D220 - 1

1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery

Provider orders

2. Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels

MAR

3. 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

The patient's laboratory results over the last 72 hours

4. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards

Psychotherapy notes

5. 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

Radio frequency identification (RFID) in patient labels

6. An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER

Which tool should these nurses use for a process analysis? SWOT template

7. What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users

Make sure all the users adhere to security & confidential policy set forth by the facility

8. How does a healthcare policy assure access to health information by authorized users

It creates a reliable method to verify the identities of users accessing health information

9. Which statement describes the application of meaningful use

Provider needs to show the use of the Electronic Health Record (EHR) technology

10. What is the typical role of the informatics nurse

Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group

11. A patients glucose blood sugar is 400. What is a one-time kind of report

Ad Hoc

12. Which clinical information technology enables providers to document patient assessments

Vitals signs capture

13. 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)

Continuity care record from AMR

14. Which statement best describes Nursing Informatics

"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

The Kardex

16. What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use (MU)

Patient quality care

17. What is a type of phishing

Trojan

18. What is Data governance

Defines who can take what action, upon what data, in what situations, using what methods

19. A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach

Encryption

20. What is the name of the process that begins with conception & continues through implementation

Systems Development Life Cycle (SDLC)

21. What is the intent of the Clinical Decision Support (CDS) System

This is an application that supports healthcare practitioners in making patient-care decisions

22. What is the term for sharing a person's personal information with other individuals electronically

Information sharing

23. When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information

The intake & output chart

24. Why is it important to control the number of warnings in Electronic Health Record (EHR)

Alert fatigue

25. Which change theory begins with creating urgency

Kotter's Models

26. Which act in 2009 did Meaningful Use (MU) originate

American Recover & Reinvestment Act (ARRA) act in 2009

27. What is the primary concern driving Nursing informatic initiative

Patient safety

28. What can be installed to allow one operation to access another to enable the exchange of data

Integration

29. Which type of chart uses rectangle, oval & diamonds in both

Flowchart

30. What is the intent of the Clinical Decision Support (CDS) System

Providing clinicians with knowledge & person specific information

31. Information may be kept secret to those with an only need to know

What is this? Information privacy is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information.

32. Which statement defines interoperability

The extent to which systems & devices can exchange data & interpret that shared data.

33. Which two statement defines healthcare informatics

Standardized languages & terminologies to ensure consistent meanings across all settings

34. What is a physical safeguard of ePHI

Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls

35. What is a technical safeguard ePHI

Access control. Audit controls. Authentication.

36. Which government agency recommended to use of bar code medication administration

FDA

37. What describes an example of opt-in or opt-out choice regarding the disclosure of personal health information

Your information be sent to another facility

38. What is an important security consideration related to the use of email application to send & receive patient data

Emails have the potential to go to other users

39. What are the maximum penalties for refraining from full participation in the Merit-Based Incentive Payment System (MIPS) in years 2017 through 2024

Merit-Based Incentive Payment System (MIPS) penalty for failing to comply? 3-8%

40. Which government organization oversees the meaningful use program

CMS

41. Where are POLST (advanced care directives) found on the computer

Media tab

42. What Meaningful use stage can you generate & transmit Rx electronically

Stage 3

43. 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

Use the 5 rights of medication administration

44. What item describes a basic network code that determines the roles used to create & route packets of data between network devices

Interface

45. A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/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

Short time report

46. 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

Flowsheet

47. What is the first thing patients should do to access their health records

Ask for access to their documents

48. Process for discovering root causes of problems & ID the solution

Root cause analysis

49. Where do you document a patient's allergy

History & physical

50. What facility first used the Barcode Medication Administration (BCMA)

Veterans hospital of Topeka, Kansas

51. If your patient's barcode bracelet is not working & you needed to pass meds what would you do

Check the armband for damage, change the band if necessary

52. Which is a physician's clinical informatics assessment

Vital signs

53. What are the ICD ICD10 international classification of diseases

LOINC & SNOMED

54. Provider wants you to change an order what tab would you look under

Order summary tab

55. There are different systems for L&D & the hospital, how would you check for orders & medications

Log out of L&D system & log into the Hospital system

56. What should providers have on their personal mobile devices to protect it from sharing information when stolen

Authentication & encryption

57. Which government agency recommended the use of the barcode medication administration

ONCHIT

58. What are two barriers of adopting the Clinical Decision Support (CDS) in an Electronic Health Record (EHR)

Limited resources & Communication information exchange

59. Which stage of the Systems Development Life Cycle (SDLC) would data be collected from the systems users regarding their analysis

Needs

60. Where is the continuity of care documented

Electronic Health Record (EHR)

61. Which phase of the system life cycle involves using needs assessment to identify the exportation of the system

Needs/Design

62. 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

Solid clinical trials

63. Which Merit-Based Incentive Payment System (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians

HITCECH act

64. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift

Workflow

65. When developing new clinical workflow, what is one of the first steps that should be taken

Review old progress & old documents

66. You are contacted by a confused user because their legend changes on each screen they go into, would you tell them

The screen symbols change on each screen depending on the activities done

67. Which feature will allow a user to navigate between authorized applications & resources within a single organization

Interface

68. A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take

Call MD & verify order & MD enter order remotely

69. What are three common reasons for HIPPA violation citations

1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone

70. Which item enhances interoperability between organizations when exchanging patient data electronically

Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging

71. What plays a primary role in the usability of an Electronic Health Record (EHR)

Clinical workflow & efficiency

72. Stored information in the Electronic Health Record (EHR) can be instantly searched, retrieved, combined, & reported in different ways. What is this describing

Data integrity

73. What is nursing informatics a combination of differentiating it from other nursing disciplines

Nursing, information, & analytical sciences

74. Which two statements define healthcare informatics (HI)

A tool to improve practice & patient care. A field that involves the secure sharing of information

75. Which Electronic Health Record (EHR) challenge can a nurse informaticist help support & change

Analyzing & redesigning workflows

76. Which task is representative of the role of the nurse informaticist

Acting as a superuser

77. 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

Electronic Health Record (EHR) charting data

78. What should an informatics nurse do to support the entry of standardized data into an electronic health record (Electronic Health Record (EHR))

Use terminologies approved by the ANA

79. 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

Workflow design

80. When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek

Information that is accurate, timely, complete, concise, & relevant

81. EBP is essential for clinical decision making. Which model supports EBP

Problem, intervention, comparison, outcome, time (PICOT)

82. What did meaningful use promote

Increased interoperability

83. Which statement describes the application of meaningful use

Patient satisfaction is improved, which results in better patient satisfaction scores

84. What describes the goal of Electronic Health Record (EHR) incentive programs, such as meaningful use

To promote the achievement of quality, safety, & efficiency measures

85. 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

Interoperability

86. The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data

DICOM standards. Health Level 7 standards.

87. What is the responsibility of a superuser

To support the system in a given unit & assist users with functionality & procedural issues

88. 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

The goals facilitate an environment where technology, information, & understanding directs nurses' judgment

89. What is the role of the informatics nurse working with Electronic Health Record (EHR)

To improve patient safety

90. What is a reason to have standardized terminology within a healthcare setting

It provides the effective exchange of information between providers

91. What is the harmonization of terminologies

It fosters interoperability in health information systems

92. Which item describes a basic network code that determines the rules used to create & route packet of data between network devices

Transmission control protocol/internet protocol (TCP/IP)

93. What can be installed to allow a device to connect to the Electronic Health Record (EHR) to enable the exchange of data

An application program interface

94. How does the health information exchange (HIE) improve interoperability within a healthcare organization

It allows patient information to be accessible despite where the patient is receiving care

95. What are connectivity systems

They support the integration of data across different organizations

96. 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

Master patient index

97. Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability

Data blocking. Interface cost.

98. What is considered to be clinical decision support (Clinical Decision Support) within the Electronic Health Record (EHR)

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

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 need to be completed during the shift

The worklist