Nursing Informatics: Practice Test 2 (Units 8-13) - Questions
with Correct Answers
100 questions
1. Data conversion or migration in a new system implementation involves:
A. Deleting all old data
B. Transferring existing data, such as allergies and problem lists, from the old system to the new
system accurately
C. Printing all records
D. Changing patients' names
Correct Answer: B. Transferring existing data, such as allergies and problem lists, from the old
system to the new system accurately
Rationale: Accurate migration ensures continuity and safety. Deleting data or altering identities
is inappropriate.
2. Cutover planning refers to:
A. Cutting network cables
B. The detailed plan for transitioning from the old system to the new one at go-live
C. Reducing staff
D. Ending the project early
Correct Answer: B. The detailed plan for transitioning from the old system to the new one at
go-live
Rationale: Cutover plans include timing, data conversion and downtime procedures. They are
not physical cutting or staffing reductions.
,3. A Gantt chart displays:
A. Project tasks along a timeline, showing start and end dates and progress
B. Patient vital signs
C. Network diagrams of servers only
D. Financial statements
Correct Answer: A. Project tasks along a timeline, showing start and end dates and progress
Rationale: Gantt charts help visualize schedules and overlapping tasks. They are not clinical or
financial reports.
4. A parallel implementation means that:
A. Only the new system is used
B. Only the old system is used
C. Systems are installed in parallel hallways
D. The old and new systems are used simultaneously for a period
Correct Answer: D. The old and new systems are used simultaneously for a period
Rationale: Parallel operation provides a safety net but doubles workload and can cause
confusion. It is rarely used for full EHRs.
5. Evaluation of a new system should measure:
A. Only the number of computers installed
B. Only the vendor's satisfaction
C. Nothing after go-live
D. Whether project goals were met, such as safety outcomes, efficiency and user satisfaction
Correct Answer: D. Whether project goals were met, such as safety outcomes, efficiency and
user satisfaction
Rationale: Outcome evaluation shows the value of the investment and guides improvements.
Counting computers alone is insufficient.
,6. The systems development life cycle (SDLC) commonly includes which phases?
A. Assessment, diagnosis, outcomes and billing
B. Admission, treatment and discharge
C. Planning, analysis, design, implementation and evaluation/maintenance
D. Hiring, training and firing
Correct Answer: C. Planning, analysis, design, implementation and evaluation/maintenance
Rationale: The SDLC provides a structured approach to selecting or building systems. The other
lists are not the SDLC phases.
7. When a hospital decommissions (sunsets) an old system, it must:
A. Ensure required data are retained and accessible for legal and clinical purposes
B. Delete all historical data
C. Ignore retention laws
D. Shut it off without notice
Correct Answer: A. Ensure required data are retained and accessible for legal and clinical
purposes
Rationale: Archived data must remain accessible to meet legal requirements and support care.
Deleting data or ignoring retention rules is noncompliant.
8. Functional requirements describe:
A. How fast the server must be
B. What the system must do, such as allowing nurses to document medication administration
C. The color of the building
D. Staff salaries
Correct Answer: B. What the system must do, such as allowing nurses to document
medication administration
Rationale: Functional requirements specify behaviors and features. Nonfunctional
requirements describe qualities such as performance and security.
, 9. A reason clinical information system projects fail is:
A. Too much user input
B. Poor fit with clinical workflow and inadequate user involvement
C. Excellent training
D. Clear goals
Correct Answer: B. Poor fit with clinical workflow and inadequate user involvement
Rationale: Systems imposed without considering workflows face resistance and workarounds.
Good training, user input and clear goals support success.
10. A steering committee for a clinical system implementation:
A. Writes all code
B. Provides oversight, sets priorities and makes key decisions
C. Trains every user personally
D. Replaces the project team
Correct Answer: B. Provides oversight, sets priorities and makes key decisions
Rationale: Leaders from clinical, IT and administrative areas guide the project. They do not
perform all technical work.
11. User acceptance testing (UAT) is performed by:
A. Vendors only
B. End users who verify that the system meets their needs in realistic scenarios
C. Patients only
D. No one
Correct Answer: B. End users who verify that the system meets their needs in realistic
scenarios
Rationale: Clinicians test workflows before go-live to confirm the system supports their work.
Vendors and patients do not perform UAT.
with Correct Answers
100 questions
1. Data conversion or migration in a new system implementation involves:
A. Deleting all old data
B. Transferring existing data, such as allergies and problem lists, from the old system to the new
system accurately
C. Printing all records
D. Changing patients' names
Correct Answer: B. Transferring existing data, such as allergies and problem lists, from the old
system to the new system accurately
Rationale: Accurate migration ensures continuity and safety. Deleting data or altering identities
is inappropriate.
2. Cutover planning refers to:
A. Cutting network cables
B. The detailed plan for transitioning from the old system to the new one at go-live
C. Reducing staff
D. Ending the project early
Correct Answer: B. The detailed plan for transitioning from the old system to the new one at
go-live
Rationale: Cutover plans include timing, data conversion and downtime procedures. They are
not physical cutting or staffing reductions.
,3. A Gantt chart displays:
A. Project tasks along a timeline, showing start and end dates and progress
B. Patient vital signs
C. Network diagrams of servers only
D. Financial statements
Correct Answer: A. Project tasks along a timeline, showing start and end dates and progress
Rationale: Gantt charts help visualize schedules and overlapping tasks. They are not clinical or
financial reports.
4. A parallel implementation means that:
A. Only the new system is used
B. Only the old system is used
C. Systems are installed in parallel hallways
D. The old and new systems are used simultaneously for a period
Correct Answer: D. The old and new systems are used simultaneously for a period
Rationale: Parallel operation provides a safety net but doubles workload and can cause
confusion. It is rarely used for full EHRs.
5. Evaluation of a new system should measure:
A. Only the number of computers installed
B. Only the vendor's satisfaction
C. Nothing after go-live
D. Whether project goals were met, such as safety outcomes, efficiency and user satisfaction
Correct Answer: D. Whether project goals were met, such as safety outcomes, efficiency and
user satisfaction
Rationale: Outcome evaluation shows the value of the investment and guides improvements.
Counting computers alone is insufficient.
,6. The systems development life cycle (SDLC) commonly includes which phases?
A. Assessment, diagnosis, outcomes and billing
B. Admission, treatment and discharge
C. Planning, analysis, design, implementation and evaluation/maintenance
D. Hiring, training and firing
Correct Answer: C. Planning, analysis, design, implementation and evaluation/maintenance
Rationale: The SDLC provides a structured approach to selecting or building systems. The other
lists are not the SDLC phases.
7. When a hospital decommissions (sunsets) an old system, it must:
A. Ensure required data are retained and accessible for legal and clinical purposes
B. Delete all historical data
C. Ignore retention laws
D. Shut it off without notice
Correct Answer: A. Ensure required data are retained and accessible for legal and clinical
purposes
Rationale: Archived data must remain accessible to meet legal requirements and support care.
Deleting data or ignoring retention rules is noncompliant.
8. Functional requirements describe:
A. How fast the server must be
B. What the system must do, such as allowing nurses to document medication administration
C. The color of the building
D. Staff salaries
Correct Answer: B. What the system must do, such as allowing nurses to document
medication administration
Rationale: Functional requirements specify behaviors and features. Nonfunctional
requirements describe qualities such as performance and security.
, 9. A reason clinical information system projects fail is:
A. Too much user input
B. Poor fit with clinical workflow and inadequate user involvement
C. Excellent training
D. Clear goals
Correct Answer: B. Poor fit with clinical workflow and inadequate user involvement
Rationale: Systems imposed without considering workflows face resistance and workarounds.
Good training, user input and clear goals support success.
10. A steering committee for a clinical system implementation:
A. Writes all code
B. Provides oversight, sets priorities and makes key decisions
C. Trains every user personally
D. Replaces the project team
Correct Answer: B. Provides oversight, sets priorities and makes key decisions
Rationale: Leaders from clinical, IT and administrative areas guide the project. They do not
perform all technical work.
11. User acceptance testing (UAT) is performed by:
A. Vendors only
B. End users who verify that the system meets their needs in realistic scenarios
C. Patients only
D. No one
Correct Answer: B. End users who verify that the system meets their needs in realistic
scenarios
Rationale: Clinicians test workflows before go-live to confirm the system supports their work.
Vendors and patients do not perform UAT.
