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NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 09 | 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
Communication • Telehealth • Documentation • Accessibility • Implementation • Data Management • Data Quality • Quality Improvement • Privacy
and Security • Project Management • Research and Evaluation • Cybersecurity • Patient Safety • Clinical Decision Support • Systems Analysis •
Mobile Health • Governance • AI and Ethics • Patient Engagement • Medication Safety • Change Management • Testing and Implementation •
Informatics Roles • Standards • Research and Data Ethics • Evaluation • Data Ethics • Ethics and Law • Interoperability • Business Continuity •
Vendor Management • Analytics and Reporting • Security and Governance • Human Factors • Socio-Technical Systems
QUESTIONS
1. What is an appropriate boundary for clinical texting?
A. Use personal messaging for all patient data
B. Assume messages are automatically in the EHR
C. Send identifiable data to a group chat
D. Use approved secure tools and follow policy for urgent communication and documentation
Correct answer: D. Use approved secure tools and follow policy for urgent communication and documentation
2. Why is consent for recording a telehealth session important?
A. Recording never captures health data
B. Consent is never relevant
C. All sessions are automatically public
D. Recording can create privacy and legal concerns and may require explicit permission
Correct answer: D. Recording can create privacy and legal concerns and may require explicit permission
3. What is a clinical documentation improvement (CDI) activity?
A. Choosing passwords
B. Deleting all narrative notes
C. Improving clarity, completeness, and consistency of clinical documentation
D. Scheduling staff breaks
Correct answer: C. Improving clarity, completeness, and consistency of clinical documentation
4. Why should accessibility be included early in software procurement?
A. It makes privacy unnecessary
B. It is unrelated to usability
C. Accessibility affects only a small number of users
D. It is easier to evaluate and build in than to retrofit after deployment
Correct answer: D. It is easier to evaluate and build in than to retrofit after deployment
5. What is a rollback plan?
A. A prepared method to return to a previous stable version if a change fails
B. A medication order
C. A patient discharge plan
D. A billing adjustment
Correct answer: A. A prepared method to return to a previous stable version if a change fails
6. What is a clinical data model?
A. A patient photograph
B. A structured representation of clinical concepts and their relationships
C. A staffing schedule
D. A list of software vendors
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Correct answer: B. A structured representation of clinical concepts and their relationships
7. What is telehealth?
A. Use of communication technologies to deliver health-related services at a distance
B. Any in-person visit with a computer nearby
C. A substitute for all emergency care
D. A type of billing code only
Correct answer: A. Use of communication technologies to deliver health-related services at a distance
8. What is a common challenge in patient matching?
A. All systems use the same identifier globally
B. Every patient has a unique name
C. Similar names, demographic changes, missing data, or inconsistent identifiers
D. Matching never requires governance
Correct answer: C. Similar names, demographic changes, missing data, or inconsistent identifiers
9. What is a PDSA cycle used for?
A. Patient-Discharge-Summary-Assessment
B. Password-Data-Security-Access
C. Program-Design-Software-Approval
D. Plan-Do-Study-Act iterative improvement
Correct answer: D. Plan-Do-Study-Act iterative improvement
10. What is the purpose of data suppression in reporting?
A. Replace consent in all cases
B. Make results more precise
C. Reduce disclosure risk when small groups could be identifiable
D. Improve network speed
Correct answer: C. Reduce disclosure risk when small groups could be identifiable
11. What is scope creep?
A. Uncontrolled expansion of project requirements beyond the agreed scope
B. A patient diagnosis
C. A backup strategy
D. A planned security test
Correct answer: A. Uncontrolled expansion of project requirements beyond the agreed scope
12. What is a confidence interval intended to communicate?
A. The number of participants only
B. A patient's confidence
C. A guarantee that the true value is inside every interval
D. Uncertainty around an estimated value under stated assumptions
Correct answer: D. Uncertainty around an estimated value under stated assumptions
13. What is an appropriate response to a suspected compromised clinical device?
A. Delete logs immediately
B. Connect it to more devices
C. Continue using it without assessment
D. Follow incident procedures, protect patients, and involve designated technical and clinical teams
Correct answer: D. Follow incident procedures, protect patients, and involve designated technical and clinical teams
14. What is failure mode and effects analysis (FMEA)?
A. A coding taxonomy
B. A proactive method to identify potential failure modes and prioritize risks
C. A way to remove all documentation
D. A password standard
Correct answer: B. A proactive method to identify potential failure modes and prioritize risks
15. What is a major risk of poorly designed order sets?
A. Default selections may encourage inappropriate or outdated orders
NR 599 Nursing Informatics Practice Page 2
NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 09 | 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
Communication • Telehealth • Documentation • Accessibility • Implementation • Data Management • Data Quality • Quality Improvement • Privacy
and Security • Project Management • Research and Evaluation • Cybersecurity • Patient Safety • Clinical Decision Support • Systems Analysis •
Mobile Health • Governance • AI and Ethics • Patient Engagement • Medication Safety • Change Management • Testing and Implementation •
Informatics Roles • Standards • Research and Data Ethics • Evaluation • Data Ethics • Ethics and Law • Interoperability • Business Continuity •
Vendor Management • Analytics and Reporting • Security and Governance • Human Factors • Socio-Technical Systems
QUESTIONS
1. What is an appropriate boundary for clinical texting?
A. Use personal messaging for all patient data
B. Assume messages are automatically in the EHR
C. Send identifiable data to a group chat
D. Use approved secure tools and follow policy for urgent communication and documentation
Correct answer: D. Use approved secure tools and follow policy for urgent communication and documentation
2. Why is consent for recording a telehealth session important?
A. Recording never captures health data
B. Consent is never relevant
C. All sessions are automatically public
D. Recording can create privacy and legal concerns and may require explicit permission
Correct answer: D. Recording can create privacy and legal concerns and may require explicit permission
3. What is a clinical documentation improvement (CDI) activity?
A. Choosing passwords
B. Deleting all narrative notes
C. Improving clarity, completeness, and consistency of clinical documentation
D. Scheduling staff breaks
Correct answer: C. Improving clarity, completeness, and consistency of clinical documentation
4. Why should accessibility be included early in software procurement?
A. It makes privacy unnecessary
B. It is unrelated to usability
C. Accessibility affects only a small number of users
D. It is easier to evaluate and build in than to retrofit after deployment
Correct answer: D. It is easier to evaluate and build in than to retrofit after deployment
5. What is a rollback plan?
A. A prepared method to return to a previous stable version if a change fails
B. A medication order
C. A patient discharge plan
D. A billing adjustment
Correct answer: A. A prepared method to return to a previous stable version if a change fails
6. What is a clinical data model?
A. A patient photograph
B. A structured representation of clinical concepts and their relationships
C. A staffing schedule
D. A list of software vendors
NR 599 Nursing Informatics Practice Page 1
Correct answer: B. A structured representation of clinical concepts and their relationships
7. What is telehealth?
A. Use of communication technologies to deliver health-related services at a distance
B. Any in-person visit with a computer nearby
C. A substitute for all emergency care
D. A type of billing code only
Correct answer: A. Use of communication technologies to deliver health-related services at a distance
8. What is a common challenge in patient matching?
A. All systems use the same identifier globally
B. Every patient has a unique name
C. Similar names, demographic changes, missing data, or inconsistent identifiers
D. Matching never requires governance
Correct answer: C. Similar names, demographic changes, missing data, or inconsistent identifiers
9. What is a PDSA cycle used for?
A. Patient-Discharge-Summary-Assessment
B. Password-Data-Security-Access
C. Program-Design-Software-Approval
D. Plan-Do-Study-Act iterative improvement
Correct answer: D. Plan-Do-Study-Act iterative improvement
10. What is the purpose of data suppression in reporting?
A. Replace consent in all cases
B. Make results more precise
C. Reduce disclosure risk when small groups could be identifiable
D. Improve network speed
Correct answer: C. Reduce disclosure risk when small groups could be identifiable
11. What is scope creep?
A. Uncontrolled expansion of project requirements beyond the agreed scope
B. A patient diagnosis
C. A backup strategy
D. A planned security test
Correct answer: A. Uncontrolled expansion of project requirements beyond the agreed scope
12. What is a confidence interval intended to communicate?
A. The number of participants only
B. A patient's confidence
C. A guarantee that the true value is inside every interval
D. Uncertainty around an estimated value under stated assumptions
Correct answer: D. Uncertainty around an estimated value under stated assumptions
13. What is an appropriate response to a suspected compromised clinical device?
A. Delete logs immediately
B. Connect it to more devices
C. Continue using it without assessment
D. Follow incident procedures, protect patients, and involve designated technical and clinical teams
Correct answer: D. Follow incident procedures, protect patients, and involve designated technical and clinical teams
14. What is failure mode and effects analysis (FMEA)?
A. A coding taxonomy
B. A proactive method to identify potential failure modes and prioritize risks
C. A way to remove all documentation
D. A password standard
Correct answer: B. A proactive method to identify potential failure modes and prioritize risks
15. What is a major risk of poorly designed order sets?
A. Default selections may encourage inappropriate or outdated orders
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