Final INfor

1. A nurse is working on a committee involved in adopting electronic healthcare systems for the agency. Currently, the agency has clinical documentation, a clinical decision support system (CDSS) with error checking, and a picture archive and communication system (PACS) in place. The committee determines that the agency is at which of the following stages of adoption? A) Stage 0 B) Stage 1 C) Stage 2 D) Stage 3 2. When adopting the electronic healthcare record (EHR), which of the following would be considered the ultimate goal? A) Sharing of information B) Patient as the most important focus C) Cost-effectiveness D) Improved time management 3. A group involved in adopting healthcare information technology is developing a strategic plan. Which of the following would they include? A) Plan that covers 2 to 3 years B) Structured guide that does not change C) Expenditures offset by patient outcomes benefits D) Demonstration of a slight return on investment 4. A nurse using a clinical information system is required to document the same data in more than one area because the data do not "flow over" to the other areas and the data fields are not universally designed. Which of the following is lacking? A) Interoperability B) Intangibles C) Return on investment D) Biometrics 5. A nursing informatics specialist is conducting a seminar on the need for uniformity in user design for data entry screens based on the understanding of which of the following? A) Most healthcare providers involved in the design process have background knowledge. B) Database design skills are common in those serving on EHR committees. C) Most providers approach user design using a paper chart thinking process. D) Screen design issues are limited, rarely affecting the time for documentation. 6. When developing a plan for workflow redesign and the use of computerized documentation, which of the following would be the first thing to consider? A) The number of computers needed B) Location of the computers C) Wheeled or bedside type of computer D) Theft prevention 7. An instructor is describing the use of health information technology to meet national safety goals. The instructor determines that the students need additional teaching when they state which of the following? A) Barcodes and chips in armbands promote accurate patient identification. B) Agencies are providing electronic reports for transfer of patients to on-call staff. C) Clinical decision support systems could alert providers to double-check their order. D) Automated dispensing systems dramatically reduce the risk of stocking errors. 8. A nurse is creating a password for use in accessing the healthcare information system in the agency. Which of the following would be most appropriate for the nurse to do in creating this password? A) Select mostly lowercase letters B) Select a combination of letters and numbers C) Use numbers sparingly D) Use a word familiar to the nurse 9. When describing the various biometric methods for authentication, which of the following would the nurse identify as most secure? A) Fingerprint B) Voiceprint C) Retinal scan D) Iris scan 10. When describing the similarities and differences between the two types of radio frequency identification (RFID), which of the following would an instructor include as being associated with the passive type? A) Increased cost B) Read-write capability C) Readable from a distance of 1 to 10 feet D) Implantable under the skin 11. After teaching a group of students about the benefits of a fully integrated electronic health record, the instructor determines the need for additional teaching when the students identify which of the following as a benefit to the patient? A) Individualized treatment B) Ability to check the record's accuracy C) Capability of decision support D) Knowledge of persons with access to the data 12. A group of students are reviewing information about strategic planning and the adoption of healthcare information technology. The students demonstrate understanding of the material when they identify which of the following as reflective of the strategic plan? Select all that apply. A) Flexible in overall design B) Focused on short-term time frames C) Inclusion of resource acquisition D) Support for the use of information technology E) A brief overview of the agency's goals 13. A committee is reviewing the strategic plan for the agency's return on investment. The committee identifies tangibles. Which of the following would the committee be addressing? Select all that apply. A) Improved decision making B) Decreased lengths of stay C) Reduced charges per admission D) Enhanced user satisfaction E) Improved communication 14. A nursing instructor is preparing a class on syndromic surveillance. When describing this concept, the instructor defines as a means for which of the following? A) Meeting the Joint Commission's patient safety goals B) Identifying unintended consequences of healthcare technology C) A way to measure quality of care and patient outcomes D) Providing early detection of potential disease or bioterrorist health problems 15. A nurse is working as part of a committee involved in creating passwords for the healthcare agency's network. Which of the following would be the strongest password? A) Nursing B) NuRs1N9gY C) 1234567 D) GniSrun

1. D 2. B 3. C 4. A 5. C 6. A 7. D 8. B 9. D 10. C 11. C 12. A, C, D 13. B, C 14. D 15. B

1. A nurse is reviewing the different types of mobile computers. Which of the following would the nurse be least likely to identify as a small computer? A) Cell phone B) Smartphone C) Laptop D) Personal digital assistant 2. A nurse is reviewing the development of PDAs and smartphones. Which of the following would the nurse identify as being the most popular before being replaced by the iPhone and Android smartphones? A) Psion B) Palm Pilot C) Pocket PC D) Newton Message Pad 3. On a mobile device, which of the following would store all of the individual's contacts and notes? A) ROM B) RAM C) Flash memory D) Compact flash card 4. A student wants to share the address of the clinical facility with another student in the group during a clinical conference. Which of the following must be true for this to occur via beaming? A) Be within 10 feet of each other B) Have infrared transmission on both devices C) Be near a hotspot D) Have different operating systems on the devices 5. A nurse-manager is preparing a presentation for the organization about the need for nurses to use handheld devices. Which of the following would a nurse-manager use to promote the use of portable handheld devices in the clinical area? Select all that apply. A) Improved time management B) Fewer patient errors C) Ability to be technologically up-to-date D) Increased confidence in clinical skills E) Change in patient perception of the nurse 6. As part of a class on informatics, a nursing instructor describes how handheld computers can be used in nursing education. Which of the following would the instructor most likely include? A) Writing care plans B) Submitting assignments C) Checking a drug dosage D) Recording patient care 7. Which of the following would be a common example of using a handheld computer in the clinical setting? A) Barcode medication administration B) Library search for citations C) Patient progress evaluation D) Reimbursement coding 8. Which of the following is essential for any PDA that contains clinical data? A) Compatibility with the agency's system B) Password encryption C) Wireless accessibility D) Personal identification 9. A nurse is preparing to do research. Which of the following would be an appropriate use for the nurse's handheld device? Select all that apply. A) Participate in Web-based research surveys B) Store data for aggregation and analysis C) Record comments from a focus group D) Take photos of changes in status with a treatment E) Search for evidence-based resources 10. When looking at handheld computers and their operating systems, which of the following would a nurse identify as being fairly simple to use with a wide array of resources and applications? A) Windows CE B) Palm OS C) RIM Blackberry OS D) iPhone OS 11. A nurse is considering purchasing a mobile device to be used to view video for physical assessment. When making the decision, a device with which screen resolution would be the best choice? A) 960 × 640 B) 480 × 360 C) 600 × 800 D) 240 × 500 12. After attending a class that compared and contrasted PCs with PDAs and smartphones, the instructor determines that the class needs additional review when they identify PDAs and smartphones as having which of the following? A) RAM B) ROM C) Hard drive D) Removable memory 13. A nurse is using a mobile device that is Bluetooth enabled. Which of the following would be least appropriate for the nurse to keep in mind when using the Bluetooth? A) The distance from each device must be <32 feet. B) The nurse needs to find a hotspot for a connection. C) A personal area connection is made with Bluetooth. D) The feature should be turned on continuously. 14. An instructor is discussing the uses of PDAs in nursing and describing the advantages and disadvantages of their use. Which of the following would the instructor identify as a shortcoming? Select all that apply. A) Time management B) Cost C) Technological changes D) Battery life E) Time necessary for device selection 15. A group of nurses are attending an in-service program about ensuring the security of handheld devices and the use of passwords. The group demonstrates understanding of the information when they identify which of the following as important when creating secure passwords? Select all that apply. A) Choose a family member's name B) Select one with three to five characters C) Use a misspelled name of a fruit D) Replace a word letter with a number E) Include various keyboard symbols

Answer Key 1. A 2. C 3. A 4. B 5. A, B, D 6. C 7. A 8. B 9. A, C, D, E 10. B 11. A 12. C 13. D 14. B, C, D, E 15. C, D, E

1. A nursing student is using a knowledge-based digital database. Which of the following would the student expect to find? A) Journal article on diabetes B) Medication reference C) A new lab procedure D) Change in a nursing skill 2. When searching PubMed, the nurse understands that this database uses a search term structure based on which of the following? A) Linear relationship B) Feedback loop C) Hierarchy D) Specific to general 3. A nurse wants to search for information about legal and ethical issues involving nursing. Which database would be most helpful for the nurse to use in this search? A) CINAHL B) PubMed/Medline C) Cochrane Library D) ERIC 4. A nursing student is looking for information to support evidence-based practice. Which database would be most appropriate for the student to search? A) MEDLINE B) CINAHL C) Cochrane Library D) PubMed 5. When seeking knowledge, which of the following would a nurse typically do first? A) Search for appropriate evidence B) Critically analyze the literature C) Question a practice D) Apply the search findings 6. A nursing student engaged in searching databases asks the instructor what the "advanced search" tab means. Which response by the instructor would be most appropriate? A) "It is something that typical students don't use because it is too complex." B) "This is quite helpful in letting you narrow your search a bit better." C) "This tab is used by librarians to search specific vocabulary search terms." D) "It's not relevant to what you are doing here; just stick to the basics." 7. A nurse is evaluating the information obtained from a search and notes that the majority of information is from reports of expert committees. The nurse interprets this research to be at which level of evidence? A) Level VII B) Level VI C) Level V D) Level IV 8. After teaching a group of students about barriers to evidence-based nursing, the instructor determines that additional teaching is needed when the students identify which of the following as a barrier? A) Inadequacy of staff to participate B) Difficulty in understanding research statistics C) Positive attitudes toward information literacy D) Accessibility of resources for searching 9. A nursing student is using Zotero. Which of the following would the student be able to do? Select all that apply. A) Save citations B) Take notes C) Create reference lists D) Hyperlink to files E) Take photos 10. When describing the hierarchy for evaluating evidence, which of the following would the instructor identify as the highest level of evidence? A) Evidence for a systematic review of all relevant RCTs B) Evidence obtained from at least one well-designed RCT C) Evidence obtained from one well-designed nonrandom controlled trial D) Evidence from well-designed case-control and cohort studies 11. A nurse is using a library database to search for information related to cancer. The nurse includes the words "some" and "many" in the search. The search engine would identify these words as which of the following? A) Truncation B) Wildcard C) Stop words D) MeSH terms 12. A nursing instructor is teaching a group of students about the Cochrane Library and systematic reviews. The instructor determines a need for additional teaching when the students identify a systematic review as reducing which bias? A) Selection B) Indexing C) Publishing D) Sampling 13. A nursing instructor is working with the school of nursing's librarian and reviewing library venders to obtain health sciences databases. Which of the following would the instructor be least likely to recommend? A) Zotero B) EBSCO C) Ovid D) ProQuest 14. A nursing student is reviewing journal articles obtained from a database search and frequently notes that a specific work is being cited by authors. In addition, the student notices that this cited work is often the basis for the author's opinion. The student would identify this as which of the following? A) Expert committee report B) Seminal work C) Clinical practice guideline D) Randomized controlled trial 15. A group of nurses are working on a committee to develop a program that promotes the adoption of evidence-based nursing at the facility. Which of the following would the committee need to address? Select all that apply. A) Improved access to resources for the staff B) Use of valued nurses for staff to seek out with questions C) Emphasis on the value of information seeking D) Greater focus on high-priority organizational goals E) Enhanced familiarity of staff to evidence-based practice

Answer Key 1. A 2. C 3. A 4. C 5. C 6. B 7. A 8. C 9. A, B, D 10. A 11. C 12. D 13. A 14. B 15. A, C, E

1. After teaching a group of students about the electronic medical record (EMR), the students demonstrate understanding by stating which of the following? A) The EMR is transportable. B) The data in the EMR are owned by the patient. C) It describes the care rendered during an agency visit. D) The EMR lacks standardized vocabulary. 2. An electronic documentation system will be implemented in an agency. As part of the process, the staff is receiving education about the system and the overall benefits. Which of the following would the audience expect to hear as the most important benefit? A) Availability of an audit trail for information B) Decreased decentralization of the healthcare delivery system C) Enhanced ability to extract information D) Improvement in patient care outcomes 3. Which of the following would be most important to do first when implementing a workflow redesign for an electronic documentation system? A) Focusing the design on the care provider B) Determining what the system is expected to accomplish C) Addressing the primary discipline's needs D) Discussing how reports will be created 4. An instructor is describing the systems life cycle and compares it to the nursing process. Which of the following would the instructor include as a similarity about the life cycle? Select all that apply. A) Begins with assessment B) Has a definite end point C) Uses different terminology D) Has a variable number of steps E) Has little opportunities for iteration 5. A nurse is part of a committee that is working to develop and implement an electronic documentation system. Which of the following would the committee do first during the initiating phase? A) Identify the risks B) Complete a needs assessment C) Identify the project goal D) Prepare for scope creep 6. An agency committee conducts a needs assessment for a health information system and identifies a list of potential vendors to be considered for the project. Which of the following would the committee do next? A) Send out a request for proposal B) Identify the cost-benefit C) Submit a request for information D) Determine the return on investment 7. A nurse on a committee is conducting a workflow analysis. Which of the following would be most helpful when completing this task? A) Evaluating the pros and cons B) Diagramming the activity C) Identifying the steps of the workflow D) Applying a structure 8. A committee is evaluating several vendors for a health information system, and the members notice that one of the vendors describes some new and amazing features that are in development, along with an upcoming release of a new product that is designed to increase the user-friendliness of the system. Unfortunately, the vendor fails to deliver on these features. The committee would interpret this as which of the following? A) Vaporware B) Vanilla product C) Bugs D) Rollout 9. An agency involved in testing a new electronic system is evaluating the systems communication and network functioning. The agency is involved with which of the following? A) Test scripting B) Regression testing C) Integration testing D) Debugging 10. Which of the following is occurring when an agency plans to implement a new system throughout the entire agency at the same time? A) Pilot conversion B) Big-bang conversion C) Parallel conversion D) Phased conversion 11. A group of nurses are reviewing information related to the Health Information Technology for Economic and Clinical Health (HITECH) Act. The group demonstrates understanding of this act when they identify which of the following as an example of a basic core function for meaningful use? Select all that apply. A) Conducting drug formulary checks B) Including clinical lab test results as structured data C) Entering of clinical orders D) Using decision support tools E) Sending patient reminders for follow-up care 12. A nurse is preparing a presentation to a group of staff members comparing paper and electronic documentation. Which of the following would the nurse include as a weakness of paper records? Select all that apply. A) Legibility B) Lack of a backup system C) Difficult to transport D) Slowness in charting E) Easily damaged 13. A nurse is a part of a committee working on a project for implementing an electronic documentation system in the agency. The committee conducts a thorough needs assessment to ensure which of the following? A) The project scope is appropriate. B) The system implementation is a success. C) The risks are clearly identified. D) The cost savings are realized. 14. A nursing instructor is teaching a class about implementing a system. The instructor determines the need for additional teaching when the students identify which of the following as an approach to implementing health information systems? A) Pilot conversion B) Big-bang approach C) Rollback D) Phased conversion 15. After implementing a health information system, the agency takes steps to prevent loss of data from a power failure by having the system use the backup power supply. This is an example of which of the following? A) Superuser B) Business continuity plan C) Contingency plan D) Debugging Answer Key

Answer Key 1. C 2. D 3. B 4. A, C, D 5. C 6. A 7. B 8. A 9. C 10. B 11. C, D 12. A, B, E 13. B 14. C 15. B

1. After teaching a group of students about the historical development of data analysis and research in healthcare, the instructor determines that the teaching was successful when students identify which of the following as having occurred first? A) The development of evidence-based practice B) Publication of the journal Nursing Research C) Creation of the National Institute for Nursing Research D) Use of case studies to describe intervention effectiveness 2. An informatics nurse is planning to use a free statistical program available on the Internet. Which of the following would be most important for the nurse to keep in mind? A) Command lines are used to input data. B) The number of statistical procedures is limited. C) The program does not need to be downloaded. D) A fee is charged after the first free use. 3. A nurse is planning to use BrightStat© for data analysis. Which of the following would the nurse need to do? A) Block pop-up windows B) Download the user's manual C) Upload data from a spreadsheet D) Purchase the program off the Internet 4. A nurse researcher accesses the Agency for Healthcare Research and Quality site for information related to which of the following? A) Public microdata B) Healthcare information technology C) Patient satisfaction D) Clinical topics 5. Nurses on a unit are reviewing research to determine if a change in practice is necessary. Which of the following would be most appropriate for the nurses to use as the best evidence for a change? A) Reading about a research study on one topic B) Comparing results from several studies C) Searching for a meta-analysis on the subject D) Reviewing articles in a nursing newsletter 6. A nurse is collecting data about wait times for certain diagnoses across all emergency departments in hospitals in the United States. The nurse is most likely using which of the following? A) Agency for Healthcare Research and Quality B) DataFerrett C) Centers for Medicare and Medicaid Services D) Bureau of Labor Statistics 7. An institutional committee is studying the possibility of implementing a Computerized Decision Support System (CDSS) for the institution. As part of this process, the committee is reviewing research. Which of the following would the committee most likely expect to find? A) Research demonstrating consistent replicated results B) Methodology that is highly experimental in design C) Results showing a reduction in data entry redundancy D) A lack of rigorous design for testing patient outcomes 8. When reviewing the research associated with electronic medical record (EMR) systems, which of the following areas would the nurse identify as least likely being studied? A) User satisfaction B) Best implementation practice C) Clinical outcomes D) Financial impact 9. A nursing instructor is preparing a teaching plan for a class on the topic of business intelligence. The instructor would describe this topic as which of the following? A) A method used since early history to analyze data statistically B) Process of turning financial, patient, and quality data into usable information C) The use of statistical methods to determine mortality and morbidity rates D) Application of specialized programs for data collection, management, and analysis 10. A nurse researcher is entering categorical data into a spreadsheet. Which of the following would be most important for the nurse to do? A) Create a formula B) Code the data numerically C) Define the arguments D) Display the statistical procedure result 11. A nurse is engaged in a group discussion about using research findings to improve clinical practice. Which of the following would the group least likely suggest to foster the use of research findings? A) Subscribing to clinical practice journals B) Attending professional meetings C) Reading source documents for new guidelines D) Purchasing statistical software 12. A nursing student tells the instructor that she is intimidated by research. Which of the following suggestions from the instructor would be appropriate? Select all that apply. A) Ask instructors for feedback B) Listen to explanations about research C) Ask the librarian for help D) Practice search skills E) Practice data analysis skills 13. After teaching a group of students about the focus of research in nursing informatics, the instructor determines that the teaching was successful when the group identifies which of the following as the focus? A) Security B) Aggregated data collection C) Healthcare outcome improvement D) Standard development 14. When reviewing the problems associated with research and clinical decision support systems, which of the following would the nurse expect to find? A) Rigorous research designs B) Integrated systems C) Redundant data entry D) Stand-alone systems 15. A nurse is using BrightStat© program and is preparing to summarize data with descriptive statistics. Which of the following would the nurse do first? A) Select the variables B) Code the data C) Insert the formula D) Download the spreadsheet

Answer Key 1. D 2. A 3. C 4. B 5. C 6. B 7. D 8. B 9. B 10. B 11. D 12. A, B 13. C 14. D 15. A

1.Which of the following terms is used to identify the connection of computers that are physically close to one another? A)Wide area network B)Local area network C) Peer-to-peer network D)Client/server network 2.After teaching a class about the different types of network connections, the instructor determines that the teaching was successful when the students identify which of the following about wireless connections? A)They are more secure than hard-wired connections. B)Nodes are not needed for wireless connections. C)Wireless transmissions are limited in distance. D)The transmission speed depends on the router. 3.A student is attempting to exchange files with another computer. Which of the following would the student expect to be used? A)Internet protocol B)File transfer protocol C)Transmission control protocol D) Hypertext transfer protocol 4.When accessing the Internet, a student comes across the following IP address: http://www.nursingworld.org. The student identifies this site as which of the following? A)Educational institution B)Military computer C)Government source D)Nonprofit organization 5.A student connects to the Internet via a telephone line. This is an example of which type of connection? A)Broadband B)Cable C)Dial-up D)Digital subscriber lines 6.After describing the World Wide Web (WWW) to a class, an instructor determines that the students need additional teaching when they state which of the following? A)"The WWW is primarily the entire Internet." B)"It can be viewed as a huge worldwide library." C)"The WWW first became operational in 1990." D) "The WWW is based on a set of protocols." 7.A group of students are studying for a test using the World Wide Web and Web browsers. Which of the following, if identified by the students as a Web browser, indicates the need for additional study? A)Microsoft Internet Explorer® B)Mozilla Firefox® C)AOL Netscape® D) CompuServe® 8.When describing universal resource locators (URLs) to a group of students, which of the following would the instructor include as being common to all URLs? A)More than one directory name in them B)Case insensitive C)No spaces in the address D)Backward slashes in URL 9.A student wants to create interactive Web pages. Which of the following would the student expect to use? A)Java B)JavaScript C)Active X D)Active server pages 10.A student receives an e-mail containing a Web address hyperlink. The e-mail instructs the student to go to the Web site to confirm his bank account number. When the student clicks on the link, it would take him to a phony Web site. This is an example of which of the following? A)Pharming B)Worm C)Trojan horse D)Phishing 11.A nursing informatics specialist is preparing a presentation about online security. When describing different types of computer malware, which of the following would the specialist include? Select all that apply. A)Botnets B)Pharming C)Spyware D)Trojan Horse E)Web cookies F)Bookmarks 12.A nursing student is setting up a wireless network at home. Which of the following would the student need? Select all that apply. A)Broadband connection B)Router C)File tranfer protocol D)Static IP address E)Telephone modem 13.A nursing student is searching the Web for information about hypertension and finds the following address: http://www.nursingcenter.com/disorders/hypertension/page-1.htm. The student wants to find additional articles on the same Web site and decides to go back to the home page. Which of the following would the student do? A)Double click on the link again after hitting the Enter key B) Hit the back button at the top of the page one time C)Delete the names of the folder back to the domain suffix and hit Enter D)Type in the home page at the line of the current URL 14.A patient contacts his healthcare provider through a Web-based portal software program to ask for a medication refill. The patient is using which of the following? A)Intranet B)Virtual Private Network C)Extranet D)Plug-In 15.A nursing informatics specialist is presenting a class to a local community group about computer security and protection against malware. The specialist determines that the teaching was successful when the group states which of the following? Select all that apply. A)"Reusing a password is probably the best thing to do." B)"Downloading the latest software updates is important." C)"Most regular computer users don't get computer viruses." D)"We should scan downloaded files with antivirus software before installing." E)"People need to avoid social networking sites entirely."

Answer Key 1.B 2.C 3.B 4.D 5.C 6.A 7.D 8.C 9.B 10.D 11.A, B, C, D 12.A, B 13.C 14.B 15.B, D

1. After teaching a class about information literacy and health literacy, an instructor determines the teaching was successful when the students identify which of the following? A) Achieving health literacy is required before achieving information literacy. B) Expertise in information and health literacy is achieved with continuous practice. C) Information literacy involves making appropriate decisions about health. D) Information literacy is derived from the broader perspective of health literacy. 2. A nursing instructor is describing the connection between information and health literacy and critical thinking. Which of the following would the instructor most likely include as aspects of critical thinking? A) A single-angle focused approach to a problem B) A set of skills for processing information C) Providing answers to questions D) Setting boundaries for information seeking 3. To ensure that patient teaching is appropriate for a group of individuals, a nurse assesses the teaching information's readability using the Flesch Reading Ease. Which score would reflect that the information was easily readable? A) 35 B) 45 C) 55 D) 65 4. After teaching a class about information technology skills, the instructor determines that the students need additional instruction when they identify which of the following as important to these skills? A) Ability to use up-to-date computer applications B) Understanding of the principles for networks C) Ability to cope with unintended problems when they arise D) Problem solving by applying information technology 5. A student is searching the Internet for information about the nursing licensure examination. Which site would be most appropriate for the student to access? A) The Joint Commission B) Centers for Medicare and Medicaid C) National Council of State Boards of Nursing D) National Institutes of Health 6. When describing online journals to a group of nursing students, which of the following would the instructor include as a factor affecting their use? A) Content quality is viewed as typically higher than in print journals. B) Publishing in an online journal may be risky for faculty who seek tenure. C) Most nurses and students are acutely aware of the existence of online journals. D) Online journals typically are well funded, with long-term ability for success. 7. After teaching a group of students about the differences between a scholarly article and an article in an e-zine, which of the following, if stated by the students, indicates effective teaching? A) E-zines undergo a general peer-review process. B) A nurse generalist typically writes a scholarly article. C) An e-zine article can be written by anyone, including a nurse. D) Experts review the quality of e-zine articles for validity. 8. Which of the following would be least appropriate to use as a primary source for obtaining evidence-based nursing research? A) Internet B) Sigma Theta Tau C) Institute of Medicine D) Cochrane Collaboration 9. When evaluating a Web site for health information, which question would be important for the nurse to ask when determining the validity and quality of the information? A) Is the site a for-profit or not-for-profit site? B) Is the date of the site's last update clearly specified? C) Who is the author and what are his or her credentials? D) Are there any potential conflicts of interest? 10. When evaluating a student's information literacy, which of the following behaviors, if demonstrated by the student, would indicate that he or she is beginning to achieve competency? Select all that apply. A) Identifies extent of information needed B) Experiences some difficulty accessing needed information C) Evaluates information and its sources critically D) Incorporates information into one's knowledge base E) Uses information effectively to accomplish a specific purpose F) Requires guidance in ethical and legal use of the information 11. A group of nursing students are reviewing information about evidence-based practice, specifically the Star Model of Knowledge Transformation©. The students demonstrate understanding of this model when they identify which of the following as occurring after discovery? A) Evaluation B) Implementation C) Summary D) Translation 12. A nurse is involved with knowledge generation as part of the process of integrating evidence-based practice. Which of the following would the nurse be involved with from the research perspective? Select all that apply. A) Converting nursing data into information B) Using decision support systems C) Identifying information in nursing literature D) Synthesizing nursing information to solve nursing problems E) Applying the steps of information literacy 13. As part of a nursing conference on evidence-based practice, a nurse is discussing the need for knowledge sharing. Which of the following would the nurse identify as being an impact of this sharing? Select all that apply. A) Enhanced professional nursing practice B) Improved computer communication skills C) Health policy changes D) Changes in interdisciplinary practices E) Reinterpretation of data 14. When describing information technology skills to a class, an instructor describes the knowledge needed to develop these skills. Which of the following would the instructor describe as current skills? A) Ability to use searching tools B) Ability to understand computer networks C) Ability to think abstractly D) Ability to manipulate information into something new 15. A nurse is searching the Internet for information related to clinical trials and grants. Which site would the nurse most likely use to obtain quality information? A) The Joint Commission B) National Institutes of Health C) The Centers for Disease Control and Prevention D) The Agency for Healthcare Research and Quality

Answer Key 1. B 2. B 3. D 4. D 5. C 6. B 7. C 8. A 9. B 10. A, C, D, E 11. C 12. C, D, E 13. A, C, D 14. A 15. B

1. After teaching a class about informatics, the instructor determines that the teaching was successful when the students define informatics as which of the following? A)Use of computers B)Use of information technology C)Management of information D)Access to the Internet 2.A strategic plan for the nationwide implementation of health information technology includes which of the following? A)Discouraging the use of personal electronic health records B)Developing a collaborative governance to support information use for population health C)Advocating for statewide adoption of electronic health record D)Limiting the use of telehealth systems 3.Which of the following would a nurse identify as the current focus of today's practice informatics? A)Capturing data at the point of care B)Performing secondary data analysis C)Using aggregated data D)Making decisions based on data 4.A nursing student is reviewing information about early computerized clinical information systems. Which of the following would the student identify as characteristic? A)Implementation to perform two or three functions B)Ability to share information among several departments XX C)Creation of different software systems for different areas D)Entry of data occurring only once 5.When describing the benefits of informatics to a group of agency staff, which of the following would the presenter identify as one of the primary benefits? XX A)Increase usability of data B)Promote cost-saving C)Promoe time-saving D)Allow identification of patterns 6.After teaching a group of students about the benefits of informatics to the nursing profession, the instructor determines that the students need additional teaching when they identify which of the following as a benefit? A)Improvement in documentation B)Use of data for quality control C)Building of evidence-based knowledge XXXX D)Increase in time needed for documentation 7.A nurse is presenting an in-service program on nursing informatics competencies. When describing the need for computer fluency for nursing informatics competencies, which of the following would the presenter include as characterizing this concept? A)Temporary state XX B)Lifelong learning C)Task oriented D)Competency 8.After teaching a class for a group of nurses on nursing informatics, the instructor determines that the teaching was successful when the group identifies which of the following competencies as specific to the role of an informatics innovator? A)Using basic desktop software XXX B)Generating informatics theory C)Making judgments about trends D)Communicating via a computer 9.An informatics nurse specialist would describe information literacy as essential for which of the following? A)Critical thinking B) Problem solving C)Data evaluation D)Evidence-based practice 10.When preparing for a class on healthcare informatics and information technology, the instructor would emphasize which of the following as the focus? A)Information B)Computer C)Access D)Data storage 11.When describing the components needed to provide evidence-based care through informatics, which of the following would be needed? Select all that apply. A)Information presented in a digital format B)Standards for exchange of information C)Limited ability to capture relevant data D)Multiple language structures for documentation E)Competency of practitioners using the information 12.A nurse is reviewing an article about the strategic plan for health information technology as related to population health. Which of the following would the nurse expect to find as being supported by this goal? Select all that apply. A)Biomedical research B)Cost-efficient patient care C)Public health D)Quality improvement E)Emergecy preparedness 13.A nurse is preparing an in-service program about forces driving toward the increased use of informatics in healthcare. Which of the following would the nurse include as a national force? Select all that apply. A)Creation of the President's Information Technology Advisory Committee (PITAC) B)The Institute of Medicine (IOM) report on Health Professions Education C)National Advisory Council on Nurse Education and Practice recommendations D)National League for Nursing (NLN) position paper on nurse preparation E)Technology Informatics Guiding Educational Reform (TIGER) initiative 14.A nurse working in informatics is analyzing information gathered about rates of infection of patients on a specific hospital unit. The nurse is using this information to determine appropriate interventions for overall infection control. The nurse is involved with which of the following? A)Point of care informatics B)Secondary data analysis C)Listserv D)Computerized provider order entry 15.A nurse involved in informatics identifies the need for information and demonstrates ability to locate, evaluate, and effectively use it. The nurse is demonstrating which of the following? A)Information literacy B)Computer literacy C)Computer fluency D)Information management

Answer Key Computer adaptive testing (CAT) a type of testing taken on a computer in which a person is given a test question to answer; followed by a subsequent question that is leveled based on whether the candidate correctly answered the first question Computer Adaptive Testing Involves an algorithm that selects items to present based on the respondents previous responses. Computer Adaptive Testing Dynamic Approach . A nurse is participating in an online certification course and is preparing to take the exam. According to the program, the exam uses computerized adaptive testing. The nurse understands that this type of exam: B) provides subsequent questions on previous responses. What are the benefits of using simulation? Select all that apply. A. Decrease anxiety C. Improve clinical performance D. Improve critical thinking 1.B 2.B 3.A 4.C 5.A 6.D 7.B 8.B 9.D 10.A 11.A, B, E 12.A, C, D, E 13.A, B 14.B 15.A 19. A nurse is participating in an online certification course and is preparing to take the exam. According to the program, the exam uses computerized adaptive testing. The nurse understands that this type of exam:

1. An instructor is describing the Physician Quality Report Initiative to a group of students. Which of the following would the instructor include? A) Provision of financial incentives to fee-for-service providers for cost-effective, high-quality care B) Payment for the quantity of patients served along with the number of resources that were consumed C) A focus on decreasing patient care costs by decreasing the length of stay in an agency D) A mandatory program for all agencies billing third parties to obtain incentives for improved outcomes 2. An agency is selecting a healthcare information system that includes a collection of systems already interfaced. Which of the following did the agency use? A) Best-of-breed approach B) Integrated approach C) Integrated enterprise D) Clinical information system 3. Which of the following would a nurse identify as a core information system in a clinical information system? A) Electronic medication administration record B) Computerized provider order entry C) Ancillary system D) Positive patient identification 4. After teaching a group of students about clinical information systems, the instructor determines that the students need additional teaching when they identify which of the following as the foundation for other clinical systems? A) Lab system B) Electronic medication administration record C) Pharmacy system D) Radiology system 5. A nurse is using an electronic clinical documentation system and enters the patient's pulse rate. Which of the following would the nurse expect to see if the value is considered abnormal? A) The value as a different color B) An asterisk placed before the value C) The block for the value shaded D) A pop-up box next to the value 6. An instructor is preparing a teaching plan for a group of students about clinical documentation systems. The instructor plans to discuss aggregated data, which are used for which of the following? A) Identifying trends for an individual patient B) Confirming decision making as correct C) Determining best practices D) Evaluating clinical workflow 7. A group of nurses are attending an in-service program on computerized documentation. Which of the following would the group expect to hear as the major impact of using a computerized provider order entry (CPOE) system? A) Time saving B) Cost-effectiveness C) Enhanced understanding D) Improved patient safety 8. Which of the following would a clinical decision support system provide an alert for when a provider uses computerized provider order entry (CPOE) for a medication? Select all that apply. A) Dose within normal range B) Drug incompatibilities C) Allergies D) Appropriate route E) Drug-drug interaction 9. When describing the electronic medication record (eMar) to a group of students, the instructor would include which of the following as a required necessity for implementation? A) Computerized provider order entry B) Positive patient identifier C) Picture archiving and communication system D) Ancillary systems 10. When using an admission, discharge, and transfer (ADT) system, which of the following would a nurse be least likely to find? A) Patient demographics B) Insurance information C) Supplies used D) Next of kin 11. A nurse is working on a committee addressing problems associated with patient flow in the agency and looking at tracking system solutions. When reviewing the various products, which of the following would the committee most likely identify as a common feature? Select all that apply. A) Visual display of beds B) Bed availability C) Transport notification D) Equipment locators E) Passive RFID 12. A nurse is reading a journal article about the use of healthcare information systems. The article is discussing financial systems and mentions that these systems are mission critical. The nurse interprets this to mean which of the following? A) Most important to implement B) Essential to the organization's existence C) Necessary for use of other information systems D) Required to prevent potential fraud 13. A group of nurses is putting together a proposal for the use of active RFID for medication administration. Which of the following would the nurses most likely cite as the key benefit? A) Decrease in medication errors B) Improved patient safety C) Decrease in disturbing patients D) Better use of nurse time 14. After teaching a group of students about innovative reimbursement incentives being used to reward quality care, the instructor determines that the teaching was successful when the students identify which of the following as an example? A) Certification Commission for Healthcare Information Technology B) Physician Quality Report Initiative C) HIMSS Analytics D) KLAS 15. Which of the following would an instructor use to describe best-of-breed system? Select all that apply. A) Need for an integrated interface B) Integrated interface in place C) Different vendors for different systems D) Collection of varying levels of systems E) Systems meeting the organization's needs at large

Answer Key 1. A 2. B 3. C 4. B 5. A 6. C 7. D 8. B, C, E 9. A 10. C 11. A, B, C, D 12. B 13. C 14. B 15. A, C

1. When describing the role of the nurse administrator in relation to information management systems, which of the following would be expected as a basic skill? A) Using spreadsheets B) Recording quality assurance data C) Interpreting benchmarking data D) Using agency database systems 2. A nurse administrator is using a spreadsheet for forecasting. Which of the following would the administrator do first? A) Review the data for observable patterns B) Identify any data trends that are occurring C) Obtain data spanning several years D) Consider outside influences on the data 3. A nurse administrator is involved in process improvement and uses a chart to examine the relationships among complex processes. The chart resembles a fishbone. Which of the following has the administrator used? A) Cause-and-effect chart B) Flowchart C) Gantt chart D) Pie chart 4. A nurse administrator is evaluating several human resource management systems to determine if they meet the minimum requirements. Which of the following would lead the nurse to reject a system? A) Scheduling 24 hours/day, 7 days/week B) Minimizing allowances for staff self-scheduling C) Being able to connect to the payroll system D) Tracking time and attendance 5. A nurse administrator is reviewing a report about the agency's nursing units and the care they provide. The results have been compared and benchmarked to similar units from other agencies. The administrator is reviewing a report from which of the following? A) Consumer Assessment of Health Providers and Systems, Hospital Survey (HCAHPS) B) National Database of Nursing Quality Indicators (NDNQI) C) Agency for Healthcare Research and Quality D) The Joint Commission 6. A nurse manager is using real-time information on key performance indicators to guide decision making. Which of the following is the nurse using? A) Throughput B) Core measures C) Dashboards D) Benchmarking 7. A nurse-manager is planning staff scheduling for a unit. To determine the needs accurately, which of the following would the nurse use? A) Business intelligence B) Forecasting C) Process improvement D) Patient classification system 8. A nurse administrator who is using project management software wants to ensure that the project stays on time and on budget. The administrator would most likely use which of the following to track the project's status? A) Gantt chart B) Spreadsheet C) Cause-and-effect chart D) Fishbone chart 9. Which of the following would be most important to include when conducting a survey of patients about their healthcare experiences? A) Using a variety of data collection methods B) Addressing a core set of questions C) Conducting the survey primarily with patients D) Using the data internally for quality improvement 10. Which of the following would a nurse administrator least expect to use when collecting data for core measurements? A) Myocardial infarction B) Pneumonia C) Heart failure D) Gastric upset 11. After teaching an in-service presentation about dashboards, the presenter determines that the teaching was successful when the class identifies which of the following as a characteristic of an effective dashboard? Select all that apply. A) Components working together B) Evidence of valid and invalid data C) Delayed-time display D) Display of key performance indicators E) Flagging of below-targeted indicators 12. For which purpose would a nurse-manager in an agency be least likely to use a spreadsheet? A) Create a variance report B) Evaluate monthly budgets C) Determine relationships between length of stay and staffing D) Determine consumer satisfaction 13. A nurse-manager is looking at ways to improve the admission process from the emergency department to the inpatient unit. Which of the following would be most appropriate for the nurse-manager to use? A) Flowchart B) Spreadsheet C) Project management software D) Gantt chart 14. After teaching a class of nurse-managers about human resource management systems (HRMS), the instructor determines a need for additional teaching when the class identifies which of the following as a category of HRMS? A) Personnel profiles B) Daily schedules C) Task ending dates D) Payroll data 15. A group of nurses are reviewing information about the National Database of Nursing Quality Indicators® (NDNQI®). The nurses demonstrate a need for additional review when they identify information about which of the following as being included? A) Process B) Outcomes C) Structure D) Patients' experiences

Answer Key 1. A 2. C 3. A 4. B 5. B 6. C 7. D 8. A 9. B 10. D 11. A, D, E 12. D 13. A 14. C 15. D

1. When applying the seven areas of nursing informatics to the categories of medical informatics, which of the following corresponds to the decision-making category of medical informatics? A) Defining data needed in patient care B) Using data, information, and knowledge for patient care C) Applying ergonomics to interfaces D) Creating new tools for patient care 2. A nurse has become certified in nursing informatics. The nurse would need to renew this certification after how long? A) 2 years B) 3 years C) 4 years D) 5 years 3. When describing nursing informatics theory to a group of students, the instructor determines that the students need additional teaching when they state which of the following as a key component? A) Data B) Information C) Terminology D) Knowledge 4. When describing the various theories underlying informatics, which of the following would an instructor identify as addressing change in society and an individual? A) Rogers' Diffusion of Innovation Theory B) Lewin's Field Theory C) Chaos Theory D) General Systems Theory 5. A nurse informatics specialist applies Lewin's Field Theory to implementing a new documentation system. Which of the following would be most important for the nurse to do first? A) Enlist members to be involved in the process B) Ignore members' reluctance to change systems C) Engage the administration in supporting the change D) Provide positive feedback about new skill acquisition 6. A group of students is reviewing Rogers' Diffusion of Innovation Theory for a test. The students demonstrate understanding of the stages of individual change when they put the following in the proper sequence from first to last. A. Confirmation B. Implementation C. Knowledge of an innovation D. Decision E. Persuasion A) C, E, D, B, A B) A, D, B, C, E C) C, A, B, E, D D) D, C, E, B, A 7. An informatics nurse is working on evaluating a system that has been implemented in an agency. Which of the following would the nurse identify as reflecting the goals of usability? A) A user has some difficulty performing the tasks when the system is used for the first time. B) A user can perform the needed tasks quickly once he or she has learned the system. C) A user needs some time to become proficient again after not using the system for a while. D) A user is prone to making errors, but these errors can be rectified rather easily. 8. After teaching a group of students about informatics nurses and nurse informatics specialists, the students demonstrate understanding when they identify which of the following as a role for a nurse informatics specialist? A) Information technology advocate B) Systems educator C) Project director D) Clinical systems coordinator 9. An informatics nurse specialist is presenting a seminar on nursing informatics. After the seminar, a group of nurses are talking with the presenter and one of the nurses states, "I'm pretty good with computers, so I should become an informatics nurse." Which of the following responses would be most appropriate? A) "Computer competency is absolutely essential to this practice." B) "It sounds like you have a good idea about what's involved." C) "The computer is just a tool for the real focus, information management." D) "I can recommend some very good educational programs if you're interested." 10. An informatics nurse is searching the Web for professional informatics groups. Which of the following would the nurse find as the largest group? A) International Medical Informatics Association B) American Medical Informatics Association C) European Federation for Medical Informatics D) Healthcare Information and Management Systems Society 11. A nurse certified in nursing informatics is preparing a presentation for prospective candidates for certification. Which of the following would the nurse include as being necessary to write the examination for certification? Select all that apply. A) Active RN licensure B) Associate degree in nursing C) 5 years of practice as an RN D) 30 hours of continuing education in the last year E) 2,000 hours in informatics nursing within the past 3 years 12. An instructor is describing nursing informatics theory. When explaining information, which of the following would the instructor include? A) Discrete objective facts B) Data with context C) Synthesis of information D) Visualizing patterns 13. A group of nursing students are reviewing information about the different theories associated with nursing informatics. The students demonstrate understanding of the information when they identify which of the following as related to the General System Theory? A) Innovators, early adopters, early majority, late majority, and laggards. B) Unfreezing, moving, and refreezing C) Input, throughput, output, and feedback D) Information management tools, knowledge, skills, rewards, and authority structures 14. A nurse is working as a clinical systems analyst. For which of the following would the nurse be most likely responsible? Select all that apply. A) Assessing the needs for nurses with technology B) Coordinating the planning of information systems C) Supporting a clinical system D) Implementing an informatics project E) Analyzing what a client wants and needs 15. A nurse practicing in nursing informatics is a guest speaker for a nursing class. One of the students in the class asks the nurse how she gained her knowledge. Which response by the nurse would be most likely? A) "I went to graduate school to obtain a master's degree." B) "I basically learned on-the-job and with continuing education." C) "I got my RN after going to business school first to learn about computers." D) "I have a doctorate degree in nursing and computer science."

Answer Key 1. B 2. D 3. C 4. A 5. A 6. A 7. B 8. C 9. C 10. A 11. A, E 12. B 13. C 14. B, C 15. B

1. After teaching a group of students about electronic medical records, the instructor determines that the teaching was successful when students describe the records as which of the following? A) Complete record of a patient's healthcare information B) Record of a patient's stay in an agency such as a hospital C) A record that is accessible by outside agencies D) Record that allows patients to enter data 2. When describing the implementation of personal health records to a group of students, which of the following would the instructor include as being readily available? A) Protocols for use B) Standardized data C) Computer technology D) Procedures for use 3. An agency is implementing the use of smart cards for healthcare. Which of the following best describes this personal health record? A) Patients create their own card to be given to their providers. B) The card is contained in a device that plugs into a USB port. C) The card contains readable data with an ability to have more data written to it. D) The card contains an operating system and RAM. 4. Which of the following would healthcare providers most likely identify as the primary concern associated with e-mails between patients and healthcare providers? A) Lack of time to become involved B) Lack of interest in electronic communication C) Inadequate staff to handle the communication D) Privacy of the communication 5. A healthcare provider is setting up e-mail communication between the practice and his patients. One of the nurses is teaching the patients how to use the system. The nurse determines that additional teaching is needed when one of the patients states which of the following? A) "We need to put our names or identification numbers in the body of the message." B) "We should be very specific in our message, making sure that it is detailed." C) "We should put the issue in the subject line of the message." D) "When we get a response, we should use the auto-reply feature to acknowledge it." 6. When preparing to develop a program for online communication between patients and healthcare providers, which of the following would the providers address as the priority? A) Asking questions without a visit B) Making appointments C) Renewing prescriptions D) Getting lab test results 7. A patient asks a nurse about creating a personal health record using a fee-based Web service. Which response by the nurse would be most appropriate? A) "Most of these services are the same, so just pick one." B) "Always check the fine print in the privacy policy." C) "These services are easy and quick to use." D) "Caregivers can access the record in an emergency." 8. After teaching students about the various types of electronic health records, the instructor determines that the students have understood the information when they state which of the following is the current focus of most healthcare agencies? A) Electronic medical record B) Electronic health record C) Personal health record D) Electronic medication administration record 9. When describing an electronic health record, which of the following would characterize a true electronic health record? A) Information included in the record B) Ability to interface with outside agencies C) Access to information by patients D) Healthcare information owned by the agency 10. When teaching a class about the barriers to implementing personal health records, which of the following would an instructor include? A) Fear of collaboration B) Questionable management of disease C) Lack of personalization of care D) Manner of useful data presentation 11. A group of nurses working in an office are advocating for the use of e-encounters. When describing this process, which of the following would the nurses identify as a benefit? Select all that apply. A) Improved retention of information B) Avoidance of telephone tag C) Need for transcription to be filed D) Clear reimbursement guidelines E) Increased staffing numbers 12. After teaching a class about smart healthcare cards, the instructor determines that additional teaching is needed when the class identifies which of the following as a component of a smart card? A) CPU B) ROM C) RAM D) Hard drive 13. An instructor is describing the health information record integration. Which of the following would the instructor explain as being the highest level of integration? A) Electronic medical record B) Electronic health record C) Personal health record D) Smart card 14. A nurse is reviewing journal articles related to personal health records. Which of the following would the nurse expect to find while reading? Select all that apply. A) Most records are being kept electronically. B) Individuals are concerned about privacy. C) Many people are uncomfortable using computers. D) It is time-consuming to enter the data in the computer. E) Many feel the record meets most of their needs. 15. When presenting a class discussion on personal health records and their implementation, the instructor reviews several barriers. Which of the following would the instructor be most likely to include? Select all that apply. A) Reluctance by providers B) Variations in patient identifiers C) Issues involving data security D) Patients viewing themselves as consumers E) Liability issues

Answer Key 1. B 2. C 3. C 4. D 5. B 6. A 7. B 8. A 9. C 10. D 11. A, B 12. D 13. B 14. B, C, D 15. A, B, C

1. A group of nurses is creating a database. Which of the following would the nurses need to do first? A) Determine the data to be collected B) Identify the question needing an answer C) Develop a purpose for the database D) Identify the pieces of data to enter 2. When working with a database, a data enterer selects data from a set of items that was created to avoid having to type in the entry. The data enterer is using which of the following? A) Field B) Relational database C) Look-up table D) Query 3. A nurse wants to find information about databases specifically used in nursing. Which query would the nurse use to obtain the narrowest search? A) Databases or nursing B) Nursing not databases C) Nursing and/or databases D) Nursing and databases 4. A nurse has created a database in which data are contained in one table. The nurse has created which model of database? A) Flat B) Network C) Hierarchical D) Relational 5. When designing a relational database, which of the following best reflects the user's use of atomic-level data? A) Age and sex are listed in one field. B) First and last names are in separate fields. C) Systolic and diastolic blood pressures are key fields. D) First and last names are in one field with first name also in a separate field. 6. When preparing to use healthcare information databases for secondary data use, which of the following would be most important? A) Restrict the database search to one aspect of care B) Remove any patient-identifying information C) Ensure databases reflect empirical evidence D) Be knowledgeable about the questions to be answered 7. After teaching a group of students about data mining, the instructor determines that the students understand the teaching when they state which of the following? A) Data mining is best to use on relational databases. B) Data mining provides known information to predict the unknown. C) A data warehouse is appropriate for the use of data mining. D) Data mining involves the use of simple statistical techniques. 8. After attending a class on databases and searching, which of the following would a student identify as the fastest way to analyze database information? A) Ad hoc querying B) Data mining C) Online analytical processing D) Using structured query language 9. After teaching a class about the different views of data in a database, the instructor determines the need for additional teaching when students identify which of the following as a view? A) Field B) Table C) Report D) Form 10. Which of the following would a user identify as accurate about saving data in a database? A) Data entry is saved as soon as the insertion point moves from the record of entry. B) Changes made to a record are temporary after leaving the record. C) If a record is deleted, it can be undone, but only once. D) A user must save each item in the database after it is entered. 11. An instructor is describing the steps associated with the design of a clinical database. Which of the following would the instructor be least likely to include? A) Identify the purpose of the database B) Identify the questions the data will answer C) List the requirements for the data D) Replicate the patient record data. 12. An instructor is teaching a class on databases and is describing the differences between a database and a spreadsheet. Which of the following would the instructor include as reflective of a database? Select all that apply. A) Data connected with records B) List with column headings C) Ability to crunch numbers D) Unrelated objects E) Analysis of data 13. A nurse is creating a database that involves tables organized in the shape of an inverted tree with the branches of the tree being shared. The nurse is creating which type of database model? A) Hierarchical model B) Flat model C) Network model D) Relational database model 14. A student asks an instructor what requirements must be met to ensure that data in a database are searchable. Which of the following would the instructor be least likely to include in the response? A) Data must be structured. B) A category must exist for the data that are to be searched. C) Terms used for a given meaning must be standardized. D) Criteria need not be matched to data in a given field. 15. After reviewing information about databases and their use, a group of students demonstrate understanding of the information when they identify which of the following as the most powerful tool in a database? A) Querying B) Sorting C) Downloadable data D) Mathematical capabilities Answer Key

Answer Key 1. B 2. C 3. D 4. A 5. B 6. B 7. C 8. C 9. A 10. A 11. D 12. A, B, E 13. C 14. D 15. A

1. A nursing instructor describes the use of outcomes potentially sensitive to nursing as which of the following? A) Standardized data reflecting nursing activities B) Medical diagnosis thought to measure nursing C) Inverse relationship between nursing and outcomes D) Adverse outcomes directly related to nursing care 2. After teaching a group of students about the invisibility of nursing, the instructor determines that the students need additional teaching when they identify which of the following as a key influence? A) Lack of a set format for documentation B) Inconsistent use of terminology C) Data relevant for nurse's contribution to patient care D) Labor-intensive information retrieval 3. While researching information for a paper, a nurse comes across two versions of a nursing minimum data set, one that is international and one from the United States. Which data would the nurse identify as part of the international set but not included in the U.S. set? Select all that apply. A) Clinical service type B) Intensity of nursing care C) Reason for admission D) Nursing diagnoses E) Patient outcomes 4. A nurse writes a nursing diagnosis and includes information about the etiology along with manifestations associated with that etiology. The nurse is demonstrating an understanding of which of the following? A) Granularity B) Taxonomy C) Interface terminology D) Mapping 5. After teaching a group of students about the various efforts by the ANA for standardization, the instructor determines that the teaching was successful when the students identify which of the following as being retired? A) Alternative Billing Codes B) Patient Care Data Set C) Nursing Minimum Data Set D) Logical Observations: Identifiers, Names, Codes 6. When working with the USA-Nursing Minimum Data Set (NMDS), which of the following would you expect to see as part of data collected for nursing care? A) Registered nurse provider B) Admission date C) Patient disposition D) Nursing diagnosis 7. A nursing instructor is developing a teaching plan to address Nursing Minimal Data Sets. When describing the underlying purpose for its creation, which of the following would the instructor include? A) Identify information useful for nurse-managers B) Identify activities nurses do daily C) Determine costs for home care patients D) Provide a means for supporting nursing research 8. After teaching a group of students about standardized terminologies for nursing, the students demonstrate understanding of the material when they identify which of the following as developing from a home care focus? A) North American Nursing Diagnosis Association (NANDA) taxonomy B) Clinical Care Classification C) Nursing Interventions Classification D) Nursing Outcomes Classification 9. When using the International Classification of Nursing Practice, which one of the following axes would the nurse expect to find? A) Diagnostic concept B) Unit of care C) Focus D) Potentiality 10. A nurse is presenting an in-service program to other nurses about electronic documentation and the role of standardized terminologies. Which of the following would the presenter identify as the most likely major barrier to implementing nursing terminologies? A) Lack of granularity in nursing documentation B) Need to provide a complete patient picture C) Inconsistent demand for use of terminologies D) Lack of recognition in its role in nursing care 11. After teaching a group of students about the development of standardized terminology that was adopted by the American Nurses Association (ANA), the instructor determines that the teaching was successful when the students identify which of the following as being adopted last? A) International Classification for Nursing Practice B) The Omaha System C) Nursing Interventions Classification System D) Nursing Outcomes Classification System 12. A nursing student is reviewing an article that describes the Perioperative Nursing Data Set. Which of the following would the student expect to be addressed? Select all that apply. A) Patient safety B) Nursing problems C) Outcome problem rating scale D) Health system E) Behavioral responses 13. A nurse is engaged in data analysis and comparisons. Which of the following concepts related to standardized terminology would the nurse be most likely to use? Select all that apply. A) Nomenclature B) Listing C) Ontology D) Classifications E) Interface terminology 14. A group of students are reviewing information about standardized terminology. The students demonstrate a need for additional review when they identify which of the following as an interface terminology? A) NIC B) NOC C) NANDA-1 D) USA-NMDS 15. A nurse is reading an article about a computer process that identifies text words and phrases and then makes them available for use in a structured format. The nurse is most likely reading an article about which of the following? A) Reference terminology B) Natural language processing C) Nomenclature D) Mapping

Answer Key 1. B 2. C 3. A, C 4. A 5. B 6. D 7. D 8. B 9. C 10. D 11. A 12. A, D, E 13. C, D 14. D 15. B

1.Which of the following would a nursing instructor use to describe Web 2.0? A)Isolation B)Individualistic C)Collaboration D)Static 2.After teaching a group of students about collective intelligence, the teacher determines that the class needs more instruction when they identify which of the following as an example? A) Wiki B) Folksonomies C) Blog D) WetPaint 3. A nurse is reviewing a mashup that depicts a blueprint of the rooms on the unit along with an overlay of data about infections on the unit. The nurse identifies this type of mashup as which of the following? A) Mapping B) Video C) News D) Shopping 4. Which of the following would a computer user be least likely to identify as an example of grassroots media? A) Podcasts B) Wikispaces C) YouTube® D) Online photo sharing 5. A student has created the following e-mail address: [email protected]. Which of the following is considered the user name? A) Yahoo B) jane.doe C) @ D) .com 6. A nurse executive is composing an e-mail to the professional organization. In addition to the name, which of the following would the nurse include when signing an e-mail? A) Street address B) Home phone number C) Sender's title D) Date 7. After teaching a group of students about writing professional e-mails, which of the following statements by one of the students indicates the need for additional teaching? A) "You should always check the spelling and grammar before sending." B) "Never send any type of confidential information in an e-mail." C) "If an unexpected file is attached, don't open it." D) "Use acronyms and emoticons freely to express the tone." 8. A nurse is preparing to send an e-mail with a file attached. Which of the following would be most important to do first? A) Check that the recipient has the appropriate software to view it. B) Expect to zip the file so that it will be transmitted much faster. C) Transfer the file to a CD so that it will be ready for attachment. D) Send the file to a file transfer Internet Web site. 9. During a group discussion about using e-mails, a member asks, "What's the best way to avoid spam?" Which of the following would be the most appropriate rationale? A) "Spam is like junk mail; you just have to learn to live with it." B) "Your e-mail provider should have some type of filter to avoid spam." C) "Try using a different e-mail address every now and then." D) "Never give out your e-mail address on the Web, such as online shopping sites." 10. A nurse is contacting several colleagues using the Internet for a conference call. Which of the following is the nurse using? A) Web conferencing B) Instant messaging C) Telephony D) Webcast 11. During a presentation about networking, a nurse asks, "I've heard all about this 'Twitter', but how is it different from instant messaging?" Which response by the presenter would be most appropriate? A) "You can send larger messages than with IM." B) "The message is shared with others." C) "It is the preferred social networking site." D) "You use your real names for 'tweeting'." 12. A nurse practitioner wants to join a networking site with other nurse practitioners. Which of the following would the nurse practitioner most likely choose? A) Facebook B) LinkedIn C) MySpace D) Plaxo 13. When working with Acrobat.com, a nurse would expect which of the following? Select all that apply. A) Need to purchase an outside word processing program. B) Ability for animating and interactivity C) Free Webinar software D) Registration fee requirement E) Private workspace 14. A nurse participates in a blog with other nurses about caring for terminally ill patients. The nurse receives an alert via which of the following when new information is added? A) Wiki B) Mashup C) RSS feed D) Usenet

Answer Key 1. C 2. C 3. A 4. C 5. B 6. C 7. D 8. A 9. D 10. C 11. B 12. B 13. B, C, E 14. C

1. After teaching a class about spreadsheets and the difference between them and word processing, the instructor determines that the students have understood the information when they identify which of the following as specific to spreadsheets? A) Features used in spreadsheets are different. B) Programs are bundled with other office software. C) Formula functions are built into the menu options. D) Windows are used but icons are not. 2. A student is preparing a spreadsheet. He plans to put data into the rectangles in the table. The student identifies these rectangles as which of the following? A) Rows B) Columns C) Slots D) Cells 3. A student has prepared a spreadsheet with data that fill three columns and four rows. The student names a cell range that encompasses the first cell of the second column through the last cell of the third column. The student would express this cell range as which of the following? A) 2.1 to 3.4 B) B1/C4 C) 2B:4C D) B1:C4 4. A group of students is reviewing information for an examination on spreadsheets. The students demonstrate a need for additional studying when they state which of the following as a use of spreadsheets in nursing? A) List benefits and limitations of breast-feeding B) Monitor for medication errors C) Calculate length of stays of surgical patients D) Document quality improvement of patient care 5. A nurse is reviewing a spreadsheet and identifies a cell containing an absolute formula. Which symbol would the nurse interpret as indicating this? A) * B) $ C) = D) @ 6. When creating a spreadsheet that involves formulas, the user understands that the computer follows a specific order of operations. Place the operations listed below in the order that they would occur from first to last. A. Addition B. Exponentiation C. Parentheses D. Division E. Multiplication F. Subtraction A) A, F, E, D, C, B B) C, D, F, E, A, B C) B, D, F, A, C, E D) C, B, E, D, A, F 7. When creating a spreadsheet, a user locks the cells of a spreadsheet to prevent the user from changing the cell value. The user is engaged in which of the following? A) Data protection B) Security C) Linking D) Freezing 8. An instructor is preparing a class discussion that focuses on ensuring that spreadsheets effectively communicate what the user intended. Which of the following would the instructor include? A) Entering two or three values into the cell if the data are to be sorted for analysis B) Naming each spreadsheet to clearly identify its purpose or topic C) Including a table of contents when designing a simple spreadsheet D) Combining three or four tables in one worksheet for each workbook 9. After entering information about groups of students in attending a nursing school into a spreadsheet, a nursing faculty member decides to create a chart to represent the information. Which type of chart would be most appropriate for the faculty member to use to depict the percentages of the groups of students? A) Pie chart B) Column chart C) Bar chart D) Line charts 10. When creating a chart from a spreadsheet using commercial software, which of the following would the user do first? A) Click on the chart tool menu B) Select the type of chart for the data C) Select the cells of data for the chart D) Preview the chart on the screen 11. After teaching a class of students about how to use spreadsheets, the instructor determines that the class has achieved intermediate spreadsheet skills when they demonstrate which of the following? Select all that apply. A) Name a worksheet tab B) Freeze rows C) Import data in text format D) Modify a pivot table E) Create a dashboard 12. A nursing instructor is using a spreadsheet to perform an item analysis for a group of tests used in the medical-surgical class over the past 5 years. The instructor has beginning-level spreadsheet skills. Which of the following would be least appropriate for the instructor to do to ensure the analysis is accurate? A) Use a separate worksheet for each of the tests in the workbook B) Draft out the design using a pencil and paper first C) Enter several values into each of the cells D) Create a name for each spreadsheet developed 13. A student is enrolled in a class to learn how to use spreadsheet software. During one of the classes, the student asks the instructor, "What is the difference between a worksheet and a workbook?" Which response by the instructor would be most appropriate? A) "A workbook uses many more mathematical calculations than a worksheet." B) "A worksheet is a spreadsheet but a workbook has one or more worksheets." C) "The workbook is the starting point and the worksheet is the final result." D) "The terms are used interchangeably in any spreadsheet program." 14. A nurse-manager has created a spreadsheet with data about the number of nurses enrolled in continuing education programs over the past 6 months. The nurse-manager now wants to use this information to create a chart to compare the amounts over each quarter. Which type of chart would be most appropriate for the nurse-manager to use? A) Pie chart B) Clustered bar chart C) Stacked bar chart D) Line chart 15. A nurse is entering data into a spreadsheet and formats the cell as text. Which of the following would be appropriate for the nurse to enter into this type of cell? Select all that apply. A) Medical record number B) Zip code C) Date D) Time E) Social security number

Answer Key 1. C 2. D 3. D 4. A 5. B 6. D 7. A 8. B 9. A 10. C 11. C, D 12. C 13. B 14. B 15. A, B, E

1. When describing ethical decision making to a group of students, which of the following would the instructor most likely include? A) Values are involved, but they are of minimal concern. B) Scientific inquiry provides the answer. C) Decisions are based on which value is most important. D) Decisions have short-term consequences. 2. An informatics nurse is presenting a class on ethics and informatics. Which of the following would the nurse identify as being central to informatics? A) Conflicting values B) Autonomy C) Influencing variables D) Beneficence 3. After teaching a group of students about ethics and laws, the instructor determines that the teaching was successful when a student states which of the following? A) Laws are subject to interpretation. B) Penalties are used if laws are violated. C) Laws involve value conflicts. D) Laws address paternalism. 4. An informatics nurse specialist is conducting an in-service program about HIPAA. Which of the following would the nurse include when describing this rule? A) HIPAA protects all private health information. B) Fee-for-service providers have limited HIPAA coverage. C) Information with health plan providers is excluded. D) Information of agencies electronically billing CMS is covered. 5. When preparing a teaching plan for a group of students about the Nurse Licensure Compact, which of the following would the nursing instructor include? Select all that apply. A) It limits the requirements for telehealth nursing by providing a restricted license. B) Nurses licensed in one state could practice in another state. C) The rules and regulations of the state of practice apply to the nurse. D) Advanced practice nurses are exempt from the Compact. E) Nurses are required to store personal licensure data online. 6. A group of students are debating the pros and cons of implantable identification devices. Which of the following would the proponents most likely address? A) It allows quicker and safer emergency care. B) It should be a requirement to enhance care. C) It would ensure complete privacy. D) It promotes an individual's civil liberties. 7. A nurse is blogging. Which of the following would demonstrate that the nurse violated ethical and legal guidelines? A) Including names of staff members in the blog B) Demonstrating respect for others when writing C) Using positive references about individuals D) Avoiding dark humor 8. An instructor is assigning a research paper to a group of students. In preparation for writing the paper, the instructor reviews copyright law. Which of the following statements by a student indicates the need for additional teaching? A) "If the copyright symbol isn't there, then the information is not copyrighted." B) "Copyrighted material is material that is considered to be original." C) "If the information is not well defined, then it isn't subject to copyright." D) "The time a copyright is in effect varies based on the law at the time." 9. While writing a research paper for a class, a student demonstrates plagiarism when doing which of the following? A) Including a citation at the end of a sentence about statistics from a research study B) Inserting a paragraph from a reference article directly into one's paper C) Using quotation marks around a statement with the name and page of the source D) Crediting an author for a statement by saying, "According to ..." 10. A nurse advocates for a patient to ensure that what is being done is best for him. The nurse is demonstrating which ethical principle? A) Paternalism B) Veracity C) Justice D) Beneficence 11. A nurse is working as part of a committee addressing the security of healthcare information and data breaches. The committee is working on ways to reduce the risk of data breaches. Which of the following would be helpful for the committee to include? Select all that apply. A) Program to teach employees about system logins B) Training for employees about data encryption C) Use of secure e-mail servers D) Instillation of data loss prevention software E) Tracking of external threats 12. After teaching a group of students about legal and ethical issues related to telehealth, the instructor determines that the teaching was successful when the students identify which of the following as an important milestone in allowing nurses licensed in one state to practice in another state? A) Coordinated Licensure Information System B) Nurse Licensure Compact C) HIPAA D) HITECH 13. A group of students are reviewing information about copyright law. The students demonstrate understanding when they identify which of the following as an exception? Select all that apply. A) Height and weight chart B) Recorded speech C) Short phrases D) List of ingredients E) Quotation 14. A group of faculty are designing a Web-based course and are concerned about copyright law related to the use of information in the course. Which of the following would demonstrate that the faculty is adhering to fair use? A) Text provided was 1,000 words. B) Images are accounted for 20% of the course. C) Music included was about 45 seconds. D) Video spanned about 5 minutes. 15. A nursing instructor reviews the development of copyright law as an introduction for a class project that will involve the students in writing a scholarly essay to support an ethical issue. After teaching the class, the instructor determines that the teaching was successful when the students identify copyright protection as extending for how many years after the life of the author? A) 14 years B) 25 years C) 50 years D) 70 years

Answer Key 1. C 2. A 3. B 4. D 5. B, C 6. A 7. A 8. A 9. B 10. D 11. A, B, D, E 12. B 13. A, B, C, D 14. A 15. D

1. When describing consumer informatics to a group of students, the instructor includes which of the following as a contributing factor? A) The rising costs of healthcare B) The complexity of navigating the Internet C) Desire by consumers for increased responsibility D) The continued pervasive culture of paternalism 2. Which of the following would a consumer use to compare the performance of health plans? A) Healthcare Effectiveness Data and Information Set (HEDIS) B) Hospital Quality Alliance (HQA) C) Centers for Medicare and Medicaid Services (CMS) D) National Committee for Quality Assurance (NCQA) 3. An instructor is teaching a group of students about the use of online pharmacies by patients. The instructor determines that the teaching was successful when the students identify which of the following as a problem? A) The site offers to prescribe a prescription drug for the first time without a physical exam. B) The site offers convenient access to a licensed pharmacist able to answer patients' questions. C) The site provides a U.S. address and phone number to contact if a patient has a problem. D) The site requires a prescription for prescription drugs that are approved by the Food and Drug Administration 4. A patient comes to the clinic for a visit and brings information about his condition that he got off the Internet. Which of the following responses by the nurse would be most appropriate? A) "What, don't you believe that we're doing what's best for you?" B) "Let's go over this information and see what it says." C) "I really need to check out this site before we talk about it." D) "You need to be really careful about what you get off the Internet." 5. A group of students is reviewing material in preparation for an examination on health literacy. Which of the following, if identified by the students as a characteristic, indicates the need for additional studying? A) Unrelated to years of education B) Variable with the context and setting C) Greater predictor of health than age D) Primarily the ability to use basic reading skills 6. A patient receives his cholesterol test results and decides to make lifestyle changes to improve his numbers. The nurse would interpret this as which of the following? A) Health literacy B) Health numeracy C) Consumer informatics D) Information literacy 7. When assisting a patient who will be participating in telemonitoring in his home, which of the following must the nurse do first? A) Evaluate the technical skills of the user B) Determine if the user has the necessary physical skill C) Ask the patient to select a location for the device in the home D) Use everyday terms when teaching how to use the device 8. When discussing online support groups with patients, which of the following would the nurse include? A) Limited range of areas covered B) Consistent quality of information C) Variable sponsorship D) Mostly nonmoderated 9. After teaching a group of students about the advantages of online support groups, the instructor determines that students need additional teaching when they state which of the following? A) Groups are highly diverse in their perspectives. B) Anonymity aids in discussing sensitive issues. C) Messages can be carefully thought out before posting. D) Most interactions are synchronous. 10. A nurse is evaluating a Web page that was designed for use with patients. Which of the following would be most important to assess? A) Design B) Accessibility C) Usability D) Artistic approach 11. A nurse is reviewing information about the quality of care for certain hospitals in the local area. The nurse finds information specifically about ratings related to high-risk treatments. Which Web page would the nurse be viewing? A) Healthcare Effectiveness Data and Information Set B) National Committee for Quality Assurance C) Hospital Quarterly Alliance D) The Leapfrog Group 12. A nurse who is working in the physician's office is explaining the newly created patient portal that the practice has developed to a group of clients. When describing what the portal can be used for, which of the following would the nurse include? Select all that apply. A) Making routine appointments for follow-up B) Getting renewals for current prescriptions C) Alerting clients about abnormal lab results D) Allowing clients to verbally communicate with staff E) Helping clients in decision making 13. A client is searching the Web for health information. The search engine being used is a crawler search engine. Which of the following might the client be using? Select all that apply. A) Google B) Yahoo! C) Bing D) Ask Jeeves E) Open Directory 14. During a healthcare visit, a client shows the nurse information that he has obtained from the Internet about his current condition. When discussing this information with the client, which of the following would be most important for the nurse to keep in mind? A) The information may be correct. B) The source needs to be verified. C) References must always be listed. D) The information is likely to be out-of-date. 15. After teaching a group of students about health literacy and the skills associated with it, the instructor determines that the teaching was successful when the students identify which ability as a necessary skill? Select all that apply. A) Understand visual information B) Locate health information C) Make decisions D) Read at a college level E) Apply relevant information Answer Key

Answer Key 1. C 2. A 3. A 4. B 5. D 6. B 7. A 8. C 9. D 10. B 11. D 12. A, B, C, E 13. A, C, D 14. A 15. A, B, C, E

1. When preparing a teaching plan for a unit on maternal-newborn nursing, an instructor is incorporating educational software with computerized video clips, slide presentations, illustrations, and quiz questions developed by faculty and content experts. The information can be changed in many ways to address the instructor's needs. The instructor is using which of the following? A) Computer-aided instruction B) Computer-based learning C) Learning management system D) Learning content management system 2. When designing learning activities for a group of students, an instructor wants to focus on the highest level of learning. Which of the following activities would be most appropriate? A) Tutorials B) Case studies C) Animations D) Flash cards 3. An instructor uses an educational software program that includes a set of fill-in-the-blanks and true/false questions. The instructor incorporates this program into the course to develop which of the following? A) Synthesis B) Application C) Knowledge D) Analysis 4. After describing the Multimedia Educational Resource for Learning and Online Teaching (MERLOT) site as an excellent source for learning resources, the instructor determines that the students have understood the information when they state which of the following? A) It contains hundreds of learning activities. B) Users can access other digital libraries. C) No membership is required. D) Activities require a user fee. 5. A group of instructors is discussing the possible use of a virtual reality learning program. Which of the following would be most important for the instructors to address before having the students use the program? A) Navigating the virtual world B) Creating an avatar C) Developing broad goals D) Accessing the program 6. When describing the advantages and disadvantages of e-learning programs to a group of students, the instructor determines that the students understand the information when they state which of the following? A) "We need to sign up for a time to use the program." B) "The programs are usually free of technological glitches." C) "We can set our own pace for learning with the program." D) "The programs provide experiences we'd normally encounter." 7. The following is a list of actions to reflect learning outcomes. Place them in the proper sequence from lowest to highest level of learning. A. Describe B. Demonstrate C. List D. Create E. Analyze A) A, B, C, D, E B) C, A, B, E, D C) A, E, B, C, D D) D, A, C, B, E 8. A nurse is attending a seminar on distance learning. Which of the following would the nurse expect to hear as the most common use for this method? A) Degree programs B) Certification C) Continuing education D) Personal enrichment 9. A student interested in e-learning opportunities asks an instructor for advice. Which response by the nurse would be most appropriate? A) "Online learning activities are nice but they are costly." B) "You need to be motivated and disciplined with this type of learning." C) "Unless you are really skilled in computer technology, it's not for you." D) "You need to be available at the time set by the course." 10. A nurse is participating in a face-to-face course involving a virtual presence. The nurse is involved in which of the following? A) Clicker technology B) Patient simulation C) Hybrid course D) Streaming video 11. A group of nursing instructors is working to develop an e-learning program for their educational program. When developing this program, which of the following principles would the group address? Select all that apply. A) Collaboration between students and faculty B) Opportunities for practice and rapid feedback C) Passive learning techniques D) Limited faculty-student contact E) Focus on one or two learning styles 12. A student is deciding whether or not an e-learning course would be appropriate for him. After completing a self-evaluation, the student decides that this course would be appropriate based on identification of which characteristics? Select all that apply. A) Self-motivation B) Limited writing abilities C) Dependence on others for learning D) Open to share experiences E) Ability to ask for help 13. A student is participating in an e-learning program. Which of the following would be most important for the student to do to achieve success with the program? A) Provide feedback about the electronic instruction B) Use the instructor as the guide C) Keep appropriate records from the course D) Engage in simulation exercises 14. A nursing student is reviewing a journal article about the advantages and disadvantages of online learning. Which of the following would the student be least likely to find as a disadvantage? A) Software needed B) Backup plan for problems C) Missing of a class D) Technology skills 15. A nursing student is engaged in an e-learning course. The content is geared to the comprehension level of learning. Which types of activities would the student most likely see? Select all that apply. A) Memorization games B) Simulations C) Animations D) Interactive tutorials E) Flash cards

Answer Key 1. D 2. B 3. C 4. B 5. A 6. C 7. B 8. C 9. B 10. C 11. A, B 12. A, D, E 13. A 14. C 15. B, C

1. An instructor is describing the technology classifications associated with telehealth and determines that students have understood the teaching when they state which of the following as being associated with real-time telehealth? A) Stored images sent for interpretation at a later time B) Asynchronous transmission of clinical data C) Affordable method for practice in rural communities D) Same-time interaction of the patient and provider via video 2. A nurse is describing telehomecare to a group of patients, incorporating the knowledge that this method of care is cost-effective because of which of the following? A) It provides care in the comfort of the patient's home. B) It promotes self-management for patients with chronic illnesses. C) It allows early detection, reducing the need for unnecessary emergency visits. D) It minimizes the time spent with office appointments. 3. In which of the following locations would a nurse least expect to find telemental health? A) Prison facilities B) Rural areas C) Large cities D) War-torn areas 4. A nurse is preparing a presentation about various telehealth practices for a group of nurses in the community. Which of the following would the nurse include about e-intensive care (e-ICU)? A) They require minimal planning for execution. B) Workflow typically requires redesign. C) Enhanced communication results. D) Involvement of other departments is limited. 5. When explaining teletrauma to a group of students, which of the following would the instructor include? A) Use of trauma care experts for second opinions B) Trauma specialist guiding trauma care via video C) Emergency care provided via robotics D) Education of rural providers by trauma specialists 6. Which of the following would a nurse use when describing telenursing? Select all that apply. A) Promotes autonomous practice B) Is practiced primarily in rural areas C) Requires certification D) Increases healthcare costs E) Usually involves on-the-job learning F) Is a new specialty 7. An instructor is teaching a group of students about telehealth and reimbursement. The instructor determines that the teaching was successful when the students state which of the following? A) Most telehealth services are paid for by clients as out-of-pocket expenses. B) Reimbursement is fairly consistent across the different insurers. C) Little progress has been made in reimbursement policies. D) Reimbursement is a large barrier to widespread adoption of telehealth. 8. A group of students is reviewing material about the types of standards for telehealth and telemedicine. Which of the following, if stated by the students as an example of technical standards, indicates successful review? A) HIPAA B) Research protocols C) Systems for network connectivity D) Human resource management 9. A nurse is reading an article about a surgeon who uses a combination of robotics and virtual reality along with special gloves and audio and video technology to perform surgery by manipulating surgical instruments at a remote site. The nurse is reading about which of the following? A) Store-and-forward technology B) Telepresence C) Real-time technology D) Telemedicine 10. When describing the use of portable monitoring devices used in telehealth to a group of students, which of the following would the instructor most likely include? A) Most require access to a wireless connection. B) Many devices involve a touch screen for assessment. C) E-mail is used to address patient education needs. D) There is a central device located in the patient's home. 11. A nurse is reading an article about the use of robotics and telehealth. Which of the following would the nurse expect research on this technology to reveal? A) Increased response time B) Increased length of stay C) Improved patient outcomes D) Increased costs 12. After teaching a group of students about the benefits of telehealth, the instructor determines that the teaching was successful when the students identify which of the following as a benefit? A) Increased travel time B) Increased productivity C) Increased face-to-face patient contact D) Increased healthcare costs 13. When reviewing the core standards for telemedicine operations, which of the following would the nurse identify as an example of a clinical standard? A) Nursing practice standards of care B) Health Insurance Portability and Accountability guidelines C) Network connectivity standards D) Fiscal management guidelines 14. A nurse is reviewing research on the efficacy of telehealth over the past several years. The nurse would identify which of the following conditions as having outcomes most significantly affected by the use of telehealth? Select all that apply. A) Chronic lung disease B) Kidney failure C) Heart disease D) Newborn health E) Psychiatric conditions 15. A nursing instructor is describing devices that can be used for real-time telehealth. Which of the following would the instructor be least likely to include? A) Telephone B) Digital camera C) Videoconferencing D) Satellite system

Answer Key 1. D 2. C 3. C 4. B 5. A 6. A, E 7. D 8. C 9. B 10. B 11. C 12. B 13. A 14. C, E 15. B

1. When describing technical interoperability to a group of students, which of the following would the instructor include? A) Automatic interpretation of messages exchanged B) Action by computer without human intervention C) Coordination of workflow management D) Information transmission and reception for use 2. When describing interoperability, which of the following organizations would an instructor describe as being responsible for setting interoperability standards in health? A) International Organization for Standardization (ISO) B) International Electrical Commission (IEC) C) American National Standards Institute (ANSI) D) American Society for Testing and Materials (ASTM) 3. A nurse reviewing statistics on global morbidity and mortality rates understands that this information is based on which of the following? A) ICD-9 codes B) ICD-10 codes C) ICD-11 codes D) ICD-12 codes 4. After teaching a group of students about the International Classification of Functioning, Disability, and Health, the instructor determines that the teaching was successful when the students identify the primary emphasis as which of the following? A) Disease B) Body structure C) Activities D) Function 5. When developing a teaching plan on the various organizations involved in setting standards, which of the following would an instructor include as being most involved with setting standards for the electronic health record? A) Digital Imaging and Communications in Medicine B) Comité Européan de Normalisation C) Health Level Seven D) International Health Terminology Standards Development Organisation 6. A nurse is working at a facility as part of a group involved with billing. Which of the following would the group most likely use to categorize patients for a system of prospective payment? A) ICD codes with clinical modifications (ICD-CM) B) Diagnosis-related groups C) Healthcare Common Procedure Coding System D) Alternative Billing Codes 7. After teaching a group of students about efforts in the United States toward an electronic health record, the instructor determines that the students have understood the teaching when they identify which of the following as responsible for coordinating health policies and programs for the U.S. Department of Health and Human Services for health information technology? A) Nationwide Health Information Network B) State Health Policy Consortium C) Office of the National Coordinator for Health Information Technology D) American Society for Testing and Materials 8. A nursing informatics specialist is conducting a seminar about electronic health records and the importance of interoperability. As part of the seminar, the nurse is describing the mission of the Nationwide Health Information Network. Which of the following would the nurse include? A) A network of other interworking networks to support health information exchange B) A governing organization that fosters collaboration for consensus on data standards C) An agency responsible for coordinating health IT for federal agencies providing healthcare to citizens D) An executive body to assist state governments in identifying best practices and solutions 9. A client had a magnetic resonance imaging test completed while vacationing in Europe. The client's physician in Chicago is able to view the test results through standards developed by which of the following? A) Comité Européan de Normalisation B) Digital Imaging and Communications in Medicine C) International Health Terminology Standards Development Organisation D) Outcome and Assessment Information Set 10. After teaching a group of students about unified medical language system (UMLS), the students demonstrate understanding when they state which of the following? A) A method for standardizing data entry B) Data standards on disease classifications C) Method designed to match concepts from different terminologies D) Support for integrated surveillance systems for information transfer 11. A nursing instructor is describing the different types of interoperability. Which of the following terms would the instructor use to explain process interoperability? A) Automatic interpretation B) Information transmission C) Workflow management D) Algorithm interaction 12. After a class discussion about electronic health records, interoperability, and standards, a student asks the instructor, "Why is all this important to us as nurses?" Which response by the instructor would be most appropriate? A) "You need an understanding of the history behind what is happening now." B) "Nursing is affected by the decisions made for recording healthcare data." C) "You will most likely be involved with one of the agencies at some time in your career." D) "This information is likely to impact the view of nursing as a profession." 13. A nurse is reviewing the information used with International Classification of Functioning, Disability, and Health. The nurse would identify codes being organized by which of the following? Select all that apply. A) Diagnosis B) Body structure C) Activities of daily living D) Injuries E) Participation in life situations 14. A nursing instructor is reviewing the process used by various organizations and agencies in developing standards. Which of the following would the instructor include as the first step? A) Operationally state what the standard will achieve B) Identify the need for a standard C) Define the specifications to be tested D) Submit a proposal for public comment 15. After teaching a group of students about standardizing terminology for billing of healthcare services, the instructor determines that additional teaching is needed when the students identify which of the following as being involved? A) ICD codes with clinical modifications (ICD-CM) B) Diagnosis-related groups (DRGs) C) Outcome and Assessment Information Set (OASIS) D) Health Level Seven

Answer Key 1. D 2. A 3. B 4. D 5. C 6. B 7. C 8. A 9. B 10. C 11. C 12. B 13. B, C, E 14. B 15. D