MILESTONE 2 RETAKE
EXAM
1. Which federal legislation mandates the protection of patient health information?
A. HIPAA
B. HITECH
C. ANA
D. FDA
✅ Correct Answer: A. HIPAA
Rationale: HIPAA (Health Insurance Portability and Accountability Act) ensures the
confidentiality, integrity, and availability of health information.
2. What is the primary purpose of standardized nursing terminologies in an EHR?
A. Reduce nursing workload
B. Facilitate communication and interoperability
C. Provide cost estimates
D. Decrease patient charting time
✅ Correct Answer: B. Facilitate communication and interoperability
Rationale: Standardized terminologies improve consistency, sharing, and
interpretation of data across systems.
3. Which component of the electronic health record (EHR) allows nurses to enter and
retrieve patient data?
A. CPOE
B. Clinical documentation system
C. eMAR
,D. PACS
✅ Correct Answer: B. Clinical documentation system
Rationale: This system is used for inputting and accessing nursing and clinical notes.
4. The primary role of a Nurse Informaticist includes:
A. Direct patient care
B. Bridging the gap between clinical and IT staff
C. Managing hospital finances
D. Conducting pharmaceutical research
✅ Correct Answer: B. Bridging the gap between clinical and IT staff
Rationale: Nurse Informaticists translate clinical needs into IT solutions and support
system optimization.
5. Which of the following is an example of a standardized nursing language?
A. SOAP
B. NANDA-I
C. SBAR
D. ICD-10
✅ Correct Answer: B. NANDA-I
Rationale: NANDA-I provides standardized nursing diagnoses used in clinical settings.
6. Which of the following is a benefit of using an EHR system?
A. Increases handwriting errors
B. Lengthens documentation time
C. Improves data accessibility
D. Requires manual chart reviews
✅ Correct Answer: C. Improves data accessibility
Rationale: EHRs enable quick access to patient data across departments and
providers.
7. Which act expanded the use and meaningful implementation of EHR systems?
A. HIPAA
, B. HITECH Act
C. Affordable Care Act
D. Medicare Act
✅ Correct Answer: B. HITECH Act
Rationale: The HITECH Act (2009) provided incentives for healthcare organizations to
adopt EHRs.
8. A nurse receives an email containing patient information that is not password
protected. This is a breach of:
A. HIPAA
B. OSHA
C. CMS
D. FDA
✅ Correct Answer: A. HIPAA
Rationale: Sharing unprotected PHI electronically violates HIPAA privacy and security
rules.
9. The purpose of Meaningful Use was to:
A. Replace paper documentation entirely
B. Eliminate nursing documentation
C. Promote effective use of EHRs to improve patient care
D. Encourage private companies to develop EHR software
✅ Correct Answer: C. Promote effective use of EHRs to improve patient care
10. SNOMED-CT is best described as:
A. A coding system for billing purposes
B. A comprehensive clinical terminology
C. A set of nursing interventions
D. An EHR vendor system
✅ Correct Answer: B. A comprehensive clinical terminology
EXAM
1. Which federal legislation mandates the protection of patient health information?
A. HIPAA
B. HITECH
C. ANA
D. FDA
✅ Correct Answer: A. HIPAA
Rationale: HIPAA (Health Insurance Portability and Accountability Act) ensures the
confidentiality, integrity, and availability of health information.
2. What is the primary purpose of standardized nursing terminologies in an EHR?
A. Reduce nursing workload
B. Facilitate communication and interoperability
C. Provide cost estimates
D. Decrease patient charting time
✅ Correct Answer: B. Facilitate communication and interoperability
Rationale: Standardized terminologies improve consistency, sharing, and
interpretation of data across systems.
3. Which component of the electronic health record (EHR) allows nurses to enter and
retrieve patient data?
A. CPOE
B. Clinical documentation system
C. eMAR
,D. PACS
✅ Correct Answer: B. Clinical documentation system
Rationale: This system is used for inputting and accessing nursing and clinical notes.
4. The primary role of a Nurse Informaticist includes:
A. Direct patient care
B. Bridging the gap between clinical and IT staff
C. Managing hospital finances
D. Conducting pharmaceutical research
✅ Correct Answer: B. Bridging the gap between clinical and IT staff
Rationale: Nurse Informaticists translate clinical needs into IT solutions and support
system optimization.
5. Which of the following is an example of a standardized nursing language?
A. SOAP
B. NANDA-I
C. SBAR
D. ICD-10
✅ Correct Answer: B. NANDA-I
Rationale: NANDA-I provides standardized nursing diagnoses used in clinical settings.
6. Which of the following is a benefit of using an EHR system?
A. Increases handwriting errors
B. Lengthens documentation time
C. Improves data accessibility
D. Requires manual chart reviews
✅ Correct Answer: C. Improves data accessibility
Rationale: EHRs enable quick access to patient data across departments and
providers.
7. Which act expanded the use and meaningful implementation of EHR systems?
A. HIPAA
, B. HITECH Act
C. Affordable Care Act
D. Medicare Act
✅ Correct Answer: B. HITECH Act
Rationale: The HITECH Act (2009) provided incentives for healthcare organizations to
adopt EHRs.
8. A nurse receives an email containing patient information that is not password
protected. This is a breach of:
A. HIPAA
B. OSHA
C. CMS
D. FDA
✅ Correct Answer: A. HIPAA
Rationale: Sharing unprotected PHI electronically violates HIPAA privacy and security
rules.
9. The purpose of Meaningful Use was to:
A. Replace paper documentation entirely
B. Eliminate nursing documentation
C. Promote effective use of EHRs to improve patient care
D. Encourage private companies to develop EHR software
✅ Correct Answer: C. Promote effective use of EHRs to improve patient care
10. SNOMED-CT is best described as:
A. A coding system for billing purposes
B. A comprehensive clinical terminology
C. A set of nursing interventions
D. An EHR vendor system
✅ Correct Answer: B. A comprehensive clinical terminology
