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
... [Show More] 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
101. On admission, a patient reports several allergies. Where does the nurse confirm the documentation of this information
In the patient summary tab or history & physical
102. 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
Scan the patient's armband & the medication
103. What is the primary purpose of a clinical decision support system (Clinical Decision Support (CDS) System)
It provides clinicians with suggested care information
104. How is clinical decision support system (Clinical Decision Support (CDS) System) represented in an Electronic Health Record (EHR)
Through alerts & reminders
105. 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)
Involve staff in the implementation process
106. Which tool highlights the areas in which information technology can improve efficiency & support an interdisciplinary healthcare team
A workflow analysis
107. Which statement defines electronic protected health information (ePHI)
It is information used to specifically identify an individual
108. An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet
An unregulated network of networks
109. What is role-based access an example of
Authenticity
110. Which term refers to ensuring confidentiality when sharing a patient's electronic personal health information
Security
111. What advice should be taken to avoid a security breach of protected health information
Open emails only from trusted sources, change passwords as stipulated by the organization, & do no leave ePHI visible in an unsecure area
112. What is the first thing patients should do to access their health records
Use the patient portal email from the healthcare organization to create an account.
113. What represents privacy & security risks for telehealth technology
Patients have the option to use speakerphone in the telehealth apps
114. What are 3 common reasons for HIPPA violation citations
Lost or stolen unencrypted devices. Social media postings. Taking a patient photo with a personal phone.
115. 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
The Joint Commission
116. 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
Patient allergy history
117. What us a structured method used to analyze serious adverse events
A root cause analysis (RCA)
118. Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways
Text data
119. What are 3 purposes of using bar code medication administration (BCMA)
It alerts the nurse to drug-drug-interactions. It reduces errors of administration. It supports the 5 rights of medication administration
120. Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities
To prevent medication administration errors
121. What describes the role of decision support within the Electronic Health Record (EHR)
It is designed to assist with timely clinical decision making
122. Which merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians
Quality of care
123. What do the goals of meaningful use & merit-based incentive programs have in common
Improving quality of care
124. Which government organization oversees the meaningful use program
The centers for Medicare & Medicaid services (CMS)
125. What were 2 objectives of meaningful use as defined by the American reinvestment & recovery act (ARRA)
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
Two-factor authentication
127. What should healthcare staff who use mobile devices to access electronic protected information (ePHI) do to protect devices before they are lost or stolen
Turn off file sharing
128. What is the name of the process that begins with conception & continues through implementation
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
Implementation
130. What 3 tasks in the design phase during the systems development life cycle (SDLC)
Plan the project, define the scope, & conduct the SWOT analysis
131. The initiating phase involves analyzing the project goals & needs. What is the term to describe unanticipated growth of a project
Scope creep
132. 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
Migrate the data
133. 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
The radiology reports of patients with a reported fall on the med-surg unit
134. Which data in a medical record informs the management of the patient's condition following a surgical procedure
Nursing assessment from the prior shift & the doctor's orders
135. Patient comes to the ED with a bump on the arm that is painful, edematous, & oozing sanguineous fluid. Which data in the patient's medical record would tell a nurse to implement infection control precautions
The nursing flow sheet states the wound has increased in edema, redness, & drainage over the last 12 hours
136. MRSA
contact precautions
137. Suspected dehydration & patient reports dizziness & decreased u/o
Lab Report
138. Patient with scabies
Crusted rash, CDC says that the diagnosis of scabies is by physical examination of skin
139. Which info in Electronic Medical Record will help nurse manage post op care for appendectomy
Doctor's orders
140. Patient discharge, information planning
History & physical notes about the reason the patient is admitted
141. Pts come in complaining of the same S/S
patient demographics
142. COPD patient planning care
complete health history
143. High patient volume
Nursing flow sheets
144. Critical step in HCI
Usability
145. Act that recognizes patients need more power in their healthcare, & access to information is key to making that happen
21st Century Cures Act
146. Tapping badge
Improves documentation time
147. Data entry fields
Cascading
148. Patient engagement benefits
Costs decrease, lower readmission rate, improved patient recovery times, increase patient empowerment
149. Which patient are most able to engage in their care
Whose pain is under control or good night rest
150. Nurse is giving patient education over new medication
Ask patient to repeat info, teach backs [Show Less]