Health Information Technology for
Nursing
Proctored Final Exams
2026
(With Solutions)
Multiple Choice Questions
A nurse is using an Electronic Health Record (EHR) system that incorporates
Clinical Decision Support (CDS). The system alerts her about a potential drug
interaction when she tries to prescribe a medication. What is the primary benefit
of this feature? A) Improves workflow efficiency B) Reduces medication errors C)
Enhances patient engagement D) Lowers healthcare costs
Answer: B) Reduces medication errors
Rationale: CDS systems provide real-time alerts about potential drug
interactions, significantly reducing errors in medication administration.
2. In a hospital using a Remote Patient Monitoring (RPM) system, which data
security feature is most critical to protect patient data during transmission?
A) Password complexity
B) Blockchain technology
C) Encryption
D) Data caching
Answer: C) Encryption
Rationale: Encryption secures data during transmission, preventing unauthorized
access or interception of sensitive patient information.
3. When implementing a new Health Information Exchange (HIE), which standard
,ensures interoperability between different EHR systems?
A) ICD-10
B) SNOMED CT
C) HL7 FHIR
D) CPT codes
Answer: C) HL7 FHIR
Rationale: HL7 FHIR is the standard that supports the exchange of healthcare
information across diverse systems efficiently.
4. Which feature of a Computerized Provider Order Entry (CPOE) system most
directly improves patient safety?
A) Barcode scanning for medication
B) Auto-population of patient demographics
C) Customized nurse scheduling
D) Automated billing
Answer: A) Barcode scanning for medication
Rationale: Barcode scanning verifies medication before administration, reducing
the chance of wrong drug or dose errors.
5. Which of the following best describes the use of Natural Language Processing
(NLP) in nursing informatics?
A) Generating code for EHR software
B) Extracting insights from free-text clinical notes
C) Automating medication scheduling
D) Encrypting health records
Answer: B) Extracting insights from free-text clinical notes
Rationale: NLP helps process unstructured data like clinical notes to improve
decision making and documentation accuracy.
True/False Questions
6. True or False: The Health Insurance Portability and Accountability Act (HIPAA)
only applies to healthcare providers and not to healthcare technology vendors.
Answer: False
Rationale: HIPAA applies to covered entities including healthcare providers and
business associates such as HIT vendors who handle PHI.
,7. True or False: Telehealth platforms can help reduce the frequency of hospital
readmissions by improving patient monitoring and follow-up care.
Answer: True
Rationale: Telehealth enables continuous patient monitoring and timely
interventions, reducing readmissions.
8. True or False: Blockchain technology can be used in healthcare to ensure data
immutability and enhance audit trails.
Answer: True
Rationale: Blockchain provides decentralized, tamper-resistant storage of
transactions, ideal for maintaining secure patient records.
9. True or False: Usability issues in EHR systems do not affect nursing workflow
or patient safety.
Answer: False
Rationale: Poor usability can increase documentation time and errors, negatively
impacting nursing workflow and patient safety.
10. True or False: Mobile Health (mHealth) apps can be used by nurses to
remotely monitor patient vital signs and medication adherence.
Answer: True
Rationale: mHealth technology allows remote data collection and supports
patient engagement and adherence monitoring.
Short Answer Questions
11. Describe one advantage of integrating Artificial Intelligence (AI) into clinical
nursing decision support systems.
Answer: AI can analyze large datasets to identify patterns and offer predictive
insights, helping nurses make more informed decisions.
Rationale: AI enhances accuracy and clinical efficiency by providing evidence-
based recommendations.
12. What is a primary challenge nurses face when using EHR systems for
documentation?
Answer: Increased documentation time leading to less direct patient care.
Rationale: Complex interfaces or excessive data entry requirements can slow
nurses down.
, 13. Name one standard terminology system commonly used in nursing
informatics and explain its purpose.
Answer: SNOMED CT — provides a standardized vocabulary for clinical
documentation to improve communication and data exchange.
Rationale: Enables consistent recording and sharing of nursing data across
systems.
14. How does the use of barcode medication administration (BCMA) improve
patient safety?
Answer: It verifies the right patient, medication, dose, and time before
administration.
Rationale: BCMA reduces errors through automated checks during medication
delivery.
15. Explain the role of interoperability in Health Information Technology.
Answer: Interoperability allows different healthcare systems to exchange,
interpret, and use data seamlessly.
Rationale: It improves care coordination and reduces redundant procedures.
Matching Questions
Match the HIT term to its definition:
A Clinical Decision Support (CDS) 1 Technology that allows remote
patient care and monitoring
B Telehealth 2 Standard for exchanging healthcare information
C HL7 FHIR 3 Software that provides alerts and recommendations based
on clinical data
D Blockchain 4 Decentralized and secure ledger technology
Answers:
A-3, B-1, C-2, D-4
Rationale: These definitions describe core HIT concepts relevant to nursing.
Fill in the Blank
16. The process of converting paper health records into digital format is known
as __________.
Answer: Digitization