ANCC nursing certification EXAM QUESTIONS AND
VERIFIED ACCURATE SOLUTION |GET IT 100%
ACCURATE
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ICD-10 PCS - ANSWER-
International Statistical Classification of Diseases and Related Health Problems-Procedural Coding
System (10th ed) Setting application-nursing and other Content-dx and assessments
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ICD-9 CM - ANSWER-
International Statistical Classification of Diseases and Related Health Problems-Procedural Coding
System (9th ed) Setting application-nursing and other Content-Dx and assessments
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ICF - ANSWER-International
Classification of Functioning, Disability, and Health Setting application-nursing and other Content dx-
functional status
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ISO-639 - ANSWER-
International Organization for Standardization Standard 639 Setting application-nursing and other
Content-representation of languages & language groups
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:LOINC - ANSWER-Logical
Observation Identifiers, Names, and Codes Setting application-nursing and other Content-outcomes and
assessments
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:RxNORM - ANSWER-
RxNORM Setting application-nursing and other Content-normalized clinical drug names
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:SNOMED CT - ANSWER-
Systematic Nomenclature of Medicine Clinical Terms Setting application-nursing and other Content-Dx,
interventions, & outcomes
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:UCUM - ANSWER-Unified
Code for Units of Measures Setting application-nursing and other Content-Units of measure for results
,PERT Diagram - ANSWER-1. Circles mark the beginning and ends of tasks to be done in the project (aka
NODES)2. Arrows are the tasks themsevles. They are identified by letters. The actual names of tasks
could be used instead of letters. The lengths of the arrows do not relate to their length in time3.
Numbers after the task names are the durations of the task. The time interval may be anything from
picoseconds to years. Critical path-longest # of days the shortest amount of time without missing any
tasks
Relationship of Data, Information, Knowledge, and Wisdom
Nelson 2002 - ANSWER-Data - naming, collecting, and organizing
Information - Organizing and interpreting
Knowledge - Interpreting, integrating, and understanding
Wisdom - Understanding, applying and applying with compassion
Relationship of Data, Information, Knowledge, and WisdomNelson 2002 - ANSWER-Data - naming,
collecting, and organizingInformation - Organizing and interpretingKnowledge - Interpreting, integrating,
and understandingWisdom - Understanding, applying and applying with compassion
Resources promoting details about usability are? - ANSWER-1: Health Information & Mgmt Systems
Society (HIMSS_2: National Institute of Standards and Technology (NIST)3: US Food & Drug Admin
(FDA)4: TIGER Initiative5: Jakob Nielsen of the Nielsen Norman Group
SDLC-In system implementation, evaluate, maintain and support give a go-live support example: -
ANSWER-1. Command center: onsite 24/7 for X number of days2. Core implementation team: onsite
first 24 hours than available by phone or pager for 2 weeks after3. Superusers: onsite coverage 24/7 on
all units
SDLC-In system implementation, evaluate, maintain and support what are metrics for system
evaluation? - ANSWER-1. metrics can include the stability of the system, measuring against the strategic
plan originally formulated, cost avoidance, risk reduction, progress to long-range goals for the system
among others2. Whatever the metrics, they should align with the organization's business strategy3. ROI
is not the only metric or benefit of a healthcare information system
SDLC-In system implementation, evaluate, maintain and support what are the roles of the super users? -
ANSWER-1. Unit-based RN who is a resource for unit staff a. should not be assigned patients b. one per
,unit during go-live2. Department RN supervisor a. may be involved in teaching classes b. part of the
support pool
SDLC-In system implementation, evaluate, maintain and support what is adult learning? - ANSWER-1. A
trainer bases education on previous learning-basis for adult learning. a. Your learners are adults with
previous knowledge and fixed ideas about what works for them2. Three main theories: a. Andragogy b.
Experiential learning (hands-on) c. Transformational learning (ahh haa moments)
SDLC-In system implementation, evaluate, maintain and support what is change management? -
ANSWER-Def: helping people to adjust, adapt, and adopt the new system.Four basic steps: 1. Revising
management policies 2. Assessing the cost and benefit models of potential adopters 3. Motivating
adoption 4. Enable adoption through training
SDLC-In system implementation, evaluate, maintain and support what is Education and Training? -
ANSWER-1. Training should focus on helping users accomplish their jobs and understand how the
computer fits into the bigger picture of their jobs. 2. Training should focus on what the user needs to do
and NOT on what the system can do
SDLC-In system implementation, evaluate, maintain and support what is ongoing system support? -
ANSWER-1. On-Demand training: elbow support, CBTs online support a. Online support: documentation
and help screens built into the system and separate web sites that provide answers to FAQ2. Help Desk:
user can talk with a person who can answer questions, usually over the phone3. User groups: provide
input on how they use the system, relay needs, help message to the broader user community, and can
help shape future technology strategies
SDLC-In system implementation, evaluate, maintain and support what is system maintenance? -
ANSWER-1. Changes and upgrades are expected with the rapid evolution of EHRs and MU/PI
requirements expanding capability under the HITECH Act2. Upgrade activities can include many
elements of the entire SDLC a. Workflow redesign b. Documentation c. Training d. Testing (especially
regression testing) e. Implementation
SDLC-In system implementation, evaluate, maintain and support what is the role of the implementation
manager? - ANSWER-1. Knows and understands the workflows2. Develops implementation teams that
include clinicians and champions3. Has a strong working relationship with the project champion4. Strong
leader, organizer, communicator, motivator
, SDLC-In system implementation, evaluate, maintain and support what is training delivery? - ANSWER-1.
Classroom training: a. train many users at one time, creates a shared experience2. One-on-one training
(elbow) a. trainer works closely with one user at a time3. Computer-based training a. can include slide
decks, audio, video, and animation
SDLC-In system implementation, evaluate, maintain and support who does the implementation team
consist of? - ANSWER-1. Broad interprofessional representation that includes clinical experts2. Broad
representation of all users that will be using the system
SDLC-In system implementation, evaluate, maintain, and support phases, what are the outputs? -
ANSWER-1. Communication plan2. Training and documentation plan3. Command center plan4.
Downtime and recovery procedure plan5. Policy and procedure revisions to cover the new workflows6.
Data conversion plan7. Confirmation-post go-live (or updating) of the future-state workflows
SDLC-In system implementation, evaluate, maintain, and support, what is data conversion and
migration? - ANSWER-1. Migrating the data from the legacy (old) system so that it is visible from within
the new system (new system)2. Data conversion is often the most technically complicated step in the
migration plan3. Files and databases in the new system probably do not exactly match the files and
database in the old system, formatting of data may not match.
SDLC-In the system implementation phase, what is parallel style? - ANSWER-The old system runs in
parallel with the new system EXISTING SYSTEM ------------------------------ NEW SYSTEM
SDLC-In the system implementation phase, what is the Direct/Big Bang strategy? - ANSWER-EXISTING
SYSTEM | NEW SYSTEM
SDLC-In the system implementation phase, what is the Phased strategy? - ANSWER-Phase 1 Phase 2
Phase 3 go-live go-live go-live EXISTING SYSTEM NEW SYSTEM
SDLC-In the system implementation, what is the Pilot strategy? - ANSWER-go-live |EXISTING SYSTEM
NEW SYSTEM | go-live
SDLC-System Testing tools (part of the implementation phase) systems selection & implementation and
systems/product development - ANSWER-Develop/build Test Train ProductionBox testing types
VERIFIED ACCURATE SOLUTION |GET IT 100%
ACCURATE
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ICD-10 PCS - ANSWER-
International Statistical Classification of Diseases and Related Health Problems-Procedural Coding
System (10th ed) Setting application-nursing and other Content-dx and assessments
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ICD-9 CM - ANSWER-
International Statistical Classification of Diseases and Related Health Problems-Procedural Coding
System (9th ed) Setting application-nursing and other Content-Dx and assessments
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ICF - ANSWER-International
Classification of Functioning, Disability, and Health Setting application-nursing and other Content dx-
functional status
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:ISO-639 - ANSWER-
International Organization for Standardization Standard 639 Setting application-nursing and other
Content-representation of languages & language groups
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:LOINC - ANSWER-Logical
Observation Identifiers, Names, and Codes Setting application-nursing and other Content-outcomes and
assessments
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:RxNORM - ANSWER-
RxNORM Setting application-nursing and other Content-normalized clinical drug names
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:SNOMED CT - ANSWER-
Systematic Nomenclature of Medicine Clinical Terms Setting application-nursing and other Content-Dx,
interventions, & outcomes
ONC HIT Standards Committee Recommended Clinical Vocabulary Standards:UCUM - ANSWER-Unified
Code for Units of Measures Setting application-nursing and other Content-Units of measure for results
,PERT Diagram - ANSWER-1. Circles mark the beginning and ends of tasks to be done in the project (aka
NODES)2. Arrows are the tasks themsevles. They are identified by letters. The actual names of tasks
could be used instead of letters. The lengths of the arrows do not relate to their length in time3.
Numbers after the task names are the durations of the task. The time interval may be anything from
picoseconds to years. Critical path-longest # of days the shortest amount of time without missing any
tasks
Relationship of Data, Information, Knowledge, and Wisdom
Nelson 2002 - ANSWER-Data - naming, collecting, and organizing
Information - Organizing and interpreting
Knowledge - Interpreting, integrating, and understanding
Wisdom - Understanding, applying and applying with compassion
Relationship of Data, Information, Knowledge, and WisdomNelson 2002 - ANSWER-Data - naming,
collecting, and organizingInformation - Organizing and interpretingKnowledge - Interpreting, integrating,
and understandingWisdom - Understanding, applying and applying with compassion
Resources promoting details about usability are? - ANSWER-1: Health Information & Mgmt Systems
Society (HIMSS_2: National Institute of Standards and Technology (NIST)3: US Food & Drug Admin
(FDA)4: TIGER Initiative5: Jakob Nielsen of the Nielsen Norman Group
SDLC-In system implementation, evaluate, maintain and support give a go-live support example: -
ANSWER-1. Command center: onsite 24/7 for X number of days2. Core implementation team: onsite
first 24 hours than available by phone or pager for 2 weeks after3. Superusers: onsite coverage 24/7 on
all units
SDLC-In system implementation, evaluate, maintain and support what are metrics for system
evaluation? - ANSWER-1. metrics can include the stability of the system, measuring against the strategic
plan originally formulated, cost avoidance, risk reduction, progress to long-range goals for the system
among others2. Whatever the metrics, they should align with the organization's business strategy3. ROI
is not the only metric or benefit of a healthcare information system
SDLC-In system implementation, evaluate, maintain and support what are the roles of the super users? -
ANSWER-1. Unit-based RN who is a resource for unit staff a. should not be assigned patients b. one per
,unit during go-live2. Department RN supervisor a. may be involved in teaching classes b. part of the
support pool
SDLC-In system implementation, evaluate, maintain and support what is adult learning? - ANSWER-1. A
trainer bases education on previous learning-basis for adult learning. a. Your learners are adults with
previous knowledge and fixed ideas about what works for them2. Three main theories: a. Andragogy b.
Experiential learning (hands-on) c. Transformational learning (ahh haa moments)
SDLC-In system implementation, evaluate, maintain and support what is change management? -
ANSWER-Def: helping people to adjust, adapt, and adopt the new system.Four basic steps: 1. Revising
management policies 2. Assessing the cost and benefit models of potential adopters 3. Motivating
adoption 4. Enable adoption through training
SDLC-In system implementation, evaluate, maintain and support what is Education and Training? -
ANSWER-1. Training should focus on helping users accomplish their jobs and understand how the
computer fits into the bigger picture of their jobs. 2. Training should focus on what the user needs to do
and NOT on what the system can do
SDLC-In system implementation, evaluate, maintain and support what is ongoing system support? -
ANSWER-1. On-Demand training: elbow support, CBTs online support a. Online support: documentation
and help screens built into the system and separate web sites that provide answers to FAQ2. Help Desk:
user can talk with a person who can answer questions, usually over the phone3. User groups: provide
input on how they use the system, relay needs, help message to the broader user community, and can
help shape future technology strategies
SDLC-In system implementation, evaluate, maintain and support what is system maintenance? -
ANSWER-1. Changes and upgrades are expected with the rapid evolution of EHRs and MU/PI
requirements expanding capability under the HITECH Act2. Upgrade activities can include many
elements of the entire SDLC a. Workflow redesign b. Documentation c. Training d. Testing (especially
regression testing) e. Implementation
SDLC-In system implementation, evaluate, maintain and support what is the role of the implementation
manager? - ANSWER-1. Knows and understands the workflows2. Develops implementation teams that
include clinicians and champions3. Has a strong working relationship with the project champion4. Strong
leader, organizer, communicator, motivator
, SDLC-In system implementation, evaluate, maintain and support what is training delivery? - ANSWER-1.
Classroom training: a. train many users at one time, creates a shared experience2. One-on-one training
(elbow) a. trainer works closely with one user at a time3. Computer-based training a. can include slide
decks, audio, video, and animation
SDLC-In system implementation, evaluate, maintain and support who does the implementation team
consist of? - ANSWER-1. Broad interprofessional representation that includes clinical experts2. Broad
representation of all users that will be using the system
SDLC-In system implementation, evaluate, maintain, and support phases, what are the outputs? -
ANSWER-1. Communication plan2. Training and documentation plan3. Command center plan4.
Downtime and recovery procedure plan5. Policy and procedure revisions to cover the new workflows6.
Data conversion plan7. Confirmation-post go-live (or updating) of the future-state workflows
SDLC-In system implementation, evaluate, maintain, and support, what is data conversion and
migration? - ANSWER-1. Migrating the data from the legacy (old) system so that it is visible from within
the new system (new system)2. Data conversion is often the most technically complicated step in the
migration plan3. Files and databases in the new system probably do not exactly match the files and
database in the old system, formatting of data may not match.
SDLC-In the system implementation phase, what is parallel style? - ANSWER-The old system runs in
parallel with the new system EXISTING SYSTEM ------------------------------ NEW SYSTEM
SDLC-In the system implementation phase, what is the Direct/Big Bang strategy? - ANSWER-EXISTING
SYSTEM | NEW SYSTEM
SDLC-In the system implementation phase, what is the Phased strategy? - ANSWER-Phase 1 Phase 2
Phase 3 go-live go-live go-live EXISTING SYSTEM NEW SYSTEM
SDLC-In the system implementation, what is the Pilot strategy? - ANSWER-go-live |EXISTING SYSTEM
NEW SYSTEM | go-live
SDLC-System Testing tools (part of the implementation phase) systems selection & implementation and
systems/product development - ANSWER-Develop/build Test Train ProductionBox testing types
