ANCC Nursing Informatics
Certification Review Questions
with Accurate Answers
_____________ is a teaching strategy for educating staff that involves
face-to-face and online learning.
A. Virtual learning
B. Web-based learning
C. Group learning
D. Hybrid learning correct answer D. Hybrid learning
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR correct answer
c. aberrancies and failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
,D. The nickname of the coder who designed the first EHR correct
answer c. Abberancies
Rationale: "Bugs" in computer language are defined as aberrancies and
failures in the system or a coding error.
1. An advantage of an identity and access management (IAM) system is
that the IAM system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification
correct answer c. meets HIPAA's Security Rule requirements regarding
access to PHI.
Rationale: o An advantage of an identity and access management (IAM)
system is that the IAM system meets HIPAA's Security Rule
requirements regarding access to PHI through identity management. An
IAM system provides, captures, updates, and records user IDs and
provides appropriate access privileges, preventing "privilege creep,"
which increases risks to security. The IAM system should provide
authentication (single sign-in and session management), authorization
(based on roles, rules, and attributes), user management (provisioning
and password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
,c. video files
d. e-mail and IM correct answer d. e-mail and IM
1. If the informatics nurse is concerned that a computer system may
not function well during peak times of access, the type of testing
needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing correct answer d. load/volume testing
Rationale: This is a non-functional testing for reliability that assesses
the ability of the system to function under various loads, such as at
peak times when multiple users in multiple departments are accessing
the system. The purpose of load/volume testing is to determine the
maximum load capacity and to identify the load at which problems
begin to occur. Testing is done at both the safe working load (SWL) and
above the SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written correct answer b. before orders are written
, Rationale: In an EHR with CPOE and CDS, allergy alerts should be
triggered before orders are written and they should be automated.
Alerts that occur after orders are written are more likely to be ignored
or overridden. Additional alerts, including hard stops, should occur if
orders for contraindicated drugs or drugs to which the patient is allergic
are ordered despite the original alert. The alerts should be carefully
evaluated because excessive alerts may result in "alert fatigue" to the
point that clinicians begin to ignore them.
1. In preparation for the workflow redesign necessitated for
implementation of an EHR, the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
conduct surveys about workflow correct answer map the current
workflow
1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices correct answer a.
allows user interaction with technology
Certification Review Questions
with Accurate Answers
_____________ is a teaching strategy for educating staff that involves
face-to-face and online learning.
A. Virtual learning
B. Web-based learning
C. Group learning
D. Hybrid learning correct answer D. Hybrid learning
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR correct answer
c. aberrancies and failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
,D. The nickname of the coder who designed the first EHR correct
answer c. Abberancies
Rationale: "Bugs" in computer language are defined as aberrancies and
failures in the system or a coding error.
1. An advantage of an identity and access management (IAM) system is
that the IAM system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
c. meets HIPAA's Security Rule requirements regarding access to PHI
d. meets HIPAA's Privacy Rule requirements regarding identification
correct answer c. meets HIPAA's Security Rule requirements regarding
access to PHI.
Rationale: o An advantage of an identity and access management (IAM)
system is that the IAM system meets HIPAA's Security Rule
requirements regarding access to PHI through identity management. An
IAM system provides, captures, updates, and records user IDs and
provides appropriate access privileges, preventing "privilege creep,"
which increases risks to security. The IAM system should provide
authentication (single sign-in and session management), authorization
(based on roles, rules, and attributes), user management (provisioning
and password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
,c. video files
d. e-mail and IM correct answer d. e-mail and IM
1. If the informatics nurse is concerned that a computer system may
not function well during peak times of access, the type of testing
needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing correct answer d. load/volume testing
Rationale: This is a non-functional testing for reliability that assesses
the ability of the system to function under various loads, such as at
peak times when multiple users in multiple departments are accessing
the system. The purpose of load/volume testing is to determine the
maximum load capacity and to identify the load at which problems
begin to occur. Testing is done at both the safe working load (SWL) and
above the SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written correct answer b. before orders are written
, Rationale: In an EHR with CPOE and CDS, allergy alerts should be
triggered before orders are written and they should be automated.
Alerts that occur after orders are written are more likely to be ignored
or overridden. Additional alerts, including hard stops, should occur if
orders for contraindicated drugs or drugs to which the patient is allergic
are ordered despite the original alert. The alerts should be carefully
evaluated because excessive alerts may result in "alert fatigue" to the
point that clinicians begin to ignore them.
1. In preparation for the workflow redesign necessitated for
implementation of an EHR, the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
conduct surveys about workflow correct answer map the current
workflow
1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices correct answer a.
allows user interaction with technology
