NURS 442 - Nursing Informatics

Lecture 1
Wurud
Multiple Choice Questions

1. A nurse uses technology to update patient records, manage hospital schedules, and educate
clients about diabetes. What areas of nursing informatics is this nurse applying?
a) Patient care, health care facility administration, education of nurses and clients
b) Research, documentation, ergonomics
c) Monitoring, health promotion, legal issues
d) Ethics, communication, decision-making

2. What is the primary definition of nursing informatics?

a) A field combining nursing and computers
b) Only computer science
c) Management of hospital budgets
d) Patient entertainment systems

3. A nurse in a simulation lab uses a digital tool to analyze patient data and adjust care plans.
Which skill is this nurse developing?
a) Describing the role of information technology
b) Discussing data, information, and knowledge
c) Employing healthcare informatics applications
d) Identifying ergonomic benefits

4. How does informatics support data-driven decision-making in nursing practice?

a) By ignoring patient data
b) Nurses gather, analyze, and interpret data for informed decisions
c) Through manual charting only
d) By reducing communication

5. What is a key benefit of Electronic Health Records (EHRs) in nursing informatics?

a) Provide a comprehensive and secure repository of patient information
b) Increase paperwork
c) Limit data access
d) Replace nurse training

6. In a scenario where a nurse uses mHealth apps to monitor a patient remotely, what challenge
might arise?
a) Enhanced efficiency
b) Data security and privacy concerns
c) Better patient outcomes
d) Improved communication

7. Which technology is described as combining computer science and information science?

a) Informatics
b) Medicine
c) Nursing
d) Ergonomics

8. What is the role of Clinical Decision Support Systems (CDSSs) according to the slides?
a) Provide evidence-based guidelines and alerts for decision-making
b) Manage hospital budgets
c) Replace all nursing staff
d) Focus on patient entertainment
9. In a hospital setting, a nurse identifies a trend in patient falls using data analytics. This
demonstrates which benefit?
a) Improved patient safety
b) Increased costs
c) Reduced efficiency
d) Limited communication

10. What is a major challenge associated with implementing informatics systems?

a) Requires significant financial investment and IT support
b) No training needed
c) Automatic adoption
d) Minimal security concerns

11. A nurse adjusts their workstation to avoid back pain during long hours of EHR use. What skill
is being applied?
a) Legal responsibility
b) Importance of ergonomics
c) Data interpretation
d) Technology management

12. In a scenario where a nurse uses the Internet to research treatment options for a patient during
a telehealth session, what skill is demonstrated?
a) Ethical decision-making
b) Using technology for health information access
c) Managing data systems
d) Product development

13. What future trend involves AI assisting in patient monitoring?

a) Internet of Things (IoT)
b) Artificial Intelligence (AI)
c) Virtual Reality (VR)
d) Big Data Analytics

14. Which tool empowers nurses to manage tasks remotely?

a) EHRs
b) mHealth Apps
c) CDSSs
d) Data Analytics Tools

15. What is the primary ethical responsibility of nurses in relation to information systems?
a) Privacy and confidentiality
b) Public data sharing
c) Ignoring data breaches
d) Reducing documentation

16. In a scenario where a nurse synthesizes glucose data to adjust a patient’s insulin, what level of
understanding is achieved?
a) Data
b) Information
c) Knowledge
d) Ethics

17. Which professional role is highlighted for transforming patient care?

a) Nurse informaticist
b) Physician
c) Administrator
d) Vendor

18. What is a benefit of informatics tools in enhancing patient care?

a) Streamline workflows and ensure continuity of care
b) Increase manual tasks
c) Limit communication
d) Reduce patient outcomes
 19. Which technology involves real-time data collection from devices?
a) EHRs
b) IoT
c) CDSSs
d) mHealth

20. What challenge is associated with staff using informatics tools?

a) Adequate training and ongoing support
b) Automatic proficiency
c) No need for updates
d) Reduced workload

21. In a scenario where a nurse uses wearable health devices for monitoring, which technology is
involved?
a) Robotics
b) Telehealth
c) AI
d) All of the above

True / False Questions

1. Data analytics in nursing focuses only on reducing costs, not improving patient outcomes.

Answer: False

Why: The main goal is to improve patient outcomes and safety by detecting trends.

2. AI and wearable devices are examples of informatics tools that enhance patient monitoring.

Answer: True

Why: These tools allow real-time data collection to improve care.

3. Distance learning and computer-assisted instruction are examples of using informatics in nursing
education.

Answer: True

Why: Informatics supports modern teaching methods like e-learning.

4. Interoperability ensures smooth data exchange between different healthcare systems.

Answer: True

Why: It enables seamless integration of patient records across platforms.

5. Clinical Decision Support Systems (CDSS) use evidence-based practice to guide decision-making.

Answer: True

Why: CDSS provides alerts and recommendations based on clinical research.

6. Data Analytics in nursing focuses only on individual patient care.

Answer: False

Why: It also analyzes population health trends to improve overall care quality.
 7. Nursing informatics combines only nursing and computer science, excluding information
science. (True/False)
Answer: False

8. Informatics tools can improve patient outcomes by ensuring continuity of care. (True/False)
Answer: True

9. Ergonomics is not important for preventing health problems when using computers. (True/False)
Answer: False

10. Data is interpreted and organized to become knowledge without synthesis. (True/False)
Answer: False

11. A nurse can use informatics tools to enhance bedside practice in patient care. (True/False)
Answer: True

Matching Questions[ from quizlet ]

Term (1-10) Description (a-j)

1- EHRs G A- Enhances patient education

2- CDSSs I B- Combines nursing and computers

3- mHealth Apps E C- Real-time data collection

4- Data Analytics J D Synthesized information with interrelationships

5- IoT C E- Remote access and task management

6- AI F F- Assists in patient monitoring

7- VR/AR A G- Comprehensive and secure patient information repository

8- Ergonomics H H- Prevents health problems from computer use

9- Informatics B I- Evidence-based guidelines and alerts

10- Knowledge D J- Identifies trends and patterns

Listing Questions
Q1. List four benefits of nursing informatics in patient care:

Answer:

1. Enhances patient safety

2. Reduces medical errors
3. Improves care efficiency
4. Supports data-driven decisions

Why: These benefits improve patient outcomes and quality of care.

Q2. List four applications of computers in nursing education:

Answer:

1. Online distance learning

2. Access to literature and databases
3. Computer-assisted simulations
4. Student record management

Why: Technology enhances nursing education efficiency and accessibility.

Q3. List three future trends in nursing informatics:

Answer:

1. Artificial Intelligence (AI)

2. Internet of Things (IoT)
3. Data Analytics

Why: These technologies are shaping the future of nursing informatics

Fill in the Blank Questions [ from quizlet ]

1. tools help nurses identify trends and patterns in patient data.

Answer: Data Analytics

2. Nursing informatics involves the management and processing of nursing , information,

and knowledge.
Answer: data

3. The nurse informaticist plays a key role in transforming care.

Answer: patient

Scenario-Based Questions
Q1. An EHR alerts a nurse about a dangerous drug dose based on lab values. Which system
triggered the alert?

A. Telehealth platform
B. CDSS
C. Big Data dashboard
D. IoT wearable

Why: CDSS uses lab data and guidelines to provide real-time alerts.
Q2. A hospital uses wearable devices to track heart rate and oxygen levels in real time. This
represents which future trend?

A. AI
B. IoT
C. Robotics
D. AR/VR

Why: IoT enables continuous, real-time patient monitoring.

Q 3 : A hospital wants to analyze trends in patient falls across multiple units to implement preventive
strategies. Which informatics tool is most appropriate?

A. Wearable devices
B. Data Analytics
C. Mobile Health Apps
D. Virtual Reality Training

Why: data tools analyze large datasets to identify patterns and reduce patient falls.
 Nursing Informatics Lecture 2 Questions

Ghada
1. What is Telehealth?
A) Using technology to deliver healthcare
B) A new type of hospital
C) A way to play online games
D) A kind of medicine

✓ Correct answer: A
P

2. Which tool can be used now for Telehealth?

A) Microwave
B) Cell phone with a camera
C) Washing machine
D) Printer

✓ Correct answer: B
P

3. Nursing Informatics is a combination of:

A) Physics, Chemistry, Biology
B) Computer science, Information science, Nursing science
C) History, Geography, Sociology
D) Art, Music, Dance

✓ Correct answer: B
P

4. One role of Nursing Informatics is to:

A) Cook for patients
B) Prepare nursing students in computer skills
C) Drive ambulances
D) Paint hospital walls

✓ Correct answer: B
P

5. Why is confidentiality important in Nursing Informatics?

A) To protect patient records
B) To make exams easier
C) To design better uniforms
D) To decorate classrooms

P Correct answer: A
✓

6. System analysis and design includes:

A) Playing games
B) Process flow charting
C) Sleeping in class
D) Buying food

✓ Correct answer: B
P
7. System implementation needs:
A) Policies and training
B) Cooking lessons
C) Music and dancing
D) Shopping

P Correct answer: A
✓

8. System testing and evaluation helps to:

A) Measure goals and improve accuracy
B) Watch movies
C) Eat lunch
D) Travel abroad

✓ Correct answer: A
P

9. System Testing and Evaluation Which factors are used to evaluate a new hospital
system?

a) Color and design

b) Speed, accuracy, efficiency

c) Patient mood

d) Nurses’ uniforms

✓ Answer: b)
P

10. Computer Technology Which component is most affected if the network fails?

a) Patient records

b) Cafeteria food

c) Hospital walls

d) Nurse shoes

✓ Answer: a)
P

11. Professional Practice Which two are essential for protecting patient rights?

a) Privacy and Ethics

b) Colors and Shapes

 c) Food and Drinks

d) Lights and Sounds

P Answer: a)
✓

12. Quality Nursing Informatics about Care Why is accurate information important in
patient care?

a) To make charts pretty

b) To reduce medical errors

c) To save money

d) To entertain patients

✓ Answer: b)
P

13. Quality Nursing Informatics about Care Decision Support in nursing is important
because it:

a) Provides fun activities

b) Helps in clinical decisions

c) Changes hospital colors

d) Reduces noise in wards

✓ Answer: b)
P

14. Information to Support the Care Process Why is documenting allergies important?

a) To prevent dangerous drug reactions

b) To make charts colorful

c) To save papers

d) To reduce nurse workload

✓ Answer: a)
P
15. Information to Support the Care Process

Why should test results be reviewed before treatment?

a) To ensure correct diagnosis and plan

b) To decorate reports

c) To reduce printing costs

d) To follow tradition

✓ Answer: a)
P

16. Information to Support the Care Process

Why is discharge planning important?

a) To ensure quality care continues after leaving hospital

b) To finish work early

c) To save money for hospital

d) To reduce paperwork

✓ Answer: a)
P
Nursing Informatics Chapter 3 |
Jood , nouf
1. Which technology specifically improves accuracy of patient
identification?
A) Smart IV pumps
B) Bar codes and RFID
C) Electronic bedside documentation
D) Decision-support software
2 Which IT safeguard directly reduces medication transcription
errors by allowing providers to enter orders electronically?
A) Computerized physician order entry (CPOE)
B) E-prescribing
C) Decision-support software
D) Automated staff scheduling
3. What is a key advantage of CPOE in patient safety?
A) Reduces patient identification time only
B) Integrates clinical decision support to prevent dosage errors
C) Works only when nurses double-check orders manually
D) Limits access to electronic records
4. The main benefit of e-prescribing compared with handwritten
prescriptions is:
A) Lower initial training cost
B) Fewer errors and faster fill time
C) Eliminates need for patient insurance info
D) Works only offline
5, Which tool analyzes lab values and patient-specific data to help
nurses triage safely?
A) Decision-support software (DSS)
B) Bar codes
C) Automated drug dispensing
D) RFID
6. Technology can’t solve a nursing shortage, but it helps by:
A) Automatically hiring more nurses
B) Providing double-check systems to prevent errors
C) Reducing patient census
D) Increasing nurse-to-patient ratio
 7. The shift from task-based to knowledge-based work in nursing
is enabled by:
A) Paper charting
B) Standardized nursing language and electronic records
C) Higher nurse turnover
D) Manual scheduling
8. IT environments that help retain aging nurses primarily:
A) Reduce clinical decision-making
B) Lower patient satisfaction
C) Increase manual paperwork
D) Track devices and cut wasted steps
9. Evidence-based practice in informatics requires nurses to:
A) Rely on intuition alone
B) Perform literature searches and evaluate research
C) Ignore clinical research
D) Wait for physician instructions only
10. Informatics helps nurses apply genomics by:
A) Providing financial counseling
B) Identifying clients who need genetic referrals
C) Reducing medication costs
D) Limiting lab testing
11. Using smart IV pumps mainly improves:
A) Medication administration safety
B) Patient genetic screening
C) Staff attendance
D) Course registration
12. Achieving magnet hospital status is supported by IT through:
A) Eliminating nursing education
B) Supporting evidence-based practice and interdisciplinary
communication
C) Restricting consumer transparency
D) Avoiding technology in patient safety
13. Consumer transparency in healthcare means patients can:
A) Compare quality and cost of care
B) Access only paper records
C) Depend solely on physician choice
D) Avoid electronic communication
 14. Online report cards allow consumers to:
A) Calculate nurse salaries
B) Schedule entertainment events
C) Compare quality data on providers and facilities
D) Access private staff e-mails
15. Remote clinical monitoring typically includes:
A) Only hospital-based blood pressure checks
B) Home reminders for glucose, weight, or cardiac rhythm
C) Paper-based surveys
D) Social media tracking
16. Successful disease management requires:
A) Minimal patient participation
B) Active provider–consumer communication and health literacy
C) Eliminating treatment decisions
D) Solely pharmaceutical interventions
17. Electronic records speed research mainly by:
A) Shortening data collection and analysis time
B) Increasing duplication of data
C) Reducing patient confidentiality
D) Eliminating peer review
18. One major consumer benefit of nursing informatics is:
A) Increased medication time
B) Elimination of electronic documentation
C) Improved access to health information
D) Higher administrative cost
19. Which is not an element of standards for nursing informatics
practice?
A) Formal educational programs
B) Credentialing process
C) Defined research priorities
D) Total elimination of patient records
20. Work lists for nursing interventions and automatic billing are
examples of informatics in:
A) Nursing administration
B) Nursing practice
C) Nursing education
D) Nursing research
 21. A hospital wants to reduce medication errors while also
tracking every dose from pharmacy to patient’s bedside. They
need a system that links the physician’s electronic order, verifies
the drug at dispensing, and finally confirms administration at the
correct time, dose, and patient.
Which single technology best ensures this full “closed-loop”
medication safety?
A) Remote clinical monitoring
B) Smart IV pumps alone
C) Bar-code medication administration (BCMA) integrated with
electronic records
D) Decision-support software only
22. A hospital nurse receives a stat order for IV antibiotics.
Instead of handwriting it, the physician enters it directly into the
hospital information system. The system immediately warns about
a potential drug–drug interaction.
Which technology best explains this prevention?
A) Bar code scanning
B) Computerized physician order entry (CPOE) with clinical decision
support
C) Automated staff scheduling
D) Remote clinical monitoring
23. Nurse Fatimah, age 62, feels knee pain after long shifts. The
hospital installs real-time location tracking to find devices quickly
and reduce unnecessary walking.
This change mainly supports which goal?
A) Retaining aging nurses through smart technology
B) Reducing patient census
C) Improving genetic screening
D) Automating physician scheduling
24. An elderly diabetic patient is discharged but continues to send
daily blood glucose readings from home. The care team receives
automated alerts if readings are abnormal.
Which nursing informatics application does this represent?
A) Decision-support software inside the hospital
B) Remote clinical monitoring
C) Genomics-based screening
D) Manual disease management
 25. A unit develops a new wound-care protocol. Before
implementation, nurses search current databases, evaluate high-
quality research, and use an online tool to create standardized
care plans.
Which concept is illustrated?
A) Magnet hospital status only
B) Evidence-based practice supported by nursing informatics
C) Automated staff scheduling
D) Consumer transparency
True & False
1. By using computerized physician order entry, potential dosage
mistakes, allergies, and drug–drug conflicts can be flagged
automatically.
Correct answer: True

2. Home-based monitoring devices that alert the care team to

abnormal values are a key example of informatics in chronic
disease management.
Correct answer: True

3. Informatics can entirely replace a nurse’s clinical judgment by

automating every care decision.
Correct answer: False

4. Decision-support software (DSS) can combine lab values and

patient-specific data to generate clinical alerts.
Correct answer: True

5. Informatics can entirely replace a nurse’s clinical judgment by

automating every care decision.
Correct answer: False
 NURS 442 - Nursing Informatics Lecture 4
Noor

1. Which of the following is the “brain” of the computer?

A. RAM

B. CPU

C. ROM

D. Hard drive

⬛ Answer: B
✓

2. Which component allows the user to feed data into a computer?

A. Output devices

B. Input devices

C. CPU

D. Software

✓ Answer: B
⬛

3. Which of the following is an input device?

A. Printer

B. Keyboard

C. Speaker

D. Projector

✓ Answer: B
⬛

4. Which device allows the user to view processed data?

A. Scanner

B. Mouse

C. Monitor

D. Microphone
 ✓ Answer: C
⬛

5. ROM is a type of:

A. Temporary storage

B. Permanent storage

C. Input device

D. Output device

✓ Answer: B
⬛

6. RAM stands for:

A. Read-only memory

B. Random access memory

C. Real active memory

D. Readable automatic memory

✓ Answer: B
⬛

7. A byte is composed of:

A. 4 bits

B. 8 bits

C. 10 bits

D. 16 bits

✓ Answer: B
⬛

8. 1 Megabyte equals approximately:

A. 1,000 bytes

B. 1,024 bytes

C. 1,048,576 bytes

D. 1,000,000 bits

✓ Answer: C
⬛
9. Secondary storage retains data:

A. Only when power is on

B. Even when the computer is off

C. Only during processing

D. Only in RAM

⬛ Answer: B
✓

10. Which of the following is a secondary storage device?

A. CPU

B. USB flash drive

C. Keyboard

D. Monitor

✓ Answer: B
⬛

11. Which device produces sound output?

A. Keyboard

B. Speaker

C. Scanner

D. Mouse

✓ Answer: B
⬛

12. Software is defined as:

A. Physical part of a computer

B. Set of instructions to direct the computer

C. Output component

D. Memory unit

⬛ Answer: B
✓
13. Which of the following is an example of an operating system?

A. Word

B. Excel

C. Windows

D. PowerPoint

✓ Answer: C
⬛

14. Application software is used to:

A. Manage computer operations

B. Perform specific user tasks

C. Translate programming language

D. Store data permanently

✓ Answer: B
⬛

15. Utility programs help to:

A. Manage data and computer performance

B. Create documents

C. Process numbers

D. Control hardware

✓ Answer: A
⬛

16. An interpreter translates:

A. All instructions at once

B. Each instruction line by line

C. Only numeric instructions

D. Data into hardware

✓ Answer: B
⬛
17. A compiler translates:

A. Line by line

B. A group of instructions at once

C. Only system files

D. Output to input

✓ Answer: B
⬛

18. Example of a file extension for Microsoft Word:

A. .ppt

B. .xls

C. .doc

D. .txt

✓ Answer: C
⬛

19. The extension “.xls” refers to:

A. PowerPoint

B. Excel

C. Word

D. Access

⬛ Answer: B
✓

20. The file name “Project.ppt” was created in:

A. Word

B. Excel

C. PowerPoint

D. Access

✓ Answer: C
⬛
21. The bootstrap loader program is located in:

A. RAM

B. Hard drive

C. ROM

D. CPU

✓ Answer: C
⬛

22. Supercomputers are mainly found in:

A. Homes

B. Schools

C. Government or academic settings

D. Offices

✓ Answer: C
⬛

23. Mainframe computers are used in:

A. Large hospitals and businesses

B. Personal use

C. Home entertainment

D. Schools only

✓ Answer: A
⬛

24. Minicomputers are:

A. Larger than mainframes

B. Used by multiple users

C. Only for one person

D. Slower than personal computers

✓ Answer: B
⬛
25. A desktop computer is also called:

A. Minicomputer

B. Microcomputer

C. Mainframe

D. Supercomputer

✓ Answer: B
⬛

26. A laptop is:

A. Stationary computer

B. Portable version of desktop

C. Mainframe

D. PDA

⬛ Answer: B
✓

27. A PDA is used to:

A. Play games

B. Keep appointments and contacts

C. Process huge data

D. Connect networks

⬛ Answer: B
✓

28. Smartphones combine PDA functions with:

A. Fax machines

B. Cell phones and media players

C. Printers

D. Scanners

✓ Answer: B
⬛
29. A network connects computers for:

A. Data communication and sharing

B. Hardware storage

C. Isolated use

D. Gaming only

✓ Answer: A
⬛

30. LAN covers:

A. Small geographic area

B. The entire world

C. Multiple countries

D. The Internet

✓ Answer: A
⬛

31. WAN covers:

A. Limited area

B. Multiple servers across large regions

C. Home networks

D. One office only

✓ Answer: B
⬛

32. The Internet is the:

A. Largest network

B. Smallest network

C. Local network

D. None of the above

✓ Answer: A
⬛
33. Ergonomics focuses on:

A. Software performance

B. Designing work environments for comfort and efficiency

C. Hardware speed

D. Translation software

⬛ Answer: B
✓

34. Which factor should be considered when choosing a computer system?

A. Budget and maintenance

B. Fashion

C. Brand color

D. Sound only

✓ Answer: A
⬛

35. Utility programs are also known as:

A. Operating systems

B. Support software

C. Storage units

D. Hardware tools

✓ Answer: B
⬛

36. The control unit of CPU:

A. Performs calculations

B. Manages and directs operations

C. Stores data

D. Transfers files

✓ Answer: B
⬛
37. The ALU in CPU handles:

A. Logical and arithmetic operations

B. File naming

C. Software installation

D. Data transfer only

✓ Answer: A
⬛

38. Future technology will become:

A. Bigger and harder to use

B. Easier, smaller, and more widespread

C. Obsolete

D. Manual

⬛ Answer: B
✓

39. Support personnel roles in informatics will:

A. Decrease

B. Stay the same

C. Continue to grow and evolve

D. Disappear

✓ Answer: C
⬛

40. Which of the following represents a combination of hardware and software?

A. Network

B. CPU

C. RAM

D. Monitor

⬛ Answer: A
✓
True or False :

1. The CPU is responsible for displaying output on the screen. +

2. ROM is a temporary type of memory. +
3. The Internet is an example of a Wide Area Network. ⬛ ✓
4. Ergonomics aims to reduce fatigue and improve productivity. ⬛ ✓
5. Utility programs are designed for specific user tasks like word processing.+

Matching:

A. Match each term with its correct description:

Column A Column B
1. Input device. a. Allows data to be entered into computer
2. Output device b. Displays or presents processed data
3. CPU c. The “brain” of the computer
4. Secondary storage d. Retains data even when computer is off

✓ Answers: 1-a, 2-b, 3-c, 4-d

⬛

B. Match the type of software with example:

Column A Column B
1. Operating system a. Windows
2. Application software b. Word
3. Utility program c. Disk cleanup
✓ Answers: 1-a, 2-b, 3-c
⬛

C. Match the computer type with its description:

Column A Column B
1. Supercomputer a. Used in government and research
2. Mainframe b. Used in large hospitals
3. Minicomputer c. Supports multiple users
4. Personal computer d. For individual use
✓ Answers: 1-a, 2-b, 3-c, 4-d
⬛

D. Match the network type with its definition:

Column A Column B
1. LAN a. Limited geographic area
2. WAN b. Large area with multiple servers
3. Internet c. The largest global network

✓ Answers: 1-a, 2-b, 3-c

⬛
Lecture 5
Hanan

Section 1: Core Concepts and Definitions (Q1-Q10)

Q1. Scenario: A nurse is exchanging encrypted patient reports
that exceed the 50 MB limit imposed by the hospital's e-mail
server. The nurse must send this file securely to a remote
specialist.
Which Internet service would be the most appropriate and
secure means to achieve the actual movement of this large file?
A. Instant Messaging (IM)
B. Remote Log-on
C. File Transfer Protocol (FTP)
D. Usenet News Groups
C . Transfer Protocol (FTP)

Q2. Which term describes the electronic exchange of messages

and computer files between computers connected to the Internet
or another network?
A. World Wide Web (Web)
B. Remote Log-on
C. Electronic Mail (E-mail)
D. File Transfer Protocol (FTP)
C. Electronic Mail (E-mail)

Q3. A nurse is using a software program that retrieves hypertext

and hypermedia documents on the World Wide Web using the
Hypertext Transfer Protocol (HTTP). What type of program is
the nurse using?
A. A Modem
B. A Browser
C. A Hyperlink
D. A Wiki
B. A Browser

Q4. The component of an e-mail message that allows the user to

list recipients whose addresses are hidden from all other
recipients is known as:
A. Carbon Copy (CC)
B. Signature
C. Blind Carbon Copy (BCC)
D. Header
C. Blind Carbon Copy (BCC)

Q5. Which type of organization is indicated by the domain

ending .org in an e-mail address or URL?
A. Government
B. Educational organization
C. Network organization
D. Non-profit organization
D. Non-profit organization

Q6. Which communication device is essential for transmitting

data over telephone, cable lines, or satellite from one computer
to another by converting digital signals to analog and vice versa?
A. Internet Protocol (IP)
B. Modem
C. Fixed Network Connection
D. Personal Digital Assistant (PDA)
B. Modem

Section 2: Electronic Communication Services and Application

(Q11-Q20)

Q7. Application: A nurse wants to quickly check if a colleague

in another unit is available for a consultation without
interrupting them with a phone call. Which Internet service,
characterized as an interactive, real-time text discussion, would
be most efficient?
A. Electronic Mail (E-mail)
B. Remote Log-on
C. Instant Messaging (IM)
D. Listserv Discussion Group
C. Instant Messaging (IM)

Q8. Analysis: In a large university nursing program, a professor

needs to send updates and assignments to all 50 subscribed
students, ensuring that every student receives the message
directly in their inbox.
Which type of Internet discussion group is characterized by this
mass e-mail delivery to all subscribers?
A. Usenet News Group
B. Wiki
C. Discussion Group (Listserv or Mailing Group)
D. Blog
C. Discussion Group (Listserv or Mailing Group)

Q9. Comparison: Unlike the service in the previous question, a

News (Usenet) Group is characterized by:
A. The mandatory use of a modem for access.
B. Requiring all subscribed users to receive mass e-mails.
C. Allowing users to read and contribute to discussions
selectively without mass e-mails.
D. Being useful only for file transfer.
C. Allowing users to read and contribute to discussions
selectively without mass e-mails

Q10. Application: A hospital administrator needs to access

patient scheduling files stored on a secure server at the hospital's
central office while working from home.
Which Internet service would the administrator use to
accomplish this task, provided they have an established account?
A. Database Searches
B. Remote Log-on
C. Instant Messaging (IM)
D. File Transfer Protocol (FTP)
B. Remote Log-on

Q11. Scenario: A nursing student is conducting an evidence-

based practice literature review and needs to perform a
comprehensive search of professional articles over a short
period.
Which Internet resource would allow the student access to
comprehensive literature searches over a shorter period of time,
typically found in university libraries?
A. Wiki-pages
B. Discussion Groups
C. Database Searches
D. Commercial .com websites

C. Database Searches

Q12. Scenario: An Informatics Nurse Specialist needs to access

a secure database containing national quality metrics for
comparative analysis. This is done to establish best practices.
Accessing this "benchmarking" information is an example of
which aspect of electronic communication's utility in healthcare?
A. Education
B. Marketing
C. Utility in Healthcare
D. Malware protection
C. Utility in Healthcare

Section 3: Security, Ethics, and Evaluation (Q21-Q35)

Q13. High-level Application: A major ethical concern in

healthcare informatics, driven by the increased access to
information via the Internet, is that:
A. Internet Service Providers (ISPs) charge too much for access.
B. Consumers may hear of new health findings and treatments
more rapidly than professionals.
C. The content on the Internet is too rigidly controlled and
censored.
D. All internet traffic will lead to a "collapse" of the network.

Q14. Scenario: Netiquette: A nurse receives a lengthy e-mail

chain containing a non-work-related joke that has been
forwarded many times. To prevent overwhelming others and
maintain professional decorum, the nurse chooses not to forward
it to his entire contact list.
This decision aligns with avoiding which e-mail concern?
A. Spam
B. Malware
C. Improper use—lack of netiquette
D. Data integrity threat
C. Improper use—lack of netiquette

Q15. Analysis: A key difference between a Virus and a Worm is

that both are types of malware, but the slides specifically list
them as examples of:
A. E-mail components.
B. Malicious computer programs that wreak havoc or steal
information.
C. Acceptable uses of e-mail.
D. Components of a URL.
B. Malicious computer programs that wreak havoc or steal
information

Q16. Scenario: Security Mitigation: A nurse is told that a file

attachment in an e-mail is required for a project but may contain
a computer virus. What two specific actions are recommended
for protecting data integrity in this situation?
A. Using a different URL and a Wiki.
B. Applying a new domain name and a Listserver.
C. Scanning and Encryption (coding).
D. Utilizing a modem and a fixed network connection.
C. Scanning and Encryption (coding)

Q17. Analysis: Beyond the quality of information and security

threats, which structural issue is cited as a major Internet-related
concern?
A. Overwhelming e-mail volume (spam).
B. Too much traffic leading to a possible "collapse" of the
network.
C. The lack of a graphical user interface (GUI).
D. The difficulty in establishing an e-mail account.
B. Too much traffic leading to a possible "collapse" of the
network

Q18. High-level Evaluation: When evaluating a clinical

guideline found on a new website, the nurse finds that while the
content is accurate and the credentials of the authors are listed,
the last revision date is eight years ago, and several key links are
broken.
The website fails to meet the evaluation criteria for:
A. Intended purpose and intended audience.
B. Bias or sponsorship and site accreditation.
C. Currency (date of issue/revision) and current links.
D. Ease of navigation and disclaimer statement.
C. Currency (date of issue/revision) and current links

Q19. Scenario: Cybercrime: Organizations like ICANN attempt

to harmonize international laws related to complex global issues,
which include hacking, fraud, and child pornography.
Collectively, these issues are referred to as:
A. Netiquette Violations
B. Cybercrime
C. World Wide Web (Web) Standards
D. Internet Protocol Disputes
B. Cybercrime

Q20. Synthesis: Which feature of the World Wide Web (Web)

differentiates it from earlier, simpler forms of information
exchange by allowing for non-sequential exploration of content?
A. The requirement for a specific URL structure.
B. The use of a modem.
C. The support for a nonlinear approach.
D. The restriction of content to only text-based documents
C. The support for a nonlinear approach

Q21. Application: A nurse wants to find a free, internet-based

service that allows a remote clinic to access a database at the
hospital. This service requires the user to have an established
account to access the computer facilities from a separate
location. This service is an example of:
A. Instant Messaging (IM)
B. Remote Log-on
C. The Internet Society
D. World Wide Web (Web)
B. Remote Log-on
 NURS 442 – Lecture 6: Informatics

Remas

Matching Questions:

True or False (5 Questions):

Multiple Choice Questions:
1. Which of the following is not one of the four phases of the information
system life cycle?
A. Needs assessment
B. System selection
C. Implementation
D. Evaluation
Answer: D

2. Who initiates the needs assessment process?

A. Steering committee
B. Someone with a vision of the future
C. IT manager
D. Consultants
Answer: B

3. Which of the following is not a quality of an effective consultant?

A. Credibility
B. Lack of flexibility
C. Communication skills
D. Leadership in a team environment
Answer: B

4. Understanding the current system involves:

A. Ignoring old data
B. Observing and interviewing users
C. Replacing all old records
D. Keeping all information regardless of relevance
Answer: B

5. Which of the following is not a technical criterion in system

requirements?
A. Response time
B. Test environment
C. Report capabilities
D. Hardware and software compatibility
Answer: C
6. Which of the following best represents the Medical Records Criteria in the
Needs Assessment phase?
A. Generates detailed billing summaries on demand
B. Allows entry of client’s insurance verification
C. Provides support for automatic coding of diagnoses and procedures
D. Produces client payment reports for accounting purposes
Answer: C

7. Assigning each client a unique identifier is part of:

A. Administrative criteria
B. Registration criteria
C. Order entry criteria
D. Accounting criteria
Answer: B

8. Which phase involves sending a Request for Proposal (RFP)?

A. Needs assessment
B. System selection
C. Implementation
D. Maintenance
Answer: B
Lecture 1: Informatics in health care professions
1. Question: List four uses of computers in Nursing Practice.
Answer:
• Bedside Data Entry (medication record etc)
• Computer-Based Patient Records
• Client Monitoring- Local and Distant
• Practice Management (scheduling)

2. Question: Define Data and Information.

Answer:
• Data: discrete entities that are described objectively without interpretation.
• Information: data that are interpreted, organized, or structured.

Lecture 3: Uses And Applications of Nursing Informatics

1. Question: What technologies are used to improve the accuracy of patient
identification?
Answer:
• Bar codes
• Radiofrequency identification (RFID)

2. Question: List four technologies that are used to reduce medication errors.
Answer:
• Computerized physician order entry (CPOE)
• Automated drug dispensing systems
• Smart IV pumps
• Electronic medical records

Lecture 4: Hardware, Software, and the Roles of Support Personnel

1. Question: What are the main components of computer hardware?
Answer:
• Input devices
• The central processing unit
• Secondary storage devices
• Output devices

2. Question: What are the two major types of software?

Answer:
• Operating systems
• Application software
Lecture 5: Electronic Communication And The Internet
1. Question: List four Internet Services and Resources.
Answer:
• E-mail
• File transfer
• Database searches
• Remote log-on

2. Question: Electronic communication may be accomplished through which ways?

Answer:
• Fixed network connections
• Modem
• Mobile devices such as cell phones, PDAs, and wireless networks

Lecture 6: Healthcare Information systems

1. Question: What are the two types of Information Systems?
Answer:
• Clinical information systems (CISS)
• Administrative systems

2. Question: What are the purposes of Computerized Physician Order Entry (CPOE)
systems?
Answer:
• Speed up the process of executing orders
• Reduce errors from illegible handwriting
• Provide a standardized and complete order
• Allow for check for drug interactions and allergies