Questions and Answers | Latest Version
| 2025/2026 | Correct & Verified
What is the primary purpose of using an electronic health record (EHR)?
✔✔ To document, retrieve, and share patient health information efficiently and securely
What term describes the safe and effective exchange of health information across systems?
✔✔ Interoperability
Which informatics tool alerts the nurse to a potential medication interaction before
administration?
✔✔ Clinical decision support system (CDSS)
What should a nurse do immediately after noticing a charting error in the EHR?
✔✔ Follow facility protocol for correcting documentation, such as adding an amendment or
clarification note
How can a nurse maintain patient confidentiality when using a shared workstation?
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, ✔✔ Log out after use and avoid leaving patient data visible on the screen
Which technology allows a nurse to verify medication administration using a patient’s
wristband?
✔✔ Barcode scanning system
What is the first step a nurse should take before entering patient data into the electronic record?
✔✔ Verify patient identity using two approved identifiers
What is the benefit of using standardized nursing terminologies in documentation?
✔✔ It ensures consistency, supports data sharing, and enhances communication
What is the appropriate nursing action when a patient asks to see their own health record?
✔✔ Inform the patient of their rights and follow the facility's policy for record access
Why should a nurse avoid using copy-paste functions in patient documentation?
✔✔ It may lead to outdated or inaccurate information being included in the record
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