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NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 01 | 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
Business Continuity • Evaluation • Patient Engagement • Professionalism • Cybersecurity • Change Management • Research and Evaluation •
Interoperability • Quality Improvement • Equity and Access • Medication Safety • Human Factors • Governance • Research and Data Ethics •
Access Control • Socio-Technical Systems • Patient Safety • Data Quality • Informatics Roles • Terminologies and Standards • Mobile Health •
Data and Information • Telehealth • Implementation • Communication • AI and Ethics • Ethics and Law • Data Management • Clinical Decision
Support • Project Management • Documentation • Privacy and Security • Analytics and Reporting • Training • Health Information Systems •
Systems Analysis • Professional Development • Digital Health Literacy • Accessibility • Workflow and Implementation
QUESTIONS
1. Why must backups be tested?
A. To confirm that data can actually be restored when needed
B. To remove the need for security
C. To increase file size
D. To make downtime impossible
Correct answer: A. To confirm that data can actually be restored when needed
2. 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. Number of login screens
D. Printer brand
Correct answer: B. Changes in medication errors, care coordination, or patient outcomes
3. Why should a patient portal distinguish results that are preliminary from final when applicable?
A. All results have identical status
B. It makes the portal slower
C. Preliminary data are always wrong
D. Patients and clinicians need context to interpret status and avoid misunderstanding
Correct answer: D. Patients and clinicians need context to interpret status and avoid misunderstanding
4. What is a responsible use of social media by healthcare professionals?
A. Maintain professional boundaries and avoid disclosing identifiable patient information
B. Post clinical screenshots to private groups
C. Accept every patient request on personal accounts
D. Share interesting patient stories with names removed only
Correct answer: A. Maintain professional boundaries and avoid disclosing identifiable patient information
5. What is a common risk of using personal devices for clinical work?
A. Data may be exposed through insecure storage, apps, or lost devices
B. They eliminate phishing
C. They cannot connect to networks
D. They are always more secure
Correct answer: A. Data may be exposed through insecure storage, apps, or lost devices
6. What is change management intended to support?
A. Adoption of new processes through communication, training, feedback, and support
B. Eliminating all questions
C. Concealing changes from staff
D. Avoiding measurement
NR 599 Nursing Informatics Practice Page 1
, PDF
Correct answer: A. Adoption of new processes through communication, training, feedback, and support
7. Why is correlation not proof of causation?
A. Two variables may move together because of confounding or other explanations
B. Correlation always proves cause
C. Causation cannot be studied
D. A large dataset removes all bias
Correct answer: A. Two variables may move together because of confounding or other explanations
8. What is a practical way to prevent duplicate testing when records are fragmented?
A. Assume patients remember every result
B. Hide external records
C. Use room numbers as identifiers
D. Improve access to prior results and support reliable patient matching and reconciliation
Correct answer: D. Improve access to prior results and support reliable patient matching and reconciliation
9. What is a denominator in a rate calculation?
A. The number of events only
B. The total eligible population or opportunities against which events are counted
C. The final chart title
D. A type of diagnosis code
Correct answer: B. The total eligible population or opportunities against which events are counted
10. How can clinicians support patients with limited digital literacy?
A. Use plain language, demonstration, teach-back, and accessible alternatives
B. Avoid asking about access barriers
C. Require online-only communication
D. Assume all patients use apps easily
Correct answer: A. Use plain language, demonstration, teach-back, and accessible alternatives
11. What is a medical device cybersecurity concern?
A. A compromised connected device may affect data confidentiality or clinical function
B. Device security never affects patients
C. Connectivity eliminates risk
D. Only laptops can be attacked
Correct answer: A. A compromised connected device may affect data confidentiality or clinical function
12. What should a nurse do if a barcode scan conflicts with the medication order?
A. Ignore the alert if busy
B. Use a colleague's credentials
C. Pause, assess the discrepancy, and resolve it according to policy before administration
D. Override without review
Correct answer: C. Pause, assess the discrepancy, and resolve it according to policy before administration
13. What is a human factors perspective on errors?
A. Errors often reflect interactions between people, tasks, tools, and systems
B. Training alone solves every problem
C. Technology cannot affect errors
D. Errors are always caused by one careless person
Correct answer: A. Errors often reflect interactions between people, tasks, tools, and systems
14. What is a usability test designed to assess?
A. Whether intended users can complete realistic tasks effectively and safely
B. Whether the product has the most colors
C. Whether data are encrypted only
D. Whether staff agree with every policy
Correct answer: A. Whether intended users can complete realistic tasks effectively and safely
15. What is an appropriate principle for retaining health records?
A. Delete records whenever storage is low
NR 599 Nursing Informatics Practice Page 2
NR 599 — NURSING INFORMATICS FOR ADVANCED
PRACTICE
PRACTICE EXAM 01 | 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
Business Continuity • Evaluation • Patient Engagement • Professionalism • Cybersecurity • Change Management • Research and Evaluation •
Interoperability • Quality Improvement • Equity and Access • Medication Safety • Human Factors • Governance • Research and Data Ethics •
Access Control • Socio-Technical Systems • Patient Safety • Data Quality • Informatics Roles • Terminologies and Standards • Mobile Health •
Data and Information • Telehealth • Implementation • Communication • AI and Ethics • Ethics and Law • Data Management • Clinical Decision
Support • Project Management • Documentation • Privacy and Security • Analytics and Reporting • Training • Health Information Systems •
Systems Analysis • Professional Development • Digital Health Literacy • Accessibility • Workflow and Implementation
QUESTIONS
1. Why must backups be tested?
A. To confirm that data can actually be restored when needed
B. To remove the need for security
C. To increase file size
D. To make downtime impossible
Correct answer: A. To confirm that data can actually be restored when needed
2. 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. Number of login screens
D. Printer brand
Correct answer: B. Changes in medication errors, care coordination, or patient outcomes
3. Why should a patient portal distinguish results that are preliminary from final when applicable?
A. All results have identical status
B. It makes the portal slower
C. Preliminary data are always wrong
D. Patients and clinicians need context to interpret status and avoid misunderstanding
Correct answer: D. Patients and clinicians need context to interpret status and avoid misunderstanding
4. What is a responsible use of social media by healthcare professionals?
A. Maintain professional boundaries and avoid disclosing identifiable patient information
B. Post clinical screenshots to private groups
C. Accept every patient request on personal accounts
D. Share interesting patient stories with names removed only
Correct answer: A. Maintain professional boundaries and avoid disclosing identifiable patient information
5. What is a common risk of using personal devices for clinical work?
A. Data may be exposed through insecure storage, apps, or lost devices
B. They eliminate phishing
C. They cannot connect to networks
D. They are always more secure
Correct answer: A. Data may be exposed through insecure storage, apps, or lost devices
6. What is change management intended to support?
A. Adoption of new processes through communication, training, feedback, and support
B. Eliminating all questions
C. Concealing changes from staff
D. Avoiding measurement
NR 599 Nursing Informatics Practice Page 1
Correct answer: A. Adoption of new processes through communication, training, feedback, and support
7. Why is correlation not proof of causation?
A. Two variables may move together because of confounding or other explanations
B. Correlation always proves cause
C. Causation cannot be studied
D. A large dataset removes all bias
Correct answer: A. Two variables may move together because of confounding or other explanations
8. What is a practical way to prevent duplicate testing when records are fragmented?
A. Assume patients remember every result
B. Hide external records
C. Use room numbers as identifiers
D. Improve access to prior results and support reliable patient matching and reconciliation
Correct answer: D. Improve access to prior results and support reliable patient matching and reconciliation
9. What is a denominator in a rate calculation?
A. The number of events only
B. The total eligible population or opportunities against which events are counted
C. The final chart title
D. A type of diagnosis code
Correct answer: B. The total eligible population or opportunities against which events are counted
10. How can clinicians support patients with limited digital literacy?
A. Use plain language, demonstration, teach-back, and accessible alternatives
B. Avoid asking about access barriers
C. Require online-only communication
D. Assume all patients use apps easily
Correct answer: A. Use plain language, demonstration, teach-back, and accessible alternatives
11. What is a medical device cybersecurity concern?
A. A compromised connected device may affect data confidentiality or clinical function
B. Device security never affects patients
C. Connectivity eliminates risk
D. Only laptops can be attacked
Correct answer: A. A compromised connected device may affect data confidentiality or clinical function
12. What should a nurse do if a barcode scan conflicts with the medication order?
A. Ignore the alert if busy
B. Use a colleague's credentials
C. Pause, assess the discrepancy, and resolve it according to policy before administration
D. Override without review
Correct answer: C. Pause, assess the discrepancy, and resolve it according to policy before administration
13. What is a human factors perspective on errors?
A. Errors often reflect interactions between people, tasks, tools, and systems
B. Training alone solves every problem
C. Technology cannot affect errors
D. Errors are always caused by one careless person
Correct answer: A. Errors often reflect interactions between people, tasks, tools, and systems
14. What is a usability test designed to assess?
A. Whether intended users can complete realistic tasks effectively and safely
B. Whether the product has the most colors
C. Whether data are encrypted only
D. Whether staff agree with every policy
Correct answer: A. Whether intended users can complete realistic tasks effectively and safely
15. What is an appropriate principle for retaining health records?
A. Delete records whenever storage is low
NR 599 Nursing Informatics Practice Page 2