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NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 07 | 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
Evaluation • Privacy and Security • Socio-Technical Systems • Patient Safety • AI and Ethics • Patient Engagement • Quality Improvement •
Implementation • Ethics and Law • Communication • Access Control • Data Quality • Governance • Medication Safety • Equity and Access •
Telehealth • Cybersecurity • Analytics and Reporting • Vendor Management • Research and Evaluation • Data and Information • Security and
Governance • Training • Clinical Decision Support • Workflow and Implementation • Human Factors • Standards • Remote Monitoring • Health
Information Systems • Documentation • Business Continuity • Mobile Health • Digital Health Literacy • Informatics Roles • Evidence-Based
Practice • Change Management
QUESTIONS
1. What is a clinical outcome of an EHR implementation worth monitoring?
A. Number of mouse clicks alone
B. Changes in medication errors, care coordination, or patient outcomes
C. Printer brand
D. Number of login screens
Correct answer: B. Changes in medication errors, care coordination, or patient outcomes
2. What does HIPAA primarily address in the United States?
A. Medical device manufacturing
B. Protection and appropriate use/disclosure of protected health information
C. Clinical coding education
D. Nurse staffing ratios nationwide
Correct answer: B. Protection and appropriate use/disclosure of protected health information
3. What is a socio-technical approach to health IT?
A. Ignoring organizational culture
B. Evaluating software code only
C. Considering people, workflows, organizations, technology, and the environment together
D. Focusing on hardware cost alone
Correct answer: C. Considering people, workflows, organizations, technology, and the environment together
4. What is a patient safety culture?
A. A policy of hiding errors
B. Shared values and practices that prioritize learning, reporting, and prevention of harm
C. A focus on blame alone
D. A guarantee of no incidents
Correct answer: B. Shared values and practices that prioritize learning, reporting, and prevention of harm
5. Why is external validation important for a prediction model?
A. It guarantees causal inference
B. It removes the need for monitoring
C. It assesses performance on data from a different setting or population
D. It proves the model is unbiased forever
Correct answer: C. It assesses performance on data from a different setting or population
6. What is a patient portal proxy access concern?
A. Permissions must reflect authorization and the patient's privacy and safety needs
B. Every family member should have full access
C. Passwords should be shared informally
D. Proxy access never needs limits
NR 599 Nursing Informatics Practice Page 1
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Correct answer: A. Permissions must reflect authorization and the patient's privacy and safety needs
7. Why should metrics be interpreted alongside context?
A. Only one metric is ever needed
B. Changes may reflect case mix, workflow, data quality, or external factors
C. Context reduces accuracy
D. Metrics explain themselves completely
Correct answer: B. Changes may reflect case mix, workflow, data quality, or external factors
8. What is a forcing function in safety design?
A. A color theme
B. A reminder that can always be ignored
C. A weekly report
D. A design constraint that prevents an unsafe action unless conditions are met
Correct answer: D. A design constraint that prevents an unsafe action unless conditions are met
9. What is a superuser during system implementation?
A. An external attacker
B. The only person allowed to document
C. A shared login account
D. A trained peer resource who supports users and escalates issues
Correct answer: D. A trained peer resource who supports users and escalates issues
10. What is a practical way to improve trust in digital health?
A. Hide data-sharing practices
B. Make every feature mandatory
C. Promise perfect accuracy
D. Be transparent, protect data, explain limitations, and provide routes for questions or corrections
Correct answer: D. Be transparent, protect data, explain limitations, and provide routes for questions or corrections
11. What is an appropriate boundary for clinical texting?
A. Assume messages are automatically in the EHR
B. Use personal messaging for all patient data
C. Use approved secure tools and follow policy for urgent communication and documentation
D. Send identifiable data to a group chat
Correct answer: C. Use approved secure tools and follow policy for urgent communication and documentation
12. What is role-based access control?
A. One password for everyone
B. Permissions assigned according to a user's job role
C. Public access to all records
D. Access based on personal popularity
Correct answer: B. Permissions assigned according to a user's job role
13. What is a data quality dimension meaning 'completeness'?
A. Required information is present
B. Records use the same format
C. Values match the expected truth
D. Data are available at the right time
Correct answer: A. Required information is present
14. What is the purpose of a data-sharing agreement?
A. Replace all security controls
B. Define permitted use, responsibilities, protections, and conditions for sharing
C. Avoid clarifying roles
D. Guarantee all data become public
Correct answer: B. Define permitted use, responsibilities, protections, and conditions for sharing
15. What should a nurse do if a barcode scan conflicts with the medication order?
A. Ignore the alert if busy
NR 599 Nursing Informatics Practice Page 2
NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 07 | 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
Evaluation • Privacy and Security • Socio-Technical Systems • Patient Safety • AI and Ethics • Patient Engagement • Quality Improvement •
Implementation • Ethics and Law • Communication • Access Control • Data Quality • Governance • Medication Safety • Equity and Access •
Telehealth • Cybersecurity • Analytics and Reporting • Vendor Management • Research and Evaluation • Data and Information • Security and
Governance • Training • Clinical Decision Support • Workflow and Implementation • Human Factors • Standards • Remote Monitoring • Health
Information Systems • Documentation • Business Continuity • Mobile Health • Digital Health Literacy • Informatics Roles • Evidence-Based
Practice • Change Management
QUESTIONS
1. What is a clinical outcome of an EHR implementation worth monitoring?
A. Number of mouse clicks alone
B. Changes in medication errors, care coordination, or patient outcomes
C. Printer brand
D. Number of login screens
Correct answer: B. Changes in medication errors, care coordination, or patient outcomes
2. What does HIPAA primarily address in the United States?
A. Medical device manufacturing
B. Protection and appropriate use/disclosure of protected health information
C. Clinical coding education
D. Nurse staffing ratios nationwide
Correct answer: B. Protection and appropriate use/disclosure of protected health information
3. What is a socio-technical approach to health IT?
A. Ignoring organizational culture
B. Evaluating software code only
C. Considering people, workflows, organizations, technology, and the environment together
D. Focusing on hardware cost alone
Correct answer: C. Considering people, workflows, organizations, technology, and the environment together
4. What is a patient safety culture?
A. A policy of hiding errors
B. Shared values and practices that prioritize learning, reporting, and prevention of harm
C. A focus on blame alone
D. A guarantee of no incidents
Correct answer: B. Shared values and practices that prioritize learning, reporting, and prevention of harm
5. Why is external validation important for a prediction model?
A. It guarantees causal inference
B. It removes the need for monitoring
C. It assesses performance on data from a different setting or population
D. It proves the model is unbiased forever
Correct answer: C. It assesses performance on data from a different setting or population
6. What is a patient portal proxy access concern?
A. Permissions must reflect authorization and the patient's privacy and safety needs
B. Every family member should have full access
C. Passwords should be shared informally
D. Proxy access never needs limits
NR 599 Nursing Informatics Practice Page 1
Correct answer: A. Permissions must reflect authorization and the patient's privacy and safety needs
7. Why should metrics be interpreted alongside context?
A. Only one metric is ever needed
B. Changes may reflect case mix, workflow, data quality, or external factors
C. Context reduces accuracy
D. Metrics explain themselves completely
Correct answer: B. Changes may reflect case mix, workflow, data quality, or external factors
8. What is a forcing function in safety design?
A. A color theme
B. A reminder that can always be ignored
C. A weekly report
D. A design constraint that prevents an unsafe action unless conditions are met
Correct answer: D. A design constraint that prevents an unsafe action unless conditions are met
9. What is a superuser during system implementation?
A. An external attacker
B. The only person allowed to document
C. A shared login account
D. A trained peer resource who supports users and escalates issues
Correct answer: D. A trained peer resource who supports users and escalates issues
10. What is a practical way to improve trust in digital health?
A. Hide data-sharing practices
B. Make every feature mandatory
C. Promise perfect accuracy
D. Be transparent, protect data, explain limitations, and provide routes for questions or corrections
Correct answer: D. Be transparent, protect data, explain limitations, and provide routes for questions or corrections
11. What is an appropriate boundary for clinical texting?
A. Assume messages are automatically in the EHR
B. Use personal messaging for all patient data
C. Use approved secure tools and follow policy for urgent communication and documentation
D. Send identifiable data to a group chat
Correct answer: C. Use approved secure tools and follow policy for urgent communication and documentation
12. What is role-based access control?
A. One password for everyone
B. Permissions assigned according to a user's job role
C. Public access to all records
D. Access based on personal popularity
Correct answer: B. Permissions assigned according to a user's job role
13. What is a data quality dimension meaning 'completeness'?
A. Required information is present
B. Records use the same format
C. Values match the expected truth
D. Data are available at the right time
Correct answer: A. Required information is present
14. What is the purpose of a data-sharing agreement?
A. Replace all security controls
B. Define permitted use, responsibilities, protections, and conditions for sharing
C. Avoid clarifying roles
D. Guarantee all data become public
Correct answer: B. Define permitted use, responsibilities, protections, and conditions for sharing
15. What should a nurse do if a barcode scan conflicts with the medication order?
A. Ignore the alert if busy
NR 599 Nursing Informatics Practice Page 2
