WGU D220 Nursing Informatics Final Exam Questions and Answers (2022/2023) (Verified Answers)

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2WGU D220 Exam Questions with correctAnswers1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient’s post-operative care after open-heart surgery – ANSWER-Provider orders2. Which information in a patient’s electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuation in blood glucose levels – ANSWER-MAR3. A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of information in the electronic medical record (EMR) will help the nurse plan the care for this patient – ANSWER-The patient’s laboratory results over the last 72 hours4. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards – ANSWER- Psychotherapy notes5. Operating room (OR) staff are reliant upon a manual white board for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding use of the existing surgical information system (SIS). Which resolution can improve this workflow issue – ANSWER-Radio frequencyidentification (RFID) in patient labels6. An informatics nurse & an emergency nurse are conducting an analysis of a patient admission fromthe ER – ANSWER-Which tool should these nurses use for a process analysis? SWOT template7. What is an effective way to reduce the risk of access of electronic protected health information (ePHI)by unauthorized users – ANSWER-Make sure all the users adhere to security & confidential policy set forth by the facility8. How does a healthcare policy assure access to health information by authorized users – ANSWER-It creates a reliable method to verify the identities of users accessing health informationPage 1 of 45

  1. Which statement describes the application of meaningful use – ANSWER-Provider needs to show the use of the Electronic Health Record (EHR) technologyPage 2 of 45
  2. What is the typical role of the informatics nurse – ANSWER-Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group11. A patients glucose blood sugar is 400. What is a one-time kind of report – ANSWER- Ad Hoc12. Which clinical information technology enables providers to document patient assessments – ANSWER-Vitals signs capture13. A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his Electronic Health Record (EHR) – ANSWER- Continuity care record from AMR14. Which statement best describes Nursing Informatics – ANSWER-“Computer science, decision science, information science, management science, cognitive science, & organizational theory.”15. The nurse receives report that there are new orders to review. Where does the nurse look to verify this information – ANSWER-The Kardex16. What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use (MU) – ANSWER-Patient quality care17. What is a type of phishing – ANSWER-Trojan18. What is Data governance – ANSWER-Defines who can take what action, upon what data, in what situations, using what methods19. A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach – ANSWER-Encryption20. What is the name of the process that begins with conception & continues through implementation- ANSWER-Systems Development Life Cycle (SDLC)21. What is the intent of the Clinical Decision Support (CDS) System – ANSWER-This is an application that supports healthcare practitioners in making patient-care decisionsPage 3 of 45
  3. What is the term for sharing a person’s personal information with other individuals electronically – ANSWER-Information sharing23. When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Whereshould the nurse find this information – ANSWER-The intake & output chartPage 4 of 45
  4. Why is it important to control the number of warnings in Electronic Health Record (EHR) – ANSWER-Alert fatigue25. Which change theory begins with creating urgency – ANSWER-Kotter’s Models26. Which act in 2009 did Meaningful Use (MU) originate – ANSWER-American Recover & Reinvestment Act (ARRA) act in 200927. What is the primary concern driving Nursing informatic initiative – ANSWER-Patient safety28. What can be installed to allow one operation to access another to enable the exchange of data – ANSWER-Integration29. Which type of chart uses rectangle, oval & diamonds in both – ANSWER-Flowchart30. What is the intent of the Clinical Decision Support (CDS) System – ANSWER- Providing clinicians with knowledge & person specific information31. Information may be kept secret to those with an only need to know – ANSWER-What is this?Information privacy is the right to choose the conditions under which information is shared, & to ensurethe accuracy of collected information.32. Which statement defines interoperability – ANSWER-The extent to which systems & devices can exchange data & interpret that shared data.33. Which two statement defines healthcare informatics – ANSWER-Standardized languages & terminologies to ensure consistent meanings across all settings34. What is a physical safeguard of ePHI – ANSWER-Lock on hard drive. Facility Access Controls Workstation Use Workstation Security – Device & Media Controls35. What is a technical safeguard ePHI – ANSWER-Access control. Audit controls. Authentication.Page 5 of 45
  5. Which government agency recommended to use of bar code medication administration – ANSWER-FDA37. What describes an example of opt-in or opt-out choice regarding the disclosure of personal healthinformation – ANSWER-Your information be sent to another facility38. What is an important security consideration related to the use of email application to send & receive patient data – ANSWER-Emails have the potential to go to other usersPage 6 of 45
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  1. What are the maximum penalties for refraining from full participation in the Merit- Based Incentive Payment System (MIPS) in years 2017 through 2024 – ANSWER-Merit- Based Incentive Payment System (MIPS) penalty for failing to comply? 3-8%40. Which government organization oversees the meaningful use program – ANSWER- CMS41. Where are POLST (advanced care directives) found on the computer – ANSWER- Media tab42. What Meaningful use stage can you generate & transmit Rx electronically – ANSWER-Stage 343. A nurse has a new order for an anti-arrhythmic drug via IV drip. What needs to be done before this medication can be safely administered – ANSWER-Use the 5 rights of medication administration44. What item describes a basic network code that determines the roles used to create & route packetsof data between network devices – ANSWER-Interface45. A laboratory manager requested a report of all patients that had a blood glucose greater than 400mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request -ANSWER-Short time report46. A Nursing Innovator & medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this – ANSWER-Flowsheet47. What is the first thing patients should do to access their health records – ANSWER- Ask for access to their documents48. Process for discovering root causes of problems & ID the solution – ANSWER-Root cause analysis49. Where do you document a patient’s allergy – ANSWER-History & physical50. What facility first used the Barcode Medication Administration (BCMA) – ANSWER- Veterans hospital of Topeka, KansasPage 7 of 45
  2. If your patient’s barcode bracelet is not working & you needed to pass meds what would you do – ANSWER-Check the armband for damage, change the band if necessary52. Which is a physician’s clinical informatics assessment – ANSWER-Vital signsPage 8 of 45
  3. What are the ICD ICD10 international classification of diseases – ANSWER-LOINC & SNOMED54. Provider wants you to change an order what tab would you look under – ANSWER- Order summary tab55. There are different systems for L&D & the hospital, how would you check for orders & medications -ANSWER-Log out of L&D system & log into the Hospital system56. What should providers have on their personal mobile devices to protect it from sharing information when stolen – ANSWER-Authentication & encryption57. Which government agency recommended the use of the barcode medication administration- ANSWER-ONCHIT58. What are two barriers of adopting the Clinical Decision Support (CDS) in an Electronic Health Record (EHR) – ANSWER-Limited resources & Communication information exchange59. Which stage of the Systems Development Life Cycle (SDLC) would data be collected fromthe systems users regarding their analysis – ANSWER-Needs60. Where is the continuity of care documented – ANSWER-Electronic Health Record (EHR)61. Which phase of the system life cycle involves using needs assessment to identify the exportationof the system – ANSWER-Needs/Design62. A physician’s group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol – ANSWER-Solid clinical trials63. Which Merit-Based Incentive Payment System (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians – ANSWER- HITCECH act64. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needsto be completed during the shift – ANSWER-WorkflowPage 9 of 45
  4. When developing new clinical workflow, what is one of the first steps that should be taken – ANSWER-Review old progress & old documents66. You are contacted by a confused user because their legend changes on each screen they go into, would you tell them – ANSWER-The screen symbols change on each screen depending on the activities donePage 10 of 45
  5. Which feature will allow a user to navigate between authorized applications & resources within a single organization – ANSWER-Interface68. A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take – ANSWER-Call MD & verify order & MD enter order remotely69. What are three common reasons for HIPPA violation citations – ANSWER-1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone70. Which item enhances interoperability between organizations when exchanging patient data electronically – ANSWER-Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging71. What plays a primary role in the usability of an Electronic Health Record (EHR) – ANSWER-Clinical workflow & efficiency72. Stored information in the Electronic Health Record (EHR) can be instantly searched, retrieved, combined, & reported in different ways. What is this describing – ANSWER- Data integrity73. What is nursing informatics a combination of differentiating it from other nursing disciplines – ANSWER-Nursing, information, & analytical sciences74. Which two statements define healthcare informatics (HI) – ANSWER-A tool to improve practice & patient care. A field that involves the secure sharing of information75. Which Electronic Health Record (EHR) challenge can a nurse informaticist help support & change – ANSWER-Analyzing & redesigning workflows76. Which task is representative of the role of the nurse informaticist – ANSWER-Acting as a superuser77. At a nursing facility, the recent quality report details only 30% of patients received the influenza vaccine in the prior flu season. Nurses within the medical unit state the result is too low. Which area should an informatics nurse review to understand the quality report results – ANSWER-Electronic Health Record (EHR) charting dataPage 11 of 45
  6. What should an informatics nurse do to support the entry of standardized data into an electronic health record (Electronic Health Record (EHR)) – ANSWER-Use terminologies approved by the ANA79. A new computerized provider order entry is being implemented in the hospital. The nurse informaticist plays a role in all areas of this implementation. Which measure is crucial for a successful implantation – ANSWER-Workflow designPage 12 of 45
  7. When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek – ANSWER-Information that is accurate, timely, complete, concise, & relevant81. EBP is essential for clinical decision making. Which model supports EBP – ANSWER-Problem, intervention, comparison, outcome, time (PICOT)82. What did meaningful use promote – ANSWER-Increased interoperability83. Which statement describes the application of meaningful use – ANSWER-Patient satisfaction is improved, which results in better patient satisfaction scores84. What describes the goal of Electronic Health Record (EHR) incentive programs, such as meaningful use – ANSWER-To promote the achievement of quality, safety, & efficiency measures85. In conducting & providing a quality audit, it was noted the provider was free texting data instead of selecting the proper codes to capture & bill for their services. When educating this provider on properly selecting codes & decreasing free texting what is a rationale for why this is important – ANSWER-Interoperability86. The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data – ANSWER-DICOM standards. Health Level 7 standards.87. What is the responsibility of a superuser – ANSWER-To support the system in a given unit & assist users with functionality & procedural issues88. A nursing clinical analyst is being interviewed by a nursing student who is requesting a detailed explanation of the role of a nursing informaticist. Which nursing informaticist goals would this clinical analyst offer in response – ANSWER-The goals facilitate an environment where technology, information, & understanding directs nurses’ judgment89. What is the role of the informatics nurse working with Electronic Health Record (EHR) – ANSWER-To improve patient safetyPage 13 of 45
  8. What is a reason to have standardized terminology within a healthcare setting – ANSWER-It provides the effective exchange of information between providers91. What is the harmonization of terminologies – ANSWER-It fosters interoperability in health information systems92. Which item describes a basic network code that determines the rules used to create & route packet of data between network devices – ANSWER-Transmission control protocol/internet protocol (TCP/IP)Page 14 of 45
  9. What can be installed to allow a device to connect to the Electronic Health Record (EHR) to enable the exchange of data – ANSWER-An application program interface94. How does the health information exchange (HIE) improve interoperability within a healthcare organization – ANSWER-It allows patient information to be accessible despite where the patient is receiving care95. What are connectivity systems – ANSWER-They support the integration of data across different organizations96. A patient goes to a clinic’s office complaining of a cough. The physician orders a chest X-ray & sends the patient to the radiology department. The clinic’s admitting department & the radiology office use different information systems. What is used to locate the record in each of these different systems – ANSWER-Master patient index97. Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability – ANSWER-Data blocking. Interface cost.98. What is considered to be clinical decision support (Clinical Decision Support) within the ElectronicHealth Record (EHR) – ANSWER-The condition or disease-specific order sets.99. Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion – ANSWER-Randomly run Electronic Health Record (EHR) reports & list noncompliant nurses.100. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the tasks that needto be completed during the shift – ANSWER-The worklist101. On admission, a patient reports several allergies. Where does the nurse confirm the documentation of this information – ANSWER-In the patient summary tab or history & physical102. A nurse has a new order to begin antiarrhythmic medication via IV drip. What needs to be done electronically before this medication can be safely administered – ANSWER-Scan the patient’s armband & the medicationPage 15 of 45
  10. What is the primary purpose of a clinical decision support system (Clinical Decision Support (CDS) System) – ANSWER-It provides clinicians with suggested care information104. How is clinical decision support system (Clinical Decision Support (CDS) System) represented in an Electronic Health Record (EHR) – ANSWER-Through alerts & remindersPage 16 of 45
  11. In a healthcare setting, there is resistance towards using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) – ANSWER-Involve staff in the implementation process106. Which tool highlights the areas in which information technology can improve efficiency & support aninterdisciplinary healthcare team – ANSWER-A workflow analysis107. Which statement defines electronic protected health information (ePHI) – ANSWER-It is information used to specifically identify an individual108. An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet – ANSWER-An unregulated network of networks109. What is role-based access an example of – ANSWER-Authenticity110. Which term refers to ensuring confidentiality when sharing a patient’s electronic personal health information – ANSWER-Security111. What advice should be taken to avoid a security breach of protected health information – ANSWER-Open emails only from trusted sources, change passwords as stipulated by the organization, & do no leave ePHI visible in an unsecure area112. What is the first thing patients should do to access their health records – ANSWER- Use the patientportal email from the healthcare organization to create an account.113. What represents privacy & security risks for telehealth technology – ANSWER- Patients have the option to use speakerphone in the telehealth apps114. What are 3 common reasons for HIPPA violation citations – ANSWER-Lost or stolen unencrypted devices. Social media postings. Taking a patient photo with a personal phone.Page 17 of 45
  12. An informatics nurse is on a task force planning committee to ensure data storage measures are safe & accessible. Besides the provider & the client, which group’s needs are important to consider – ANSWER-The Joint Commission116. A restraint committee has been assembled to oversee the need & proper usage of restraints. Which data element would this committee find least useful in this report – ANSWER-Patient allergy history117. What us a structured method used to analyze serious adverse events – ANSWER- A root cause analysis (RCA)Page 18 of 45
  13. Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways – ANSWER-Text data119. What are 3 purposes of using bar code medication administration (BCMA) – ANSWER-It alerts the nurse to drug-drug-interactions. It reduces errors of administration. It supports the 5 rights of medication administration120. Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities – ANSWER-To prevent medication administration errors121. What describes the role of decision support within the Electronic Health Record (EHR) – ANSWER-It is designed to assist with timely clinical decision making122. Which merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians – ANSWER-Quality of care123. What do the goals of meaningful use & merit-based incentive programs have in common – ANSWER-Improving quality of care124. Which government organization oversees the meaningful use program – ANSWER- The centers forMedicare & Medicaid services (CMS)125. What were 2 objectives of meaningful use as defined by the American reinvestment & recovery act (ARRA) – ANSWER-Document patient collected data directly into the HER. Submit electronic data to health information exchanges (HIEs)126. A healthcare provider had a hospital laptop stolen from its vehicle. What should be on the laptop to protect it from a data breach – ANSWER-Two-factor authentication127. What should healthcare staff who use mobile devices to access electronic protected information (ePHI) do to protect devices before they are lost or stolen – ANSWER-Turn off file sharingPage 19 of 45
  14. What is the name of the process that begins with conception & continues through implementation- ANSWER-Systems development life cycle (SDLC)129. During which phase of the systems development life cycle should a system be activated to effectively be used by end users – ANSWER-Implementation130. What 3 tasks in the design phase during the systems development life cycle (SDLC) – ANSWER-Plan the project, define the scope, & conduct the SWOT analysis131. The initiating phase involves analyzing the project goals & needs. What is the term to describe unanticipated growth of a project – ANSWER-Scope creepPage 20 of 45
  15. A healthcare facility is changing to a new health information system. Information from the old system needs to be input into the new system. What will the IT department do to complete this task – ANSWER-Migrate the data133. Reported falls on the med surg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med-surg unit – ANSWER-The radiology reports of patients with a reported fall on the med-surg unit134. Which data in a medical record informs the management of the patient’s condition following a surgical procedure – ANSWER-Nursing assessment from the prior shift & the doctor’s orders135. Patient comes to the ED with a bump on the arm that is painful, edematous, & oozing sanguineousfluid. Which data in the patient’s medical record would tell a nurse to implement infection control precautions – ANSWER-The nursing flow sheet states the wound has increased in edema, redness, & drainage over the last 12 hours136. MRSA – ANSWER-contact precautions137. Suspected dehydration & patient reports dizziness & decreased u/o – ANSWER- Lab Report138. Patient with scabies – ANSWER-Crusted rash, CDC says that the diagnosis of scabies is by physical examination of skin139. Which info in Electronic Medical Record will help nurse manage post op care for appendectomy- ANSWER-Doctor’s orders140. Patient discharge, information planning – ANSWER-History & physical notes about the reason the patient is admitted141. Pts come in complaining of the same S/S – ANSWER-patient demographics142. COPD patient planning care – ANSWER-complete health history143. High patient volume – ANSWER-Nursing flow sheetsPage 21 of 45
  16. Critical step in HCI – ANSWER-Usability145. Act that recognizes patients need more power in their healthcare, & access to information is key to making that happen – ANSWER-21st Century Cures Act146. Tapping badge – ANSWER-Improves documentation time147. Data entry fields – ANSWER-CascadingPage 22 of 45
  17. Patient engagement benefits – ANSWER-Costs decrease, lower readmission rate, improved patient recovery times, increase patient empowerment149. Which patient are most able to engage in their care – ANSWER-Whose pain is under control or good night rest150. Nurse is giving patient education over new medication – ANSWER-Ask patient to repeat info, teach backs151. Hospital employee falls. Their manager calls & wants an update – ANSWER-Nurse should not provide info152. HIS system for patient to manage their own stuff – ANSWER-The app153. Action that demonstrates data mining to improve patient outcomes – ANSWER- HbA1c154. Electronically capture patient VS without manually entering – ANSWER-Biomedical device integration155. What to do when Clinical Decision Support (CDS) System is ignored – ANSWER- Educate staff on the importance156. Spouse requests patients medical records – ANSWER-refer family member to medical records157. Comparing infection rates across state – ANSWER-bar graph158. Promoting adoption & implementation of telehealth programs – ANSWER- Advocacy159. Mom calls asking for child’s info that was seen at the clinic – ANSWER-Clinic unable to provide the medical records160. Metrics related to stroke care & compare them across the country in a presentationPage 23 of 45
    2- ANSWER-Benchmarking161. Hiker information given to newspaper – ANSWER-Hospital violates HIPAA because they did not follow their guidelines162. Patient records moved from notes to checkboxes – ANSWER-They reduce clinical documentationtime163. Gap analysis – ANSWER-Transition to a new Electronic Health Record (EHR)Page 24 of 45
  18. Natural disasters – ANSWER-Production software remains in working condition165. Focus group – ANSWER-Gathering uses to discuss166. Confirming data accuracy – ANSWER-Triangulation167. Peripheral biometric device – ANSWER-High BP168. What is included in meaningful use – ANSWER-Use of electronic prescribing169. What is the goal of Health Information Exchange – ANSWER-To allow insurance companies & providers to be able to share data170. What is an effective use of a barcode administration system – ANSWER-Combine it with computerized provider order entry, a pharmacy system, & eMAR171. Which information would be useful when planning quality care for the next shift – ANSWER-Available critical care beds172. Barcoding scanning. How it affects inventory with pharmacy – ANSWER-alters ordering & information data173. What act puts patients in charge of their healthcare records – ANSWER-The 21st Century CuresAct174. Groups at risk for decreased health literacy – ANSWER-elderly175. How would an informatics nurse best evaluate other nurses’ opinions on technology – ANSWER-survey176. What is it when a nurse tries to get a patient more involved in the electronic system- ANSWER-autonomy177. Nurse’s role in a power outage – ANSWER-software runningPage 25 of 45
  19. Element that is PHI – ANSWER-DOB179. Main way to keep HIPPA compliance – ANSWER-passwords180. Best method of Electronic Medical Record charting for nursing – ANSWER- Cascading181. Physical taking care of a patient whose established care is somewhere else talking about Health Information Exchange – ANSWER-query-basedPage 26 of 45
  20. When can you get notes from provider quickly – ANSWER-Health Information Exchange, Query based transfer183. How to start an admission process when extremely busy – ANSWER-Checklist184. What would be cause to put someone in isolation – ANSWER-MRSA, Influenza, TB, Covid185. Legislative act that mandated research become accessible to facilitate better decisions based on evidence – ANSWER-Affordable care act186. What should a nurse recommend to promote nurse to patient interactions – ANSWER-Encourage patient to eliminate personal technology to increase their attention187. Role of an informatics nurse specialist is the knowledge & application of state & federal laws. Which role falls outside the scope of practice – ANSWER-Enforce operational procedures188. Nurse wants to optimize EH software with a goal of decreasing documentation time- ANSWER-Surveys189. Cost effective documentation – ANSWER-Records procedure & patient response directly into the work computer190. Situation where nurse carries out an Health Information Exchange – ANSWER-NP reviews patientrecords/read dx test results from remote facility191. A blood pressure cuff or peripheral device linked to the computer or health system is what kind of technology – ANSWER-Biomedical device integration192. Barriers to using health informatics to improve health literacy – ANSWER- Informatics utilizes technology as a foundation, but technology isn’t always available to people with lower health literacy193. Training docs in the PACS into the Electronic Health Record (EHR). Which will require the nurse to create training documents – ANSWER-Accessing & reviewing X- raysPage 27 of 45
  21. What is one example of data that is tracked for the purpose of improved quality – ANSWER-Patient falls195. Data visualization of oncology patient length of stays – ANSWER-Line graph196. Refers to the collection of policies, standards, processes, & controls applied to an organization’s data – ANSWER-Data governancePage 28 of 45
  22. Universal precautions approach to health literacy – ANSWER-Treating all patients as if they are atrisk of not understanding health information Speaking to patients in language appropriate terminology198. Informatics challenges to improving patient outcomes – ANSWER-Privacy issues, cognitive disabilities, & low literacy of the patient199. What term refers to the intelligent application of data manipulation which empowers nurses to work more efficiently radio frequency identification/ enhanced communication, & informed decision support – ANSWER-Artificial intelligence200. Four components of Clinical Decision Support (CDS) System – ANSWER-trigger, input data, intervention information, action step201. Whole complete data – ANSWER-data integrity202. What is the focus of the 21st century cures act – ANSWER-Act that recognizes patients need more power in their healthcare & access to information is key to making that happen203. What is a fishbone diagram & what benefit does it provide – ANSWER-A tool for analyzing the organizational processes & its effectiveness. Helps team members visually diagram a problem or conditions root causes, allowing them to truly diagnose the problem rather than focusing on symptoms204. What is the dollar amount price range for a HIPPA fine per violation (lowest to highest amount) – ANSWER-$100-$50,000 plus per violation radio frequency identification/ a max of 1.5 million yearly205. RFID – ANSWER-Tracks equipment, staff. In badges206. What are 3 functional areas of practice for RN informatics – ANSWER- Administration, leadership & management207. Defined the term clinical information system – ANSWER-Large computerized database management systems used to access the patient data that are needed to plan, implement, & evaluate care.Page 29 of 45
  23. Define predictive modeling/analytics – ANSWER-Uses past & current data to forecast the likelihood that an event will occur.209. Identify five rights associated radio frequency identification/ meaningful use – ANSWER-Right information, right person, Right intervention format, right channel & right time & workflow.Page 30 of 45
  24. What is the Affordable Care Act of 2010 – ANSWER-US legislation intended to improve healthcare quality through using information technology, ensuring affordable care, & increasing the # of insured persons.211. What data source is used to track specific diseases & conditions – ANSWER- Disease surveillance212. Fundamental principles – ANSWER-Non maleficence & fidelity, which promote accuracy & integrity213. How to protect patient data – ANSWER-Maintaining HIPPA protocols, encrypted Electronic Health Record (EHR) storage, training employees on a need-to-know basis214. Name 3 attributes of quality information – ANSWER-Accuracy, completeness & timeliness215. What is the US Initiative that establishes & monitors attainment of science-based population healthgoals & objectives radio frequency identification/ ten-year target dates- ANSWER-Healthy People216. What are 2 common threat sources to information & information system security – ANSWER-Malware attacks & hackers217. What legislation provides more rigorous enforcement of HIPPA & requires notification of breaches & allow patient access to their electronic records – ANSWER- HIPPA Breach notification Rule, US dept of health & human services (HHS) & Office for Civil rights (OCR) is responsible for enforcing HIPPA218. How does Health Information Exchange impact cost of patient care – ANSWER-A means to reduce redundant tests, improve quality of care, & improve public confidence219. HIPPA stands for – ANSWER-Health Insurance Portability & Accountability Act220. What year did HIPPA form – ANSWER-1996221. What year did Hitech Act form – ANSWER-2009Page 31 of 45
  25. American Recover & Reinvestment Act (ARRA) – ANSWER-2009223. What is purpose for benchmarking – ANSWER-Statistics224. Patient discharge teaching most effective – ANSWER-Ask patient to teach back what he learned225. In emergency doctor needs patients data from different state. Does doctor need patient permission to get it – ANSWER-NoPage 32 of 45
  26. Two nurses are in the cafeteria talking about lab reports & they commit HIPAA violations what is the action – ANSWER-Fines227. Medication alert pops up & what system is alerting – ANSWER-Clinical Decision Support (CDS)System228. The hospital announced its integration engine has stopped functioning. What does this mean for system interoperability throughout the organization – ANSWER-Manually chart the vital signs.229. Monitor patient glucose level you need – ANSWER-nurse flow sheets230. Alt enzymes liver – ANSWER-Tell about liver damage231. What is barrier to use biometrics – ANSWER-Financial232. Computerized Provider Order Entry (CPOE) – ANSWER-provider enters orders233. Patient with influenza B. How do you know to start respiratory precautions – ANSWER-Lab234. Community facility the doctor had been saying the mom was calling the office to get a copy of the records of Daughter, moms calls to find out info about medical record – ANSWER-Don’t say anything235. Nurse send message to doctor “Mr smith, bp 84/74. 54” – ANSWER-Not enough info for doctor to prescribe treatment236. A hospital has a surgical department that uses a different Electronic Health Record (EHR) from the main EHR (Integrated). When a physician input an order in the surgical department, how would you ensure that it is in the main EHR – ANSWER-Chart in one & it will go into Electronic Health Record (EHR).237. During which phase of the systems development life cycle should a system be activated to effectively be used by end users – ANSWER-Implementation.Page 33 of 45
  27. Process that uses software to uncover relationships within large data sets via the use of artificial intelligence, statistical – ANSWER-Data mining239. Statewide health information exchange responsible for implementing interoperability standards. What is the name of state level Health Information Exchange- ANSWER-Health Level 7.Page 34 of 45
  28. What is the mission of the Health Level Seven (HL7) organization – ANSWER-To provide a comprehensive framework & related standards for the exchange, integration, sharing, & retrieval of electronic healthcare information.241. What is also considered to be Clinical Decision Support (CDS) within the Electronic Health Record (EHR) – ANSWER-The condition/disease specific order set.242. What can be installed to allow one operation to access another to enable the exchange of data – ANSWER-An application program interface.243. Installed to allow on operation to access another – ANSWER-Interface244. Workflow analysis – ANSWER-Also known as process analysis, involves identifying, prioritizing & ordering the tasks & info needed to achieve the intended result of a clinical or business process. Workflow analysis mitigates these rights & increases the changes for success in an IT implementation.245. Homeless man – ANSWER-Haemophilus influenzae (bacterial flu) Haemophilus influenzae type b (Hib) Before the Hib vaccine, influenzae was the leading cause of bacterial meningitis in children. x-Ray of the chest needed246. Homeless man IV drug user – ANSWER-Find in the EMR which information helps you put him in isolation.247. TV & mercy in western word – ANSWER-Answer is mercy248. Treatment of patient related to blood pressure measures – ANSWER-Medication administration249. Fluctuation in glucose – ANSWER-Medication administration250. Constipation – ANSWER-intake & output251. Discharge planning – ANSWER-Starts on admission252. Discharge papers – ANSWER-Ask the patient what works best for himPage 35 of 45
  29. Discharge teaching paper patient with diabetes – ANSWER-Important what the time of day254. Quality of care – ANSWER-Benchmark (can be used to evaluate patient & quality performance &compares services they can have)255. Single event & doing root cause analysis – ANSWER-Fishbone256. Stroke patient & analysis – ANSWER-Statistical, fishbonePage 36 of 45
  30. ER trying to improve quality of care & decreased waste time. Nurse recognizes a problem & thinksof a solution – ANSWER-Planning phase when the nurse recognizes a problem & solution258. Rapid dictation advantages of template based charting – ANSWER-They are available immediately259. Merit-Based Incentive Payment System (MIPS) for Doctor – ANSWER-90,000 & 200 patients260. LOINC – ANSWER-LAB261. Health Level 7 – ANSWER-Health Information Exchange enhance interoperability262. To create an informatics culture – ANSWER-Assess current state to determine gaps263. Which informatics solution assists in ensuring TASKS are accomplished – ANSWER-Electronic Checklist264. Which entity is required by HIPPA to remove identifying info before sharing publicly- ANSWER-Billing company265. Alert for medication from – ANSWER-Clinical Decision Support (CDS) System.266. D/C teaching – ANSWER-5th grade level, starts on admission, time of day, increase font size267. A rural hospital is planning to implement teleradiology in its busy emergency department. What is a security consideration in teleradiology implementations – ANSWER-Access to patient images268. A high number of data-entry fields in the electronic health records can be overwhelming for staff & make it difficult to find where information should be documented. Which informatics solution could solve this problem – ANSWER-Cascading documentationPage 37 of 45
  31. How can informatics be used to assess a person’s health literacy – ANSWER- Informatics can evaluate current state & determine the resources needed to determine a patient’s level of understanding270. A provider receives a request from a third party for the details of a patient’s encounter. When must the provider obtain consent from the patient before releasing this information – ANSWER-When it is provided to a life insurer for coverage purposesPage 38 of 45
  32. A facility recently implemented a new electronic health record (EHR). End users are now suggesting changes to improve the HR & workflow processes. Which phase in the system development life cycle (SDLC) does this describe – ANSWER-Maintenance272. Fishbone – ANSWER-Used for RCA (root cause analysis) fishbone a diagram of sequences is cause & effect. Single event (how to figure the root of the problem)273. Scatter plot – ANSWER-value of two variables that are plotted along the X & Y274. Pie – ANSWER-Percentages chart275. Bar graph – ANSWER-nouns276. Where to get information from – ANSWER-Medline277. High priority task for informatics clinician when implementing a new technology for data collection – ANSWER-Identify & define goal of technology278. Benefit of MHEALTH – ANSWER-Integrates with HER279. Directed – ANSWER-Send & receive (escript to pharmacy)280. Consumer – ANSWER-Patient controlled281. ER new patient & Doctor needs data from different state? – ANSWER-282. Regression testing – ANSWER-Ensures app still functions as expected after an update or change in improvement283. Life insurance wants records – ANSWER-don’t release284. Biometric benefit of using it – ANSWER-security285. HIPAA – ANSWER-Name, birthdate, test results, lab results are protectedPage 39 of 45
  33. Nurse finds 100 errors in coding – ANSWER-AHIMA & report to nurse manager287. Glucose stabilizing & Blood Pressure stabilizing – ANSWER-trending graph288. Treatment of patient related to blood pressure – ANSWER-MAR289. Treatment of constipation – ANSWER-physician orders (key words of PLAN & MANAGE are physician orders)290. Post-op surgery patient discharge & complains of constipation – ANSWER-PRN MedsPage 40 of 45
  34. Where to look to further evaluate & manage patient with significant BP – ANSWER- Intake & Output292. Computerized Provider Order Entry (CPOE) for advocating quality of care – ANSWER-electronic prescriptions, physician orders & prescriptions293. Data Mining – ANSWER-Improve patient outcome & quality (falls over last year) had the word NUMBER in the answer294. Benchmark – ANSWER-Clean & accurate, quality of care, can be used to evaluate patient safety, quality performance, measure & compare services, improve performance, sets standards of excellence, identifies learning gaps (pt falls)295. Covid graphing – ANSWER-scatterplot296. Statistical analysis – ANSWER-stroke patient297. Benefit of rapid dictation – ANSWER-front-end dictation can be edited & file immediately available upon completion. Eliminate human errors & more accurate documentation.298. Planning – ANSWER-Nurse recognizes a PROBLEM & thinks of a SOLUTION (1stphase)299. Analysis – ANSWER-New technology going to roll out & staff is deciding what can make it better300. Maintenance – ANSWER-Debugging, fixes bugs301. Informatics Nurse receives multiple requests most important – ANSWER-Workflow & cost saving302. Review ICU fall risk – ANSWER-Different reviewer’s conduction research303. Benefit of Internet/externet – ANSWER-Improve communication & teamwork304. Nurse asked to conduct secure data analysis – ANSWER-Use secure serverPage 41 of 45
  35. Nurse asked to be a part of a study – ANSWER-Provide de-identified data306. Ethical/legal issue with rural hospital & tele-radiology – ANSWER-State licensing issue307. HITECH – ANSWER-FinancialPage 42 of 45
  36. Institute Isolation – ANSWER-Path report to confirm pathogen309. Triangulation – ANSWER-Analyzing a single piece of data in multiple ways310. Busy ER what can nurse do to help – ANSWER-Nurse start admission process311. Clinical data enters the data warehouse in a de-identified state – ANSWER- Ensures data is clean & accurate312. Researcher wants patient data for a journal – ANSWER-De-identified & patient consent313. Benefit of MD using Computerized Provider Order Entry (CPOE) & DSS – ANSWER-Alerts when ordering Viagra (sildenafil) when patient is taking a cardiac med.314. RN needs to override a med which one would she NOT override – ANSWER- Comfort care patient with 2 new orders315. Clinical Decision Support/Clinical Decision Support (CDS) System – ANSWER- Evidence Based Practice316. Identifiable Patient Information is also called – ANSWER-Personal data, personal information & PII317. Implementing new process & nurses are reluctant what is important – ANSWER- improve workflow & expertise318. Staff is resistance to Tele-ICU. What are the benefits – ANSWER-resources & expertise319. Informatics Nurse needs to assess new progress – ANSWER-observation with interview320. Doctor use RFID for which purpose – ANSWER-Improve documentation time or Improve access to documentation321. Which stage of cycle nurse makes new suggestions – ANSWER-Need assessmentPage 43 of 45
  37. Random coworker calls & asks if his coworker there or will come back to work – ANSWER-Don’t give information.323. Plan/manage treatment – ANSWER-Providers order324. Patient transferring from the ED to the ICU. Info comes from – ANSWER-Progress notes of the previous nurse (if same hospital), health information exchange (if different hospital)Page 44 of 45
  38. At the extreme, anyone caught selling private healthcare information can be fined up to – ANSWER-$250.000 & 10 years in prison, criminal326. HIPAA violations fines – ANSWER-range minimum $100-$50.000.327. HIPAA violations – ANSWER-Civil monetary fines328. Patient is transported to another hospital. The first hospital uses one system & the admitting hospital uses a different system. What does the nurse need to do in order to obtain the patient’s information from the ED visit – ANSWER-Request a copy of the medical record from the transport teamPage 45 of 45

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