NR-360 INFORMATION SYSTEMS IN HEALTHCARE FINAL EXAM QUESTIONS AND CORRECT ANSWERS
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | LATEST EXAM UPDATE 2026/2027 CHAMBERLAIN
UNIVERSITY.
Core Domains:
Foundations of Nursing Informatics
Health Information Systems and Technology
Electronic Health Records (EHRs) and Clinical Documentation
Data Management, Analytics, and Clinical Decision Support
Legal, Ethical, and Regulatory Compliance (HIPAA, HITECH)
Interoperability, Standards, and System Lifecycle
Telehealth, Mobile Health (mHealth), and Consumer Health Informatics
Patient Safety, Quality Improvement, and Evidence-Based Practice
Leadership, Change Management, and Professional Development in Informatics
Introduction
This comprehensive examination is designed to assess your mastery of the core concepts and practical applications
of information systems in healthcare. It evaluates your foundational understanding of nursing informatics, your
ability to apply this knowledge to real-world clinical and administrative scenarios, and your critical thinking skills
in navigating the complex legal, ethical, and regulatory landscape. The exam is structured with multiple-choice
questions and scenario-based items that emphasize decision-making, patient safety, and the effective use of
,technology to improve healthcare outcomes. Success on this exam reflects your readiness to function as a
competent, informatics-savvy nursing professional.
Section One: Questions 1–100
1. A nurse is using a clinical decision support system (CDSS) that provides a warning about a potential drug-
drug interaction. What is the primary purpose of this CDSS function?
A. To reduce the cost of medications
B. To enhance the efficiency of medication administration
C. To improve patient safety by preventing adverse drug events
D. To document the nurse's reasoning for administering the medication
🟢 C. To improve patient safety by preventing adverse drug events
🔴 RATIONALE: The primary purpose of a CDSS is to enhance patient safety and clinical outcomes. While it can
improve efficiency and assist with documentation, its core function is to provide clinicians with knowledge and
patient-specific information to support decision-making and prevent errors like adverse drug events.
2. Which of the following is a core competency for a nurse informaticist according to the TIGER Initiative?
A. Basic computer literacy only
B. Advanced programming skills
C. Information management and the use of technology to support patient care
D. Network administration and hardware maintenance
,🟢 C. Information management and the use of technology to support patient care
🔴 RATIONALE: The TIGER (Technology Informatics Guiding Education Reform) Initiative outlines competencies
for nurses that include using information and technology to communicate, manage knowledge, mitigate error,
and support decision-making. It is not solely about basic literacy or technical skills like programming or network
administration.
3. A hospital is implementing a new Electronic Health Record (EHR) system. The "Go-Live" phase is best
described as:
A. The period of system testing and debugging before user training
B. The point at which the new system is made available for live clinical use
C. The phase where end-users are trained on the new system
D. The process of converting paper charts into digital format
🟢 B. The point at which the new system is made available for live clinical use
🔴 RATIONALE: The "Go-Live" is the critical milestone when the new system is officially launched and becomes
the active system for daily operations. This is distinct from the testing, training, or data conversion phases,
which occur earlier in the system development lifecycle.
4. A patient is concerned about the privacy of their health information. Under HIPAA, which of the following
is considered a permitted use of Protected Health Information (PHI) without patient authorization?
A. For marketing purposes by a hospital
B. For treatment, payment, and healthcare operations
C. For sale to a pharmaceutical company for research
D. For sharing with the patient's employer
, 🟢 B. For treatment, payment, and healthcare operations
🔴 RATIONALE: The HIPAA Privacy Rule permits the use and disclosure of PHI without patient authorization for
treatment, payment, and healthcare operations (TPO). Other uses, such as marketing or sale of data, generally
require explicit patient authorization.
5. What is the primary function of a Health Information Exchange (HIE)?
A. To store patient data for a single healthcare organization
B. To facilitate the electronic sharing of clinical information among different healthcare organizations
C. To provide direct patient care through telehealth visits
D. To manage the financial billing systems of a hospital
🟢 B. To facilitate the electronic sharing of clinical information among different healthcare organizations
🔴 RATIONALE: An HIE is a platform that enables the secure, electronic movement of health-related information
among disparate healthcare organizations, such as hospitals, labs, and physician offices, according to nationally
recognized standards.
6. A nurse is documenting a patient's blood pressure in the EHR. Which of the following represents the most
accurate and legally sound documentation practice?
A. "Blood pressure is high today."
B. "BP 140/90, patient reports headache."
C. "Patient's blood pressure was checked and seems okay."
D. "Vital signs taken, patient is stable."
🟢 B. "BP 140/90, patient reports headache."
(VERIFIED ANSWERS) PLUS RATIONALES 2026 Q&A | LATEST EXAM UPDATE 2026/2027 CHAMBERLAIN
UNIVERSITY.
Core Domains:
Foundations of Nursing Informatics
Health Information Systems and Technology
Electronic Health Records (EHRs) and Clinical Documentation
Data Management, Analytics, and Clinical Decision Support
Legal, Ethical, and Regulatory Compliance (HIPAA, HITECH)
Interoperability, Standards, and System Lifecycle
Telehealth, Mobile Health (mHealth), and Consumer Health Informatics
Patient Safety, Quality Improvement, and Evidence-Based Practice
Leadership, Change Management, and Professional Development in Informatics
Introduction
This comprehensive examination is designed to assess your mastery of the core concepts and practical applications
of information systems in healthcare. It evaluates your foundational understanding of nursing informatics, your
ability to apply this knowledge to real-world clinical and administrative scenarios, and your critical thinking skills
in navigating the complex legal, ethical, and regulatory landscape. The exam is structured with multiple-choice
questions and scenario-based items that emphasize decision-making, patient safety, and the effective use of
,technology to improve healthcare outcomes. Success on this exam reflects your readiness to function as a
competent, informatics-savvy nursing professional.
Section One: Questions 1–100
1. A nurse is using a clinical decision support system (CDSS) that provides a warning about a potential drug-
drug interaction. What is the primary purpose of this CDSS function?
A. To reduce the cost of medications
B. To enhance the efficiency of medication administration
C. To improve patient safety by preventing adverse drug events
D. To document the nurse's reasoning for administering the medication
🟢 C. To improve patient safety by preventing adverse drug events
🔴 RATIONALE: The primary purpose of a CDSS is to enhance patient safety and clinical outcomes. While it can
improve efficiency and assist with documentation, its core function is to provide clinicians with knowledge and
patient-specific information to support decision-making and prevent errors like adverse drug events.
2. Which of the following is a core competency for a nurse informaticist according to the TIGER Initiative?
A. Basic computer literacy only
B. Advanced programming skills
C. Information management and the use of technology to support patient care
D. Network administration and hardware maintenance
,🟢 C. Information management and the use of technology to support patient care
🔴 RATIONALE: The TIGER (Technology Informatics Guiding Education Reform) Initiative outlines competencies
for nurses that include using information and technology to communicate, manage knowledge, mitigate error,
and support decision-making. It is not solely about basic literacy or technical skills like programming or network
administration.
3. A hospital is implementing a new Electronic Health Record (EHR) system. The "Go-Live" phase is best
described as:
A. The period of system testing and debugging before user training
B. The point at which the new system is made available for live clinical use
C. The phase where end-users are trained on the new system
D. The process of converting paper charts into digital format
🟢 B. The point at which the new system is made available for live clinical use
🔴 RATIONALE: The "Go-Live" is the critical milestone when the new system is officially launched and becomes
the active system for daily operations. This is distinct from the testing, training, or data conversion phases,
which occur earlier in the system development lifecycle.
4. A patient is concerned about the privacy of their health information. Under HIPAA, which of the following
is considered a permitted use of Protected Health Information (PHI) without patient authorization?
A. For marketing purposes by a hospital
B. For treatment, payment, and healthcare operations
C. For sale to a pharmaceutical company for research
D. For sharing with the patient's employer
, 🟢 B. For treatment, payment, and healthcare operations
🔴 RATIONALE: The HIPAA Privacy Rule permits the use and disclosure of PHI without patient authorization for
treatment, payment, and healthcare operations (TPO). Other uses, such as marketing or sale of data, generally
require explicit patient authorization.
5. What is the primary function of a Health Information Exchange (HIE)?
A. To store patient data for a single healthcare organization
B. To facilitate the electronic sharing of clinical information among different healthcare organizations
C. To provide direct patient care through telehealth visits
D. To manage the financial billing systems of a hospital
🟢 B. To facilitate the electronic sharing of clinical information among different healthcare organizations
🔴 RATIONALE: An HIE is a platform that enables the secure, electronic movement of health-related information
among disparate healthcare organizations, such as hospitals, labs, and physician offices, according to nationally
recognized standards.
6. A nurse is documenting a patient's blood pressure in the EHR. Which of the following represents the most
accurate and legally sound documentation practice?
A. "Blood pressure is high today."
B. "BP 140/90, patient reports headache."
C. "Patient's blood pressure was checked and seems okay."
D. "Vital signs taken, patient is stable."
🟢 B. "BP 140/90, patient reports headache."
