D220 nursing exam questions with verified answers mostly recently updated 2024., Exams of Nursing

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D220 nursing exam questions with verified

answers mostly recently updated 2024.

 Informatics - Correct answer An interdisciplinary field that draws from, as well as contributes to "computer, decision, information, management, cognitive science, and organizational theory. Its broad scope encompasses natural language processing, data mining, research, decision support, and genomics.  Nursing informatics - Correct answer the use of technology and information to help support all aspects of THE NURSING PRACTICE.  Information literacy - Correct answer The ability to read and understand the written word and numbers as well as the ability to recognize when information is needed.  Beginning nurse - Correct answer Expected to have fundamental information management and computer technology skills and use existing information systems and establish information management practices  Experienced nurse - Correct answer Be skilled in using information management and computer technology; have strong analytic skills to learn from relationships between different data elements, and be able to collaborate with the informatics nurse

specialist to suggest improvement to systems. Specific area of expertise.  Informatics specialist - Correct answer A nurse with advanced skills specific to health information management and computer technology. Focus on information needs for practice of nursing, including, education, administration, research, clinical practice, and use critical thinking.  Informatics innovator - Correct answer Expected to be educationally prepared to conduct informatics research and generate informatics theory. Advanced understanding and skills in information management and computer technology.  Evidence based practice (EBP) - Correct answer Use current best evidence for patient decisions to improve the consistency and quality of patient outcomes. Foundation of clinical guidelines and clinical decision support tools.  The American Recovery and Reinvestment act (ARRA) - Correct answer In 2009, along with HITECH provided economic stimuli and incentives for the adoption of EHRs and the goal that each person in the US would have a certified digital health record by

 Health Information Technology for Economic and Clinical Health (HITECH) - Correct answer Strongly

recommends that hospitals and healthcare providers increase the meaningful use of health information technology (HIT). To decrease overall health costs and IMPROVE POPULATION HEALTH OUTCOMES.  Joint Commission - Correct answer An independent non for profit organization that accredits and certifies approx. 21,000 hospitals and other HC organizations. A symbol of quality and means organizations are exceeding standards.  TIGER - Correct answer Formed to advance nursing competencies related to informatics. The primary objective was to develop a US nursing workforce capable of using EHR to improve delivery of care. Improving nurse education, practice and delivery of patient care using HIT.  Information system - Correct answer A COMBINATION of computer hardware and software that can process data into information to solve a problem.  Clinical Decision Support - Correct answer Supports decision making and efficiency. Decreases pt. safety risks and increasing positive pt. outcomes. Uses alerts, clinical pathways, order sets, dashboards, diagnostic support, and drug-drug interaction tools.

 Expert system - Correct answer A type of decision support system that implements the knowledge of one or more human experts without human intervention  Alert fatigue - Correct answer The phenomenon where too many CDSS warnings, or recommendations are presented and providers begin to dismiss them regardless of the importance  Admission, transfer, discharge system - Correct answer system integrated with other admit and clinical systems and tracks a patients activities and looking from hospital or clinic  The relationship of standardized terms to financial reward r/t meaningful use - Correct answer The implementation of standardized terminology within an EHRS is essential for health-care organizations to met the criteria of meaningful use.  The goal of meaningful use - Correct answer To exchange clinical structured data in a manner that is accurate and complete to improve care in a cost effective way.  Classification system - Correct answer Used to categorize the details of a clinical encounter. Ex: NANDA, CPT, NIC, ICD-10, CCC, LONIC  reference terminology - Correct answer A set of concepts with definitional relationships. Necessary to

analyze data, develop EBP, and improve quality of care. Ex: SNOWMED-CT, ICNP  SNOWMED-CT - Correct answer Globally recognized, controlled healthcare vocabulary, that provides a common language for electronic health applications to exchange data. Sharing data across health specialties and site of care.  "EPIC-to-Cemer" - Correct answer Interface exist?  ICNP (International Classification for Nursing Practice) - Correct answer Point of care reference terminology. Related specifically to nursing diagnosis, outcomes, intervention statments.  NANDA - Correct answer The first terminology to be recognized by the ANA  Standardized terminology supports the development of? - Correct answer Decision support software  data mining - Correct answer The process uses software to look for hidden patterns and relationships in large data sets.  Health Level 7 (HL7) - Correct answer Standards for the exchange of clinical data and how the data are coded.

 SWOT analysis - Correct answer Strengths, weaknesses, opportunities and threats. Helps identify gaps in the current system.  SWOT is used in what phase of the information system life cycle? - Correct answer Evaluation  1)Needs Assessment phase of the systems development life cycle (SDLC) - Correct answer Determines needs and wants in a information system AKA gap analysis.  2)System selection phase in the system development life cycle (SDLC) - Correct answer The organization seeks out a vendor company that provides a system the best fit needs. 3 documents used (Request for information (RFI), request for proposal (RFP), request for quote (RFQ) documents.  3)System implementation phase in the sytem development life cycle (SDLC) - Correct answer Go live planning, TRAIN STAFF, analyst builds screens and templates according to organization and policies, apply changes to that organization, GO LIVE  4)Maintenance Phase of the systems development life cycle (SDLC) - Correct answer Problem solving, debugging, files back up routinely and install and system upgrades, make sure it's working as intended.

 Integration - Correct answer Different information systems are able to exchange data in a fashion that is seamless to the end user.  Interoperability - Correct answer Ability of 2 entities human or computer to exchange and predictably use data or info while retaining the original meaning of that data  Interface (user) - Correct answer Computer programs that tells two different systems how to exchange data.  Phases of the project management life cycle (PMLC) - Correct answer 1. Design/plan  2.implementation  3. monitor and control  4. evaluation  5. lessons learned with knowledge transfer  Phase one of the project management cycle DESIGN

• Correct answer includes the creation and development of tools needed to manage the project: scope and charter documents guide how system will be implemented.  Scope Creep - Correct answer Unapproved change in a project, which can cause serious delays or even project failure

 Gap analysis - Correct answer used to identify needed changes in the current workflow once moving to the new system.  With change, many feelings can be observed including resistance, and feelings of loss similar to what theory? - Correct answer Kubler ross's theory of grief  Lewin's Change Theory - Correct answer unfreezing, changing, refreezing  Project implementation team/committee - Correct answer Interdisciplinary team that plans, tests, and trains. The project team needs to be actively involved as end users.  The implementation committee tasks - Correct answer Develop plan (WBS), Committee should represent ALL disciplines.  Super User - Correct answer Members of the implementation committee, who's sole purpose is to support end users.  Nurses role in informatics - Correct answer Project manager, provides oversight of the 5 phases of EHRS implementation, facilitates communication  personal health record (PHR) - Correct answer Can follow a person across their life longitudinal. Is a

collection of patient data controlled by the patient and accessible by the patient and providers. The consumer enters and maintains all info.  The use of EHRS results in - Correct answer improved quality, safety, and efficiency while reducing inconsistencies in healthcare, increase pt, and family active involvement in their care, advances the health of the public, safeguards personal health data and information.  Stage 1 requirements for meaningful use - Correct answer 1. record demographic info.  2. computerized provider order entry  3. Clinical decision support and ability to track compliance  4. Automatic, real-time drug-drug and drug-allergy interaction checks  5. Maintain an active medication list  6. Maintain active medication allergy list  7. Record and retrieve VS  8. Record smoking status for patients 13 yrs and older  9. Mechanisms to protect information created or maintained by certified EHR technology include access control  10. Electronically exchange key clinical information among providers and parent authorized entities  11. Supply patients with an electronic copy of their health info upon request  12. Supply an electronic copy of DC instructions upon request'

 13. Report required clinical quality measures to CMS  14. Maintain up to date problem lists of current and active diagnose  MU stage 2 requirments - Correct answer Called for patients to view, download, or transmit their health information online and for the capability for secure messaging between providers and patients and reporting public health measures.  Meaningful use - Correct answer Improve population health, requires standardized nursing terminology, geared to spur the adoption and use of electronic health records for the purpose of gathering and reporting data that can be used to improve population health.  Incentive program to assure EHRSs are used according to standards that achieve quality, safety, and efficiency measures.  All states have implemented HIEs with the oversight of - Correct answer ONC-HIT  Audit trial - Correct answer Software used for detecting problems, and flaws in apps by recording activity by users and systems  privacy - Correct answer The right to control access and disclosure or nondisclosure of information pertaining to oneself and to control the circumstances,

timing, and extent to which information may be disclosed.  Confidentiality - Correct answer Refers to a situation in which a relationship has been established, and private information is shared but not disclosed.  Trojan Horses - Correct answer Appear to do one function while performing another undesired action. They do not self replicate and are easily confined once discovered. Ex. A regular system login but records usernames and passwords for another program for illicit use.  HIPAA - Correct answer ACT that contains penalties for breach of confidentiality within the healthcare environment. Can result in disciplinary action, fines, civil and criminal action, and even termination.  HITECH ACT - Correct answer Authorized incentive payments for early adopters and lead to the development of MU criteria.  Security Rule - Correct answer Establishes a national set of security standards for protecting a certain set of health information that is held or transferred in electronic form. Protect the privacy of individuals health information while allowing covered entities to adopt new technologies to improve the quality and efficiency of patient care.

 Information Security - Correct answer Occurs when realized that information has value and requires protection. Determines the survivability of the system.  Security measures - Correct answer 1.Levels of access as appropriate, on a need to know basis  2.Automatic sign off- in case a HCP has to leave computer abruptly.  3.Firewalls  4. physical restrictions  Firewalls - Correct answer A barrier created from software and hardware designed to block unauthorized access while permitting authorized communications  Physical restrictions - Correct answer 1.*Lock up in server room  2. surveillance  3. keeping cumputers, files, routers, etc behind locked doors  4. disable the drives  5. protect printers  6. daily backups  HIPAA introduces new threats including - Correct answer Email and instant messaging may cary PHI that can be intercepted  Mobile computing should require: - Correct answer Authentication encryption to safeguard information

 Phishing - Correct answer Attempt to steal sensitive information via the internet  Merit-based Incentive Payment System (MIPS) - Correct answer Combines physician quality reporting system (PQrS) and medicare EHRS that will measure based on quality, resource use, clinical practice improvement and MU of EHRS technology.  QSEN Institue - Correct answer Identified quality and safety competencies for nurses that fit well with an informatics culture. Patient centered care, teamwork, EBP, quality improvement, safety and informatics.  Value - Correct answer diagnostics and treatment options were based on value of those test and treatments to patient and organizational outcomes.  Knowledge workflow - Correct answer A primary reason nursing participation is essential on the implementaiton team  At risk pt. safety factors - Correct answer Medication accuracy, Critical lab values  Which act mandated the barcode medication Administration - Correct answer FDA  Who do you call for a medication reschedule - Correct answer Pharmacy

 Informatics Advantages - Correct answer Improved records  improved data collection  Prompts to improve documentation  improved safety with better pt. identification, decision support, and tracking  Improved communication and access to information  Telemedicine - Correct answer use of medical information exchanged from one site to another via electronic communications to improve health status. EX: videoconferencing  Telehealth - Correct answer The use of telecommunication technologies and computers to provide healthcare info and services to patients at another location.  Telenursing - Correct answer Evaluates the outcomes of NURSING CARE using technology  Synchronous connected health - Correct answer Bidirectional communication between patients and healcare providers. VIDEOCONFERENCING, TELESTROKE, TELEPSYCH, ROBOTIC  Asynchronous apps - Correct answer STORE AND FORWARD-radiographic images, photos, videos!

 Non clinical telehealth - Correct answer EX: research/data mining, grand rounds, remote education, and expert in situation.  legal challenges - Correct answer 1. Credentialing and privileging  2. online prescribing  3. malpractice liability  4. licensing of drs  5. Informed consent and privacy  6. Internet bandwidth  Emerging trends - Correct answer Digital hospital front doors, Amazon hosted EHRs, Artificial intelligence, voice assistants.  Culture of safety - Correct answer 1. Being a commitment of resources  2. Cross collaboration  3. BLAME FREE ENVIRONMENT  blame free environment - Correct answer Encourages reporting of errors or near misses. Focuses on systematic view of errors rather than individual causation.  With which act in 2009 did MU originate? - Correct answer ARRA  Data governance - Correct answer The term used to refer to the collection of policies, standards,

processes, and controls applied to an organizations data to ensure that it is available to appropriate persons when and where it is needed, in the format that is needed, and is otherwise properly secured.  An informatics nurse and ER nurse are conducting an analysis of a patient admission from the ER. Which tool should these nurses use for a process analysis? - Correct answer SWOT  When developing a new clinical workflow, what is one of the first steps? - Correct answer recruit  Continutity of Care - Correct answer Intended to improve continuity and quality of care, including reduction of errors. Provides a snapshot of a persons current health and healthcare to a provider who does no have direct access to that persons EHR.  What can a nurse informaticist do to enhance the reporting of quality data?  Develop prerequisites for health IT systems that will build linkages between nursing care and patient outcomes.  Provide reports to centers for medicare and Medicaid services on quality data  Implement standard capturing tools for reporting quality data in the electronic Health record (EHR)  Educate providers on computerized provider order entry (CPOE) - Correct answer c. Implement standard

capturing tools for reporting quality data in the electronic Health record (EHR)  What are two barriers of adopting the use of clinical decision support tools in an electronic health record EHR?  Changes with meaningful use  Implantation challenges  Data sources are shared with the EHR providing CDS  Multiple data sources with adequate information exchange - Correct answer c. Data sources are shared with the EHR providing CDS  Multiple data sources with adequate information exchange  What are three informatics nurses roles are used in the design phase during the system development of life cycle?  Change manager, system analyst and key stakeholder  Project champion, scope author, product manager  Subject matter expert, developer and usability tester  Testing consultant, budget planner and help desk analyst - Correct answer c. Subject matter expert, developer and usability tester  During which phase of the systems development life cycle should a system be activated to effectively be used by end users?  Implementation  Validation

 Testing  Development - Correct answer a. Implementation  A patient informs the nurse that the discharge medications are to be sent to the pharmacy of choice. Where should the nurse enter this information?  Home medication entry  Admission history  Patient summary  Medication reconciliation entry - Correct answer a. Home medication entry  A physician called the nurse to change the recent medication order made on a patient. Where does this nurse make the edit?  In the order entry tab  In the medication administrative summary  In the order summary tab  In the physicians favorites section - Correct answer a. In the order entry tab  A nurse receives an alert that there are new orders for review. Where does this nurse look to verify this information?  Order summary tab  Kardex  Situation, background, assessment, recommendation (SBAR) tab  Order entry tab - Correct answer a. Order summary tab

 Where can a nurse find a copy of the POLST document?  In the scanned documents section or media tab  In the clinical managers office  In the hard copy of chart components  In the patients room - Correct answer a. In the scanned documents section or media tab  what describes an example of opt in or opt out choice regarding the disclosure of personal health information - Correct answer HIPAA  You are contacted by a confused user because their legend changes on the screen they go into, would you tell them? - Correct answer The screen symbols change on each screen depending on the activities done  Ways to protect providers personal mobile devices? - Correct answer Upgrade malware programs and updates  What should providers have on their personal mobile devices? - Correct answer passwords  Which is a physicians clinical informatics assessment? - Correct answer Labs and clinical values  What facility first used BMCA: - Correct answer The veterans hospital of topeka, kansas

 If your patients barcode bracelet is not working and you need to pass meds you would? - Correct answer Check the armband for damage, change the armband if necessary  What happens in the second stage of meaningful use? - Correct answer Called for patients to view, download, or transmit their health information online, and for the capability for secure messaging between providers and patients and reporting public health measures. Must meet stage 2 requirements fot 2 full years.  Which analytic method is used to forecast the likelihood of an adverse event  Data modeling  Real time analytics  Business intelligence  Predictive monitoring - Correct answer d. Predictive monitoring  Which is an accurate statement regarding alerts in the electronic health record?  The alerts are added to the EHR by the vendor to prevent lawsuits  The alerts should be ignored if there are to many which can become distracting  An alert indicates an immediate or potential adverse event that can occur

 An alert is an audit trail of items that are deleted from within the EHR. - Correct answer c. An alert indicates an immediate or potential adverse event that can occur  The hospital announced its integration engine has stopped functioning. What does this mean for system interoperability throughout the organization?  Nurses will have to search the EHR for any new patient data  VS will need to be entered manually  The data can still flow between operations  Lab results will continue to post in a timely manner - Correct answer b. VS will need to be entered manually  What describes the concept of interoperability within a healthcare organization?  It is the storage of patient encrypted data in large data warehouses  It refers to charting during a surgical procedure  It receives data in a timely manner in the patients record  It is the ability to correctly interpret data across systems - Correct answer d. It is the ability to correctly interpret data across systems  What is a continuity of care document? - Correct answer A document that is integrated with the electronic health records to provide the sharing of data with multiple users

 Why does systemized nomenclature of medicine (SNOMED)international use standardized terminology?  To allow translation of foreign languages between systems  To ensure clinical terminology in one system correlates to those in another system  To ensure the correct medications are administered  To allow software vendors to easily design electronic medical records (EHR) - Correct answer b.To ensure clinical terminology in one system correlates to those in another system  This is a purpose or reason for an organization's existence  a.The plan  b.The objective  c.The mission  d.The goal - Correct answer c.The mission  Which is not an emerging trend in healthcare?  a.Less consumer accountability  b.A push for patient saftey  c.Error reduction - Correct answer a.Less consumer accountability  This is the development of a comprehensive long range plan of guiding the activities and operations of an organization:  a.Futuristic goals

 b.Actively blueprint  c.Scheme preparation  d.Strategic planning - Correct answer d.Strategic planning  What is not a reason why its important that selection committee board member understand software and electronic process:  a.It can affect success or failure of the project  b.They often determine budget allocations  c.It can impact business goals  d.They will need to become trained on the system - Correct answer d.They will need to become trained on the system  Strategic planning is driven by all except: - Correct answer Short term goals  What is not a national trend r/t sng informatics?  a.CPOE  b.Barcode for meds  c.Blogging as a means to give shift report - Correct answer c.Blogging as a means to give shift report  During which phase of the informatics system life cycle should the musts and wants be determined?  a.Needs assessment  b.System implementation  c.Maintenance  d.System selection - Correct answer a.Needs assessment

 This defines the detail of collaborative effort:  a.Project scope  b.Proposal strategy  c.Project plan  d.Activity guide - Correct answer a.Project scope  Which is not a responsibility of the project implementation team?  a.Present system design to management  b.Execution system changes  c.Active involvement in user participation  d.Knowledge of current workflows - Correct answer a.Present system design to management  Not a phase of information system life cycle:  a.Needs  b.System implementation  c.Selection  d.Evaluation - Correct answer ?notagoodQ  A common request contained request for information document includes a:  a.Cost analysis  b.Company history  c.Hardware and software list  d.Execution timeline - Correct answer b.Company history  What is the objective of user acceptance testing of a health information system - Correct answer The

objective of the UAT was to give HFR users an opportunity to test all functionalities, identify any defects or bugs, and check whether the system met the required, agreed-on specifications.  An important part of a nurse informaticist's role is to report and use the data to evaluate the quality of healthcare against recognized quality standards.  which statement describes quality reporting - Correct answer Quality reporting should have better documentation, fewer medical errors, cost saving and improved care coordination.  A nurse informaticist uses tools and methods to influence the change management process. which change theories? - Correct answer Theory applied to informatics - Lewin's Change Theory  what are statements examples of the use of evidence- based guidelines in clinical informatics? - Correct answer Examples of the ways in which practice-based research is being enabled by health IT tools and techniques include recruitment of patients for practice-based research studies via electronic data collection; translation of research into practice by re- engineering practices through strategic adoption of health IT; and identification of risk in a patient population using physician-coded data from an electronic medical system.