Nursing Informatics,
Technology, and Safe
Use of Healthcare
Information Systems
---
**Target Question Count: 45**
---
### Question 1
The nurse is documenting patient care in the electronic health record (EHR). Which action demonstrates
proper use of the EHR to ensure patient safety and confidentiality?
A. Sharing login credentials with a colleague to ensure timely documentation
B. Logging out of the EHR when leaving the computer workstation
,C. Documenting nursing interventions before they are completed
D. Using copy-and-paste for similar patient assessments
💫RATIONALE✔️✔️: Logging out of the EHR when leaving a workstation is essential to protect patient
confidentiality and prevent unauthorized access. Sharing login credentials, documenting interventions
before completion, and indiscriminate use of copy-and-paste can compromise patient safety and
documentation integrity.
💫ANSWER✔️✔️: B. Logging out of the EHR when leaving the computer workstation
---
### Question 2
The nurse is using a computerized provider order entry (CPOE) system to enter medication orders.
Which feature of CPOE is most beneficial for patient safety?
A. The system allows for verbal orders to be entered by the nurse
B. The system provides clinical decision support alerts for drug interactions
C. The system requires minimal training to use effectively
D. The system automatically charges the patient for medications
💫RATIONALE✔️✔️: CPOE systems with clinical decision support can provide alerts for drug
interactions, allergies, and dosing errors, significantly enhancing patient safety. This feature helps
prevent medication errors and adverse drug events.
💫ANSWER✔️✔️: B. The system provides clinical decision support alerts for drug interactions
,---
### Question 3
A patient's health information was accidentally viewed by a nurse who was not involved in the patient's
care. The nurse manager discovers this breach. Which action should the nurse manager take first?
A. Terminate the nurse immediately
B. Report the breach to the appropriate department
C. Ignore the breach if no harm was done
D. Counsel the nurse privately
💫RATIONALE✔️✔️: The nurse manager should report the breach to the appropriate department
(such as privacy or compliance) according to organizational policy. This ensures proper investigation and
follow-up to protect patient confidentiality and comply with regulations.
💫ANSWER✔️✔️: B. Report the breach to the appropriate department
---
### Question 4
The nurse is using a bar-code medication administration (BCMA) system. The system alerts the nurse
that the patient's medication is due at a different time than when the nurse is attempting to administer
it. Which action should the nurse take?
A. Administer the medication at the time indicated on the bar-code system
, B. Override the alert and administer the medication as scheduled
C. Verify the order and check for any changes in the medication schedule
D. Document that the medication was given and ignore the alert
💫RATIONALE✔️✔️: The nurse should verify the order and check for any changes in the medication
schedule or orders before overriding the alert. This ensures that the medication is administered safely
and according to the most current order.
💫ANSWER✔️✔️: C. Verify the order and check for any changes in the medication schedule
---
### Question 5
The nurse is teaching a patient to use a personal health record (PHR) to track their health information.
Which instruction should the nurse include?
A. "You should record your vital signs and blood glucose levels at home."
B. "Your healthcare provider will automatically update your PHR."
C. "You should not share your PHR with your family members."
D. "Your PHR is only accessible to your primary care provider."
💫RATIONALE✔️✔️: Patients can use a PHR to track their health information, including vital signs,
blood glucose levels, and other health data. This empowers patients to actively participate in their
healthcare management.
💫ANSWER✔️✔️: A. "You should record your vital signs and blood glucose levels at home."
Technology, and Safe
Use of Healthcare
Information Systems
---
**Target Question Count: 45**
---
### Question 1
The nurse is documenting patient care in the electronic health record (EHR). Which action demonstrates
proper use of the EHR to ensure patient safety and confidentiality?
A. Sharing login credentials with a colleague to ensure timely documentation
B. Logging out of the EHR when leaving the computer workstation
,C. Documenting nursing interventions before they are completed
D. Using copy-and-paste for similar patient assessments
💫RATIONALE✔️✔️: Logging out of the EHR when leaving a workstation is essential to protect patient
confidentiality and prevent unauthorized access. Sharing login credentials, documenting interventions
before completion, and indiscriminate use of copy-and-paste can compromise patient safety and
documentation integrity.
💫ANSWER✔️✔️: B. Logging out of the EHR when leaving the computer workstation
---
### Question 2
The nurse is using a computerized provider order entry (CPOE) system to enter medication orders.
Which feature of CPOE is most beneficial for patient safety?
A. The system allows for verbal orders to be entered by the nurse
B. The system provides clinical decision support alerts for drug interactions
C. The system requires minimal training to use effectively
D. The system automatically charges the patient for medications
💫RATIONALE✔️✔️: CPOE systems with clinical decision support can provide alerts for drug
interactions, allergies, and dosing errors, significantly enhancing patient safety. This feature helps
prevent medication errors and adverse drug events.
💫ANSWER✔️✔️: B. The system provides clinical decision support alerts for drug interactions
,---
### Question 3
A patient's health information was accidentally viewed by a nurse who was not involved in the patient's
care. The nurse manager discovers this breach. Which action should the nurse manager take first?
A. Terminate the nurse immediately
B. Report the breach to the appropriate department
C. Ignore the breach if no harm was done
D. Counsel the nurse privately
💫RATIONALE✔️✔️: The nurse manager should report the breach to the appropriate department
(such as privacy or compliance) according to organizational policy. This ensures proper investigation and
follow-up to protect patient confidentiality and comply with regulations.
💫ANSWER✔️✔️: B. Report the breach to the appropriate department
---
### Question 4
The nurse is using a bar-code medication administration (BCMA) system. The system alerts the nurse
that the patient's medication is due at a different time than when the nurse is attempting to administer
it. Which action should the nurse take?
A. Administer the medication at the time indicated on the bar-code system
, B. Override the alert and administer the medication as scheduled
C. Verify the order and check for any changes in the medication schedule
D. Document that the medication was given and ignore the alert
💫RATIONALE✔️✔️: The nurse should verify the order and check for any changes in the medication
schedule or orders before overriding the alert. This ensures that the medication is administered safely
and according to the most current order.
💫ANSWER✔️✔️: C. Verify the order and check for any changes in the medication schedule
---
### Question 5
The nurse is teaching a patient to use a personal health record (PHR) to track their health information.
Which instruction should the nurse include?
A. "You should record your vital signs and blood glucose levels at home."
B. "Your healthcare provider will automatically update your PHR."
C. "You should not share your PHR with your family members."
D. "Your PHR is only accessible to your primary care provider."
💫RATIONALE✔️✔️: Patients can use a PHR to track their health information, including vital signs,
blood glucose levels, and other health data. This empowers patients to actively participate in their
healthcare management.
💫ANSWER✔️✔️: A. "You should record your vital signs and blood glucose levels at home."
