1. A charge nurse uses the department's smartphone to send a text message containing
the patient's last name, room number, and most recent vital signs to the attending
physician. Which federal act does this violate? - ANS: Health Insurance Portability and
Accountability Act (HIPAA)
1. A clinic employee left a message at home for a patient that included details of both a
medical condition and treatment plan. The patient requested any contact regarding
medical conditions be done through the patient's work phone number. What should the
clinic's next steps be? - ANS: Train employees to provide only the minimum necessary
information in messages.
1. A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse
recommends computer-assisted coding (CAC) as a solution. What is the financial
benefit of CAC? - ANS: CAC improves coding accuracy.
1. A facility recently implemented a new EHR. End nurses are now suggesting changes
to improve the HR and workflow processes. Which phase in the SDLC does this
describe? - ANS: Maintenance
1. A healthcare organization has determined which outcomes it wants to improve over
the next year and what changes will be implemented to help the organization achieve its
goals. The organization builds an interactive reminder tool in the electronic health
record (EHR) for staff. Data can be collected from this tool to determine if the changes
are implemented. Which type of data collection is this? - ANS: Checklist
1. A heparin medication error and a subsequent failure mode effects analysis (FMEA)
results in the purchase of smart pumps. How do smart pumps reduce the potential for
medication errors? - ANS: Dosing limits and alerts are provided.
1. A high number of data-entry fields in the EHR can be overwhelming for staff and
make it difficult to find where information should be documented. Which informatics
solution could solve this problem? - ANS: Cascading documentation
1. A hospital has a surgical department that uses a different EHR from the main EHR
(integrated). When a physician inputs an order in the surgical department, how would
you ensure that it is in the main EHR? - ANS: Chart in one and it will go into the EHR.
1. A hospital notes a decreased use of barcoded medication administration (BCMA)
along with an increase in medication errors. What should be the next course of action? -
ANS: Monitor BCMA usage reports for trends.
1. A mother brings her child to the emergency department after noticing the child had
trouble breathing, refused breastfeeding, and no urine in the diaper within the last eight
hours. The provider suspects respiratory syncytial virus and admits the infant to the
hospital. How will data in the medical record inform the decision to select appropriate
,infection-control precautions? - ANS: The data will identify the pathogen causing the
patient's symptoms.
1. A nurse admits an infant with a severe, hacking cough who is vomiting and who has
had a fever for the past two weeks. Which data in the electronic health record (EHR)
informs the decision to implement infection-control precautions? - ANS: The
nasopharyngeal swab culture results indicate the patient is positive for Bordetella
pertussis.
1. A nurse assists with implementing a new remote patient monitoring (RPM) system
for collecting patient data, which improves patient outcomes. Which task is a high
priority for an informatics clinician when implementing a new technology for patient data
collection? - ANS: Identify and define the goal of the technology.
1. A nurse in a primary care provider's office needs to review results from a patient's
cardiology consultation. Using health information exchange (HIE) technology, the nurse
requests this information from the cardiologist's office. Which type of exchange is
described? - ANS: Query based.
1. A nurse is asked to be part of a study. What should the nurse do? - ANS: Provide
de-identified data.
1. A nurse is documenting the electronic record of a patient while in a common area.
The nurse is called away to briefly assist nearby. Which action is correct for the nurse to
complete prior to assisting in the other area? - ANS: Close the record and log out of the
account.
1. A nurse is planning the care for a patient admitted to the hospital with COVID. Which
list of information in the EMR will help the nurse plan the care for this patient? - ANS:
The patient's laboratory results over the last 72 hours.
1. A nurse is teaching a patient-centered health education course at a hospital. As an
informatics nurse leveraging technology to help improve patient understanding, which
learner would be more likely to have a low health literacy and require more focus? -
ANS: An elderly person
1. A nurse is working in a medical-surgical unit assigned care for five patients. The
nurse has many tasks to accomplish during a shift. Which informatics solution assists in
ensuring these tasks are accomplished? - ANS: Electronic checklist
1. A nurse manager is informed that bedside nurses have begun using a workaround
for scanning a patient's armband prior to medication administration. The nurse manager
finds that several patients are missing armbands and that their armbands are connected
to their bed frames. What is the nurse manager's first course of action for this
workaround to bedside-scanning technology? - ANS: Question nursing staff about what
issues have caused this.
, 1. A nurse performing patient discharge from a facility provides a continuity of care
document (CCD) to a patient and explains the document and contents at discharge.
What is a benefit provided by the CCD? - ANS: It provides a summary of care to
patients and clinicians.
1. A nurse scans the barcode of a medication prior to administering it to a patient.
Which metric is reduced when a healthcare system implements a policy which promotes
barcode scanning of medications? - ANS: Medication Errors
1. A nurse supporting a new employee within a patient care setting witnesses the new
employee incorrectly explaining their patient's procedure to other employees in the
cafeteria. Which action should the nurse perform? - ANS: Remind the group of the
privacy requirements.
1. A nurse thinks the electronic health record (EHR) has too many documentation
fields, making it difficult to know where to document some items. As a result, the nurse
uses the notes instead or in addition to documenting in a specific field in the health
record. What is the least significant impact of this action? - ANS: Duplicate
documentation appears multiple times in the chart.
1. A patient completes the course of treatment for tuberculosis and is ready to be
discharged home. Which instructions should be included in the patient's discharge
education? - ANS: Importance of completing the medication prescribed.
1. A patient is admitted to the hospital with a painful rash on the left side of the face.
The provider orders the patient to be placed on contact precautions. Which data in the
electronic health record (EHR) informed the decision to implement contact precautions?
- ANS: The skin culture results indicate the presence of the varicella-zoster virus.
1. A project team is moving a hospital from using paper charting to using an electronic
health record for documentation. How should the project team roll out the software to
reduce the impact on the hospital? - ANS: A large stand-alone department should go
live first.
1. A provider receives a request from a third-party for details of a patients encounter.
When must the provider obtain consent from the patient before releasing this
information? - ANS: When it is provided to be a life insurer for coverage purposes (do
not release life health records to life insurance unless allowed by patient)
1. A researcher wants patient's data for a journal, what do you need to provide? - ANS:
Patient consent and de-identified information/data
1. A rural hospital is planning to implement teleradiology in its busy ER department.
What is a security consideration in teleradiology implementations? - ANS: Access to
patient images
the patient's last name, room number, and most recent vital signs to the attending
physician. Which federal act does this violate? - ANS: Health Insurance Portability and
Accountability Act (HIPAA)
1. A clinic employee left a message at home for a patient that included details of both a
medical condition and treatment plan. The patient requested any contact regarding
medical conditions be done through the patient's work phone number. What should the
clinic's next steps be? - ANS: Train employees to provide only the minimum necessary
information in messages.
1. A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse
recommends computer-assisted coding (CAC) as a solution. What is the financial
benefit of CAC? - ANS: CAC improves coding accuracy.
1. A facility recently implemented a new EHR. End nurses are now suggesting changes
to improve the HR and workflow processes. Which phase in the SDLC does this
describe? - ANS: Maintenance
1. A healthcare organization has determined which outcomes it wants to improve over
the next year and what changes will be implemented to help the organization achieve its
goals. The organization builds an interactive reminder tool in the electronic health
record (EHR) for staff. Data can be collected from this tool to determine if the changes
are implemented. Which type of data collection is this? - ANS: Checklist
1. A heparin medication error and a subsequent failure mode effects analysis (FMEA)
results in the purchase of smart pumps. How do smart pumps reduce the potential for
medication errors? - ANS: Dosing limits and alerts are provided.
1. A high number of data-entry fields in the EHR can be overwhelming for staff and
make it difficult to find where information should be documented. Which informatics
solution could solve this problem? - ANS: Cascading documentation
1. A hospital has a surgical department that uses a different EHR from the main EHR
(integrated). When a physician inputs an order in the surgical department, how would
you ensure that it is in the main EHR? - ANS: Chart in one and it will go into the EHR.
1. A hospital notes a decreased use of barcoded medication administration (BCMA)
along with an increase in medication errors. What should be the next course of action? -
ANS: Monitor BCMA usage reports for trends.
1. A mother brings her child to the emergency department after noticing the child had
trouble breathing, refused breastfeeding, and no urine in the diaper within the last eight
hours. The provider suspects respiratory syncytial virus and admits the infant to the
hospital. How will data in the medical record inform the decision to select appropriate
,infection-control precautions? - ANS: The data will identify the pathogen causing the
patient's symptoms.
1. A nurse admits an infant with a severe, hacking cough who is vomiting and who has
had a fever for the past two weeks. Which data in the electronic health record (EHR)
informs the decision to implement infection-control precautions? - ANS: The
nasopharyngeal swab culture results indicate the patient is positive for Bordetella
pertussis.
1. A nurse assists with implementing a new remote patient monitoring (RPM) system
for collecting patient data, which improves patient outcomes. Which task is a high
priority for an informatics clinician when implementing a new technology for patient data
collection? - ANS: Identify and define the goal of the technology.
1. A nurse in a primary care provider's office needs to review results from a patient's
cardiology consultation. Using health information exchange (HIE) technology, the nurse
requests this information from the cardiologist's office. Which type of exchange is
described? - ANS: Query based.
1. A nurse is asked to be part of a study. What should the nurse do? - ANS: Provide
de-identified data.
1. A nurse is documenting the electronic record of a patient while in a common area.
The nurse is called away to briefly assist nearby. Which action is correct for the nurse to
complete prior to assisting in the other area? - ANS: Close the record and log out of the
account.
1. A nurse is planning the care for a patient admitted to the hospital with COVID. Which
list of information in the EMR will help the nurse plan the care for this patient? - ANS:
The patient's laboratory results over the last 72 hours.
1. A nurse is teaching a patient-centered health education course at a hospital. As an
informatics nurse leveraging technology to help improve patient understanding, which
learner would be more likely to have a low health literacy and require more focus? -
ANS: An elderly person
1. A nurse is working in a medical-surgical unit assigned care for five patients. The
nurse has many tasks to accomplish during a shift. Which informatics solution assists in
ensuring these tasks are accomplished? - ANS: Electronic checklist
1. A nurse manager is informed that bedside nurses have begun using a workaround
for scanning a patient's armband prior to medication administration. The nurse manager
finds that several patients are missing armbands and that their armbands are connected
to their bed frames. What is the nurse manager's first course of action for this
workaround to bedside-scanning technology? - ANS: Question nursing staff about what
issues have caused this.
, 1. A nurse performing patient discharge from a facility provides a continuity of care
document (CCD) to a patient and explains the document and contents at discharge.
What is a benefit provided by the CCD? - ANS: It provides a summary of care to
patients and clinicians.
1. A nurse scans the barcode of a medication prior to administering it to a patient.
Which metric is reduced when a healthcare system implements a policy which promotes
barcode scanning of medications? - ANS: Medication Errors
1. A nurse supporting a new employee within a patient care setting witnesses the new
employee incorrectly explaining their patient's procedure to other employees in the
cafeteria. Which action should the nurse perform? - ANS: Remind the group of the
privacy requirements.
1. A nurse thinks the electronic health record (EHR) has too many documentation
fields, making it difficult to know where to document some items. As a result, the nurse
uses the notes instead or in addition to documenting in a specific field in the health
record. What is the least significant impact of this action? - ANS: Duplicate
documentation appears multiple times in the chart.
1. A patient completes the course of treatment for tuberculosis and is ready to be
discharged home. Which instructions should be included in the patient's discharge
education? - ANS: Importance of completing the medication prescribed.
1. A patient is admitted to the hospital with a painful rash on the left side of the face.
The provider orders the patient to be placed on contact precautions. Which data in the
electronic health record (EHR) informed the decision to implement contact precautions?
- ANS: The skin culture results indicate the presence of the varicella-zoster virus.
1. A project team is moving a hospital from using paper charting to using an electronic
health record for documentation. How should the project team roll out the software to
reduce the impact on the hospital? - ANS: A large stand-alone department should go
live first.
1. A provider receives a request from a third-party for details of a patients encounter.
When must the provider obtain consent from the patient before releasing this
information? - ANS: When it is provided to be a life insurer for coverage purposes (do
not release life health records to life insurance unless allowed by patient)
1. A researcher wants patient's data for a journal, what do you need to provide? - ANS:
Patient consent and de-identified information/data
1. A rural hospital is planning to implement teleradiology in its busy ER department.
What is a security consideration in teleradiology implementations? - ANS: Access to
patient images
