Final NR599 Exam
Why is it difficult to integrate information from all hospital departments into a single hospital
information system?
a. Individual departments want to obtain & maintain specialized systems
b. Hospital departments are organized along vertical lines while the continuum of care for patients
flows along horizontal lines
c. Patient care systems & financial management systems are incompatible with each other
d. Each department is required by law & the Joint Commission on Accreditation of Hospitals& Health
Care Organizations to maintain specific information for billing & accreditation purposese. Individual
departments do not see the value in comprehensive patient records - answer b. Hospital
departments are organized along vertical lines while the continuum of care for patients flows along
horizontal lines
The nurse understands that nursing informatics is recognized as a specialty area of practice by which
statement? (CO 7)
There is a need for nursing informatics interests to gain representation by work groups and
organizations within the United States.
The use of information and computer technology as a tool to process information to support all
areas of nursing, including practice, education, administration and research.
A formal educational program at the master's level must be completed before a nurse is eligible to
sit for the credentialing examination.
As a differentiated practice, nursing informatics is focused upon the client, the environment, health,
and the nurse. - answer The use of information and computer technology as a tool to process
information to support all areas of nursing, including practice, education, administration and
research.
Which statement by the nurse verifies that the nurse is "information literate"? (C0 1)
"I can use software applications such as word processing, spreadsheets, and presentations." "I utilize
databases in the health care setting to input client information such as skin condition."
"I use email over the Internet to correspond with clients and provide information."
,"I understand how to search for a website and evaluate its usefulness for health care needs." -
answer "I understand how to search for a website and evaluate its usefulness for health care needs."
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
Lab work results include an electrolyte panel and complete blood count with differential.
After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling
better today.
The client is a widowed 64-year-old black male admitted with prostatitis.
The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen
saturation of 98%. - answer After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the
client reported feeling better today.
Which statement best distinguishes the difference between information literacy and computer
literacy? (CO 1)
Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to
access data.
A nurse can extrapolate data with computer literacy and not information skills.
Information literacy forms the basis for ongoing learning whereas computer literacy refers to a
familiarity with the use of personal computers.
Information literacy is unnecessary in health care whereas computer literacy provides the basis for
computer order entry. - answer Information literacy forms the basis for ongoing learning whereas
computer literacy refers to a familiarity with the use of personal computers.
Which statement regarding pressures that drive the health care delivery system today is not
accurate? (CO 7)
, Evidence-based practice is supported with technology that enables the health care provider to utilize
up-to-date research findings.
Managed care may utilize disease management to identify clients with chronic conditions, and treat
them effectively to minimize complications and cost.
The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
Medication errors and adverse events may be reduced with the implementation of computerized
physician order entry (CPOE). - answer The current and projected nursing shortage may be
eliminated by instituting technology enhancements in the acute care setting.
Which action indicates the nurse is functioning as a knowledge worker? (CO 1)
The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040
ml and the output of 1100 ml, and records these data in the electronic medical record. The nurse
auscultates hypoactive bowel sounds while doing a client assessment eight hours
postoperatively after abdominal surgery and documents the assessment in the electronic medical
record.
The nurse auscultates diminished breath sounds in a postoperative client the morning after
abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of
every two hours.
The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30
a.m. per physician's sliding scale orders and documents it on the electronic medical administration
record. - answer The nurse auscultates diminished breath sounds in a postoperative client the
morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every
hour instead of every two hours.
Which of these is an advantage in the use of Personal Digital Assistants (PDAs) in the health care
setting? (CO7)
Data loss is minimized due to long battery life and ease of backups.
Why is it difficult to integrate information from all hospital departments into a single hospital
information system?
a. Individual departments want to obtain & maintain specialized systems
b. Hospital departments are organized along vertical lines while the continuum of care for patients
flows along horizontal lines
c. Patient care systems & financial management systems are incompatible with each other
d. Each department is required by law & the Joint Commission on Accreditation of Hospitals& Health
Care Organizations to maintain specific information for billing & accreditation purposese. Individual
departments do not see the value in comprehensive patient records - answer b. Hospital
departments are organized along vertical lines while the continuum of care for patients flows along
horizontal lines
The nurse understands that nursing informatics is recognized as a specialty area of practice by which
statement? (CO 7)
There is a need for nursing informatics interests to gain representation by work groups and
organizations within the United States.
The use of information and computer technology as a tool to process information to support all
areas of nursing, including practice, education, administration and research.
A formal educational program at the master's level must be completed before a nurse is eligible to
sit for the credentialing examination.
As a differentiated practice, nursing informatics is focused upon the client, the environment, health,
and the nurse. - answer The use of information and computer technology as a tool to process
information to support all areas of nursing, including practice, education, administration and
research.
Which statement by the nurse verifies that the nurse is "information literate"? (C0 1)
"I can use software applications such as word processing, spreadsheets, and presentations." "I utilize
databases in the health care setting to input client information such as skin condition."
"I use email over the Internet to correspond with clients and provide information."
,"I understand how to search for a website and evaluate its usefulness for health care needs." -
answer "I understand how to search for a website and evaluate its usefulness for health care needs."
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
Lab work results include an electrolyte panel and complete blood count with differential.
After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported feeling
better today.
The client is a widowed 64-year-old black male admitted with prostatitis.
The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and oxygen
saturation of 98%. - answer After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the
client reported feeling better today.
Which statement best distinguishes the difference between information literacy and computer
literacy? (CO 1)
Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to
access data.
A nurse can extrapolate data with computer literacy and not information skills.
Information literacy forms the basis for ongoing learning whereas computer literacy refers to a
familiarity with the use of personal computers.
Information literacy is unnecessary in health care whereas computer literacy provides the basis for
computer order entry. - answer Information literacy forms the basis for ongoing learning whereas
computer literacy refers to a familiarity with the use of personal computers.
Which statement regarding pressures that drive the health care delivery system today is not
accurate? (CO 7)
, Evidence-based practice is supported with technology that enables the health care provider to utilize
up-to-date research findings.
Managed care may utilize disease management to identify clients with chronic conditions, and treat
them effectively to minimize complications and cost.
The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
Medication errors and adverse events may be reduced with the implementation of computerized
physician order entry (CPOE). - answer The current and projected nursing shortage may be
eliminated by instituting technology enhancements in the acute care setting.
Which action indicates the nurse is functioning as a knowledge worker? (CO 1)
The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals up the intake of 1040
ml and the output of 1100 ml, and records these data in the electronic medical record. The nurse
auscultates hypoactive bowel sounds while doing a client assessment eight hours
postoperatively after abdominal surgery and documents the assessment in the electronic medical
record.
The nurse auscultates diminished breath sounds in a postoperative client the morning after
abdominal surgery and encourages the client to turn, cough, and deep breathe every hour instead of
every two hours.
The nurse administers four units of regular insulin to the client whose blood glucose is 240 at 11:30
a.m. per physician's sliding scale orders and documents it on the electronic medical administration
record. - answer The nurse auscultates diminished breath sounds in a postoperative client the
morning after abdominal surgery and encourages the client to turn, cough, and deep breathe every
hour instead of every two hours.
Which of these is an advantage in the use of Personal Digital Assistants (PDAs) in the health care
setting? (CO7)
Data loss is minimized due to long battery life and ease of backups.
