ANCC Nursing Informatics Certification Review
Questions and Answers Verified 2025
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR - ANSWER-c. aberrancies and
failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR - ANSWER-c. Abberancies
Rationale: "Bugs" in computer language are defined as aberrancies and failures in the
system or a coding error.
1. An advantage of an identity and access management (IAM) system is that the IAM
system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification - ANSWER-c.
meets HIPAA's Security Rule requirements regarding access to PHI.
Rationale: o An advantage of an identity and access management (IAM) system is that
the IAM system meets HIPAA's Security Rule requirements regarding access to PHI
through identity management. An IAM system provides, captures, updates, and records
user IDs and provides appropriate access privileges, preventing "privilege creep," which
increases risks to security. The IAM system should provide authentication (single sign-in
and session management), authorization (based on roles, rules, and attributes), user
management (provisioning and password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM - ANSWER-d. e-mail and IM
1. If the informatics nurse is concerned that a computer system may not function well
during peak times of access, the type of testing needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing - ANSWER-d. load/volume testing
,Rationale: This is a non-functional testing for reliability that assesses the ability of the
system to function under various loads, such as at peak times when multiple users in
multiple departments are accessing the system. The purpose of load/volume testing is
to determine the maximum load capacity and to identify the load at which problems
begin to occur. Testing is done at both the safe working load (SWL) and above the
SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written - ANSWER-b. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before
orders are written and they should be automated. Alerts that occur after orders are
written are more likely to be ignored or overridden. Additional alerts, including hard
stops, should occur if orders for contraindicated drugs or drugs to which the patient is
allergic are ordered despite the original alert. The alerts should be carefully evaluated
because excessive alerts may result in "alert fatigue" to the point that clinicians begin to
ignore them.
1. In preparation for the workflow redesign necessitated for implementation of an EHR,
the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
conduct surveys about workflow - ANSWER-map the current workflow
1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices - ANSWER-a. allows user interaction
with technology
1. The network that connects the departments in an organization is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN - ANSWER-b. LAN - local area network
1. The smallest possible piece of data utilized in computer processing is the:
a. byte
b. bit
c. nibble
d. zettabyte - ANSWER-b. bit
,1. When an institution is transitioning to a CPOE, a primary role of the informatics nurse
is that of:
a. system designer
b. liaison
c. software modifier
d. purchasing agent - ANSWER-b. liaison
1. When considering transitioning to cloud storage and assessing vendors, the most
critical assessment relates to:
a. regulatory compliance
b. interoperability
c. monitoring mechanisms
d. cost analysis - ANSWER-a. regulatory compliance
1. When utilizing a prioritization matrix to prioritize activities as a project manager, the
informatics nurse must first establish:
a. rating scale and timeframe
b. criteria and rating scale
c. rating scale and categories
d. criteria and timeframe - ANSWER-b. establish criteria and rating scale
Rationale: The criteria includes those factors that are utilized to determine how
important each project is; for example, a project mandated by regulations is more
important than a project that may improve customer satisfaction. A rating scale for each
project should be established with numeric values (such as 1 to 10) used to
demonstrate how effective the project is in meeting the criteria. A typical prioritization
matrix may have up to a dozen criteria
1. Which of the following standardized nursing terminologies is comprised of (1) a
problem classification scheme, (2) an intervention scheme, and (3) a problem rating
scale for outcomes?
a. PNDS
b. NANDA-I
c. OMAHA
d. ICNP - ANSWER-c. OMAHA
Rationale: a research-based and comprehensive practice, documentation, and
information management framework based on the nursing or problem-solving process,
the clinician-client relationship, and concepts of diagnostic reasoning, clinical judgment,
and quality improvement. It was designed for members of various disciplines, including
nurses, other health care professionals, and students. It consists of three relational,
reliable, and valid clinical components useful from the time of client admission until
discharge from service. The components are designed for classifying assessment
(problem classification scheme), interventions(intervention scheme), and outcomes
measurement (problem rating scale for outcomes). See Appendix on the Omaha
System.
, 1. Which resource for evidence-based research is provided by the National Library of
Medicine?
a. PubMed
b. CINAHL
c. World View on Evidence-Based Nursing
d. BMJ Publishing - ANSWER-a. PubMed
3 Components of the Omaha System - ANSWER-1. Problem Classification Scheme2.
Intervention Scheme3. Problem rating scale for outcomes
A chief nursing officer (CNO) would like to purchase a new nurse scheduling system.
Before creating the request for proposal, the CNO should first speak to the:
a. supply chain
b. legal dept
c. information systems
d. finance department - ANSWER-c. information systems
A clinical information system contains the following process:
A. Input, processing, outputs
B. Input, processing, outputs, analysis
C. Outputs, inputs, processing, analysis
D. Processing, inputs, outputs - ANSWER-A. Input, processing, outputs
A CNO would like to purchase a new nurse scheduling system. Before creating the
request for proposal, the CNO should first speak to the:
a. supply chain
b. legal dept.
c. information systems
d. Finance dept. - ANSWER-c. information systems
A domain is :
a. a copy of the software system, or environment, in a particular state
b. an implementation strategy
c. a go-live conversion factor involving conversion discrepancies
d. a data storage device - ANSWER-a. a copy of the software system, or environment,
in a particular state
(Production, Support, Training, testing environments)
A domain is:
A. A copy of the software system, or environment, in a particular state
B. An implementation strategy involving reiteration
C. A go-live conversion factor involving conversion discrepancies
D. A data storage device - ANSWER-A. A copy of the software system, or environment,
in a particular state.
Questions and Answers Verified 2025
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR - ANSWER-c. aberrancies and
failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR - ANSWER-c. Abberancies
Rationale: "Bugs" in computer language are defined as aberrancies and failures in the
system or a coding error.
1. An advantage of an identity and access management (IAM) system is that the IAM
system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification - ANSWER-c.
meets HIPAA's Security Rule requirements regarding access to PHI.
Rationale: o An advantage of an identity and access management (IAM) system is that
the IAM system meets HIPAA's Security Rule requirements regarding access to PHI
through identity management. An IAM system provides, captures, updates, and records
user IDs and provides appropriate access privileges, preventing "privilege creep," which
increases risks to security. The IAM system should provide authentication (single sign-in
and session management), authorization (based on roles, rules, and attributes), user
management (provisioning and password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM - ANSWER-d. e-mail and IM
1. If the informatics nurse is concerned that a computer system may not function well
during peak times of access, the type of testing needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing - ANSWER-d. load/volume testing
,Rationale: This is a non-functional testing for reliability that assesses the ability of the
system to function under various loads, such as at peak times when multiple users in
multiple departments are accessing the system. The purpose of load/volume testing is
to determine the maximum load capacity and to identify the load at which problems
begin to occur. Testing is done at both the safe working load (SWL) and above the
SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written - ANSWER-b. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before
orders are written and they should be automated. Alerts that occur after orders are
written are more likely to be ignored or overridden. Additional alerts, including hard
stops, should occur if orders for contraindicated drugs or drugs to which the patient is
allergic are ordered despite the original alert. The alerts should be carefully evaluated
because excessive alerts may result in "alert fatigue" to the point that clinicians begin to
ignore them.
1. In preparation for the workflow redesign necessitated for implementation of an EHR,
the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
conduct surveys about workflow - ANSWER-map the current workflow
1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices - ANSWER-a. allows user interaction
with technology
1. The network that connects the departments in an organization is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN - ANSWER-b. LAN - local area network
1. The smallest possible piece of data utilized in computer processing is the:
a. byte
b. bit
c. nibble
d. zettabyte - ANSWER-b. bit
,1. When an institution is transitioning to a CPOE, a primary role of the informatics nurse
is that of:
a. system designer
b. liaison
c. software modifier
d. purchasing agent - ANSWER-b. liaison
1. When considering transitioning to cloud storage and assessing vendors, the most
critical assessment relates to:
a. regulatory compliance
b. interoperability
c. monitoring mechanisms
d. cost analysis - ANSWER-a. regulatory compliance
1. When utilizing a prioritization matrix to prioritize activities as a project manager, the
informatics nurse must first establish:
a. rating scale and timeframe
b. criteria and rating scale
c. rating scale and categories
d. criteria and timeframe - ANSWER-b. establish criteria and rating scale
Rationale: The criteria includes those factors that are utilized to determine how
important each project is; for example, a project mandated by regulations is more
important than a project that may improve customer satisfaction. A rating scale for each
project should be established with numeric values (such as 1 to 10) used to
demonstrate how effective the project is in meeting the criteria. A typical prioritization
matrix may have up to a dozen criteria
1. Which of the following standardized nursing terminologies is comprised of (1) a
problem classification scheme, (2) an intervention scheme, and (3) a problem rating
scale for outcomes?
a. PNDS
b. NANDA-I
c. OMAHA
d. ICNP - ANSWER-c. OMAHA
Rationale: a research-based and comprehensive practice, documentation, and
information management framework based on the nursing or problem-solving process,
the clinician-client relationship, and concepts of diagnostic reasoning, clinical judgment,
and quality improvement. It was designed for members of various disciplines, including
nurses, other health care professionals, and students. It consists of three relational,
reliable, and valid clinical components useful from the time of client admission until
discharge from service. The components are designed for classifying assessment
(problem classification scheme), interventions(intervention scheme), and outcomes
measurement (problem rating scale for outcomes). See Appendix on the Omaha
System.
, 1. Which resource for evidence-based research is provided by the National Library of
Medicine?
a. PubMed
b. CINAHL
c. World View on Evidence-Based Nursing
d. BMJ Publishing - ANSWER-a. PubMed
3 Components of the Omaha System - ANSWER-1. Problem Classification Scheme2.
Intervention Scheme3. Problem rating scale for outcomes
A chief nursing officer (CNO) would like to purchase a new nurse scheduling system.
Before creating the request for proposal, the CNO should first speak to the:
a. supply chain
b. legal dept
c. information systems
d. finance department - ANSWER-c. information systems
A clinical information system contains the following process:
A. Input, processing, outputs
B. Input, processing, outputs, analysis
C. Outputs, inputs, processing, analysis
D. Processing, inputs, outputs - ANSWER-A. Input, processing, outputs
A CNO would like to purchase a new nurse scheduling system. Before creating the
request for proposal, the CNO should first speak to the:
a. supply chain
b. legal dept.
c. information systems
d. Finance dept. - ANSWER-c. information systems
A domain is :
a. a copy of the software system, or environment, in a particular state
b. an implementation strategy
c. a go-live conversion factor involving conversion discrepancies
d. a data storage device - ANSWER-a. a copy of the software system, or environment,
in a particular state
(Production, Support, Training, testing environments)
A domain is:
A. A copy of the software system, or environment, in a particular state
B. An implementation strategy involving reiteration
C. A go-live conversion factor involving conversion discrepancies
D. A data storage device - ANSWER-A. A copy of the software system, or environment,
in a particular state.
