PDF
NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 06 | 100 MULTIPLE-CHOICE QUESTIONS
Instructions: Select the single best answer for each question. These are original practice questions for study and
review, not an official course examination.
EXAM CONTENT AREAS
Ethics and Law • Quality Improvement • Patient Engagement • Security and Governance • Equity and Access • Data Quality • AI and Ethics •
Analytics and Reporting • Terminologies and Standards • Privacy and Security • Cybersecurity • Evidence-Based Practice • Human Factors •
Governance • Patient Safety • Interoperability • Medication Safety • Implementation • Digital Health Literacy • Communication • Business
Continuity • Access Control • Documentation • Accessibility • Telehealth • Standards • Evaluation • Socio-Technical Systems • Data Management
• Health Information Systems • Systems Analysis • Research and Data Ethics • Mobile Health • Training • Foundations
QUESTIONS
1. What is justice in healthcare ethics?
A. Avoiding documentation
B. Fairness in access, treatment, and distribution of resources
C. Using the same software for every purpose
D. Prioritizing only digitally connected patients
Correct answer: B. Fairness in access, treatment, and distribution of resources
2. Why should quality measures be clearly defined?
A. So teams calculate and interpret them consistently
B. To make the data less transparent
C. To avoid comparisons
D. So every team can choose a different denominator
Correct answer: A. So teams calculate and interpret them consistently
3. What is the role of patient feedback in portal design?
A. Prove all clinical outcomes
B. Identify barriers and improve relevance, comprehension, and usability
C. Replace security testing
D. Avoid future changes
Correct answer: B. Identify barriers and improve relevance, comprehension, and usability
4. What is data integrity in the security context?
A. The system is always online
B. Information is easy to publish
C. Users have identical permissions
D. Information remains accurate and is not improperly altered or destroyed
Correct answer: D. Information remains accurate and is not improperly altered or destroyed
5. How can clinicians support patients with limited digital literacy?
A. Require online-only communication
B. Assume all patients use apps easily
C. Avoid asking about access barriers
D. Use plain language, demonstration, teach-back, and accessible alternatives
Correct answer: D. Use plain language, demonstration, teach-back, and accessible alternatives
6. What is data consistency?
A. Every patient has the same values
B. The system is never offline
C. A note contains no abbreviations
D. The same data are represented compatibly across records or systems
NR 599 Nursing Informatics Practice Page 1
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Correct answer: D. The same data are represented compatibly across records or systems
7. What is algorithmic bias?
A. A password policy
B. Systematic unfair differences in model outputs or performance across groups
C. Random variation only
D. A computer's screen color
Correct answer: B. Systematic unfair differences in model outputs or performance across groups
8. What is an outcome measure?
A. A measure of login attempts only
B. A count of training slides
C. A measure of the result of care, such as complication or recovery rate
D. A list of software features
Correct answer: C. A measure of the result of care, such as complication or recovery rate
9. Why should outliers be reviewed rather than automatically deleted?
A. They are always irrelevant
B. Deleting them improves all analyses
C. They may represent real clinical events or data-entry errors
D. They cannot affect decisions
Correct answer: C. They may represent real clinical events or data-entry errors
10. What is the primary purpose of LOINC?
A. Identifying laboratory tests and other measurements/observations
B. Managing firewall rules
C. Assigning passwords
D. Recording nurse licenses
Correct answer: A. Identifying laboratory tests and other measurements/observations
11. What is de-identification intended to do?
A. Guarantee zero re-identification risk in every dataset
B. Encrypt a password only
C. Make data automatically accurate
D. Reduce the ability to link data to an individual by removing or transforming identifiers
Correct answer: D. Reduce the ability to link data to an individual by removing or transforming identifiers
12. What is ransomware?
A. A routine backup process
B. A type of clinical terminology
C. A secure messaging protocol
D. Malicious software that blocks access to data, often demanding payment
Correct answer: D. Malicious software that blocks access to data, often demanding payment
13. What does evidence-based practice integrate?
A. Only organizational cost
B. Only the newest technology
C. Only personal experience
D. Best available evidence, clinical expertise, and patient preferences/context
Correct answer: D. Best available evidence, clinical expertise, and patient preferences/context
14. What is a human factors perspective on errors?
A. Technology cannot affect errors
B. Errors often reflect interactions between people, tasks, tools, and systems
C. Errors are always caused by one careless person
D. Training alone solves every problem
Correct answer: B. Errors often reflect interactions between people, tasks, tools, and systems
15. What is an appropriate clinician response to an AI-generated recommendation?
A. Review it critically with patient context and clinical judgment
NR 599 Nursing Informatics Practice Page 2
NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 06 | 100 MULTIPLE-CHOICE QUESTIONS
Instructions: Select the single best answer for each question. These are original practice questions for study and
review, not an official course examination.
EXAM CONTENT AREAS
Ethics and Law • Quality Improvement • Patient Engagement • Security and Governance • Equity and Access • Data Quality • AI and Ethics •
Analytics and Reporting • Terminologies and Standards • Privacy and Security • Cybersecurity • Evidence-Based Practice • Human Factors •
Governance • Patient Safety • Interoperability • Medication Safety • Implementation • Digital Health Literacy • Communication • Business
Continuity • Access Control • Documentation • Accessibility • Telehealth • Standards • Evaluation • Socio-Technical Systems • Data Management
• Health Information Systems • Systems Analysis • Research and Data Ethics • Mobile Health • Training • Foundations
QUESTIONS
1. What is justice in healthcare ethics?
A. Avoiding documentation
B. Fairness in access, treatment, and distribution of resources
C. Using the same software for every purpose
D. Prioritizing only digitally connected patients
Correct answer: B. Fairness in access, treatment, and distribution of resources
2. Why should quality measures be clearly defined?
A. So teams calculate and interpret them consistently
B. To make the data less transparent
C. To avoid comparisons
D. So every team can choose a different denominator
Correct answer: A. So teams calculate and interpret them consistently
3. What is the role of patient feedback in portal design?
A. Prove all clinical outcomes
B. Identify barriers and improve relevance, comprehension, and usability
C. Replace security testing
D. Avoid future changes
Correct answer: B. Identify barriers and improve relevance, comprehension, and usability
4. What is data integrity in the security context?
A. The system is always online
B. Information is easy to publish
C. Users have identical permissions
D. Information remains accurate and is not improperly altered or destroyed
Correct answer: D. Information remains accurate and is not improperly altered or destroyed
5. How can clinicians support patients with limited digital literacy?
A. Require online-only communication
B. Assume all patients use apps easily
C. Avoid asking about access barriers
D. Use plain language, demonstration, teach-back, and accessible alternatives
Correct answer: D. Use plain language, demonstration, teach-back, and accessible alternatives
6. What is data consistency?
A. Every patient has the same values
B. The system is never offline
C. A note contains no abbreviations
D. The same data are represented compatibly across records or systems
NR 599 Nursing Informatics Practice Page 1
Correct answer: D. The same data are represented compatibly across records or systems
7. What is algorithmic bias?
A. A password policy
B. Systematic unfair differences in model outputs or performance across groups
C. Random variation only
D. A computer's screen color
Correct answer: B. Systematic unfair differences in model outputs or performance across groups
8. What is an outcome measure?
A. A measure of login attempts only
B. A count of training slides
C. A measure of the result of care, such as complication or recovery rate
D. A list of software features
Correct answer: C. A measure of the result of care, such as complication or recovery rate
9. Why should outliers be reviewed rather than automatically deleted?
A. They are always irrelevant
B. Deleting them improves all analyses
C. They may represent real clinical events or data-entry errors
D. They cannot affect decisions
Correct answer: C. They may represent real clinical events or data-entry errors
10. What is the primary purpose of LOINC?
A. Identifying laboratory tests and other measurements/observations
B. Managing firewall rules
C. Assigning passwords
D. Recording nurse licenses
Correct answer: A. Identifying laboratory tests and other measurements/observations
11. What is de-identification intended to do?
A. Guarantee zero re-identification risk in every dataset
B. Encrypt a password only
C. Make data automatically accurate
D. Reduce the ability to link data to an individual by removing or transforming identifiers
Correct answer: D. Reduce the ability to link data to an individual by removing or transforming identifiers
12. What is ransomware?
A. A routine backup process
B. A type of clinical terminology
C. A secure messaging protocol
D. Malicious software that blocks access to data, often demanding payment
Correct answer: D. Malicious software that blocks access to data, often demanding payment
13. What does evidence-based practice integrate?
A. Only organizational cost
B. Only the newest technology
C. Only personal experience
D. Best available evidence, clinical expertise, and patient preferences/context
Correct answer: D. Best available evidence, clinical expertise, and patient preferences/context
14. What is a human factors perspective on errors?
A. Technology cannot affect errors
B. Errors often reflect interactions between people, tasks, tools, and systems
C. Errors are always caused by one careless person
D. Training alone solves every problem
Correct answer: B. Errors often reflect interactions between people, tasks, tools, and systems
15. What is an appropriate clinician response to an AI-generated recommendation?
A. Review it critically with patient context and clinical judgment
NR 599 Nursing Informatics Practice Page 2
