D220 STUDY QUESTIONS WITH SOLUTIONS ALL 100% CORRECT 2024 UPDATED GRADED A+, Exams of Nursing

Download D220 STUDY QUESTIONS WITH SOLUTIONS ALL 100% CORRECT 2024 UPDATED GRADED A+ and more Exams Nursing in PDF only on Docsity! D220 STUDY QUESTIONS WITH SOLUTIONS ALL 100% CORRECT 2024 UPDATED GRADED A+ 1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? - Solution The medication administration record and the nursing assessment notes from the last shift indicate the patient's level of comfort. 1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain? - Solution Physician orders 1. A patient completes the course of treatment for tuberculosis and is ready to be discharged home. Which instructions should be included in the patient's discharge education? - Solution Importance of completing the medication prescribed. 1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on auscultation. Which data set in the medical record informs the decision to implement the ineffective airway clearance nursing care plan? - Solution The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations. 1. The health administrator at a clinic observes an increase in the number of patients with a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health record (EHR) will provide a cross-reference to the impacted patient population? - Solution Patient demographic records 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - Solution Graphical trending 1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles, and persistent cough. Which data set in the medical record from the last shift informs the decision to implement the fluid volume overload care plan? - Solution Nursing flowsheet and intake and output record 1. Which data set in the electronic health record (EHR) will assist in evaluating the number of positive influenza tests at a facility within the past year? - Solution Laboratory records 1. Which patients are ideally positioned to fully engage in their care? - Solution Patients that are recovering well after a full night of sleep. 1. A nurse is teaching a patient-centered health education course at a hospital. As an informatics nurse leveraging technology to help improve patient understanding, which learner would be more likely to have a low health literacy and require more focus? - Solution An elderly person 1. What is true about improving health literacy? - Solution Improving health literacy leads to better patient outcomes. 1. A nurse assists with implementing a new remote patient monitoring (RPM) system for collecting patient data, which improves patient outcomes. Which task is a high priority for an informatics clinician when implementing a new technology for patient data collection? - Solution Identify and define the goal of the technology. 1. Patient use of technology has increased dramatically. While patients are more active in their care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which recommendation should the nurse give to ensure education is accurate? - Solution List credible education resources for the patient's research. 1. What does the informatics nurse recommend to increase attendance to follow-up appointments? - Solution Automated text or email reminders 1. Pharmacy adds a field into the medication administration record to document the lot number when a chemo medication is administered but fails to communicate this to the nurse responsible for the medication administration documentation. What is a consequence of this action? - Solution Pharmacy cannot determine if there is a problem with a medication batch. 1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making it difficult to know where to document some items. As a result, the nurse uses the notes instead or in addition to 1. An informatics nurse is working on genomics data to facilitate disease identification and develop individualized treatment plans for patients in a complex medical facility. What is considered a fundamental requirement for valid interpretation of genomics data? - Solution High throughput computing system 1. Which medical device is useful in establishing an effective monitoring system for a patient with acute brain injury? - Solution Temperature probe 1. An informatics nurse is collaborating with a nursing director of a long- term care facility to address an ongoing issue with medication errors. Which solution should they consider? - Solution Use digital platform and barcode systems. 1. What are the correct steps in medication administration that require scanning verification? - Solution Scan the serial numbers on the medication label and patient's identification bracelet. 1. Which healthcare data set would allow identification of performance gaps and establishment of realistic targets for improvement? - Solution Healthcare Effectiveness Data and Information Set (HEDIS) 1. Which situation places a clinical decision support system (CDSS) at risk for corrupt datasets? - Solution A nurse updates a patient's medical history after learning of a medical condition via social media. 1. A team of healthcare workers were stunned when a reality show actor was brought to their emergency unit. A few of them took videos of the actor and streamed them live on social media. Which law did the healthcare workers possibly violate? - Solution Health Insurance Portability and Accountability Act (HIPAA) 1. The nursing unit of a major hospital is revisiting their policy on the use of mobile devices for accessing the EMR. Which guideline should take precedence? - Solution Ensure legal and regulatory compliance. 1. The hospital director asks the informatics nurse about an effective patient record management system. Which basic feature of a patient health record (PHR) system would the informatics nurse endorse? - Solution Encourage the active participation of patients in the management of their condition. 1. In which situation should the informatics nurse recommend the use of regression testing? - Solution When a new feature is added to the existing hospital management system 1. How does an informatics nurse apply expertise in workflow and technology? - Solution By analyzing the impact of new technologies 1. Physicians rely on free text notes for a significant amount of their patient- related documentation. An organization is reviewing data to identify and progress toward set goals related to patient outcomes. What challenge does this present? - Solution Qualitative data is manually extracted from the health record. 1. A healthcare organization has determined which outcomes it wants to improve over the next year and what changes will be implemented to help the organization achieve its goals. The organization builds an interactive reminder tool in the electronic health record (EHR) for staff. Data can be collected from this tool to determine if the changes are implemented. Which type of data collection is this? - Solution Checklist 1. A charge nurse uses the department's smartphone to send a text message containing the patient's last name, room number, and most recent vital signs to the attending physician. Which federal act does this violate? - Solution Health Insurance Portability and Accountability Act (HIPAA) 1. A nurse scans the barcode of a medication prior to administering it to a patient. Which metric is reduced when a healthcare system implements a policy which promotes barcode scanning of medications? - Solution Medication Errors 1. Which entity is required by The Health Insurance Portability and Accountability Act of 1996 (HIPAA) to remove identifying information before sharing information publicly? - Solution Billing Company 1. A clinic employee left a message at home for a patient that included details of both a medical condition and treatment plan. The patient requested any contact regarding medical conditions be done through the patient's work phone number. What should the clinic's next steps be? - Solution Train employees to provide only the minimum necessary information in messages. 1. Pharmacies are required to maintain logbooks regarding pseudoephedrine purchases. A pharmacy kept their logbooks open on the counter where patients approach to pick up prescription medications. Which statement is true regarding the pharmacy's logbook? - Solution HIPAA was violated as the logbooks contain protected health information. 1. After a patient leaves an appointment with a healthcare provider, a nurse notices that the patient's printed visit information was left in a public location. Which action adheres to the ethical and legal requirements for the disposal of this material? - Solution The nurse disposes of the printed document in the appropriate document shredder. 1. A nurse supporting a new employee within a patient care setting witnesses the new employee incorrectly explaining their patient's procedure to other employees in the cafeteria. Which action should the nurse perform? - Solution Remind the group of the privacy requirements. 1. What are the requirements for data collection and tracking in clinical healthcare research? - Solution Include all data whether or not it aligns with the expected outcome. 1. A nurse is documenting the electronic record of a patient while in a common area. The nurse is called away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the other area? - Solution Close the record and log out of the account. 1. Which information should a nurse consider as protected health information (PHI) while evaluating a patient's records? - Solution The patient's gender and date of birth 1. An adult asks a nurse to look up lab results for their adult family member. How should the nurse respond to this request? - Solution Explain to the family member that lab results are protected health information and can only be released to the patient or an authorized representative. 1. The hospital announced its integration engine has stopped functioning. What does this mean for system interoperability throughout the organization? - Solution Manually chart the VS 1. What is a barrier and benefit to using biometrics? - Solution Barrier - Financial; Benefit - Security 1. During which phase of the systems development life cycle should a system be activated to effectively be used by end users - Solution Implementation 1. RN needs to override a medication, which one would she NOT override? - Solution Comfort Care patient with 2 new orders 1. Nurse sends message to doctor, "Mr. Smith, BP 84/74. 54" - Solution Not enough information for the doctor to prescribe treatment. 1. A hospital has a surgical department that uses a different EHR from the main EHR (integrated). When a physician inputs an order in the surgical department, how would you ensure that it is in the main EHR? - Solution Chart in one and it will go into the EHR. 1. Statewide HIE responsible for implementing interoperability standards. What is the name of the state level HIE and what is the mission off it? - Solution Health Level 7 (HL7); To provide a comprehensive framework and related standards for the exchange, integration, sharing, and retrieval of EHI; enhance interoperability. 1. Which informatics solution assists in ensuring tasks are accomplished? - Solution Electronic checklists 1. To monitor a patient's blood glucose level, you will need: - Solution A nurse flow sheet 1. Workflow analysis: - Solution Also known as the process analysis, involves identifying, prioritizing and ordering tasks and information needed to achieve the intended results of a clinical or business process. Workflow analysis mitigates these rights and increases the chances for success in an IT implementation. 1. Treatment of patient related to BP measures or fluctuation blood glucose levels: - Solution Medication administration and MAR 1. The ER is trying to improve quality of care and decrease the waste time. Nurse recognizes a problem and thinks of which solution: - Solution Planning phase when the nurse recognizes a problem and solution. 1. To create an informatics culture, you should: - Solution Assess current state to determine gaps. 1. A rural hospital is planning to implement teleradiology in its busy ER department. What is a security consideration in teleradiology implementations? - Solution Access to patient images 1. A high number of data-entry fields in the EHR can be overwhelming for staff and make it difficult to find where information should be documented. Which informatics solution could solve this problem? - Solution Cascading documentation 1. How can informatics be used to assess a person's health literacy? - Solution Informatics can evaluate current state and determine the resources needed to determine a patient's level of understanding. 1. A provider receives a request from a third-party for details of a patients encounter. When must the provider obtain consent from the patient before releasing this information? - Solution When it is provided to be a life insurer for coverage purposes (do not release life health records to life insurance unless allowed by patient) 1. A facility recently implemented a new EHR. End nurses are now suggesting changes to improve the HR and workflow processes. Which phase in the SDLC does this describe? - Solution Maintenance 1. High priority task for informatics clinician when implementing a new technology for data collection is: - Solution Identify and define goal of technology. 1. What is regression testing? - Solution Ensures app still functions as expected after an update or change in improvement 1. Nurse finds 100 errors in coding: - Solution AHIMA and report to nurse manager 1. Constipation treatment: - Solution Physician orders (plan and manage) for PRN medications. 1. Where to look to further evaluate and manage patients with significant BP? - Solution intake and output 1. What is the benefit of the internet? - Solution Improve communication and teamwork. 1. A nurse is asked to be part of a study. What should the nurse do? - Solution Provide de-identified data. 1. In order to institute isolation precautions, you will need: - Solution Pathology report to confirm the pathogen. 1. A researcher wants patient's data for a journal, what do you need to provide? - Solution Patient consent and de-identified information/data 1. Identifiable Patient information is also called: - Solution Personal data, personal information and IPI 1. Busy ER, what can a nurse do to help? - Solution Nurse can start the admission process. 1. Staff is resistant to tele-ICU (implementing new process). What are the benefits? - Solution Improve workflow, Resources and expertise. 1. Benefit of MD using CPOE and DSS? - Solution Alerts when ordering Viagra when patient is taking a cardiac medication. 1. Patient transferring from the ED to the ICU. Information comes from: - Solution Progress notes of the previous nurse (if in the same hospital) OR HIE (from different hospital) 1. Patient is being transported to another hospital. The first hospital uses one system, and the admitting hospital uses a different system. What does the nurse need to do in order to obtain the patients information from the ED 1. What is Computerized Provider Order System (CPOS)? - Solution An application that supports direct electronic entry of patient-care-related orders by authorized practitioners and direct transmission of those orders to designated entities. 1. What is Confidentiality? - Solution Tacit understanding that private information shared in a situation in which a relationship has been established for the purpose of treatment or delivery of services will remain protected 1. What is the Consolidated-Clinical Document Architecture (C-CDA)? - Solution standard that provides a framework for the encoding, formatting and semantics of electronic documents 1. What is the Continuity of Care Record (CCR)? - Solution Technical informatics standard that provides a snapshot of a person's current health and healthcare to a provider who does not have access to that person EHR 1. What is the 21st Century Cures Act? - Solution Enacted in 2016, advanced interoperability and patient access to EHI 1. What is Data? - Solution Collection of numbers, characters or facts that are gathered according to some perceived need for analysis and possibly action at a later point in time 1. What is Data Analysis? - Solution identifies patterns in data and then uses models to recommend actions 1. What is Data Cleansing/Data Scrubbing? - Solution Use of software to improve the quality of data to ensure that it is accurate enough to use in data mining and warehousing. Removes incorrect, incomplete, duplicate, or improperly formatted items using special software 1. What is Data Governance? - Solution Collection of policies, standards, processes and controls applied to an organizations data to ensure that it is available to appropriate persons when, where, and in the format needed while maintaining security 1. What is Data Integrity? - Solution Ability to collect, store, and retrieve correct, complete, and current data so that the data are available to authorized users when needed. 1. What is Data Mining? - Solution Technique that looks for hidden patters and relationships in large groups of data using software 1. What is Data Warehouse? - Solution Provides a powerful method of managing and analyzing data 1. What is a Database? - Solution File structure that supports the storage of data in an organized fashion and allows data retrieval as meaningful information 1. What is eHealth Literacy? - Solution Ability to use electronic sources to search for, find, comprehend and evaluate information and images found online and apply acquired knowledge to address or solve a health issue 1. What is Electronic Health Record System (EHRS)? - Solution Database-management software enabling the many functions needed to create and maintain an EHR 1. What is Electronic Medical Record (EMR)? - Solution Legal record created in hospitals and ambulatory settings of a single encounter or visit that is the source of data for the EHR 1. What is Evidence Based Practice (EBP)? - Solution Using current best evidence for patient care decisions in order to improve patient outcomes. 1. What is Fishbone Diagram? - Solution structured visual approach to look at cause and effect 1. What is Gantt Chart? - Solution Graphic presentation that shows a project schedule with start and finish dates of selected component tasks and the person responsible for each task; used for at-a-glance management 1. What is Go-Live? - Solution Data when an information system is first used, or the process of starting to use an information system 1. What is Health Information Exchange (HIE)? - Solution Electronic sharing of relevant patient information between providers, hospitals, specialists and ambulatory settings 1. What is Health Information Technology (HIT)? - Solution Information systems and other information technology used to record, monitor, and deliver patient care as well as perform managerial 1. What is Health Information Technology for Economic and Clinical Health (HITECH)? - Solution Provision of ARRA that aimed to ensure that healthcare organizations were adopting EHRSs and validating their implementation by showing MU 1. What is Health Insurance Portability and Accountability Act (HIPAA)? - Solution Enacted in 1996, created standards to protect sensitive patient health information from being disclosed without the patients consent or knowledge. 1. What is Health Literacy? - Solution Degree to which individuals can obtain, process, and understand the basic health information and services needed to make appropriate health decisions 1. What is Healthcare Information Systems (HIS)? - Solution Computer hardware and software dedicated to the collection, storage, processing, retrieval and communication of patient care information in a healthcare organization 1. What is Informatics? - Solution Science and art of turning data into information 1. What is information? - Solution Collection of data that have been interpreted and examined for patterns and structure 1. What is information blocking? - Solution interference with the access, exchange, or use of electronic health information 1. What is Information Literacy? - Solution Ability to recognize when information is needed as well as the skills to find, evaluate and use needed information effectively 1. What is Strategic Plan? - Solution A process that creates an entity's vision of the future, develops broad goals for reaching that future and specifies high level steps for achieving goals 1. What is Syndromic Surveillance? - Solution Processes that focus on near real time use of early disease indicators to detect and characterize evens that may need health investigation 1. What is System Development Life Cycle (SDLC)? - Solution A sequence of activities in the planning, designing, testing, implementation and evaluation of an information system 1. What is SWOT Analysis? - Solution A process that examines the strengths, weaknesses, opportunities and threats of a given situation 1. What is Teleconferencing? - Solution use of computers, audio and video equipment, and communication links to provide interaction between 2+ persons at 2+ sites 1. What is Telehealth? - Solution provision of information to healthcare providers and consumers and the delivery of services to clients at remote sites through the use of telecommunication and computer technology 1. What is Telemedicine? - Solution Use of telecommunication technologies and computers to provide medical information and services to clients at another site 1. What is Technology Informatics Guiding Education Reform (TIGER) Initiative? - Solution 2004 initiative that called together stakeholders with the goal to develop a US Nursing workforce capable of using EHR to improve the delivery of healthcare 1. What is Translational Research? - Solution an approach to research that seeks to produce meaningful, applicable results 1. What is Usability? - Solution Specific issues of human performance in achieving specific goals during computer interactions within a particular context 1. What is Vision? - Solution Future oriented high-level view of what an organization would like to become that provides direction for planning purposes 1. What is Virus? - Solution A malicious program that can disrupt or destroy data 1. What is Wisdom? - Solution Application of knowledge to manage and solve problems 1. What is AI? - Solution Artificial Intelligence 1. What is AIS? - Solution Administrative Information System 1. What is AHRQ? - Solution Agency of Healthcare Research and Quality 1. What is ARRA? - Solution American Recover and Reinvestment Act of 2009 1. What is AHIMA? - Solution American Health Information Management Association 1. What is BCMA? - Solution Barcode Medication Administration 1. What is CAC? - Solution Computer Assisted Coding 1. What is CCD? - Solution Continuity of Care Documentation 1. What is C-CDA? - Solution Consolidated-Clinical Document Architecture 1. What is CCR? - Solution Continuity of Care Record 1. What is SWOT? - Solution Strength, Weakness, Opportunities, Threats 1. What is CDSS? - Solution Clinician Decision Support System 1. What is CIS? - Solution Clinical Information System 1. What is CMS? - Solution Centers of Medicare and Medicaid Services 1. What is CPOE? - Solution Computerized provider order entry 1. What is TCP? - Solution Transmission Control Protocol 1. What is TIGER? - Solution Technology Informatics Guiding Education Reform 1. What is RPM? - Solution Remote Patient Monitoring 1. What is RxNorm? - Solution Medical Prescription Normalized (contains all US drug names) 1. What is CPOS? - Solution Computerized provider order System 1. What is SDLC? - Solution System Development Life Cycle 1. What is CPT? - Solution Current Procedural Terminology 1. What is DIKW? - Solution Data Information Knowledge Wisdom Framework 1. What is EBP? - Solution Evidence Based Practice 1. What is EHR? - Solution Electronic Health Record 1. What is SNOMED? - Solution Systematized Nomenclature of Medicine Clinical Terms (related to HIE) 1. What is PLMC? - Solution Project Management Lifestyle Cycle 1. What is RCA? - Solution Root Cause Analysis 1. What is RFID? - Solution Radio-Frequency Identification 1. What is EHRS? - Solution Electronic Health Record System 1. What is RIS? - Solution Radiology Information System 1. What is EMR? - Solution Electronic Medical Record