ACCT 526 MIDTERM ACTUAL EXAM PAPER
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ 1. During the evening shift, a nurse notices a significant change in a patient's
blood pressure as compared to the morning shift. Which 24-hour trend
information in the electronic health record (EHR) will help the nurse further
evaluate and manage the patient's blood pressure?.
Answer: The intake and output record
◍ 1. What is HI?.
Answer: Healthcare Informatics
◍ 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?.
Answer: A large stand-alone department should go live first.
◍ 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?.
Answer: Monitor BCMA usage reports for trends
◍ The nurse manager of an outpatient laboratory clinic is investigating
decreased patient satisfaction scores and cited delays in receiving lab results.
The first step is to review testing turnaround times for the clinic. Which
health information system (HIS) should the nurse manager review for this
data?.
Answer: Laboratory information systems (LIS)
◍ 1. What is Go-Live?.
Answer: Data when an information system is first used, or the process of
, starting to use an information system
◍ What is true about improving health literacy?.
Answer: Improving health literacy leads to better patient outcomes.
◍ After a patient's initial assessment, a nurse observes an increase in edema,
bilateral crackles, and persistent cough. Which data set in the medical record
from the last shift informs the decision to implement the fluid volume
overload care plan?.
Answer: Nursing flowsheet and intake and output record
◍ 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?.
Answer: Importance of completing the medication prescribed.
◍ 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?.
Answer: The data will identify the pathogen causing the patient's symptoms
◍ What is a patient safety benefit of a pharmacy information system (PIS)?.
Answer: Alerts regarding allergies and interactions
◍ 1. What is LIS?.
Answer: Laboratory Information System
◍ 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?.
Answer: Identify and define the goal of the technology
◍ 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?.
Answer: Checklist
◍ Which patients are ideally positioned to fully engage in their care?.
Answer: Patients that are recovering well after a full night of sleep.
◍ Which view in the electronic medical record (EMR) confirms a patient's
blood pressure is stabilizing?.
Answer: Graphical trending
◍ 1. Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?.
Answer: The medication administration record and the nursing assessment
notes from the last shift indicate the patient's level of comfort.
◍ 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?.
Answer: Duplicate documentation appears multiple times in the chart.
◍ 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?.
Answer: It provides a summary of care to patients and clinicians.
◍ 1. What is RCA?.
Answer: Root Cause Analysis
◍ 1. Which situation places a clinical decision support system (CDSS) at risk
for corrupt datasets?.
Answer: A nurse updates a patient's medical history after learning of a
medical condition via social media.
, ◍ Which information in a patient's medical record will help a nurse plan and
manage the patient's pain?.
Answer: Physician orders
◍ 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?.
Answer: The data will identify the pathogen causing the patient's symptoms.
◍ Pharmacy adds a field into the medication administration record to
document the lot number when a chemo medication is administered, but
fails to communicate this to the nurse responsible for the medication
administration documentation. What is a consequence of this action?.
Answer: Pharmacy cannot determine if there is a problem with a medication
batch.
◍ Which barrier to healthcare informatics use does the HITECH Act aim to
reduce?.
Answer: Financial
◍ During the evening shift, a nurse notices a significant change in a patient's
blood pressure as compared to the morning shift. Which 24-hour trend
information in the electronic medical record will help the nurse further
evaluate and manage the patient's blood pressure?.
Answer: The intake and output record
◍ While reviewing electronic nursing documentation, a nurse identifies that a
patient's vital signs have declined since the previous shift. Which health
information system assisted in this identification?.
Answer: Electronic health record (EHR)
◍ Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?.
Answer: The medication administration record and the nursing assessment
2026 QUESTIONS WITH ANSWERS
GRADED A+
◍ 1. During the evening shift, a nurse notices a significant change in a patient's
blood pressure as compared to the morning shift. Which 24-hour trend
information in the electronic health record (EHR) will help the nurse further
evaluate and manage the patient's blood pressure?.
Answer: The intake and output record
◍ 1. What is HI?.
Answer: Healthcare Informatics
◍ 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?.
Answer: A large stand-alone department should go live first.
◍ 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?.
Answer: Monitor BCMA usage reports for trends
◍ The nurse manager of an outpatient laboratory clinic is investigating
decreased patient satisfaction scores and cited delays in receiving lab results.
The first step is to review testing turnaround times for the clinic. Which
health information system (HIS) should the nurse manager review for this
data?.
Answer: Laboratory information systems (LIS)
◍ 1. What is Go-Live?.
Answer: Data when an information system is first used, or the process of
, starting to use an information system
◍ What is true about improving health literacy?.
Answer: Improving health literacy leads to better patient outcomes.
◍ After a patient's initial assessment, a nurse observes an increase in edema,
bilateral crackles, and persistent cough. Which data set in the medical record
from the last shift informs the decision to implement the fluid volume
overload care plan?.
Answer: Nursing flowsheet and intake and output record
◍ 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?.
Answer: Importance of completing the medication prescribed.
◍ 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?.
Answer: The data will identify the pathogen causing the patient's symptoms
◍ What is a patient safety benefit of a pharmacy information system (PIS)?.
Answer: Alerts regarding allergies and interactions
◍ 1. What is LIS?.
Answer: Laboratory Information System
◍ 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?.
Answer: Identify and define the goal of the technology
◍ 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?.
Answer: Checklist
◍ Which patients are ideally positioned to fully engage in their care?.
Answer: Patients that are recovering well after a full night of sleep.
◍ Which view in the electronic medical record (EMR) confirms a patient's
blood pressure is stabilizing?.
Answer: Graphical trending
◍ 1. Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?.
Answer: The medication administration record and the nursing assessment
notes from the last shift indicate the patient's level of comfort.
◍ 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?.
Answer: Duplicate documentation appears multiple times in the chart.
◍ 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?.
Answer: It provides a summary of care to patients and clinicians.
◍ 1. What is RCA?.
Answer: Root Cause Analysis
◍ 1. Which situation places a clinical decision support system (CDSS) at risk
for corrupt datasets?.
Answer: A nurse updates a patient's medical history after learning of a
medical condition via social media.
, ◍ Which information in a patient's medical record will help a nurse plan and
manage the patient's pain?.
Answer: Physician orders
◍ 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?.
Answer: The data will identify the pathogen causing the patient's symptoms.
◍ Pharmacy adds a field into the medication administration record to
document the lot number when a chemo medication is administered, but
fails to communicate this to the nurse responsible for the medication
administration documentation. What is a consequence of this action?.
Answer: Pharmacy cannot determine if there is a problem with a medication
batch.
◍ Which barrier to healthcare informatics use does the HITECH Act aim to
reduce?.
Answer: Financial
◍ During the evening shift, a nurse notices a significant change in a patient's
blood pressure as compared to the morning shift. Which 24-hour trend
information in the electronic medical record will help the nurse further
evaluate and manage the patient's blood pressure?.
Answer: The intake and output record
◍ While reviewing electronic nursing documentation, a nurse identifies that a
patient's vital signs have declined since the previous shift. Which health
information system assisted in this identification?.
Answer: Electronic health record (EHR)
◍ Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?.
Answer: The medication administration record and the nursing assessment
