Prior Test Questions Flashcards

1
Q

Knowledge that is patterned for use in reasoning is known as:

A

Knowledge representation.

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2
Q

Principles of ergonomics include job design, health issues, and:

A

End-user interfaces.

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3
Q

In promoting change, the people who are recognized as opinion leaders and role models are known as the:

A

Early adopters.

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4
Q

Which document articulates the primary factors that guide professional nursing judgment regarding confidential patient information?

A

American Nurses Association’s Guide to the Code of Ethics for Nurses with Interpretive Statements.

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5
Q

Ease of navigation, appropriate language, efficiency of use, ease of learning, and intuitiveness are all examples of:

A

System usability.

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6
Q

The basic network protocol that determines the rules used to create and route packets of data between computers is:

A

TCP/IP.

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7
Q

Applications designed to run on a common platform, operate in a common environment, and communicate through direct data transfer are known as:

A

Integrated.

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8
Q

What is the initial layer of protection to prevent unauthorized, external access to a facility’s information network?

A

Firewall.

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9
Q

The informatics nurse violates the legal right to privacy and confidentiality by:

A

Looking up a colleague’s diagnosis and laboratory results while they are hospitalized.

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10
Q

Using parallel strategy for the roll-out of an electronic medication administration system means that all:

A

Medications are documented using both the current method and the new system.

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11
Q

In project management, the critical path is best described as a series of activities that:

A

Indicates the earliest possible time a project can be complete

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12
Q

The foundation of strategic system planning begins with a review of the:

A

Organization’s mission.

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13
Q

The focus of data analysis is to:

A

Transform data into a usable form.

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14
Q

Which tool tracks resources, milestones, and time frames associated with the implementation of a new clinical program?

A

Project management software.

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15
Q

Which process produces a blueprint that details how hardware and software meet the needs of an organization?

A

System design.

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16
Q

A downtime of the electronic health record (EHR) system is planned for three months from today. The informatics nurse is formulating a communication plan for the clinical staff about the downtime. The nurse plans to:

A

Present the information at super-user, department, unit, and other specialty clinician meetings, in addition to having a message posted on the EHR.

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17
Q

Adult learners most effectively learn about a new clinical information system when the instructor:

A

Encourages the learner to use previous experience to interpret new learning.

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18
Q

As an ambulatory provider reviews a patient’s health history, the provider reads laboratory data from an external organization. This scenario best exemplifies:

A

Health information exchange.

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19
Q

The problems of an existing system have been identified, along with possible solutions. What is the next step in the systems analysis stage?

A

Feasibility study.

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20
Q

Which type of testing is performed on functionally grouped components to ensure that the subset works with the entire system?

A

Integration.

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21
Q

The informatics nurse is working on a chart to demonstrate the increasing incidence of obesity in the patient population at a health clinic. The data will represent patients who are of normal weight, overweight, obese, and morbidly obese, and will include the percentage of the total population for each group. This type of data is most effectively represented by a:

A

Pie.

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22
Q

Integrating clinical practice guidelines with an electronic health record (EHR) facilitates quality improvement measurement by:

A

Comparing guideline parameters to clinical outcomes.

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23
Q

System analysis is the process by which:

A

System’s functional requirements are derived from users’ needs.

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24
Q

The informatics nurse leading an evidence-based practice (EBP) initiative knows that a key factor for a successful project includes:

A

establishing a formal implementation team that includes both staff and graduate-level or higher nurses.

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25
Q

Adherence to a standardized nursing language will lead to

A

Improved evaluation of nursing outcomes.

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26
Q

Financial evaluation should:

A

Include both tangible and intangible costs.

27
Q

Integration testing involves:

A

Testing the flow of data across all interfaces.

28
Q

The implementation team has determined that the conversion to the new system will occur department by department, with two weeks in between each installation. This is known as:

A

Phased installation.

29
Q

The Informatics Nurse Specialist is developing a test scenario to determine if the admissions, discharge, and transfer application will work with the clinical documentation and laboratory results reporting modules of a larger electronic health record. This is known as:

A

Integration testing

Integration testing is testing between systems. Unit testing only tests one discrete function and acceptance testing occurs when users test entire system to determine if the system meets the specified requirements of the design.

30
Q

Benchmarking is:

A

Benchmarking is defined as a way of finding best practices and then comparing ones organization against another.

31
Q

The network that connects the departments in an organization is likely a(n):

A

LAN - local area network

32
Q

Data mining in knowledge data discovery (KDD) allows providers to:

A

Apply algorithms for extracting patterns that are not typically apparent to human decision makers.

33
Q

Total Quality Management (TQM)

A

Used to depict Quality Management measures.

Examples include:- cause and effect diagrams- flowcharts- histograms- Pareto charts- Run charts- Control charts- scatter diagrams.

34
Q

An audit trail is :

A

An electronic tool that can track system access by individual user who viewed a specific client record

35
Q

As an ambulatory provider reviews the patient’s chart, the provider reads lab data from an external organization. This scenario exemplifies:

A

A health information exchange.

36
Q

If the informatics nurse is concerned that a computer system may not function well during peak times of access, the type of testing needed is:

A

load/volume testing

Rationale: This is a non-functional testing for reliability that assesses the ability of the system to function under various loads, such as at peak times when multiple users in multiple departments are accessing the system. The purpose of load/volume testing is to determine the maximum load capacity and to identify the load at which problems begin to occur. Testing is done at both the safe working load (SWL) and above the SWL.

37
Q

The smallest possible piece of data utilized in computer processing is the:

A

bit

38
Q

True or False

Team establishment includes choosing team members from a single department or discipline.

A

False

39
Q

Work flow

A

Changes in many ways including culture, productivity, and clinical practice during an implementation

Rationale: Workflow WILL change with the implementation of the system and is more than simply documenting policies and procedures. The workflow must be determined organization-wide and not be left to individual departments as systems and processes must be integrated.

40
Q

The human-technology interface includes the:

A

Keyboard and mouse

41
Q

What is root cause analysis?

A

Root cause analysis is a structured examination of the aspects of a situation to establish the root causes and resulting effects of the problem

42
Q

During the feasibility stage of the SDLC, which of the following occurs?

A

The project plan and estimated budgets are determined

43
Q

What are some tools that a project manager might use in the system planning stages?

A

gap analysis

44
Q
A
45
Q

If the organization receives notice that a software
program currently in use is to be sunsetted, the informatics nurse realizes
that the organization must:

A

upgrade or replace the software.

If the organization receives notice that a
software program currently in use is to be sunsetted, the informatics nurse
realizes that the organization must upgrade or replace the software because
sunsetting means that the software will no longer be supported by the company

46
Q

Which of the following is the primary reason for
conducting end-user testing?

A

Identify Errors

The primary reason for conducting end-user
testing is to identify errors. Testing is carried out by end users to ensure
that the computer system functions correctly and meets the organization’s
needs.

47
Q

As a project manager, the informatics nurse may use a
swim lane diagram (Rummler-Brache) to show:

A

processes and individual/departmental responsibilities.

As a project manager, the informatics nurse may
use a swim lane diagram (Rummler-Brache) to show the processes and
individual/departmental responsibilities. The horizontal rows indicate individuals/departments
and both horizontal and vertical lines and arrows are used to show the workflow
separating tasks, which are named in rectangles on the horizontal planes.

48
Q

Performance appraisal should generally be:

A

Ongoing

generally performance appraisal should be an ongoing process that continues from one review period to another (usually annually) in order to provide feedback to the individual and
help the individual reach goals.

49
Q

Which of the following terminologies is used to code
for medical procedures and services under health insurance plans (both public
and private)?

A

CPT

“Current Procedural Terminology (CPT) was developed by the American Medical Association (AMA) and is used to code for medical procedures and services under health insurance plans (both public and private).”

50
Q

When reviewing user data, the informatics nurse notes that one staff member has far higher error rates than others. The best method of dealing with this is to:

A

speak to the person face-to-face.

If, when reviewing user data, the informatics nurse notes that one staff person has far higher error rates than others, the best method of dealing with this is to speak to the person face-to-face to discuss the reasons for the errors and any need for additional training.

51
Q

When assigning roles to team members, the informatics nurse should first consider their:

A

Commitment to team efforts.

When assigning roles to team leaders, the
informatics nurse should first consider their education and skills in order to match members to the most appropriate roles because members are more likely to be effective if they are dealing with roles with which they have some familiarity

52
Q

“The Health Information Technology for Economic and Clinical Health (HITECH) Act under the Enforcement Interim Rule provides:”

A

Criminal/civil penalties for violations of HIPAA rules.

The Health Information Technology for Economic and Clinical Health (HITECH) Act under the Enforcement Interim Rule provides criminal/civil penalties for violations of HIPAA rules. ”

53
Q

According to the Foundation of Knowledge model, early in a career, a nurse focuses primarily on knowledge:

A

Acquisition.

“According to the Foundation of Knowledge model
(Mastrian), early in a career, a nurse focuses primarily on knowledge
acquisition because the nurse has numerous pieces of information that have not
yet coalesced into a whole. ”

54
Q

Knowledge viability” refers to applications that:

A

Provide valid information from a variety of sources.

“Knowledge viability” refers to applications
that provide valid information from a variety of sources. This information
should be easy to access, accurate, and timely, and presented in such a way
that it can generate further knowledge”

55
Q

Data mining refers to:

A

Sorting through data to identify patterns and relationships.

Data mining refers to sorting through data to identify patterns and relationships in large relational databases in order to extract and utilize data. Data” mining allows data to be extracted and transformed, stored in a database, accessed, and analyzed by software programs.

56
Q

The abbreviation RDBMS refers to:

A

Relational database management system.

The abbreviation RDBMS refers to relational database management system. RDBMS is a system that uses a relational model to manage data.

57
Q

The primary purpose of the Nationwide Health Information Network (NwHIN) is to:

A

Ensure secure internet exchange of information through standards, policies, and services.

The primary purpose of the Nationwide Health Information Network (NwHIN) is to ensure secure internet exchange of information through standards, policies, and services.

58
Q

Which of the following is a technique that can be used for data reduction

A

Clustering

A technique that can be used for data reduction is clustering. Clustering groups of statistical units into clusters (classes) in order to reduce the overall number of statistical units.”

59
Q

A primary difference between radio frequency identification (RFID) and barcode is that RFID

A

Has greater read range.

primary difference between radio frequency identification (RFID) and barcode is that RFID has great read range. While the read range for barcode ranges from inches to a few feet, passive ultra-high frequency (UHF) RFID ranges up to 40 feet if readers are fixed or up to 20 feet
if readers are handheld.

60
Q

The best reason to switch from a traditional analog telephone system to Voice over Internet Protocol (VoIP) is to:

A

To save money

The best reason to switch from a traditional analog telephone system to Voice over Internet Protocol (VoIP) is to save money. VoIP converts analog audio signals to digital data, which can be transmitted over the internet, allowing calls anywhere in the world with internet access, essentially for free or for low cost.

61
Q

The primary goal of Health Level Seven (HL7) is:

A

providing and sharing standards for exchange of electronic health
information.

The primary goal of Health Level Seven (HL7) is providing and sharing standards for exchange of electronic health information (interoperability). HL7 is a nonprofit ANSI-accredited organization.

62
Q

Semantic interoperability is essential to ensure that:

A

the data moved from one system to another system are understood in the same way.

Interoperability is the ability to transfer, share, and utilize information
from one system to another. Three aspects of interoperability include

Technical
Semantic:
Syntactical:
Process:

63
Q

A patient’s name and ID number are examples of:

A

Alphanumeric data.

A patient’s name and ID number are examples of alphanumeric data, with alpha referring to letters and numeric referring to numbers.

64
Q

A “warm” site is a site:”

A

With patient data that can be activated within 8
hours.

A “warm” site is a site with patient data that can be activated within 8 hours. This backup system should be capable of running the EHR if the home system fails.