1.

A doctor receives an urgent phone call from a nurse caring for a patient while the doctor
is at a coffee shop ordering breakfast. How should the doctor proceed to prevent a
possible violation of HIPPA?
d. The doctor should ask the nurse to text him rather than calling as the doctor is
in a public location and unable to speak with the nurse on the phone at this time.

2. During a recent review for a clinical documentation improvement for an ambulatory

surgery center a nurse observed that the incorrect current procedural terminology (CPT)
codes have been entered for over 100 outpatient procedures. Which set of standards for
professional behaviors is the nurse demonstrating when reporting an occurrence to the
supervisor?
a. American Health Information Management Association (AHIMA) Code of Ethics.

3. A nurse has been asked to set up a secure data capture and collection process for the
evaluation of a practice process improvement project. Which approach should the nurse
use to help ensure data security?
a. Collect data on secure access serves.

4. Information that can be used to identify an individual is known as PHI. This information
includes addresses, medical record numbers, demographic information, and other
elements that could potentially lead to the identity of the individual. Which term is used
to reference this information?
a. Individually identifiable health information.

5. Which information technology best practice helps prevent HIPPA violations as an

organization?
a. D. Requiring devices to be password protected.

6. In which area of informatics nursing should promote the adoption of and implantation of
telehealth programs to increase access to health services belong?
a. C. Advocacy

7. What is one role a nurse can have in the formulation of health policy?
a. Representing nurses on a national task force.

8. A provider asks a nurse caring for a patient to send an update on the patient’s condition
in two hours. Which method is appropriate for the nurse to communicate this
information to the provider given the laws that protect personal health care
information?
a. Secure chat
9. In 1996, the United States passed HIPPA to modernize the flow of healthcare
information and provide stipulators to protect this information and provide stipulations
to protect this information from fraud and theft. Which information is specifically
protected under this act?
a. A patient’s test results.

10. Which federal government entity supports the adoption of health information
technology and promotes a nationwide exchange of HIPPA?
a. Office of National Coordinator

11. A worker compensation insurance company calls a clinic to verify charges for a patient. A
billing clerk verifies the patient’s charges over the phone. Which allows the clerk to
provide the patient’s information to the insurance company?
a. HIPPA Privacy Rule

12. Clinical users often request new technology applications or software features to reduce
inefficiencies. An informatics nurse specialist may receive many requests that not all can
or should be implemented. Which information should an informatics nurse specialist use
to build the business case for the technology review committee to determine which
requests should be approved?
a. The cost of implementations, the cost of maintenance, and the return on
investment.

13. What is the benefit of moving information in patient records previously stored in notes
into a form or check box?
a. Forms and checkboxes improve the reliability of data.

14. Healthcare organizations are encouraged to use standard language in the data they
collect. This allows an organization to recommend improvements based on health
information technology. What is the benefit of standardizing the data each organization
must collect answers?
a. Information can be combined from multiple organizations to research.

15. After a medication error, a workgroup is brought together to review a patient’s health
record and determine how the error reached the patient. Which type of root cause
analysis should be used in the scenario to map out the various causes that affected the
sentient even?
a. Fishbone diagram.

16. A clinical transformation group at a healthcare facility uses a flowchart to map the
process of admitting a patient from the emergency department to an impatient
a. Using a flowchart, the group can identify unnecessary steps in the admission
process.
17. When benchmarking is an appropriate evaluation method for comparing data before
and after adopting new guidelines?
a. When determining improvement in patient outcomes after a change in process.

18. The HIPPA requires reporting standards to be followed if more than 500 incidents of
unsecured PHI were released or authorized access took place. These reporting standards
require notification to both the regulatory agency as well as individuals within the
specific period. What is considered a reasonable period to file a violation report?
a. 60 days

19. In which scenario does a nurse exemplify effective documentation?

a. A nurse records medication and the patient’s response directly into a computer
workstation.

20. A nurse working at a community clinic has access to an EHR. A patient recently received
care at the clinic. The patient’s mother is calling to access the patient’s medical records.
How should the nurse respond to the matter?
a. Tell her that the clinic is unable to provide her daughter’s medical records.

21. How does the CPOE support quality patient care?

a. By checking for drug-to-drug interactions.

22. Which scenario demonstrates a CDSS best practice alert?

a. An alert is triggered before completing an electronic prescription of sildenafil
citrate for a patient who is taking isosorbide mononitrate.

23. An informatics nurse is facilitating a discussion on the differences between intranet and
extranet software with nurse managers. The nurse provides an example of organizational
formulary access (via the intranet) versus access to a drug informational portal (via the
extranet) What is the benefit of having both intranet and extranet access in the
healthcare organization?
a. It facilitates EBP.

24. Which data analytics is beneficial in addressing the hospital staffing needs of a large
medical center during holidays and weekends?
a. Predictive analytics

25. After reviewing documentation from the HER and interviewing multiple staff involved in
the process, nursing leadership has decided to make changes to the process of admitting
a patient from the ER to a medical unit. Which evaluation tool did the nurse leadership
use in this analysis?
a. Workflow chart
26. What characteristic of patient management software should the informatics nurse
validate as fundamental?
a. Adhering to legislation for policies and procedures about data privacy and
security provisions for medical information.

27. Which expectations does the HIPAA provide to protect the PHI of patients?
a. It stipulates how personally identifiable information is protected from fraud and
theft.

28. A recent report showed a sudden increase in nurses overriding medications when using
a medical dispensing machine. A nurse educator is asked to create an education plan to
address this increase. What should the nurse educator do first to assess the cause of this
sudden increase?
a. Determine the reason for overriding and validate the reasons with the nurses.

29. A nurse educator is asked to work with the nurses in the command center of a tele-ICU
to address their hesitancy in using new technology. Which benefit of tele-ICU monitoring
should be emphasized to address this hesitancy?
a. It provides consistent support and expertise.

30. A rural hospital is planning to implement teleradiology in its busy ER. What is a security
consideration in teleradiology implementation?
a. Access to patients’ images.

31. An ambulatory office uses telehealth to monitor patients with chronic illness by using in-
home technology to transmit patient data to the office. Which type of telehealth is being
used in this situation?
a. Remote patient monitoring

32. A facility has recently implemented dictation at the point of care and clinicians have
voiced satisfaction with new technology. What is the expected evaluation outcome of
implementing this feature?
a. Clinicians can immediately edit and save documents.

33. A nurse manager reviews an incident report for a medication error. The physician admits
to ignoring the EHR messages and ordering a medication the patient is allergic to. The
physician describes being desensitized to the multiple alerts received throughout the
shift. The nurse manager initiates a process improvement project aimed at preventing
alert fatigue. What is an appropriate first action for the nurse manager?
a. Organize a multidisciplinary alert management team.

34. An ICU nurse electronically captures patients’ vital signs into the EHR. What is the
benefit of the electronic capture of patient data?
a. Improving the accuracy of vital sign documentation.
35. A nurse receives a warning message when ordering blood products for a patient with
religious conflicts with blood transfusions. Which health information technology assisted
the nurse?
a. Clinical decision support (CDS)

36. Hospital staff are struggling to meet compliance with vaccine screening requirements
due to a lack of training methods such as classes, flyers, and storyboards, and nurses are
concerned about the time it will take them to review lengthy training documents. An
electronic approach to education and streamlining this process is suggested. Which
resolution is appropriate in this scenario?
a. Develop computer-based training.

37. What is an example of data mining to improve patient outcomes?

a. Generating the percentage of patients with therapeutic Hb1c.

38. Perioperative staff at a hospital use a whiteboard to manually track patients. Recently,
surgeons have complained that the turnaround time between surgical cases has
increased and blame the manual tracking system. An informatics nurse recommends
expanding the use of an existing surgical information system (SIS). What would improve
this workflow?
a. Switching to electronic boards for operating rooms.

39. A patient experiences a medical emergency while traveling. Hospital clinicians need
rapid access to the patient’s previous medical history from the out-of-state primary care
provider. Which health information technology should hospital clinicians use?
a. Transmitting data using health information exchange.

40. Hospital clinicians have voiced dissatisfaction with the multiple steps and passwords
required to access the EHRs. The informatics nurse researches the use of biometric
technology as a solution and plans to propose this technology for approval. What is a
hurdle in implementing biometric technology?
a. Implementation cost

41. Which health information system is used by imaging departments and includes
scheduling appointments, storing patients’ results, generating reports, and billing for
imaging services.
a. Radiology information system (RIS)

42. What does the acronym HIPPA stand for?

a. Health Information Portability and Accountability Act.
43. A discharge nurse recognizes patients are often disengaged in discharge education
because they are distracted and impatiently waiting to return home. Which strategy
should the nurse recommend to increase patient engagement toward discharge
education?
a. Implement a discharge readiness checklist to review throughout the hospital
stay.

44. Which expectation does the HIPPA provide to protect the health information of
patients?
a. It stipulates how personally identifiable information is protected from fraud and
theft.

45. What should a nurse assess before teaching patients information about how to care for
their health to enhance compliance and improve health outcomes?
a. Lebel of health literacy.

46. Which health literacy guidelines are associated with increased compliance for most
patients and require careful nursing consideration to prepare patient education?
a. A fifth-grade reading level is best for comprehension.

47. A patient tells a clinician they would like to have their family participate in patient
training and education what should the clinician do to leverage patient-centered care to
engage this patient’s family in patient care?
a. Ask the patient how the family should be included in the patient’s care needs.

48. A nurse is preparing to teach a patient with diabetes how to best monitor blood sugar
levels. Which factor would most likely affect this patient’s ability to understand the
educational information in the patient portal once the patient has returned home?
a. Learning preferences.

49. Which process analyzes the same data using multiple approaches to confirm data
accuracy?
a. Triangulationon method.

50. Clinical decision support tools help clinicians provide better care to their patients by
providing alerts for potential drug interactions, allergies missed documentation, and
other clinical warnings.
a. The alert should be derived from evidence-based practice.

51. Which clinical note type is exempt from being shared with patients according to the US
core Data for Interoperability (USCDI) standards?
a. Psychotherapy notes
52. A high number of data entry fields in EHRs can be overwhelming for staff and can make
it difficult to find where information should be documented. Which informatics solution
would solve this problem?
a. Documentation using drop-down menu.

53. What is the danger of using unvalidated device data in a patient’s EHRs to make clinical
decisions for patients?
a. Data maybe inaccurate

54. Which information in the patient’s EHRs, in addition to the nursing flowsheets, and
providers orders would help a nurse plan and manage fluctuations in the patient’s blood
glucose levels?
a. Intake and output records.

55. A nurse is planning the care for patients admitted to the hospital with Covid-19. Which
information in the EHRs would help the nurse plan the care for these patients?
a. The patient’s laboratory results over the last 72 hours.

56. Which information in the patient’s EHRs would help a nurse plan and manage the
patient’s post-op care after open heart surgery?
a. Providers order.

57. Which information in a patient EHR in addition to the nursing flowsheet would help a
nurse plan and manage fluctuations in the patient’s blood sugar?
a. MAR

58. Which information in patients’ electronic health records would help a nurse plan and
manage the patient’s post-op care after an appendectomy?
a. Physicians’ orders.

59. How can informatics be used to assess a person’s health literacy?

a. By evaluating a patient’s current state and determining the resources needed to
identify the level of understanding.

60. A nurse is receiving the report of a patient who will be transferred to the patient care
unit from the emergency department. The patient is experiencing SOB, severe muscle
pain, and a fever. Additional data in this patient’s electronic health record would inform
the decision to implement airborne isolation precautions on admission.
a. A nasal swab culture results indicate a pending result for COVID-19
61. During the oncoming shift rounds, a nurse receives a report that a patient with multiple
episodes of loose stool has a new lab result for a stool specimen and may need to be
placed in contact precautions. Which data in the patient’s EHR would support the nurse’s
action to place the patient on contact precautions?
a. I/O flowsheet and a positive lab result for c-diff.

62. Which information in an electronic health record would help a nurse plan the care for a
patient with COPD?
a. Complete health history

63. Which data in the patient’s EHR would support a decision to implement airborne
precautions?
a. The radiology report impression and the history and physical order the last 24
hours.

64. Which data in a patient electronic health record would inform the decision would inform
the decision to implement contact precautions?
a. The laboratory report indicates methicillin-resistant staphylococcus aureus. \

65. A patient is admitted to a hospital. The patient is reporting chills, fever, and loss of
appetite over the last seven days. Which data in this patient’s EHR would inform the
decision to implement infection control precautions?
a. Laboratory results.

66. After an extensive review of patient records from the ICU, it is determined that a
combination of nursing interventions performed together can drastically decrease
patient falls, When reviewing another ICU with similarly low rates of falls, this same
conclusion could not be reached. What is the likely explanation for this?
a. Different reviews can draw different conclusions.

67. A high number of data entry fields in EHRs can be overwhelming for staff and can make a
difficult to find where information should be documented. Which informatics solution
would solve the problem?
a. Documentation using drop-down menus.

68. Which view in an electronic health record should be reviewed to determine if a patient’s
blood glucose level is stabilizing?
a. Graphical trending over time.

69. A patient who does not have housing is admitted to a hospital with complaints of
stomach pains, nausea, and fatigue. The patient’s history and physical IV drug user.
Which data in this patient’s electronic health record would support the implementation
of an infection control policy?
a. A blood serum sample indicating the presence of Hep A- Specific IgM antibodies.
70. What are the benefits of patients engaging with the patient health portal?
a. Lower readmission rates and increased patient empowerment.

71. A nurse understands that health literacy is an important factor in improving patient
outcomes. How can informatics be used to improve health literacy?
a. By offering options for multilanguage learners and different reading levels.

72. A stroke program coordinator wants to know which stroke metrics were met each month
over the past year.
a. Bar Graph

73. Which scenario describes using a focus group for the evaluation of technology with the
intent to develop successful human-computer interactions?
a. Gathering users to discuss the technology.

74. An informatics nurse discovers that the hospital’s health information technology has
problems related to possible capacity explosion and processing needs from patient care
data. Which solution should the nurse initiate?
a. Review existing management systems and identify possible vendors that will
provide a safe and effective solution to the problem.

75. The hospital administrator appoints an informatics nurse to lead a team, of healthcare
and IT professionals in the selection of EHR software. Which first should the informatics
nurse initiate?
a. Gather the requirements.

76. A clinical informatics nurse specialist wants to optimes the EHR software to decrease
documentation time. Which method of data collection should this clinical informatics
nurse specialist use to prioritize the areas of improvement?
a. Interviews with affected users.

77. Which data visualization should be used to display the length of stay for an oncology
patient during one year at one hospital?
a. Histogram chart.

78. Which set of data should be displayed with bar graphs?

a. Blood transfusions were not charged or compared to the total number of
transfusions given in a department.

79. Under which condition can PHI be released without patient consent?
a. When information requested is required for payment of treatment provided.
80. The nursing director of a hospital is preparing an in-house presentation about the
nursing minimum data set (NMDS). Which information represents the service elements
of NMDS?
a. Nursing, diagnosis, intervention, outcome.