WGU D522 Objective Assessment Final Exam (New 2026/ 2027 Update) Python for IT Automation | Questions & Answers| Grade A| 100% Correct (Verified Answers)

WGU D522 Objective Assessment Final Exam (New 2026/ 2027 Update) Python for IT Automation | Questions & Answers| Grade A| 100% Correct (Verified Answers) Q. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery ANSWER Provider order Q. 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 ANSWER MAR Q. 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 ANSWER The patient's laboratory results over the last 72 hours. Q. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards ANSWER Psychotherapy notes Q. Operating room (OR) staff are reliant upon a manual whiteboard 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 the use of the existing surgical information system (SIS). Which resolution can improve this workflow issue? ANSWER Radiofrequency identification (RFID) in patient labels Q. What is an effective way to reduce the risk of access to electronic protected health information (ePHI) by unauthorized users ANSWER Make sure all the users adhere to the security & confidential policy set forth by the facility. Q. 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)? ANSWER Continuity care record from AMR Q. 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? ANSWER The intake & output chart Q. Which act in 2009 did Meaningful Use (MU) originate ANSWER American Recovery & Reinvestment Act (ARRA) act in 2009 Q. What is the intent of the Clinical Decision Support (CDS) System ANSWER Providing clinicians with knowledge & person-specific information. Q. Which government organization oversees the meaningful use program ANSWER CMS (Centers for Medicare and Medicaid Services Q. A Nursing Innovator & a medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this ANSWER Flowsheet Q. Process for discovering root causes of problems & ID the solution ANSWER Root cause analysis Q. What should providers have on their personal mobile devices to protect them from sharing information when stolen? ANSWER Authentication & encryption Q. 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 ANSWER Workflow Q. How does the health information exchange (HIE) improve interoperability within a healthcare organization ANSWER It allows patient information to be accessible despite where the patient is receiving care. Q. In a healthcare setting, there is resistance to using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) ANSWER Involve staff in the implementation process. Q. Which statement defines electronic protected health information (ePHI) ANSWER It is the information used to specifically identify an individual. Q. An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet? ANSWER An unregulated network of networks Q. What represents privacy & security risks for telehealth technology? ANSWER Patients have the option to use the speakerphone in the telehealth apps. Q. A restraint committee has been assembled to oversee the need & proper usage of restraints. Which data element would this committee find least useful in this report? ANSWER Patient allergy history Q. What is a structured method used to analyze serious adverse events? ANSWER A root cause analysis (RCA) Q. Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways? ANSWER Text data Q. Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities ANSWER To prevent medication administration errors Q. MRSA contact precautions Q. Which info in Electronic Medical Records will help nurses manage post-op care for appendectomy Doctor's orders Q. The act that recognizes patients need more power in their healthcare, & access to information is key to making that happen or What act puts patients in charge of their healthcare records? ANSWER 21st Century Cures Act Q. Tapping badge ANSWER Improves documentation time. Q. Action that demonstrates data mining to improve patient outcomes ANSWER HbA1c Q. What to do when Clinical Decision Support (CDS) System is ignored ANSWER Educate staff on the importance. Q. Spouse requests patient's medical records ANSWER Refer the family member to medical records. Q. Comparing infection rates across the states ANSWER bar graph Q. Promoting the adoption & implementation of telehealth programs ANSWER Advocacy Q. Mom calls asking for the child's info that was seen at the clinic ANSWER Clinic is unable to provide the medical records. Q. Metrics related to stroke care & compare them across the country in a presentation ANSWER Benchmarking Q. Confirming data accuracy or Analyzing a single piece of data in multiple ways ANSWER Triangulation Q. What is included in meaningful use ANSWER Use of electronic prescribing Q. What is the goal of the Health Information Exchange ANSWER To allow insurance companies & providers to be able to share data Q. Groups at risk for decreased health literacy? ANSWER elderly The main way to keep HIPPA compliance? passwords The element that is PHI DOB The best method of Electronic Medical Record charting for nursing? or Data Entry fields Cascading Physical taking care of a patient whose established care is somewhere else talking about Health Information Exchange Query-based When can you get notes from the provider quickly? Health Information Exchange, Query-based transfer. How to start an admission process when extremely busy? Checklist What would be the causes to put someone in isolation? MRSA, Influenza, TB, Covid Nurse wants to optimize EH software with the goal of decreasing documentation time Surveys Data visualization of oncology patient length of stays Line graph Universal precautions approach to health literacy Treating all patients as if they are at risk of not understanding health information and speaking to patients in language-appropriate terminology. Define predictive modeling/analytics Uses past & current data to forecast the likelihood that an event will occur. What data source is used to track specific diseases & conditions Disease surveillance Non-maleficence & fidelity, promote accuracy & integrity. Fundamental principles HIPPA stands for and what year did it form Health Insurance Portability & Accountability Act 1996 What year did Hitech Act form 2009 Two nurses are in the cafeteria talking about lab reports & they commit HIPAA violations what is the action Fines A medication alert pops up. What system is alerting Clinical Decision Support (CDS) System Monitor the patient's glucose level you need nurse flow sheets What is the barrier to using biometrics Financial During which phase of the systems development life cycle should a system be activated to effectively be used by end users Implementation. Homeless man IV drug user Find in the EMR which information helps you put him in isolation. Treatment of patients related to blood pressure measures Medication administration When does Discharge planning Starts on admission. Discharge teaching patient with diabetes Important what the time of day Single event & doing root cause analysis Fishbone Stroke patient & analysis Statistical, fishbone Rapid dictation advantages of template-based charting They are available immediately and eliminate human errors @ more accurate documentation. D/C teaching The 5th-grade level starts on admission, time of day, and increase font size. A high number of data-entry fields in electronic health records can be overwhelming for staff & make it difficult to find where information should be documented. Which informatics solution could solve this problem? Cascading documentation How can informatics be used to assess a person's health literacy Informatics can evaluate the current state & determine the resources needed to determine a patient's level of understanding. Pie Percentages chart Bar graph nouns Ensures the app still functions as expected after an update or change in improvement. Regression testing Life insurance wants records don't release. HIPAA Name, birthdate/year, test results, and lab results are protected. Nurse finds 100 errors in coding AHIMA & report to nurse manager Glucose stabilizing & Blood Pressure stabilizing trending graph Clean & accurate, quality of care, can be used to evaluate patient safety, and quality performance, measure & compare services, improve performance, sets standards of excellence, identifies learning gaps (pt falls) Benchmark Covid graphing scatterplot Statistical analysis stroke patient Review ICU fall risk Different reviewer's conduction research Benefit of Internet/externet Improve communication & teamwork Ethical/legal issue with rural hospital & tele-radiology State licensing issue What is an example of the benefit of MD using Computerized Provider Order Entry (CPOE) & DSS Alerts when ordering Viagra (sildenafil) when patient is taking a cardiac med. Staff is resistance to Tele-ICU. What are the benefits resources & expertise HIPAA violations Civil monetary fines Healthcare staff members become overwhelmed when using EHR, & they begin to ignore clinical decision support messages. Why is it important to control the number of warnings in an EHR? · Alert fatigue Which act in 2009 did MU originate? · ARRA act in 2009 Which two technologies support the standardization of healthcare data? · HL7 (Health Level 7) & DICOM An informatics nurse & an ER nurse are conducting an analysis of a patient admission form the er. Which tool should these nurses use for a process analysis? SWOT Which government agency recommended to use of bar code medication administration? FDA 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? Short time report Process for discovering root causes of problems & ID the solution? Root cause analysis Which is a physician's clinical informatics assessment? Vital signs Which EHR challenge can a nurse informaticist help support & change? Analyzing & redesigning workflows What describes the goal of EHR incentive programs, such as meaningful use? To promote the achievement of quality, safety, & efficiency measures What is the role of the informatics nurse working with EHR? To improve patient safety Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability Data blocking. Interface cost. Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion? Randomly run EHR reports & list noncompliant nurses. Reported falls on the med surg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med-surg unit? The radiology reports of pts with a reported fall on the med-surg unit Which data in a medical record informs the management of the pt's condition following a surgical procedure? Nursing assessment from the prior shift & the doctor's orders Pt comes to the ED with a bump on the arm that is painful, edematous, & oozing sanguineous fluid. Which data in the pt's medical record would tell a nurse to implement infection control precautions? The nursing flow sheet states the wound has increased in edema, redness, & drainage over the last 12 hours Pt with scabies Crusted rash, CDC says that the diagnosis of scabies is by physical examination of skin Pt discharge, information planning- History & physical notes about the reason the pt is admitted anyways Pts come in complaining of the same S/S- pt demographics COPD pt planning care-- complete health history HIPAA violation fine or What is the dollar amount price range for a HIPPA fine per violation (lowest to highest amount). $100-50,000 Act that recognizes pts need more power in their healthcare, & access to information is key to making that happen? 21st Century Cures Act Pt engagement benefits costs decrease, lower readmission rate, improved pt recovery times, increase pt empowerment Which pt are most able to engage in their care? whose pain is under control or good night rest Nurse is giving Pt education over new medication? Ask pt to repeat info—teach backs Hospital employee falls. Their manager calls & wants an update? Nurse should not provide info HIS system for pt to manage their own stuff? the app Electronically capture pt VS without manually entering- Biomedical device integration What to do when CDSS is ignored Educate staff on the importance What is the best practices for HIPAA require password A pt employer calls asking for information on pt that got hurt at work? · Ask employer to submit a signed agreement to protect the pt info Hiker information given to newspaper? Hospital violates hipaa because they did not follow their guidelines Pt records moved from notes to checkboxes They reduce clinical documentation time Gap analysis? transition to a new EHR What does a focus group do? gathering uses to discuss What is a peripheral biometric device? high bp monitoring What is the goal of Health Information Exchange? · To allow insurance companies & providers to be able to share data Barcoding scanning. How it affects inventory with pharmacy? alters ordering & information data How would an informatics nurse best evaluate other nurses' opinions on technology? Survey What should a nurse recommend to promote nurse to pt interactions? · Encourage pt to eliminate personal technology to increase their attention Role of an informatics nurse specialist is the knowledge & application of state & federal laws. Which role falls outside the scope of practice? Enforce operational procedures Situation where nurse carries out an HIE? NP reviews pt records/read dx test results from remote facility A blood pressure cuff or peripheral device linked to the computer or health system is what kind of technology? Biomedical device integration Health literacy universal precaution-AHRQ? · 5th grade reading level is the best Data visualization of oncology pt length of stays? Line graph What is a fishbone diagram & what benefit does it provide? A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or conditions root causes, allowing them to truly diagnose the problem rather than focusing on symptoms What legislation provides more rigorous enforcement of HIPPA & requires notification of breaches & allow pt access to their electronic records? HIPPA Breach notification Rule, US dept of health & human services (HHS) & Office for Civil rights (OCR) is responsible for enforcing HIPPA A facility has recently implemented dictation at the point of care and clinicians have voiced satisfaction with new technology.What is the expected evaluation outcome of implementing this feature? a. Documentation being able to be rapidly sent to transcript for review b. Improved legibility of documentation without additional equipment c. Reduced documentation errorsand increased spelling accuracy d. Clinicians being able to immediately edit and save documentation Clinicians being able to immediately edit and save documentation A stroke program coordinator wants to know which stroke metrics were met each month over the past year? Which type of graph should display this data? a. Line graph b. Pie chart c. Bar graph d. Mosaic Bar graph A doctor receives a urgent phone call from a nurse caring for a patient while the doctor is at a coffee shop ordering breakfast. How should the doctor proceed in order to prevnt a possible violation of Health Insurance Portability and Accountability Act (HIPAA)? a. The doctor should enter orders into the patient's chart using his phone as a hotspot from a location in the coffee shop with the least amount of nearby customers. b. The doctor should connect to Wi-Fi at the coffee shop to enter orders for the patient as soon as possible into the electronic health record (HER) c. The doctor should ask questions about the patient and provide the nurse verbal orders over the phone while waiting for breakfast. d. The doctor should ask the nurse to text him rather than calling as the doctor is in a public location and unable to speak with the nurse on the phone at this time The doctor should ask the nurse to text him rather than calling as the doctor is in a public location and unable to speak with the nurse on the phone at this time During a recent review for a clinical documentation improvement for a ambulator surgery center a nurse observes that the incorrect current procedural terminology (CPT) code has been entered for over 100 outpatient procedures. Which set of standards for professional behaviors is the nurse demonstrating when reporting this occurrence to supervisor? a. HIPAA Privacy Rule b. American Health Information Management Association (AHIMA) Code of Ethics c. Association for medical Professionals (AMP) d. Privacy Policy Nursing Informatics Association (NIA) Code of ethics American Health Information Management Association (AHIMA) Code of Ethics A nurse has been asked to set up a secure data capture and collection process for evaluation of a practice process improvement project? Which approach should the nurse use to help ensure data security? a. Collect data on secure access servers. b. Collect data using electronic format. c. Collect data within the hospital setting. d. Collect data with patient permission. Collect data on secure access servers. Information that can be used to identify an individual is known as protected health information(PHI) .This information includes addresses , medical record numbers , demographic information and other elements that could potentially lead to the identity of the individual.Which term is used to reference this information ? a. Individual health data information b. Individually identifiable health information c. Person-specific health information c. Patient care health information Individually identifiable health information Which information technology best practice helps prevent health insurance portability and accountability act (HIPAA) violations as an organization? a. prompting users to change their passwords monthly. b. ensuring the department have secure recycling bins for HIPAA complaints. c. providing HIPAA training after a violation. d. requiring devices to be password-protected requiring devices to be password-protected In which area of informatics nursing should promoting the adoption of and implementation of telehealth programs to increase access to health services belong ? a. consultation b. leadership c. advocacy d. coordination advocacy What is one role a nurse can have in the formulation of health policy? a. representing nurses on a national task force. b. instructing new employees on the best use of electronic health records (EHRs) c. reporting patient data to the centers for Medicare and Medicaid services d. leading the implementation of technology in rural areas. representing nurses on a national task force. A provider asks a nurse caring for a patient to send an update on the patient's condition in two hours. What method is appropriate for the nurse to communicate this information to the provider given the laws that protect personal health care information? a. Personal pager b. personal email c. Text message d. Secure chat Secure chat In 1996, the united states passed health insurance portability and accountability act to modernize the flow of healthcare information and provide stipulators to protect this information from fraud and theft .Which information is specifically protected under this act? a. A patient's state of residence b. A patient's bank account number c. A patient's test results. d. A patient's birth year A patient's test results. Which federal government entity supports the adoption of health information technology and promotes a nationwide exchange of health information to improve health care? a. Centers for Medicare and Medicaid services b. federal drug administration c. office of national coordinator d. center for disease control office of national coordinator A worker's compensation insurance company calls a clinic to verify charges for a patient. A billing clerk verifies the patient's charges over the phone. What allows the clerk to provide the patients information to the insurance company? a. Patients Bills of Rights b. Informatics Code of conduct policy c. HIPAA Privacy Rule d. American Academy of Professional Coders policy HIPAA Privacy Rule Clinical users often request new technology applications or software features to reduce inefficiencies. An informatics nurse specialist may receive so many requests that not all of them can or should be implemented.Which information should an informatics nurse specialist use to build the business case for technology review committee to determine which requests should be approved? a. The return on investment, the patient population, and the expected improvement in patient satisfaction scores b. The cost of implementation, the cost of maintenance, and the return on investment c. The cost of implementation, department revenue, and current patient satisfaction scores d. The cost of maintenance, the return on investment, and the expected increase in revenue The cost of implementation, the cost of maintenance, and the return on investment What is a benefit of moving information in a patient record previously stored in notes into a form or check box? a. forms and checkboxes improve the reliability of data b. forms and checkboxes reduce clinician documentation time. c. data from forms and checkboxes can be exported quickly. d. data from forms and checkboxes can be graphed and trended. forms and checkboxes improve the reliability of data Healthcare organizations are encouraged to use standard language in the data they collect. This allows an organization to recommend improvements based on health information technology. What is the benefit of standardizing the data each organization must collect from patients? a. Patients are able to provide feedback regarding their personal data. b. Information can be sent to another organization electronically. c. Patients become familiar with standardized language. d. Information can be combined from multiple organizations to research. Information can be combined from multiple organizations to research. After an unexpected sentinel event involving a medication error, a workgroup is brought together to review a patient's health record and determine how the error reached the patient. Which type of root cause analysis should be used in this scenario to map out the various causes that affected this sentinel event a. Decision tree b. Fishbone diagram c. Scatterplot d. Flowchart Fishbone diagram A stroke care program coordinator for a large healthcare organization wants to display metrics related to stroke care and compare them to metrics from similar organizations across the country in a presentation for a stroke accreditation survey. Which method of data display best accomplishes this? a. Industry research b. Market research c. Benchmarking d. Statistical sampling Benchmarking A clinical transformation group at a healthcare facility uses a flowchart to map the process of admitting a patient from the emergency department to an inpatient bed. the group's goal is to decrease the time from admission order to bed placement. How does the flowchart help the group accomplish this goal? a. Using the flowchart, the group can identify unnecessary steps in the admission process. b. Using the flowchart, the group can reduce the number of admissions. c. Using the flowchart, the group can recommend a committee to approach to match admission to a bed. d. Using the flowchart, the group can suggest nurse-initiated admission orders. Using the flowchart, the group can identify unnecessary steps in the admission process. When would benchmarking be an appropriate evaluation method for comparing data before and after adopting new guidelines? a. When determining improvement in patient outcomes after a change in process b. when tracking patient falls by unit over a year c. when analyzing whether one medication regimen is superior to another medication d. when monitoring patient satisfaction scores When determining improvement in patient outcomes after a change in process The health insurance portability and accountability act (HIPAA) requires reporting standards be followed in the event that more than 500 incidents of unsecured protected health information(PHI) were released or authorized access took place. These reporting standards require notification to both the regulatory agency as well as individuals within specific time period. What is considered a reasonable time period to file a violation report ? a. 14 days b. 30 days c. 60 days d. 90 days 60 days In which scenario does a nurse exemplify effective documentation? a. a nurse recording medication and the patients response directly into computer workstation b. a nurse having a live video conference with a provider while performing wound care. c. a nurse using a personal mobile phone to take a photo of a patient's broken leg and then uploading it into an electronic health record (EHR) d. A nurse assessing all patients before documenting in their electronic health records(HER) a nurse recording medication and the patients response directly into computer workstation A nurse working at a community clinic has access to an electronic health record (EHR). A patient recently received care at the clinic. The patient's mother is calling to access the patient's medical records. How should the nurse to respond to the matter? a. Tell her that printed treatment information can be picked up at the clinic. b. Tell her that only the diagnosis and date of treatment can be provided over the phone. c. Tell her she will have access to the patient's electronic record when the mother comes to the clinic. d. Tell her that the clinic is unable to provide her daughter's medical records. Tell her that the clinic is unable to provide her daughter's medical records. How does a computerized physician order entry (CPOE) support quality patient care? a. by providing access to history and physical information for a patient in another country b. by checking for drug - to - drug interactions. c. by allowing patient referrals via text messages. d. by automatically prescribing a patient's medication and dose by checking for drug - to - drug interactions. Which scenario demonstrates a clinical decision support system (CDSS) best practice alert(BPA)? (Choose the correct answer. Provide rationale for correct answer and rationales for incorrect answers.) a. using a patient health data, an algorithm can alert providers to reliably diagnose epilepsy and other neurological disease b. a preoperative health data summary and a detailed medical assessment are generated about a patient who will undergo a clinical trial study. c. an alert is triggered before completing a electronic prescription of sildenafil citrate for a patient who is taking isosorbide mononitrate d. an artificial neural network analyzes patient data patterns to identify symptoms and make a diagnosis an alert is triggered before completing a electronic prescription of sildenafil citrate for a patient who is taking isosorbide mononitrate An informatics nurse is facilitating a discussion on the differences between intranet and extranet software with nurse managers. The nurse provides examples of organizational formulary access ( via the intranet ) versus access to a drug information portal ( via the extranet ). What is a benefit of having both intranet and extranet access in the healthcare organization? a. It ensures that an organization delivers excellent services b. It promotes individuality in approaching patient care c. It facilitates evidence-based practice d. It provides a bridge to help nurses quality for out-of-office work. It facilitates evidence-based practice Which data analytics is beneficial in addressing the hospital staffing needs of a large medical center during holidays and weekends? a. inferential analytics b. predictive analytics c. descriptive analytics d. prescriptive analytics predictive analytics After reviewing documentation from the electronic health record (EHR) and interviewing multiple staff involved in the process, nursing leadership has decided to make changes to the process of admitting a patient from the emergency department to a medical unit. Which evaluation tool did the nurse leadership use in this analysis? a. Gantt chart b. Control chart c. Waterfall chart d. Workflow chart Workflow chart What characteristic of patient management software should the informatics nurse validate as fundamental? a. keeping medical records and allowing easy accessibility from a variety of locations, including from a mobile device b. monitoring and receiving data from medical devices and providing alerts to providers and patients if medical attention is necessary. c. documenting clinical information of patient encounters so providers and patient alike can refer to previous conversations and appointments. d. adhering to legislation for policies and procedures about data privacy and security provision for medical information. adhering to legislation for policies and procedures about data privacy and security provision for medical information. Which expectations does the Health Insurance Portability and Accountability Act (HIPAA) provide in order to protect the health information (PHI)of patients? a. It standardizes how licensed medical providers protect the personal information of patients. b. It explains how the government regulates patients' permission to use personal health information. c. It stipulates how personally identifiable information is protected from fraud and theft. d. It guides standards for patients about protecting their personal health information. It stipulates how personally identifiable information is protected from fraud and theft. A recent report showed a sudden increase in nurses overriding medications when using a medical dispensing machine. A nurse educator is asked to create an education plan to address this increase. What should the nurse educator do first to assess the cause of this sudden increase? a. Create case studies for appropriate use of overrides. b. Determine the reasons for overriding and validate the reasons with the nurses. c. Perform a workflow analysis at peak medication administration times. d. Ask the nurse managers to provide examples of when to use an override. Determine the reasons for overriding and validate the reasons with the nurses. A nurse educator is asked to work with the nurses in the command center of a tele-intensive care unit (tele-ICU)to address their hesitancy in using this new technology. Which benefit of tele-ICU monitoring should be emphasized to address this hesitancy? a. It reduces operational costs b. It monitors for adverse medical events (ADEs) c. It increases operational efficiency. d. It provides consistent support and expertise. It provides consistent support and expertise. A rural hospital is planning to implement teleradiology in its busy emergency department. What is a security consideration in teleradiology implementation? a. Access to patient images b. Credentialing for telehealth c. Monitoring for quality d. Licensure within the state Access to patient images An ambulatory office uses telehealth to monitor patients with chronic illness by using in-home technology to transmit patient data to the office. Which type of telehealth is being used in this situation? a. Video telephonic communication b. consumer health monitoring c. Biometric communication d. Remote patient monitoring Remote patient monitoring A nurse manager reviews an incident report for a medication error. The physician admits to ignoring the electronic health record (EHR) messages and ordering a medication the patient is allergic to. The physician describes being desensitized to the multiple alerts received throughout a shift. The nurse manager initiates process improvement project aimed at preventing alerts fatigue. What is an appropriate first action for the nurse manager? a. Decrease alarm settings on medical devices. b. Educate staff on the importance of alerts. c. Remove all EHR alerts immediately. d. Organize a multidisciplinary alert management team. Organize a multidisciplinary alert management team An intensive care nurse electronically captures patients' vital signs into the electronic health record (EHR). What is a benefit of this electronic capture of patient data? a. Improved patient outcome b. Streamlined patient care requirements c. streamlined computerized provider order entry (CPOE) d. improved accuracy of vital sign documentation. improved accuracy of vital sign documentation. A nurse receives a warning message when ordering blood products for a patient with religious conflicts to blood transfusions. Which health information technology assisted the nurse? a. Patient portal (PP) b. Electronic health record (HER) c. Laboratory information system (LIS) d. Clinical decision support (CDS) Clinical decision support (CDS) Hospital staff are struggling to meet compliance with vaccine screening requirements due to lack of training methods such as classes, flyers and storyboards have failed and nurses are concerned about the time it will take them to review lengthy training documents. An electronic approach to education and streamlining this process is suggested. Which resolution is appropriate in this scenario? a. Embed evidence-based vaccine practice into documentation. b. Use social media to distribute education to staff. c. Develop computer-based training. d. Create reports that monitor compliance of guidelines. Develop computer-based training. What is an example of data mining to improve patient outcomes? a. tracking patient flow through a facility b. ensuring timely data is obtained and reported. c. confirming that the data is de-identified. d. generating the percentage of patients with therapeutic HbA1c. generating the percentage of patients with therapeutic HbA1c. Perioperative staff at a hospital use a whiteboard to manually track patients. Recently, surgeons have complained that the turnaround time between surgical cases has increased and blame the manual tracking system. An informatics nurse recommends expanding the use of an existing surgical information system (SIS). What would improve this workflow issue? a. Placing radio-frequency identification (RFID)tags on equipment b. Switching to electronic boards for operating rooms c. Giving mobile communication devices to staff d. Hiring additional staff dedicated to workflow management. Switching to electronic boards for operating rooms A patient experiences a medical emergency while traveling. Hospital clinicians need rapid access to the patient's previous medical history from the out-of-state primary care provider (PCP). Which health information technology should hospital clinicians use? a. Obtaining electronic signature for release of information b. Communicating by telephone with the PCP c. Emailing medical records from the PCP d. Transmitting data using health information exchange Transmitting data using health information exchange Hospital clinicians have voiced dissatisfaction with the multiple steps and password required to access the EHRS. The informatics nurse researches the the use of biometric technology as a solution and plans to propose this technology for approval. What is a hurdle in implementing biometric technology? a. Implementation cost b. Accountability of staff c. Security concerns d. Staff engagement Implementation cost Which health information system is used by imaging departments and includes scheduling appointments , storing patient results, generating reports and billing for imaging services? a. radiology information systems (RIS) b. Continuity of care Record (CCR) c. Laboratory information systems (LIS) d. Remote patient monitoring (RPM) radiology information systems (RIS) What does the acronym HIPAA stand for? a. Health Information Portability and accessibility act b. Health Insurance Portability and Accountability Act c. Health Insurance Portability and accessibility act d. health information portability and accountability act Health Insurance Portability and Accountability Act A discharge nurse recognizes patients are often disengaged in discharge education because they are distracted and impatiently waiting to return home. Which strategy should the nurse recommend to increase patient engagement toward discharge education ? a. change education to paper instructions for patients to review at home b. implement a discharge readiness checklist to review throughout the hospital stay c. perform discharge education with family members instead d. clearly communicate expectations of participation in discharge education implement a discharge readiness checklist to review throughout the hospital stay Which expectations does the Health Insurance Portability and accountability act (HIPAA) provide in order to protect the health information (PHI)of patients? a. It standardizes how licensed medical providers protect the personal information of patients. b It explains how government regulates patients' permission to use personal health information. c. It stipulates how personally identifiable information is protected from fraud and theft. d. It guides standards for patients about protecting their personal health information. It stipulates how personally identifiable information is protected from fraud and theft. What should a nurse assess before teaching patients information about how to care for their personal health in order to enhance compliance and improve health outcomes? a. level of education b. whether a family member should be present c. level of health literacy d. socioeconomic status level of health literacy Which health literacy guideline is associated with increased compliance for most patients and requires careful nursing consideration to prepare the patient education a. use of visual aids is necessary when teaching. b. written instructions must be 10-point font or greater. c. written material is harder to understand than spoken instruction. d. a fifth grade reading level is best for comprehension. a fifth grade reading level is best for comprehension. A patient tells a clinician they would like to have their family participate in patient training and education. What should the clinician do to leverage patient-centered care to engage this patient's family in patient care? a. Write out instructions in several languages for the patient to share with family members. b. Ask the patient to create videos to instruct family members about patient care needs. c. Inform the patient that information can be shared with the family through the patient education portal. d. Ask the patient how the family should be included in patient care needs. Ask the patient how the family should be included in patient care needs. A nurse is preparing to teach a patient with diabetes how to best monitor blood sugar levels. Which factor would most likely affect this patient's ability to understand the educational information in the patient portal once the patient has returned home? a. Learning preferences b. Visual aids c. Patient locations d. Time of day Learning preferences Which process analyzes the same data using multiple approaches to confirm data accuracy? a. intelligent character recognition b. focus group discussion c. triangulation method. d. manual data review triangulation method. clinical decision support (CDS) tools help clinicians provide better care to their patients by providing alerts for potential drug interactions, allergies missed documentation and other clinical warningsWhich characteristics should these alerts have in order to be effective? a. The alert should require additional family education. b. The alert should be derived from insurer guidelines. c. The alert should not be able to be overridden. d. The alert should be derived from evidence-based practice The alert should be derived from evidence-based practice Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USCDI) standards? a. imaging notes b. pathology notes c. progress notes d. psychotherapy notes psychotherapy notes A high number of data entry fields in electronic health records (EHRs) can be overwhelming for staff and can make it difficult to find where information should be documented. Which informatics solution would solve this problem? a. A single screen for documentation b. Documentation pop-up reminders c. Documentation using drop-down menus. d. Documentation displayed by diagnosis Documentation using drop-down menu What is the danger of using unvalidated device data in a patient's electronic health record to make clinical decisions for a patient ? a. The data may be incomplete b. The data is not final. c. The data may be inaccurate d. The data must be reviewed by a nurse. The data may be inaccurate Which information in the patient's electronic health record (EHR), in addition to the nursing flowsheets, and providers' orders would help a nurse plan and manage fluctuations in the patient's blood glucose levels? a. nursing assessment notes b. diagnostic imaging result records c. intake and output records d. admission notes intake and output records a nurse is planning the care for a patient admitted to the hospital with COVID-19. Which information in the electronic health record (EHR) would help the nurse plan the care for this patient? a. The patient's laboratory results over the last 72 hours. b. The patient's transfer location history since being admitted. c. The hospital services covered by the patient's health insurance carrier. d. The nurses who provided care to the patient in the emergency room The patient's laboratory results over the last 72 hours. which information in a patient's electronic health record (EHR)would help a nurse plan and manage the patient's post-operative care after open heart surgery ? a. postoperative record b. preoperative lab report c. provider orders d. discharge planning notes provider orders Which information in a patient's electronic health record in addition to the nursing flowsheets would help a nurse plan and manage fluctuations in the patient's blood sugar levels. a. medication administration record b. continuity of care record c. lab test results d. Nursing assessment notes MAR Which information in a patient 's electronic health record would help a nurse plan and manage the patient's postoperative care after an appendectomy? a. laboratory results b. surgical history record c. medication administration record d. physician's orders physician's orders How can informatics be used to assess a person's health literacy? a. by presenting a variety of options to healthcare professionals in order to document patient demographics. b. by developing technology that can deliver health information via computer. c. by evaluating a patients current state and determining the resources needed to identify the level of understanding d. by providing an avenue for patients to access lab results independently. by evaluating a patients current state and determining the resources needed to identify the level of understanding A nurse is receiving the report of a patient who will be transferred to the patient care unit from the emergency department. The patient is experiencing shortness of breath, severe muscle pain and a fever. Which additional data in this patient's electronic health record would inform the decision to implement airborne isolation precautions on admission. a. the nasal swab culture results indicate a pending result for covid-19. b. the nasal swab culture results indicate the patient is positive for streptococcus (group A) c. The urinary culture results indicate the patient is positive for Escherichia coli (E. coli) d. The urinary culture results indicate the result is inconclusive for Escherichia coli (E.coli) the nasal swab culture results indicate a pending result for COVID-19. during the oncoming shift rounds, a nurse receives a report that a patient with multiple episodes of loose stools has a new lab resultsfor a stool specimen and may need to be placed on contact precautions. Which data in this patient's electronic health record would support the nurse's action to place the patient on contact precaution? a. The implementation of falls safety precautions b. IO flowsheet and a positive lab result for Clostridium difficile. c. The type of antibiotic administered from the medication administration record. d. The absence of diarrhea as reported on the nursing flowsheet and a negative lab result. IO flowsheet and a positive lab result for Clostridium difficile. Which information in an electronic health record would help a nurse plan the care for a patient with chronic obstructive pulmonary disease (COPD)? a. radiology report b. intake and output record c. anesthesia record d. complete health history complete health history Which data in a patient's electronic health record would support a decision to implement airborne precautions? a. the nursing assessment and provider orders over the last 24 hours b. The provider orders and medication administration record over the last 24 hours c. the blood culture report and vital sign flowsheet over the last 24 hours d. The radiology report impression and the history and physical ocer the last 24 hours The radiology report impression and the history and physical ocer the last 24 hours Which data in a patient electronic health record would inform the decision to implement contact precautions? a. the wound care progress note indicates a stage 3 pressure ulcer on the right buttock. b. The history and physical indicate a prior diagnosis of covid-19. c. the laboratory report indicates methicillin resistant staphylococcus aureus. d. the radiology report impression indicated tuberculosis in the left lung. c. the laboratory report indicates methicillin-resistant staphylococcus aureus A patient is admitted to a hospital. The patient is reporting chills, fever, and loss of appetite over the last seven days. Which data in this patient's electronic health record would inform the decision to implement infection control precautions? a. radiology reports b. 24-hour trended vital records. c. Laboratory results d. Admitting history and physical notes. Laboratory results After an extensive review of patient records from an intensive care unit (ICU)department, it is determined that a combination of nursing interventions performed together can drastically decrease patient falls . When reviewing another ICU with similarly low rates of falls, this same conclusion could not be reached.What is likely explanation for this? a. There is different patient acuity in one ICU than in the other ICU. b. Missing documentation affects the data analysis. c. Respiratory therapists assist patients with mobility in one ICU but not the other. d. Different reviews can draw different conclusions. Different reviews can draw different conclusions. Which view in an electronic health record should be reviewed to determine if a patient 's blood glucose levels are stabilizing? a. list format of blood glucose levels b. graphical trending over time c. nursing assessment notes over a period of time. d. bar graph of intake and output measurements graphical trending over time A patient who does not have housing is admitted to a hospital with complaints of stomach pains, nausea, and fatigue. The patient's history and physical intravenous (IV) drug user. Which data in this patient's electronic health record would support the implementation of an infection control policy? a. A radiology impression report indicating the presence of pleural effusions. b. A blood serum sample indicating the presence of hepatitis A virus HAV)- Specific IgM antibodies. c. A blood serum sample indicating the presence of alanine transaminase. d. A stool sample with positive hemoccult A blood serum sample indicating the presence of hepatitis A virus HAV)- Specific IgM antibodies. What are the benefits of patients engaging with a patient health portal. a. Better patient satisfaction scores and more entertainment options b. Faster clinical response times and easier access to patient data c. Lower readmission rates and increased patient empowerment d. Improved patient access and shorter wait times for discharge medications Lower readmission rates and increased patient empowerment A nurse understands that health literacy is an important factor in improving patient outcomes. How can informatics be used to improve health literacy? a. by accurately predicting patients who have lower health literacy. b. by providing the ability to translate information into a preferred language. c. by offering options for multilanguage learners and different reading levels. d. by analyzing and collecting data from patients with lower health literacy. by offering options for multilanguage learners and different reading levels. Which scenario describes using a focus group for the evaluation of technology with the intent to develop successful human-computer interactions? a. Gathering users to discuss the technology. b. Assessing compliance with identified needs. c. observing the steps of users. d. Questioning users regarding preferences Gathering users to discuss the technology. An informatics nurse discovers that the hospital's health information technology has problems related to possible capacity explosion and processing needs from patient care data. Which solution should the nurse initiate? a. Recommend using bigger storage, higher speed secure networks and equipment with massive processing capability. b. Support networking and security skills along with providing vast resources that can help to make telehealth challenges easier and less costly. c. Review existing management systems and identify possible vendors that will provide a safe and effective solution to the problem. d. Identify the location of critical data and implement protections to reduce the risk of explosion. Review existing management systems and identify possible vendors that will provide a safe and effective solution to the problem. The hospital administrator appoints an informatics nurse to lead a team of healthcare and IT professionals in the selection of electronic health records software? Which first step should the informatics nurse initiate? a. establish the team. b. gather the requirements. c. schedule on-site demonstrations d. agree on the purchase plan. gather the requirements. A clinical informatics nurse specialist wants to optimize the electronic health record (HER) software in order to decrease documentation time. Which method of data collection should this clinical informatics nurse specialist use to prioritize the areas improvement? a. organizational leadership interviews b. interviews with affected users c. data analytics tools that quantity usage d. usability tools that describe the user experience interviews with affected users Which data visualization should be used to display the length of stay for oncology patients during the course of one year at one hospital. a. histogram chart b. pie chart c. bubble chart d. spider chart histogram chart Which set of data should be displayed with bar graph? a. devices which need integration with the electronic health record software b. blood transfusions which were not charged or compared to the total number of transfusions given in a department. c. medications overridden from the medication dispensing machine by the department last month. d. training schedule for new graduate hires starting next quarter. blood transfusions which were not charged or compared to the total number of transfusions given in a department. Under which condition can protected health information (PHI)be released without a patient's consent? a. When the information requested is required for payment of treatment provided. b. When there is agreement that the information provided will not be published. c. When there is a signed request for the information provided to the healthcare entity. d. When the requesting person works for the treating healthcare facility When the information requested is required for payment of treatment provided. The nursing director of a hospital is preparing an in-house presentation about the nursing minimum data set (NMDS)Which information represents the services elements of NMDS? a. Discharge date, disposition, payer of bill b. Nursing diagnosis, intervention, outcome c. Race, ethnicity, personal identification d. Gender, date of birth, residence Nursing diagnosis, intervention, outcome Define healthcare data any data relating to the health of an individual patient or collective population Describe the purpose of healthcare data related to nursing The information given can create a thorough plan that helps patient outcomes, decrease cost and develop a better plan of care What are three examples of ways healthcare data has influenced the patient care provided by nurses 1.) notice trends in V/S, collaborate & treat accordingly 2.)help predict analytics, ID patients at risk for certain disease processes 3.) evaluate EBP protocols Define data framework Data information, knowledge wisdom(DIKW) framework refers to the way data becomes a product that can be used to positively affect patient care What are the components of the DIKW framework Data, Information, Knowledge, Wisdom How does each component depend on the previous component: D to I to K to W Data describes the patients disease state, health environment, information is data with meaning, knowledge is information that is processed and organized so that it relates and inter-actions are identified, wisdom is the application of knowledge to solve problems Define Informatics the science and art of turning data into information What fields does health informatics include Bioinformatics, clinical research informatics, public health informatics Define foundational skills the min req/skills needed for an information driven culture Define Informatics Culture A broad term related to the application of new information technology that impact human culture Define ethical use of data and information using the AHIMA Code of Ethics Consistent with professional standards of practice and essential to safe efficient healthcare delivery. What is the nurse's primary role in the ethical use of data and information? Maintaining privacy r/t PHI from public or individuals not providing direct patient care. Define learning healthcare system health system in which internal data and experience systematically integrated with external evidence, and knowledge is put into practice What is essential to a learning healthcare system? strong leadership, effective use of data in the clinical setting, and both a culture and workforce committed to continuous learning and improvement. Define knowledge worker Previous knowledge and experience are applied to take action or intervene in some way What changes in the healthcare system increased the demand for knowledge workers? Demands for safe accessible quality care Define standardized languages and terminologies Structured and controlled languages developed according to terminology development guidelines and approved by an authoritative body. Ensures that a concept had the same meaning in all settings What are the benefits of the use of data standardization facilitate collecting sorting retrieval selection and aggregation of data What are the consequences if data standardization is not used? A lack of data standardization jeopardizes opportunities for learning because important data may not be available for analysis Define Evidence-based practice Using current best evidence for patient care decisions in order to improve patient outcomes How can you identify reliable sources of data? If information has .gov, .edu, or .org Define Big Data A collection of large data which cannot be analyzed without the use of information technology How does big data relate to Meaningful Use? Provides insights into areas where quality can be improved How does Big Data differ from Business intelligence Big data refers to large data sets that exist typically within organizations where business intelligence refers to the utilization of this data for analytical purposes from which actionable information can be derived to make more informed business decisions. Define data analytics The science of analyzing raw data to make conclusions about information How does data analytics support bedside care Helps organizations evaluate and detect anomalies in scans and predict outbreaks in illness What are the differences between the concept of information management and knowledge management Information management focused on data and IT( collecting, storing and accessing information, while knowledge management is focused on people and processes (is creating, sharing, using, and managing knowledge) Define correlates either two things so related that one directly implies or is complementary to the other, EX: husband and wife/ brain size as it correlates with intelligence Give three examples of health correlates poor nutrition(obesity) , lack of physical activity (diabetes)and smoking (increases risk for cancer) Define Conditions A restricting, limiting, or modifying circumstance Explain the two ways that health conditions are measured physical measurements and metric measurements Define Care watchful or protective attention, caution, concern, prudence, or regard usually towards an action of situation. How healthcare is delivered to the community Define Cost measures the economic and societal costs of healthcare and poor health Give an example of value-based care a form of reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both efficiency and effectiveness Define insider threat a threat to an organization that comes from negligent or malicious insiders, such as employees, former employees, contractors, third-party vendors, or business partners, who have inside information about cybersecurity practices, sensitive data, and computer systems What security measures can prevent insider threat Train employees, build a threat hunting team, coordinate IT security, include procedures in your security policy to prevent and detect misuse Define the beginning nurse an individual who has recently graduated from a nursing program and is starting their professional nursing career Give an example of beginning nurses using HIT Record patient vitals, document nursing interventions, CPOE, view lab results What types of informatics skills would a beginning nurse have? Basic computer skills, use of EHR, How to use digital to monitor patient vitals, Telehealth technology, Data analysis/management, digital communication skills, and understand the importance of information security Define an experienced nurse A professional who has gained substantial knowledge and skills in the field of nursing through years of practice. Not just number of years practiced, but the quality of experiences, and ability to apply knowledge into practical situations Who can an experienced nurse collaborate with? Physicians, Pharmacists, PT/OT, Social workers, Dietitians, SLP, Resp Therapist and other Nurses Define informatics specialist a professional who applies their knowledge of information science to solve problems related to information processing. They work in various fields such as healthcare, business, and technology, where they manage, analyze, and interpret data. How is the nurse specialist different from the informatics specialist? is a registered nurse who has received advanced training in a specific area of nursing. They provide direct patient care and expert consultations in their area of specialization. An Informatics Specialist, is a professional who uses their knowledge of information technology and healthcare to improve patient care outcomes. They are often involved in the design, implementation, and optimization of clinical systems like Electronic Health Records (EHRs). Define informatics innovator a professional who applies their knowledge of information technology and systems to create new innovative solutions to complex problems. They are often involved in the design, development, and implementation of new information systems and technologies How can healthcare organizations use clinical data to increase quality while reducing costs? Value based care, reimburses for outcome instead of source. Define Business Intelligence related to healthcare The use of business intelligence technology uses tools and techniques to gather store processing and analyzing data, to make educated decisions r/t clinical practices and patient care. What areas of healthcare can be improved when using BI as a foundation for evidence-based clinical decision-making. Patient care, operational efficiency financial risk management Identify and provide examples of the top 3 high-level barriers to using and exchanging healthcare data 1.) Inter-operational issues 2.) privacy and security concerns 3.) lack of standardization Give an example of a high-level barrier to using and exchanging healthcare data in clinical setting Medical terminology standardization like, KNA vs KNDA weight in lbs vs KG 1Gr vs