NR599 MIDTERM COMPREHENSIVE EXAM 2026
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ HIPPA
when was is established and by who.
Answer: ○ was established in the U.S. in 1996 to protect an
individual's personal health care information. ○ Signed by Pres. Bill
Clinton ○ Healthcare institutions are required to meet all standards
and comply with the appropriate security measures in order to
safeguard patient data. ○ Four parts to HIPAA's Administrative
Simplification ■ Electronic transactions and code sets standards
requirements. ■ Privacy requirements. ■ Security requirements. ■
National identifier requirements.
◉ ICD-10 Coding.
Answer: ○ An alphanumeric code used by doctors, health insurance
companies, and public health agencies across the world to represent
diagnoses. ○ The system offers accurate and up-to-date procedure
codes to improve health care cost and ensure fair reimbursement
policies ○ The current codes specifically help healthcare providers to
identify patients in need of immediate disease management and to
tailor effective disease management programs.
◉ Similarly ICD and CPT coding go together.
,Answer: ● Is a medical code set that is used to report medical,
surgical, and diagnostic procedures and services to entities such as
physicians, health insurance companies and accreditation
organizations.
◉ Evaluation and Management Coding.
Answer: ○ Is a medical coding process in support of medical billing ○
Practicing health care providers in the United States must use E/M
coding to be reimbursed by Medicare, Medicaid programs, or private
insurance for patient encounters.
◉ Reimbursement Coding.
Answer: Is based on claims and documentation filed by providers
using medical diagnosis and procedure codes. ○ Commercial payers
must use standards defined by the U.S. Department of Health and
Human Services (HHS) but are largely regulated state-by-state.
◉ Clinical Support Tools.
Answer: ○ are designed to help sift through enormous amounts of
digital data to suggest next steps for treatments, alert providers to
available information they may not have seen, or catch potential
problems, such as dangerous medication interactions ○ Such as CDS
clinical decision support, a program used by providers. ○ Or various
applications use by healthcare professionals to allow for
communicate between provider to provider and provider to patient
○ The tools are all used to benefit patient outcome
,◉ Workflow analysis.
Answer: ○ Not an optional part of clinical implementations, but
rather a necessity for safe patient care fostered by technology. ○ The
ultimate goal of workflow analysis is not to "pave the cow path," but
rather to create a future-state solution that maximizes the use of
technology and eliminates non-value-added activities. ○ Although
many tools and methods can be used to accomplish workflow
redesign, the best method is the one that complements the
organization and supports the work of clinicians. ○ needs to be done
as well as working in optimization (moving conditions past their
current state into a more effective method of performing.
◉ Clinical Decision Support (CDS).
Answer: ○ Generate patient specific interventions, assessments and
recommendations ○ CDS tools existed prior to development of EHRs
○ The primary goal of implementing a CDS tool is to leverage data
and the scientific evidence to help guide appropriate decision
making
◉ CDS improving healthcare.
Answer: ○ Reducing clinical variation and duplicative testing ○
Ensuring patient safety
○ Avoiding complications that may result in readmissions ○ Create
alerts about drug-drug interactions ○ Drug allergy contraindications
, ◉ CDS challenging healthcare.
Answer: ○ Alarm fatigue ○ Clinical burnout ○ Occur with poorly
implemented CDS features ○ Financial burden
◉ Workflow Design.
Answer: ○ Used to describe the action or execution of a series of
tasks in a prescribed sequence ○ Progression of steps (tasks, events,
interactions) that constitute a work process ○ In a sequential
workflow, each step depends on the occurrence of the previous step;
in a parallel workflow, two or more steps can occur concurrently. ○
Nursing informatics is uniquely positioned to engage in the analysis
and redesign of processes and tasks surrounding the use of
technology.
◉ Changes in workflow causes.
Answer: poor system design and usability issues, lack of
understanding about these systems and their capabilities, user
errors and system errors, and lack of defined protocols can all lead
to process breakdowns and errors.
◉ EHR and information systems provide what?.
Answer: provide POC decision support to prevent medical errors to
save lives and money
◉ Barriers to implement technology:.
FULL QUESTIONS AND CORRECT ANSWERS
ALREADY PASSED
◉ HIPPA
when was is established and by who.
Answer: ○ was established in the U.S. in 1996 to protect an
individual's personal health care information. ○ Signed by Pres. Bill
Clinton ○ Healthcare institutions are required to meet all standards
and comply with the appropriate security measures in order to
safeguard patient data. ○ Four parts to HIPAA's Administrative
Simplification ■ Electronic transactions and code sets standards
requirements. ■ Privacy requirements. ■ Security requirements. ■
National identifier requirements.
◉ ICD-10 Coding.
Answer: ○ An alphanumeric code used by doctors, health insurance
companies, and public health agencies across the world to represent
diagnoses. ○ The system offers accurate and up-to-date procedure
codes to improve health care cost and ensure fair reimbursement
policies ○ The current codes specifically help healthcare providers to
identify patients in need of immediate disease management and to
tailor effective disease management programs.
◉ Similarly ICD and CPT coding go together.
,Answer: ● Is a medical code set that is used to report medical,
surgical, and diagnostic procedures and services to entities such as
physicians, health insurance companies and accreditation
organizations.
◉ Evaluation and Management Coding.
Answer: ○ Is a medical coding process in support of medical billing ○
Practicing health care providers in the United States must use E/M
coding to be reimbursed by Medicare, Medicaid programs, or private
insurance for patient encounters.
◉ Reimbursement Coding.
Answer: Is based on claims and documentation filed by providers
using medical diagnosis and procedure codes. ○ Commercial payers
must use standards defined by the U.S. Department of Health and
Human Services (HHS) but are largely regulated state-by-state.
◉ Clinical Support Tools.
Answer: ○ are designed to help sift through enormous amounts of
digital data to suggest next steps for treatments, alert providers to
available information they may not have seen, or catch potential
problems, such as dangerous medication interactions ○ Such as CDS
clinical decision support, a program used by providers. ○ Or various
applications use by healthcare professionals to allow for
communicate between provider to provider and provider to patient
○ The tools are all used to benefit patient outcome
,◉ Workflow analysis.
Answer: ○ Not an optional part of clinical implementations, but
rather a necessity for safe patient care fostered by technology. ○ The
ultimate goal of workflow analysis is not to "pave the cow path," but
rather to create a future-state solution that maximizes the use of
technology and eliminates non-value-added activities. ○ Although
many tools and methods can be used to accomplish workflow
redesign, the best method is the one that complements the
organization and supports the work of clinicians. ○ needs to be done
as well as working in optimization (moving conditions past their
current state into a more effective method of performing.
◉ Clinical Decision Support (CDS).
Answer: ○ Generate patient specific interventions, assessments and
recommendations ○ CDS tools existed prior to development of EHRs
○ The primary goal of implementing a CDS tool is to leverage data
and the scientific evidence to help guide appropriate decision
making
◉ CDS improving healthcare.
Answer: ○ Reducing clinical variation and duplicative testing ○
Ensuring patient safety
○ Avoiding complications that may result in readmissions ○ Create
alerts about drug-drug interactions ○ Drug allergy contraindications
, ◉ CDS challenging healthcare.
Answer: ○ Alarm fatigue ○ Clinical burnout ○ Occur with poorly
implemented CDS features ○ Financial burden
◉ Workflow Design.
Answer: ○ Used to describe the action or execution of a series of
tasks in a prescribed sequence ○ Progression of steps (tasks, events,
interactions) that constitute a work process ○ In a sequential
workflow, each step depends on the occurrence of the previous step;
in a parallel workflow, two or more steps can occur concurrently. ○
Nursing informatics is uniquely positioned to engage in the analysis
and redesign of processes and tasks surrounding the use of
technology.
◉ Changes in workflow causes.
Answer: poor system design and usability issues, lack of
understanding about these systems and their capabilities, user
errors and system errors, and lack of defined protocols can all lead
to process breakdowns and errors.
◉ EHR and information systems provide what?.
Answer: provide POC decision support to prevent medical errors to
save lives and money
◉ Barriers to implement technology:.
