Question 1

The nurse is preparing discharge instructions for a client with a foot wound.How will the nursing information system support this client's learning needs?

Accepted Answer

A)   Improves documentation about the client's status
B)   Summarizes the list of charges that will appear on the client's bill
C)   Provides a record of all medications received while hospitalized
D)   Prints discharge instructions to use for teaching D

Question 2

The nurse manager is meeting with the director of human resources to review information about current clinical staff.How does the clinical decision support system support human resource functions?

Accepted Answer

A)   Determining if staff are correctly coding client care procedures
B)   Identifying staff who are incorrectly charging for resources used for client care
C)   Recognizing staff who are not discharging clients according to identified lengths of stay
D)   Evaluating the number of staff with licensure due to expire D

Question 3

The nurse is caring for a client who has a foot wound that is not healing appropriately.How will accessing the clinical decision support (CDS)system help with this client's care?

Accepted Answer

A)   Allows the nurse to view options from experts
B)   Facilitates available medical research
C)   Makes the decision for the next step
D)   Points the nurse in the next direction A

Question 4

The nurse is documenting in the electronic medical record (EMR)after providing care in the client's room.The client's asks the nurse why a computer is being used.Which response by the nurse is appropriate?

Accepted Answer

A)   "The information that is uploaded is available for anyone to view."
B)   "Computers improve client care because information is readily available."
C)   "The computer decreases documentation time for nurses."
D)   "Computers allow you access to your medical record."

Question 5

The nurse on the hospital research committee is assigned the task of reviewing literature on the impact of an electronic medical record when documenting client care.Which action will allow the nurse to find the most appropriate information for this study?

Accepted Answer

A)   Look for articles at the medical library.
B)   Use Google to search for information.
C)   Access bibliographic databases online.
D)   Seek journals in the nursing library.

Question 6

The nurse is providing discharge instructions about medications and exercise to a client with congestive heart failure.Which action by the nurse ensures that the client is fully informed?

Accepted Answer

A)   Make sure a relative attends the discharge teaching session.
B)   Repeat the discharge teaching sessions twice.
C)   Ask the physician to reinforce teaching prior to discharging the client.
D)   Print the discharge instructions and hand them to the client prior to discharge.

Question 7

A rural home health nurse is caring for a client recovering from a myocardial infarction.The client is concerned that the community clinic does not have the ability to provide the necessary monitoring for the health problem.Which response by the nurse is most appropriate?

Accepted Answer

A)   "It is not necessary for you to be monitored after a myocardial infarction."
B)   "Through technological advances such as telehealth, we can send your information to the cardiologist."
C)   "You are right. We will be sending you to the city every month."
D)   "We use an intranet in this facility."

Question 8

The nurse at an acute care facility is being trained as a case manager.In which ways does the electronic medical record assist the case managers in their job duties? Select all that apply.

Accepted Answer

A)   Allow for trending of client progress
B)   Allow for easier collection of payment
C)   Allow for documentation of client education
D)   Allow for observation of client metrics
E)   Allow for easier access to client payment history

Question 9

The nurse is evaluating the components of the computer system used in the healthcare organization.Which should the nurse realize about the functions of the clinical information system and administrative information system? Select all that apply.

Accepted Answer

A)   They serve as tools to manage finances.
B)   They are used to store demographics.
C)   The systems are separate.
D)   The systems support each other.
E)   They are two independent systems.

Question 10

The clinical information system committee at a major healthcare organization is designing a plan to ensure the protection of client information.Which approaches should this committee include in the implementation plan? Select all that apply.

Accepted Answer

A)   Design policies to address password protection and log-in information.
B)   Determine how to handle clients who desire to "friend" staff through social media.
C)   Identify applications that interface with smartphones.
D)   Create interfaces so that health data can be inputted by the client.
E)   Identify a procedure if information is inputted in the incorrect client record.

Question 11

A newly licensed nurse is attending the hospital orientation training class.Which statement made by the newly licensed nurse indicates understanding of the term "point of care"?

Accepted Answer

A)   "Point of care refers to interventions or testing that takes place using a transportable, portable, or a handheld device near or at the bedside of the client."
B)   "Point of care interventions and testing do not include any type of specimen testing."
C)   "Point of care refers only to testing that takes place using a handheld device near the client."
D)   "Point of care refers to the name of the handheld device."

Question 12

In preparation for the next quality improvement committee meeting,the nurse manager accesses the clinical decision support system to run an outcomes report.How will the committee use this report?

Accepted Answer

A)   To eliminate unnecessary care
B)   To measure the length of hospital stays
C)   To assist in modifying policies and procedures
D)   To validate appropriate place of treatment

Question 13

During a home visit,the nurse inputs admission information into a computer-based medical record system.The client asks what prevents a neighbor from accessing the information when the nurse visits the client.Which response by the nurse is appropriate?

Accepted Answer

A)   "I send your information and then delete it."
B)   "A password is required to access your information."
C)   "I use a new computer for each client."
D)   "I keep the notebook computer in my hands at all times."

Question 14

A student nurse studying informatics would be aware that which are examples of clinical decision support tools? Select all that apply.

Accepted Answer

A)   Documentation templates
B)   Clinical guidelines
C)   Condition-specific order sets
D)   Budgeting spreadsheets
E)   Focused data reports

Question 15

The nurse educator is conducting a class for staff nurses on the importance of uniform language within health care documentation.Which statement regarding uniform language made by the one of the staff nurses would indicate the need for further instruction?

Accepted Answer

A)   "Uniform language refers to use of a standardized language across multiple disciplines."
B)   "The use of uniform language within the electronic health record only provides benefits to the profession of nursing and the health organization."
C)   "The Do Not Use abbreviation list is one example of uniform language."
D)   "Continuity of care improves for the client when standardized terminology is used."

Question 16

The nurse is planning care for a client with a below-the-knee amputation.How will the use of informatics help the nurse plan this client's care?

Accepted Answer

A)   Find out what was done on the previous admission
B)   Search for research to support evidence-based practice
C)   Look for standardized nursing language
D)   Search the Internet for information about the surgical procedure

Question 17

The nurse administrator of a local hospital is attending training on the new informatics system the hospital will be implementing.Which information will the nurse administrator be able to manage from the dashboard? Select all that apply.

Accepted Answer

A)   Staffing
B)   Budgets
C)   Patient
D)   Quality initiatives
E)   Plans of care

Question 18

The nurse is providing care for a client recently diagnosed with type 2 diabetes mellitus.Which is the reason for using the Nursing Outcomes Classification (NOC)system when formulating client outcomes when planning care?

Accepted Answer

A)   The NOC looks more professional in the plan of care.
B)   The NOC allows better nursing communication.
C)   The NOC facilitates the collection of client care data.
D)   It would be easier than forming other types outcomes.

Question 19

The nurse who uses the computer during client care notices increased eyestrain since the organization began using the electronic medical record for nursing documentation.Which action by the nurse would minimize the eyestrain experienced during documentation?

Accepted Answer

A)   Use a firm board to rest the palm.
B)   Use a glare filter.
C)   Obtain a paper chart for nursing documentation.
D)   Use a lumbar support.

Question 20

The nurse is preparing an educational to teach clients how to determine the validity of content obtained from health-related Internet websites.Which information should the nurse plan to include in this teaching tool? Select all that apply.

Accepted Answer

A)   Source for the information
B)   Sponsor of the website
C)   Ways to identify if the site is selling a product
D)   Number of visitors to the website
E)   Date the content was last reviewed

Exam 48: Informatics