RN 3rd Edition by McBride and Tietze
, Chapter 1. Introduction to Health Information Technology in a Policy and Regulatory
Environment Chapter 1
1. After delivering a lesson on informatics, the instructor assesses the effectiveness of the teaching when
students correctly define informatics as which of the following?
A) The use of technology to manage and process healthcare information
B) The study of how computers function in the medical field
C) The process of manually storing and organizing hospital patient records
D) The development of software programs for healthcare facilities
THE RIGHT ANSWER<><> A
EXPLANATION Informatics refers to the use of technology to collect, manage, and analyze healthcare
information to improve hospital patient outcomes and clinical decision-making. Option B is incorrect
because informatics is broader than just studying computer functionality. Option C is incorrect as
informatics involves digital, not manual, data management. Option D is also incorrect because
informatics encompasses more than just software development.
2. A nursing student is studying early computerized clinical information systems. Which of the following
characteristics would the student recognize as defining these systems?
A) Designed to carry out two or three functions
B) Capability to share information across multiple departments
C) Development of distinct software systems for different areas
D) Data entry occurring only once
THE RIGHT ANSWER<><> A
EXPLANATION Early computerized clinical information systems were limited in functionality,
typically designed to perform only two or three tasks. Option B is incorrect because early systems lacked
extensive interconnectivity. Option C is incorrect since early systems were not designed to work across
multiple departments. Option D is incorrect as repeated data entry was often necessary due to the lack of
integration.
3. When discussing the advantages of informatics with agency staff, which of the following would the
presenter highlight as a key benefit?
A) Enhancing data usability
B) Encouraging cost efficiency
C) Promoting time efficiency
D) Enabling pattern recognition
THE RIGHT ANSWER<><> A
EXPLANATION One of the primary benefits of informatics is improving data usability, making
information more accessible and interpretable for clinical decision-making. Option B (cost-saving) and
Option C (time-saving) are advantages, but they are not the primary focus. Option D is also correct in
some contexts but is a secondary benefit rather than the primary goal.
, 4. After instructing students on the advantages of informatics in nursing, the instructor realizes that
additional clarification is needed if students identify which of the following as a benefit?
A) Enhanced documentation
B) Utilizing data for quality control
C) Development of evidence-based knowledge
D) Increased time required for documentation
THE RIGHT ANSWER<><> D
EXPLANATION Informatics is intended to reduce the time needed for documentation through
automation and digital records, not increase it. The other options are correct benefits of informatics:
enhanced documentation, quality control, and evidence-based knowledge.
5. While preparing a class on healthcare informatics and information technology, the instructor would
emphasize which of the following as the main focus?
A) Information
B) Computers
C) Accessibility
D) Data storage
THE RIGHT ANSWER<><> A
EXPLANATION Healthcare informatics primarily focuses on information—its collection, analysis, and
application to improve hospital patient care. While computers (B), accessibility (C), and data storage (D)
are important components, the primary focus is information management.
6. When explaining the essential components for delivering evidence-based care using informatics, which
of the following would be included? Select all that apply.
A) Information available in digital format
B) Established standards for data exchange
C) Restricted ability to capture relevant data
D) Use of multiple language structures for documentation
E) Practitioner competency in utilizing the information
Correct Answers: A, B, and E
EXPLANATION Evidence-based care requires digital information (A), standardized data exchange (B),
and competent practitioners (E) who can effectively use the information. Option C is incorrect because
informatics seeks to enhance, not limit, data capture. Option D is incorrect as standardized terminology is
preferred over multiple language structures to ensure consistency.
7. A RN specializing in informatics is reviewing infection rates among hospital patients in a specific
hospital unit. The RN is analyzing this data to determine appropriate strategies for infection control. This
process involves which of the following?
A) Point-of-care informatics
B) Secondary data analysis
, C) Listserv
D) Computerized provider order entry
THE RIGHT ANSWER<><> B
EXPLANATION Secondary data analysis involves reviewing collected data to identify trends and
improve healthcare outcomes. Option A is incorrect because point-of-care informatics refers to bedside
data entry and retrieval. Option C (Listserv) refers to email discussion groups, which is unrelated. Option
D (CPOE) is incorrect because it involves electronic medication and treatment orders, not data analysis.
8. A RN engaged in informatics identifies an information need and demonstrates the ability to find, assess,
and apply it effectively. This reflects which of the following competencies?
A) Information literacy
B) Computer literacy
C) Computer fluency
D) Information management
THE RIGHT ANSWER<><> A
EXPLANATION Information literacy is the ability to locate, evaluate, and use information effectively
in decision-making. Option B (computer literacy) refers to basic computer skills, which is different.
Option C (computer fluency) refers to ongoing adaptation to technological advancements. Option D
(information management) focuses on organizing and maintaining data rather than evaluating and
applying it.
Chapter 2: Advanced Practice Roles in Interprofessional Teams
1. A group of RNs is attending a presentation about advanced practice nursing. Which of the following
would the group expect to learn about the role of advanced practice nursing?
A) It has been standardized for all 50 states in the United States.
B) It includes prescribing or furnishing drugs in only about half of the states in the United States.
C) It is dependent on whether the national certifying exam has been taken for the specialty practice area.
D) It differs greatly among the various types of advanced practice.
THE RIGHT ANSWER<><> D
EXPLANATION Advanced practice nursing varies depending on the specialty, role, and state
regulations. Options A, B, and C do not fully capture the variation in roles across different specialties and
jurisdictions.
2. A RN is considering becoming a clinical RN specialist (CNS). Which activities would the RN expect to
be involved in? Select all that apply.
A) Managing complex medical conditions
B) Providing expert consultation with nursing staff
C) Administering anesthesia