13. A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his Electronic Health Record (EHR) - ANS Continuity care record from AMR 14. Which statement best describes Nursing Informatics - ANS "Computer science, decision science, information science, management science, cognitive science, & organizational theory." 15. The nurse receives report that there are new orders to review. Where does the nurse look to verify this information - ANS The Kardex 16. What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use (MU) - ANS Patient quality care 17. What is a type of phishing - ANS Trojan 18. What is Data governance - ANS Defines who can take what action, upon what data, in what situations, using what methods 19. A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach - ANS Encryption 20. What is the name of the process that begins with conception & continues through implementation - ANS Systems Development Life Cycle (SDLC) 21. What is the intent of the Clinical Decision Support (CDS) System - ANS This is an application that supports healthcare practitioners in making patient-care decisions 22. What is the term for sharing a person's personal information with other individuals electronically - ANS Information sharing 23. When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information - ANS The intake & output chart 24. Why is it important to control the number of warnings in Electronic Health Record (EHR) - ANS Alert fatigue 25. Which change theory begins with creating urgency - ANS Kotter's Models 26. Which act in 2009 did Meaningful Use (MU) originate - ANS American Recover & Reinvestment Act (ARRA) act in 2009 27. What is the primary concern driving Nursing informatic initiative - ANS Patient safety 28. What can be installed to allow one operation to access another to enable the exchange of data - ANS Integration 29. Which type of chart uses rectangle, oval & diamonds in both - ANS Flowchart 30. What is the intent of the Clinical Decision Support (CDS) System - ANS Providing clinicians with knowledge & person specific information 31. Information may be kept secret to those with an only need to know - ANS What is this? Information privacy is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information. 32. Which statement defines interoperability - ANS The extent to which systems & devices can exchange data & interpret that shared data. 33. Which two statement defines healthcare informatics - ANS Standardized languages & terminologies to ensure consistent meanings across all settings 34. What is a physical safeguard of ePHI - ANS Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls 35. What is a technical safeguard ePHI - ANS Access control. Audit controls. Authentication. 36. Which government agency recommended to use of bar code medication administration - ANS FDA 37. What describes an example of opt-in or opt-out choice regarding the disclosure of personal health information - ANS Your information be sent to another facility 38. What is an important security consideration related to the use of email application to send & receive patient data - ANS Emails have the potential to go to other users 39. What are the maximum penalties for refraining from full participation in the Merit-Based Incentive Payment System (MIPS) in years 2017 through 2024 - ANS Merit-Based Incentive Payment System (MIPS) penalty for failing to comply? 3-8% 40. Which government organization oversees the meaningful use program - ANS CMS 41. Where are POLST (advanced care directives) found on the computer - ANS Media tab 42. What Meaningful use stage can you generate & transmit Rx electronically - ANS Stage 3 43. A nurse has a new order for an anti-arrhythmic drug via IV drip. What needs to be done before this medication can be safely administered - ANS Use the 5 rights of medication administration 44. What item describes a basic network code that determines the roles used to create & route packets of data between network devices - ANS Interface 45. A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request - ANS Short time report 46. A Nursing Innovator & medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this - ANS Flowsheet 47. What is the first thing patients should do to access their health records - ANS Ask for access to their documents 48. Process for discovering root causes of problems & ID the solution - ANS Root cause analysis 49. Where do you document a patient's allergy - ANS History & physical 50. What facility first used the Barcode Medication Administration (BCMA) - ANS Veterans hospital of Topeka, Kansas 51. If your patient's barcode bracelet is not working & you needed to pass meds what would you do - ANS Check the armband for damage, change the band if necessary 52. Which is a physician's clinical informatics assessment - ANS Vital signs 53. What are the ICD ICD10 international classification of diseases - ANS LOINC & SNOMED 54. Provider wants you to change an order what tab would you look under - ANS Order summary tab 55. There are different systems for L&D & the hospital, how would you check for orders & medications - ANS Log out of L&D system & log into the Hospital system 56. What should providers have on their personal mobile devices to protect it from sharing information when stolen - ANS Authentication & encryption 57. Which government agency recommended the use of the barcode medication administration - ANS ONCHIT 58. What are two barriers of adopting the Clinical Decision Support (CDS) in an Electronic Health Record (EHR) - ANS Limited resources & Communication information exchange 59. Which stage of the Systems Development Life Cycle (SDLC) would data be collected from the systems users regarding their analysis - ANS Needs 60. Where is the continuity of care documented - ANS Electronic Health Record (EHR) 61. Which phase of the system life cycle involves using needs assessment to identify the exportation of the system - ANS Needs/Design 62. A physician's group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol - ANS Solid clinical trials 63. Which Merit-Based Incentive Payment System (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians - ANS HITCECH act 64. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift - ANS Workflow 65. When developing new clinical workflow, what is one of the first steps that should be taken - ANS Review old progress & old documents 66. You are contacted by a confused user because their legend changes on each screen they go into, would you tell them - ANS The screen symbols change on each screen depending on the activities done 67. Which feature will allow a user to navigate between authorized applications & resources within a single organization - ANS Interface 68. A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take - ANS Call MD & verify order & MD enter order remotely 69. What are three common reasons for HIPPA violation citations - ANS 1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone 70. Which item enhances interoperability between organizations when exchanging patient data electronically - ANS Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging 71. What plays a primary role in the usability of an Electronic Health Record (EHR) - ANS Clinical workflow & efficiency 72. Stored information in the Electronic Health Record (EHR) can be instantly searched, retrieved, combined, & reported in different ways. What is this describing - ANS Data integrity 73. What is nursing informatics a combination of differentiating it from other nursing disciplines - ANS Nursing, information, & analytical sciences 74. Which two statements define healthcare informatics (HI) - ANS A tool to improve practice & patient care. A field that involves the secure sharing of information 75. Which Electronic Health Record (EHR) challenge can a nurse informaticist help support & change - ANS Analyzing & redesigning workflows 76. Which task is representative of the role of the nurse informaticist - ANS Acting as a superuser 77. At a nursing facility, the recent quality report details only 30% of patients received the influenza vaccine in the prior flu season. Nurses within the medical unit state the result is too low. Which area should an informatics nurse review to understand the quality report results - ANS Electronic Health Record (EHR) charting data 78. What should an informatics nurse do to support the entry of standardized data into an electronic health record (Electronic Health Record (EHR)) - ANS Use terminologies approved by the ANA 79. A new computerized provider order entry is being implemented in the hospital. The nurse informaticist plays a role in all areas of this implementation. Which measure is crucial for a successful implantation - ANS Workflow design 80. When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek - ANS Information that is accurate, timely, complete, concise, & relevant 81. EBP is essential for clinical decision making. Which model supports EBP - ANS Problem, intervention, comparison, outcome, time (PICOT) 82. What did meaningful use promote - ANS Increased interoperability 83. Which statement describes the application of meaningful use - ANS Patient satisfaction is improved, which results in better patient satisfaction scores 84. What describes the goal of Electronic Health Record (EHR) incentive programs, such as meaningful use - ANS To promote the achievement of quality, safety, & efficiency measures 85. In conducting & providing a quality audit, it was noted the provider was free texting data instead of selecting the proper codes to capture & bill for their services. When educating this provider on properly selecting codes & decreasing free texting what is a rationale for why this is important - ANS Interoperability 86. The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data - ANS DICOM standards. Health Level 7 standards.