Reference no: EM133483051

Questions

1. A patient with a history of methicillin-resistant Staphylococcus aureus (MRSA) is placed on contact precautions after being admitted to the hospital.

How did data in the electronic medical record (EMR) inform this decision?

A. The history and physical notes from the last hospitalization indicated the patient had wet-to-dry dressing changes twice each day.

B. The medication administration record from the last hospitalization indicated the patient received a course of antibiotics.

C. The laboratory report from the last hospitalization indicates the patient had a positive specimen culture result.

D. The nursing flowsheets from the last hospitalization indicated the patient had a swollen elbow with serious drainage

2. A patient reports shortness of breath, a productive cough, and fatigue.

Which data in the electronic medical record (EMR) would inform a nurse to implement droplet precautions?

A. The complete health history indicates the patient has a history of asthma.

B. The radiology impression report indicates consolidation in bilateral lungs.

C. The complete blood count report indicates elevated white blood cells.

D. The nursing flowsheet indicates wheezing heard on auscultation of the left lung.

3. A patient is suspected of having influenza after presenting with reports of fever, chills, and muscle aches for five days.

Which data in the electronic medical record (EMR) provides valuable information to support an influenza diagnosis?

A. Radiology impression

B. Nursing flowsheet

C. Specimen collection results

D. History and physical notes

4. An alert pops up in a patient's electronic medical record (EMR) that the patient is at high risk of obstructive sleep apnea prior to surgery, based on the pre-operative checklist documentation.

What is the goal of the clinical decision support (CDS) tool in this scenario?

A. Remind users of missing care bundle elements

B. Prevent harm to the patient

C. Improve compliance with federal regulations

D. Decrease reportable events

5. A nurse is working with a recently hospitalized patient with a new heart failure diagnosis.

What should the nurse assess in relation to the patient's ability to engage?

A. The patient's most recent access to education

B. The patient's willingness to engage in the learning process

C. Any barriers to the patient's care

D. The Patient's family support system

6. A rural hospital is exploring marketing methods to educate the surrounding community on available services.

Which low-cost method disseminates information and promotes patient engagement in today's population?

A. Social media platforms

B. Radio advertisements

C. Newspaper articles

D. Billboard advertisements

7. After implementing a new electronic health record (EHR), an informatics nurse notices staff rely heavily on printed information from the EHR to use as a "worklist" throughout their shift. This is identified as an unsafe practice.

What is the nurse's first course of action in preventing this practice?

A. Interview staff to determine why printed reports are being used

B. Educate staff to the harm of using printed data as a worklist

C. Report the workaround to nursing leadership

D. Disable printing abilities within the EHR

8. A facility uses order sets for common patient diagnoses. When reviewing, a nurse finds that several include outdated treatments. The nurse proposes forming a committee to review order set content yearly.

Which staff does the nurse recommend for the order set review committee?

A. Informatics staff

B. Multidisciplinary staff

C. Healthcare providers

D. Chief nursing officer (CNO)

9. A facility is planning to purchase new mobile workstations for nursing staff. An informatics nurse has been assigned to prepare a proposal for this purchase.

Which action determines which mobile device is needed?

A. Observe end users to determine their needs

B. Review manufacturer instructions for ability to disinfect

C. Talk to administration regarding the budget

D. Review device information for security features

10. Which comment by a nurse on the clinical and hospital information system (HIS) indicates further teaching is required?

A. "The hospital inventory management has improved."

B. "Providers can have real-time and easy access to patients' medical records."

C. "With automated machines and computers, the number of nurses who encounter errors has increased."

D. "The system has positive impact in helping healthcare institutions become more community focused."

11. A nursing leader in an ambulatory oncology facility is reviewing a clinical trial matching that is used for screening efficiency and patient recruitment in clinical trial for treatment. The key feature of this study involves virtualized storage.

Which threat should be a priority consideration?

A. Potential risk of breach on patient medical information

B. Possible rejection from Medicare or commercial entities for health insurance claims

C, Possible resistance from staff due to the need to learn the required technology

D. Potential delays in patient care delivery due to computer-generated protocol of the new workflow

12. Healthcare organizations are encouraged to use standard language in the data they report.

What is the benefit of standardizing the data each organization reports?

A. Information can be presented using a benchmark diagram.

B. Information can be presented using a scatterplot diagram

C. Information can be presented using a fishbone diagram.

D. Information can be presented using a pie chart diagram.

13. What is one way an informatics nurse specialist can use knowledge discovery in databases (KDD) appropriately within the healthcare field?

A. Explore information and knowledge related to nursing practice

B. Determine which patients should receive limited treatments

C. Create individualized care plans for patient and family needs

D. Write clinical policies based on identified areas of improvement

14. What is the time period CMS uses when defining repeat patient admissions according to the Hospital Readmissions Reduction Program (HRRP)?

A. 15 days

B. 30 days

C. 45 days

D. 60 days

15. What is the nursing informatics scope of practice?

A. Nursing science is integrated with data engineering to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice

B. Nursing science is integrated with information and analytical sciences to identify, define, manage, and communicate data, information, knowledge, and wisdom in nursing practice

C. Nursing science is integrated with behavioral health science to predict and evaluate documentation and analytical trends that impact patient care

D. Nursing science is integrated with medical science to identify and evaluate documentation and analytical trends that impact patient care