NURS4045
Nursing Informatics
Final Assessment Review
(With Solutions)
2026
1
,1. A nurse leader is implementing a new EHR system. Which factor is
most critical for successful adoption?
A. Hardware upgrades only
B. User training and stakeholder engagement
C. Vendor selection alone
D. Limiting system access
Answer: B. Rationale: Training and engagement ensure acceptance
and effective use.
2. A patient requests access to their health record. Which principle
guides the nurse’s response?
A. Confidentiality only
B. Patient right to access under HIPAA
C. Denial of access
D. Provider discretion
Answer: B. Rationale: HIPAA grants patients rights to their health
information.
3. A hospital experiences repeated medication errors due to poor
barcode scanning. Which informatics solution should be prioritized?
A. Manual charting
B. System usability testing and workflow redesign
C. Limiting barcode use
D. Staff reprimand
Answer: B. Rationale: Informatics addresses usability and workflow
integration.
4. A nurse documents care using a mobile device. Which risk is most
significant?
A. Improved efficiency
B. Data security and unauthorized access
C. Faster communication
D. Reduced redundancy
2
, Answer: B. Rationale: Mobile devices increase risk of breaches.
5. Clinical decision support systems (CDSS) primarily improve:
A. Nurse staffing
B. Evidence‑based decision‑making at point of care
C. Financial reporting
D. Patient scheduling
Answer: B. Rationale: CDSS integrates evidence into clinical practice.
6. A nurse informaticist is tasked with reducing duplicate testing.
Which tool is most effective?
A. Manual reminders
B. Interoperable EHR systems
C. Paper records
D. Verbal communication
Answer: B. Rationale: Interoperability prevents duplication.
7. A hospital implements predictive analytics for sepsis. Which
informatics principle is applied?
A. Documentation
B. Data mining and clinical analytics
C. Manual chart review
D. Patient surveys
Answer: B. Rationale: Predictive analytics uses data mining for early
detection.
8. A nurse leader evaluates downtime procedures for EHR. Which
priority applies?
A. Ignore downtime
B. Ensure continuity of patient care with backup documentation
C. Cancel services
D. Rely on IT only
Answer: B. Rationale: Backup ensures safe care during outages.
9. A nurse uses telehealth to monitor chronic disease patients. Which
3
Nursing Informatics
Final Assessment Review
(With Solutions)
2026
1
,1. A nurse leader is implementing a new EHR system. Which factor is
most critical for successful adoption?
A. Hardware upgrades only
B. User training and stakeholder engagement
C. Vendor selection alone
D. Limiting system access
Answer: B. Rationale: Training and engagement ensure acceptance
and effective use.
2. A patient requests access to their health record. Which principle
guides the nurse’s response?
A. Confidentiality only
B. Patient right to access under HIPAA
C. Denial of access
D. Provider discretion
Answer: B. Rationale: HIPAA grants patients rights to their health
information.
3. A hospital experiences repeated medication errors due to poor
barcode scanning. Which informatics solution should be prioritized?
A. Manual charting
B. System usability testing and workflow redesign
C. Limiting barcode use
D. Staff reprimand
Answer: B. Rationale: Informatics addresses usability and workflow
integration.
4. A nurse documents care using a mobile device. Which risk is most
significant?
A. Improved efficiency
B. Data security and unauthorized access
C. Faster communication
D. Reduced redundancy
2
, Answer: B. Rationale: Mobile devices increase risk of breaches.
5. Clinical decision support systems (CDSS) primarily improve:
A. Nurse staffing
B. Evidence‑based decision‑making at point of care
C. Financial reporting
D. Patient scheduling
Answer: B. Rationale: CDSS integrates evidence into clinical practice.
6. A nurse informaticist is tasked with reducing duplicate testing.
Which tool is most effective?
A. Manual reminders
B. Interoperable EHR systems
C. Paper records
D. Verbal communication
Answer: B. Rationale: Interoperability prevents duplication.
7. A hospital implements predictive analytics for sepsis. Which
informatics principle is applied?
A. Documentation
B. Data mining and clinical analytics
C. Manual chart review
D. Patient surveys
Answer: B. Rationale: Predictive analytics uses data mining for early
detection.
8. A nurse leader evaluates downtime procedures for EHR. Which
priority applies?
A. Ignore downtime
B. Ensure continuity of patient care with backup documentation
C. Cancel services
D. Rely on IT only
Answer: B. Rationale: Backup ensures safe care during outages.
9. A nurse uses telehealth to monitor chronic disease patients. Which
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