ANCC Certification Exam Prep 2026/2027 Update: The Ultimate Question
Practice Bank with Expert-Verified Answers | Graded A+
HIPPA only applies to organizations that have electronic health records.
True
False - ANSWER False
The Informatics nurse is involved with measure to protect the security and confidentiality of patient
data because:
a. it is a joint commission mandate
b. it is regulated by HIPPA legislation
c. the major cause of security breaches is human error
d. both B and C are correct - ANSWER d. It is regulated by HIPPA Legislation and The Major cause of
security breeches is human error.
Controls to protect data privacy and integrity are both logical and:
a. physical
b. analytical
c. theoretical
d. psychological - ANSWER b. analytical
Which of the following is not a mechanism for protecting the security of health data:
a. Automatic sign-offs
b. A Strong Password
c. Having one password per nursing unit
d. Firewalls - ANSWER C. Having one password per nursing unit.
An audit trail is :
a. a log of which project meetings and events have been completed
b. an electronic tool that can track system access by individual user who viewed a specific client
record.
c. a proactive tool to monitor who will be using a system and modifying data.
,d. used primarily as a data integrity tool - ANSWER b. an electronic tool that can track system access
by individual user who viewed a specific client record.
Data can be represented by all EXCEPT:
a. text
b. audio
c. transmission waves
d. video - ANSWER a. text
Things to consider related to disaster planning include:
a. should have only 1 database to make it easier to recover
b. all data should be stored onsite so it is accessible
c. must have a solid communication plan during disaster and recovery.
d. an association or group that shows uniformity - ANSWER C. Must have a solid communication plan
during disaster and recover.
Some examples of physical security for healthcare data are fences, walls, locks, safes, vaults, armed
guards, sensors, alarms.
True
False - ANSWER TRUE
One way to track the activity that is occurring in a system is:
a. a GANTT chart
b. an audit trail
c. a data backup
d. biometrics - ANSWER b. an audit trail
PHI stands for :
a. physician hospital interchange
b. password hint indicator
c. potential hardware incursion
d. protected health information - ANSWER d. Protected Health Information
,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. System Integrated testing
c. Black box testing
d. Load volume testing - ANSWER Load Volume Testing
What is Load Volume Testing? - ANSWER Load/volume testing 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.
In preparation for the workflow redesign necessitated for implementation of an EHR, the first step
should be to
a. Assess the EHR requirments
b. Conduct surveys about the workflow
c. Assess compatibility with the EHR
d. Map the current workflow - ANSWER map the current workflow
Which resource for evidence-based research is provided by the National Library of Medicine?
a. BMJ Publishing
b. CINAHL
c. PubMed
d. World View on Evidence based- nursing - ANSWER PubMed is a resource for evidence-based
research that is provided by the National Library of Medicine, which was developed by the National
Center for Biotechnology Information (NCBI). PubMed provides access to numerous databases with
24 million citations from MEDLINE (the National Library of Medicine's bibliographic database with
references to life sciences and biomedical sciences), life science journals, and electronic books with
links to full text when it is available.
When considering transitioning to cloud storage and assessing vendors, the most critical assessment
relates to:
a. regulatory compliance
, b. monitoring mechanisms
c. cost analysis
d. interoperability - ANSWER The most critical assessment relates to compliance with regulatory
requirements because if the vendor cannot verify that the company meets HIPAA requirements and
satisfies the Code of Federal Regulations Title 21, Part 11 (which provides regulations regarding
electronic records and electronic signatures), then security of patient data may be inadequate. Other
important considerations include cost analysis (including cost of implementation and ongoing costs),
monitoring mechanisms, and interoperability.
When utilizing a prioritization matrix to prioritize activities as a project manager, the informatics
nurse must first establish:
a. rating scale and categories
b. criteria and timeframe
c. criteria and rating scale
d. rating scale and timeframe - ANSWER the informatics nurse must first establish criteria and a
rating scale. The criteria includes those factors that are utilized to determine how important each
project is; for example, a project mandated by regulations is more important than a project that may
improve customer satisfaction. A rating scale for each project should be established with numeric
values (such as 1 to 10) used to demonstrate how effective the project is in meeting the criteria. A
typical prioritization matrix may have up to a dozen criteria.
An advantage of an identity and access management (IAM) system is that the IAM system:
a. provides HIPAA-required encryption for PHI
b. satisfies the Code of Federal Regulations Title 21, Part 11
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification - ANSWER 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.
When utilizing a prioritization matrix to prioritize activities as a project manager, the informatics
nurse must first establish:
a. rating scale and categories
b. criteria and timeframe
Practice Bank with Expert-Verified Answers | Graded A+
HIPPA only applies to organizations that have electronic health records.
True
False - ANSWER False
The Informatics nurse is involved with measure to protect the security and confidentiality of patient
data because:
a. it is a joint commission mandate
b. it is regulated by HIPPA legislation
c. the major cause of security breaches is human error
d. both B and C are correct - ANSWER d. It is regulated by HIPPA Legislation and The Major cause of
security breeches is human error.
Controls to protect data privacy and integrity are both logical and:
a. physical
b. analytical
c. theoretical
d. psychological - ANSWER b. analytical
Which of the following is not a mechanism for protecting the security of health data:
a. Automatic sign-offs
b. A Strong Password
c. Having one password per nursing unit
d. Firewalls - ANSWER C. Having one password per nursing unit.
An audit trail is :
a. a log of which project meetings and events have been completed
b. an electronic tool that can track system access by individual user who viewed a specific client
record.
c. a proactive tool to monitor who will be using a system and modifying data.
,d. used primarily as a data integrity tool - ANSWER b. an electronic tool that can track system access
by individual user who viewed a specific client record.
Data can be represented by all EXCEPT:
a. text
b. audio
c. transmission waves
d. video - ANSWER a. text
Things to consider related to disaster planning include:
a. should have only 1 database to make it easier to recover
b. all data should be stored onsite so it is accessible
c. must have a solid communication plan during disaster and recovery.
d. an association or group that shows uniformity - ANSWER C. Must have a solid communication plan
during disaster and recover.
Some examples of physical security for healthcare data are fences, walls, locks, safes, vaults, armed
guards, sensors, alarms.
True
False - ANSWER TRUE
One way to track the activity that is occurring in a system is:
a. a GANTT chart
b. an audit trail
c. a data backup
d. biometrics - ANSWER b. an audit trail
PHI stands for :
a. physician hospital interchange
b. password hint indicator
c. potential hardware incursion
d. protected health information - ANSWER d. Protected Health Information
,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. System Integrated testing
c. Black box testing
d. Load volume testing - ANSWER Load Volume Testing
What is Load Volume Testing? - ANSWER Load/volume testing 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.
In preparation for the workflow redesign necessitated for implementation of an EHR, the first step
should be to
a. Assess the EHR requirments
b. Conduct surveys about the workflow
c. Assess compatibility with the EHR
d. Map the current workflow - ANSWER map the current workflow
Which resource for evidence-based research is provided by the National Library of Medicine?
a. BMJ Publishing
b. CINAHL
c. PubMed
d. World View on Evidence based- nursing - ANSWER PubMed is a resource for evidence-based
research that is provided by the National Library of Medicine, which was developed by the National
Center for Biotechnology Information (NCBI). PubMed provides access to numerous databases with
24 million citations from MEDLINE (the National Library of Medicine's bibliographic database with
references to life sciences and biomedical sciences), life science journals, and electronic books with
links to full text when it is available.
When considering transitioning to cloud storage and assessing vendors, the most critical assessment
relates to:
a. regulatory compliance
, b. monitoring mechanisms
c. cost analysis
d. interoperability - ANSWER The most critical assessment relates to compliance with regulatory
requirements because if the vendor cannot verify that the company meets HIPAA requirements and
satisfies the Code of Federal Regulations Title 21, Part 11 (which provides regulations regarding
electronic records and electronic signatures), then security of patient data may be inadequate. Other
important considerations include cost analysis (including cost of implementation and ongoing costs),
monitoring mechanisms, and interoperability.
When utilizing a prioritization matrix to prioritize activities as a project manager, the informatics
nurse must first establish:
a. rating scale and categories
b. criteria and timeframe
c. criteria and rating scale
d. rating scale and timeframe - ANSWER the informatics nurse must first establish criteria and a
rating scale. The criteria includes those factors that are utilized to determine how important each
project is; for example, a project mandated by regulations is more important than a project that may
improve customer satisfaction. A rating scale for each project should be established with numeric
values (such as 1 to 10) used to demonstrate how effective the project is in meeting the criteria. A
typical prioritization matrix may have up to a dozen criteria.
An advantage of an identity and access management (IAM) system is that the IAM system:
a. provides HIPAA-required encryption for PHI
b. satisfies the Code of Federal Regulations Title 21, Part 11
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification - ANSWER 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.
When utilizing a prioritization matrix to prioritize activities as a project manager, the informatics
nurse must first establish:
a. rating scale and categories
b. criteria and timeframe
