Informatics Nursing Exam Sample QuestionsThese sample questions apply to all exams taken on or after March 23, 2018. The following sample questions are similar to those on the examination but do not represent the full range of content or levels of difficulty. The answers to the sample questions are provided after the last question. Please note: Taking these or any sample question(s) is not a requirement to sit for an actual certification examination. Completion of these or any other sample question(s) does not imply eligibility for certification or successful performance on any certification examination. To respond to the sample questions, first enter your first and last names in the boxes below (this information will not be recorded; it is strictly for purposes of identifying your results). Then click the button corresponding to the best answer for each question. When you are finished, click the "Evaluate" button at the bottom of the page. A new browser window will open, displaying your results, which you may print, if you wish. This practice exam is not timed, and you may take it as many times as you wish. Good luck! Which statement by the nurse indicates an understanding of the definition of nursing informatics? ANS: B The ANA has defined informatics as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, knowledge and wisdom in nursing practice. What is the focus or goal of Nursing Informatics? Focus: is to improve patient care with health care technology that encourages clinicians to make more accurate and timely decisions. What are examples of regulatory agencies that will affect health care policy with regard to informatics? c. American Nurses Association (ANA) d. Medicare/Medicaid authorization ANS: A The Joint Commission (TJC) and the Health Insurance Portability and Accountability Act (HIPAA) are two regulatory and governmental agencies instituting health care policy. The American Nurses Association (ANA) is the professional nursing organization. Medicare and Medicaid are governmental organizations that provide services. They do not regulate health care policy In 2013 HIPPA created new rules? What changes were made to those Rules? (5) 1. Fines were increased if HIPPA was broken. 2. Patients were able to request there EHR in digital form. 3. When you pay by cash you can refuse information to be shared by your health plan. 4. New limits for marketing and fundraising. ( For Research) 5. You need consent from the patient for research purposes. Which of the following statements indicates the nurses understanding of the difference between the
electronic health record (EHR) and electronic medical record (EMR) is: ANS: C EHR is the longitudinal electronic record of patient health information generated by one or more encounters in any care delivery setting. Included in this information are patient demographics, progress notes, problems, medications, vital signs, past medical history, immunizations, laboratory data, and radiology reports. The EHR automates and streamlines the clinician's work flow. The EHR has the ability to generate a complete record of a clinical
patient encounter—as well as supporting other care-related activities directly or indirectly via interface—including evidence-based decision support, quality management, and outcomes reporting. The EMR is composed of data from multiple software applications used by a facility such as a hospital or provider officer to order, document, and store patient information just as a paper medical record did in the past. The ability of the computer systems to combine data from various EMRs to form a more
holistic view of a patient is one of the major benefits of electronic documentation. The inclusion of data collected by the patient into the EHR is called the personal health record (PHR) ____ is Data that is collected by the patient into the EHR. (PHR) Personal Health Record What would the Personal Health Record be used for? Examples.. What are the problems with a PHR? - Inputting family history - A diabetic inputting real time blood glucose - Someone with Hypertension would put in there blood pressure readings. - Someone tracking there Diet or excersie could put in there exercise information. _____ is information technologies in prescribing and dispensing medications. Give an Example of this. -Medication Fulfillment - Example of this is Micromedex being part of the MAR. ____ is entering patient care orders directly into a system that transmits these orders directly into the receiving departments with out any following steps. What are the benefits of this system and What are the benefits of this system? Answer: Computerized Provider Order Entry System ( CPOE) and Clinical Decision Support. Give Examples of Technology-Enabled Medication Administration. (2) - Bar coding - Dispensing Equipment Pixis machine Stages of Meaningful use of EHR to patients 1. record demographics and record meds 2. more responsiblities where they can get lab results and record current meds 3. not quite defined at this point _____ requires hospitals and providers to supply patients with "the capability to electronically view, download, and transmit relevant information from their provider;s electronic health record.. Which action can the nurse take to evaluate an internet resource? a. Assume that the resource is credible if it is on an internet page. b. Determine if the resource provides evidence for claims made. c. Assess the popularity of the resource. d. Determine the date the resource was published; older material is more reliable. ANS: B To evaluate an internet resource, the nurse should use the CARS checklist developed by Harris (2007). The nurse should assess credibility, accuracy, reasonableness, and support. The nurse assesses support by determining if the source provides evidence for claims made. The nurse should not assume that the resource is credible because it is on the internet, assess popularity, or rely on information that is old or outdated. What are the 5 Steps in Evaluation of a Website? 1. Authority- Who are the Authors 2. Timeliness- When was the site created and when was it updated. 3. Purpose- Who is the targeted Audience 4. Accuracy- Content Objective, Is there Bias? 5. Structure- is the site secure? and easy to Access. What is the Tiger initiative? T- Technology I- Information G- Guided R- Reform - Nursing Guided principles to make practices safer through technology. _____ are violent acts including physical assaults and threats or assault, directed at individuals at work or on duty. This can include verbal abuse, Threats, unwanted sexual advances, physical assault, and murder. What are the signs of escalating violence? - Pacing - Using foul language - Raising ones fist - Using Threats After completing a crisis intervention course, the nurse recognizes the signs of escalating violence as: a. pacing and cursing. b. repeatedly pushing the call bell. c. crying and complaining of no pain relief. d. staring out the window and not responding to questions. ANS: A Signs of escalating violence include pacing, using foul language, cursing, raising of fists, and threats. The other options are typical behaviors that are noted in the hospital setting that do not reflect a situation where the person is escalating out of control.
____ a systematic, health-harming mistreatment of one or more individuals by one or more perpetrators that can be verbal, behavioral, and or sabotage. Horizontal Violence - "Bullying" It is fostered in the healthcare environment and it seems to happen over time due to change. A nurse believes to be bullied at work. Which of the following actions by the perpetrator lead them to believe this? a. Offering to help with their assignment b. Asking them to switch a shift c. Asking them to cover for a break d. Being given the “silent treatment ANS: D Being given the “silent treatment” is a sign of bullying. Offering to help with an assignment and asking to switch a shift or cover a break are not considered signs of bullying. A nurse feels bullied at work. Which of the following actions should the nurse take first? a. Ignore the bullying. b. Report the bullying. c. Take action against the bully themself. d. Take time off from work. ANS: B The nurse should first report the bullying to get the behavior to stop. The next step would be to take time off of work recover from the incident. The nurse should never ignore the bullying or take action against the other person by themself. The new nurse has an adequate understanding of bullying when stating which of the following? (Select all that apply.) ANS: A, B, D The new nurse has an adequate understanding when stating that the purpose of bullying is to control the target. It can be verbal, behavioral, or sabotage. Bullying is not a single event; rather, it occurs over time. It is initiated by the perpetrator and is not something that the victim deserves to have happen . The Occupational Safety and Health Administration (OSHA) provides guidelines to protect health care workers from needlesticks. Which action by the nurse manager shows the use of the guidelines in practice? ANS: A OSHA has established guidelines that
employers must follow to protect their workers. The Needlestick Safety and Prevention Act became law in November 2000, requiring the use of safer devices to protect workers from sharps injuries. Advocating for workplace safety, the ANA was very instrumental in having this piece of federal legislation passed. This act amends the Blood-Borne Pathogen Standard (administered by OSHA) to require the use of safer devices to protect from sharps injuries. It also requires that employers solicit the
input of nonmanagerial employees who are responsible for direct patient care regarding the identification, evaluation, and selection of effective engineering and work-practice controls. Providing a safe working environment is a good option, but it does not specifically address the safety devices required for prevention of needlestick injuries. OSHA does not provide for safe nursing practice guidelines. The Needlestick Safety and Prevention Act of 2000 was implemented to prevent health care workers from experiencing needlestick injuries. Which of the following is required to be documented regarding a needlestick injury? ANS: C The Needlestick Safety and Prevention Act requires documentation of the department and work area in which the needlestick injury occurred. It also requires employers to maintain a sharps injury log to document the type and brand of device involved and an explanation of how the incident occurred. The information is to be recorded and maintained in a way that protects the confidentiality of injured employees. The test question is asking
for “required documentation,” so notifying the doctor is not appropriate. More than likely, the person would be sent to the occupational safety department for follow-up and documentation. What are the benefits of E-prescribing? (2) 1. reduces mistakes that occur with handwritten prescriptions. 2. correlates the prescription with a patients medical history to automatically Check drug allergies, drug-drug interactions , and overly high doses.. What are the benefits of CPOE? 1. Averting problems with hand writing 2. Similar Drug names 3. Drug interactions and Specification errors. Adverse drug events ,drug to drug interaction, multi dosing, faster transmission, 4. Potential economic savings What are the signs of escalating violence? (4) 1. Pacing 2. using foul language 3. raising ones fist 4. Using threats. _____ goes beyond hazing. The is purpose is to control the target and usually occurs over time. What are the 4 outcomes with the Needlestick safety Act of 2000 1. Use of safety devices to protect from sharps injuries 3. Maintain log to document type and brand of device involved in each incident, department where occurred, and explanation of how it happened. A nurse manager is educating a coworker on agencies that oversee environmental hazards at ambulatory care centers. The nurse manager judges the teaching to be effective when the coworker states: ANS: D The
purpose of the Occupational Safety and Health Administration (OSHA) and the state health department is to establish safety and health standards in the work environment. OSHA requires employers to provide a safe work environment for employees. The other options refer to agencies that regulate professional nursing practice (NCSBN) and provide credentialing (ANCC). Ambulatory Care Nursing Administration and Practice is not a recognized agency. There is the American Academy of Ambulatory Care
Nursing (AAACN), which is the association of professional nurses and associates who identify ambulatory care practice as essential to the continuum of high quality, cost-effective health care. ____ is concerned with the fair allocation of resources among diverse members of a community. Fair allocation typically takes into account the total amount of goods to be distributed, the distributing procedure, and the pattern of distributation that results. Is based on the evaluation of outcomes or results of the business relationship. Conducted to understand the root of the problem and to create solutions for addressing and correction of potential subsequent issues resulting from the identified problem. ___ is the Gold standard of safety that follows model of excellence, have better patient outcomes, implement shared governance structure. ____ is something done considered harmful to society as a whole, includes Felonies or misdemeanors. ____ is a term for private interests and rights between individuals; malpractice, negligence, and informed consent issues. ___ is immunity from malpractice to those professionals who attempt to give assistance at the scene of an accident. How would a person be sued with the Good Samaritan Law? If found to have acted in a grossly negligent manner. Is expected that all persons not leave a victim in a position that is more dangerous than when found. After you stop to help, stay until you are given clearance by emergency responders.. 4 Elements of Malpractice Liability 1) Duty - that nurse had a duty to the patient to care for them 2) Breach of Duty - nurse failed to meet standard of care 3) Causation - the breach of duty is what caused damages 4) Damages - they suffered some kind of damage Many nurse practice acts have mandatory reporting obligations. Some states discipline nurses who fail to report an impaired colleague pursant to the mandatory reporting requirement. Allowing an impaired nurse to practice not only puts the nurse and the patient at risk but also negatively impacts the facilitys reputation and the nursing profession as a whole. Report actions through your chain of Command. What is the purpose of the the Whistle blower statues? Protects nurses from retaliatory action and may also reward them for reporting concerns: 1. Report concern to the national/ or state agency responsible for regulation of organization. 2 . Put your complaint in writing 3. Take this very seriously ____ is a Moral and Ethical principle with self-determination without outside control. The ethical principle of doing or actively promoting good; related nursing actions include determining how the patient is best served. _____is an Moral and Ethical Principle of avoiding doing harm. Which ethical principle refers to being faithful and loyal to commitments
and agreements made to provide client services as long as they do not cause danger to the client or to others? ____is an Moral and Ethical Principle of treatment of all fairly. _____is an Moral and Ethical Principle of Telling the Truth. _____ is a fundamental right but one that can be taken away if personal rights have potential harm to public rights. ____ is a term which Its a Duty focused and centered on rules from which all action is derived. The rules represent beliefs about intrinsic good that are moral absolutes. Deontological - This approach reasons that all persons are worthy of respect and should be treated the same. - Right and wrong is based on one's duty or obligation to act not on the consequences of one's actions. - Absolute rules that are sometimes seen as ridged or inflexible. but its strength is in its unbending approach to many issues, emphasizing the intent of actions. . ____ is a Ethical theory based on outcome-focused and places emphasis on results. Teleological/ Utilitarianism. -The end justifies the means. The rights of some may be sacrificed for the majority. ____ is a result of abuse by Experiments conducted without consent resulting in mutilation, disability and death. Identifies need for voluntary informed consent for medical experiments on human beings, Patients right to autonomy and health cares providers responsibility to be faithful to that right. -Nuremberg Code ____ is created to assist with ethical dilemmas in institutional settings. Provides consultation and emotional support in situation in which difficult ethical choices are necessary. List the group members you would see on a Ethics Committee. Name (6) 1. Provider 2. Nurse 3. Case Manager 4. Social worker 5. Clergy 6. administration 7. business representative 8. legal representative 9 Lay people What are the 7 steps in the Ethical Decision Making process. 1. Gather Data and identify Conflicting moral claims 2. Identify Key participants 3. Determine Moral Perspective . 4. Determine Desired outcomes 5, Identify options 6. Act on the Choice 7. Evaluate the outcomes of Action. ___ Serves the Following Purpose: 1. It is succinct statement of ethical values, obligations, duties, and professional ideals of nurses individually and collectively. What is the purpose of the Nursing Code of Ethics? It helps set professional standards and its our commitment to society. What are the six things that you should assess when it comes to spiritual care? (6) 1. Spirit- Enhancing practices or Rituals 2. Experience of God or Transcendence 3. Sense of meaning 4. Giving and Receiving Love 5. Sources of hope and strength 6. Link between Spirituality and Health What are the three component it takes to be a good Patient Advocate? 1. Providing information that is useful to the patient 2. Supporting the patients decisions. 3. Collaborative relationship What are the 4 objectives of the Nurse practice Act? 1. Defines the practice of professional nurse 2. Sets the minimum educational qualifications and requirement for licensure. 3. Determines the legal titles
and abbreviations nurses may use. 4. Provides for disciplinary action licensee for certain causes. What is the differnce between libel and slander? a. Libel is the written form of exposing someone to ridicule or contempt them b. Slander is the spoken form of libel A nurse manager is teaching the purpose of the nurse’s Code of Ethics to a group of high school students. Which statement by one of the students indicates that the teaching has been effective? The purpose of the nurse’s Code of Ethics is ANS: C Which statement best describes the Code of Ethics of the American Nurses Association? ANS: B The Code of Ethics is a moral statement of accountability for practicing nurses and for student nurses. It is a statement to society that outlines the values, concerns, and goals of the profession, thereby addressing accountability. The code provides direction for ethical decisions and behavior by repeatedly emphasizing the obligations and responsibilities that the nurse–patient relationship entails. It lacks legal enforceability and is not a legal document like licensure laws A nurse is educating themself on the ANA Code of Ethics. Which action by the nurse would be unethical, according to the ANA Code of Ethics? ANS: D ANA Code 1: The nurse provides services with respect for human dignity and the uniqueness of the patient unrestricted by considerations of social or economic status, personal attributes, or the nature of the health problem. Nurses have the right to engage in collective bargaining and lobbying for health care issues. Nurses have a legal responsibility based on the Nurse Practice Act in their states to report an incompetent of impaired colleague. A patient who has a terminal illness wants to be able to take a prescription medication to end life when suffering becomes unbearable. The patient asks the nurse for advice. Operating from a deontological point of reference, what action does the nurse take? ANS: D Deontology is rule-bound and inflexible, obtaining moral authority from absolutes revealed by God. To preserve the sanctity of life, the nurse cannot participate in this situation. Advising the patient of providers to see is working from a teleological viewpoint because the end (patient death) might be seen as outweighing the means (helping the patient find a provider to provide a lethal prescription of drugs). Assessing the situation to see how the patient is affected (versus how some other patient would be affected) is situational. Determining financial status is not related to a specific philosophical outlook but might violate the principle of justice. A nurse is educating a group of nursing on the deontological model of ethical reasoning. The nurse determines that the teaching has been effective when a student states: ANS: A The deontological model of ethical reasoning states that all life is worthy of respect. Abortions and euthanasia are never acceptable because they violate the duty to respect the sanctity of all life. Lying is never acceptable because it violates the duty to tell the truth. A nurse is educating nursing students on the teleological model of ethical reasoning. The nurse judges that the education has been effective when a student states ANS: A The teleological model of ethical reasoning is interpreted as meaning “the end justifies the means.” The rights of some individuals may be sacrificed for the majority. Therefore, abortion may be acceptable because it results in fewer unwanted babies. Euthanasia may be acceptable because it results in decreased suffering. What ethical principle is implemented, or supported, when the nurse encourages a patient to be involved in planning and implementing self-care? ANS: A A patient’s right to self-determination implies the freedom to make choices and decisions about one’s own care without interference even if those decisions are not in agreement with those of the health care team. Justice is the duty to treat all patients fairly without regard to age, socioeconomic status, or other variables. This principle involves the allocation of scarce and expensive health care resources. Fidelity involves keeping information confidential and maintaining privacy and trust. Veracity is the duty to tell the truth The ethical principle of autonomy is not applicable in which patient situation? ANS: B This principle assumes rational thinking on the part of the individual, and being unaware of who and where the patient is, is not indicative of the ethical principle of autonomy. Autonomy is a patient’s right to self-determination implies the freedom to make choices and decisions about one’s own care without interference even if those decisions are not in agreement with those of the health care
team. In the other situations, the patient has rational thinking even though he or she may not understand or speak English because an interpreter could assist The nurse is very busy caring for a large case load. An adult patient mentions that by having slow mobility, “people just do things for me rather than allowing me to do as much as possible on my own.” To solve the dilemma of needing to
conserve time versus supporting the patient’s involvement in self- care, what principle may help the nurse? ANS: D Autonomy implies the freedom to have choices and make decisions about one’s own care without interference. Just because this patient is slow does not mean he or she cannot make choices and participate in self-care. Justice is the duty to treat all patients fairly without regard to age, socioeconomic status, or other variables. This principle involves the allocation of scarce and expensive health care resources. Veracity is the duty to tell the truth. Fidelity involves keeping information confidential and maintaining privacy and trust. Advance directives such as the health care proxy and living will support what ethical principle? ANS: D Autonomy implies the freedom to make choices and decisions about one’s own care without interference even if those decisions are not in agreement with those of the health care team. Veracity is the duty to tell the truth. Beneficence is the duty to actively do good for patients. Speaking out on behalf of the patient is an essential part of the advocacy role of the nurse. Which action by the nurse shows an understanding of the ethical principle of autonomy? ANS: A The nurse is educating a
coworker on the ethical principle of beneficence. The nurse judges the teaching to be effective when her coworker states: ANS: B Beneficence is the ethical principle of actively doing good for patients. Allowing patients to make their own health care decisions is autonomy. Doing no harm to the patient is nonmaleficence. Justice involves treating all patients equally A nurse is educating a nurse aide on patient confidentiality. The nurse believes the teaching to be effective when the nurse aide states that confidentiality will be maintained by a nurse who believes in and values the ethical
principle of ANS: D Which ethical principle is applied when the nurse acts to safeguard the patient and the public by reporting poor nursing practice? ANS: D A nurse is educating nursing students on the teleological model of ethical
reasoning. The nurse judges that the education has been effective when a student states: ANS: A The teleological model of ethical reasoning is interpreted as meaning “the end justifies the means.” The rights of some individuals may be sacrificed for the majority. Therefore, abortion may be acceptable because it results in fewer unwanted babies. Euthanasia may be acceptable because it results in decreased suffering. A nurse is caring for a patient who has just been diagnosed with cancer. The patient’s family has requested
that the patient not be told at this time because it would be devastating. The patient asks the nurse if the diagnosis is cancer. If the nurse were to uphold the ethical principle of veracity, what would the response be? ANS: C If the nurse were to uphold the ethical principle of veracity, the nurse would inform the patient of the diagnosis and involve the physician in the discussion. The nurse should not lie to the patient or withhold information at the family’s request; the patient has a right to know information regarding his or her health care. What is a
correct statement regarding a nurse who acts beyond the scope of practice? ANS: D States may regulate nursing practice by controlling the scope of practice and determining the
specific activities for each level of nursing. In most states, the Nurse Practice Act provides definitions and scope of practice for each level of nursing practice. The power of the board to discipline can have an adverse effect on the nurse’s ability to practice. Practicing beyond the scope of practice does not demonstrate what a good nurse the person is and does not provide enriched services. Other nurses would not be angry at increased expectations but at the foolishness of the nurse
practicing beyond the scope of practice. The nurse has an adequate understanding of risk management when stating which of the following? (Select all that apply.) ANS: A, B, D, E A nurse tells a patient, “If
you don’t stop getting out of that chair, I’m going to put some restraints on you.” What may this nurse be accused of? ANS: A A nurse is giving a presentation on malpractice. Which statement
indicates the nurse understands malpractice? ANS: A What is a significant action a nurse can take to prevent being named in malpractice suits? ANS: C A nurse places a heating pad on the lower leg of a patient with peripheral vascular disease. When the heating pad is removed, it is apparent that the patient has sustained partial-thickness burns to the area covered by the pad, and the nurse is sued
for malpractice. Which statement is true? A nurse wants to avoid
malpractice claims. What action can be taken to greatly reduce the risk of a lawsuit? ANS: B To protect themself from a malpractice claim, the nurse can implement fall precautions on an older adult patient. These include supervising the patient when getting out of bed, keeping the floor clear, and placing the bed in the lowest position. Reducing work status to part time would not guarantee that the nurse wouldn’t be named in a lawsuit. During a life-threatening emergency, a nurse hurriedly gives the patient a medication by IV push. There is extravasation of medication. Later, necrosis and tissue sloughing take place. The nurse’s
behavior may be the basis for what action? ANS: C In a legal suit, what element is necessary to prove a
tort has been committed? ANS: C A new
nurse is preparing to start a new job. What actions should the nurse take to be prepared in case workplace violence occurs? (Select all that apply.) ANS: A, B, D The nurse should take a crisis intervention course to understand signs of escalating violence, become familiar with the organization’s policy regarding violence, and be aware of procedures that can be used to defuse situations. The nurse should never handle any violent situation alone or try intimidation to make a violent person back down because this could backfire. A patient with cancer has decided to end treatment and is discussing end-of-life care with family. The nurse notices that the attending physician has just ordered another dose of chemotherapy. What would be the best action for the nurse to take as an advocate for the patient? Ans: B A nurse is educating students on how to evaluate a website. The nurse judges the teaching to be
effective when the students can state: ANS: B How can the nurse expect to be impacted by nursing informatics? ANS: C The nurse understands the benefits of Computerized Provider Order Entry (CPOE) when stating: ANS: B Provider Order Entry benefits everyone in the health care system and greatly changes the process of patient care, as well as averts problems with handwritten orders. After completing a crisis intervention course, the nurse recognizes the signs of escalating violence as:\ ANS: A Which statement by the nurse manager indicates understanding of Magnet status? ANS: C |