ANCC Nursing Informatics Certification Review
Questions with Accurate Answers
_____________ is a teaching strategy for educating staff that involves face-to-
face and online learning.
A. Virtual learning
B. Web-based learning
C. Group learning
D. Hybrid learning correct answer D. Hybrid learning
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR correct answer c.
aberrancies and failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR correct answer c.
Abberancies
Rationale: "Bugs" in computer language are defined as aberrancies and failures in
the system or a coding error.
,1. An advantage of an identity and access management (IAM) system is that the
IAM system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification correct
answer c. meets HIPAA's Security Rule requirements regarding access to PHI.
Rationale: o An advantage of an identity and access management (IAM) system is
that the IAM system meets HIPAA's Security Rule requirements regarding access
to PHI through identity management. An IAM system provides, captures, updates,
and records user IDs and provides appropriate access privileges, preventing
"privilege creep," which increases risks to security. The IAM system should
provide authentication (single sign-in and session management), authorization
(based on roles, rules, and attributes), user management (provisioning and
password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM correct answer d. e-mail and IM
1. If the informatics nurse is concerned that a computer system may not function
well during peak times of access, the type of testing needed is:
a. functional testing
b. black box testing
c. system integration testing
,d. load/volume testing correct answer d. load/volume testing
Rationale: This is a non-functional testing for reliability that assesses the ability of
the system to function under various loads, such as at peak times when multiple
users in multiple departments are accessing the system. The purpose of
load/volume testing is to determine the maximum load capacity and to identify
the load at which problems begin to occur. Testing is done at both the safe
working load (SWL) and above the SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written correct answer b. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before
orders are written and they should be automated. Alerts that occur after orders
are written are more likely to be ignored or overridden. Additional alerts,
including hard stops, should occur if orders for contraindicated drugs or drugs to
which the patient is allergic are ordered despite the original alert. The alerts
should be carefully evaluated because excessive alerts may result in "alert
fatigue" to the point that clinicians begin to ignore them.
1. In preparation for the workflow redesign necessitated for implementation of an
EHR, the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
conduct surveys about workflow correct answer map the current workflow
, 1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices correct answer a. allows user
interaction with technology
1. The network that connects the departments in an organization is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN correct answer b. LAN - local area network
1. The smallest possible piece of data utilized in computer processing is the:
a. byte
b. bit
c. nibble
d. zettabyte correct answer b. bit
1. When an institution is transitioning to a CPOE, a primary role of the informatics
nurse is that of:
a. system designer
b. liaison
c. software modifier
Questions with Accurate Answers
_____________ is a teaching strategy for educating staff that involves face-to-
face and online learning.
A. Virtual learning
B. Web-based learning
C. Group learning
D. Hybrid learning correct answer D. Hybrid learning
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR correct answer c.
aberrancies and failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR correct answer c.
Abberancies
Rationale: "Bugs" in computer language are defined as aberrancies and failures in
the system or a coding error.
,1. An advantage of an identity and access management (IAM) system is that the
IAM system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification correct
answer c. meets HIPAA's Security Rule requirements regarding access to PHI.
Rationale: o An advantage of an identity and access management (IAM) system is
that the IAM system meets HIPAA's Security Rule requirements regarding access
to PHI through identity management. An IAM system provides, captures, updates,
and records user IDs and provides appropriate access privileges, preventing
"privilege creep," which increases risks to security. The IAM system should
provide authentication (single sign-in and session management), authorization
(based on roles, rules, and attributes), user management (provisioning and
password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM correct answer d. e-mail and IM
1. If the informatics nurse is concerned that a computer system may not function
well during peak times of access, the type of testing needed is:
a. functional testing
b. black box testing
c. system integration testing
,d. load/volume testing correct answer d. load/volume testing
Rationale: This is a non-functional testing for reliability that assesses the ability of
the system to function under various loads, such as at peak times when multiple
users in multiple departments are accessing the system. The purpose of
load/volume testing is to determine the maximum load capacity and to identify
the load at which problems begin to occur. Testing is done at both the safe
working load (SWL) and above the SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written correct answer b. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before
orders are written and they should be automated. Alerts that occur after orders
are written are more likely to be ignored or overridden. Additional alerts,
including hard stops, should occur if orders for contraindicated drugs or drugs to
which the patient is allergic are ordered despite the original alert. The alerts
should be carefully evaluated because excessive alerts may result in "alert
fatigue" to the point that clinicians begin to ignore them.
1. In preparation for the workflow redesign necessitated for implementation of an
EHR, the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
conduct surveys about workflow correct answer map the current workflow
, 1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices correct answer a. allows user
interaction with technology
1. The network that connects the departments in an organization is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN correct answer b. LAN - local area network
1. The smallest possible piece of data utilized in computer processing is the:
a. byte
b. bit
c. nibble
d. zettabyte correct answer b. bit
1. When an institution is transitioning to a CPOE, a primary role of the informatics
nurse is that of:
a. system designer
b. liaison
c. software modifier
