1. Which federal legislation mandated the adoption of Electronic Health
Records (EHR) in U.S. healthcare settings?
A. HIPAA
✔ B. HITECH Act
C. ACA
D. Sarbanes-Oxley Act
2. What is the primary purpose of an Electronic Health Record (EHR)?
A. To replace nurses with computers
✔ B. To provide a digital version of a patient's paper chart
C. To automate billing only
D. To store hospital financial data
3. Which of the following is a key difference between an EHR and an EMR?
✔ A. An EHR can be shared across different healthcare settings; an
EMR cannot
B. An EMR is more comprehensive than an EHR
C. An EHR is only used in hospitals
D. An EMR is mandated by federal law
4. What does 'meaningful use' refer to in the context of EHR adoption?
A. Using the EHR for financial transactions only
✔ B. Meeting specific criteria to improve quality, safety, and efficiency
of care
C. Ensuring that only physicians use the EHR
D. Printing EHR records for patients
5. Which organization certifies EHR technology in the United States?
A. FDA
✔ B. ONC (Office of the National Coordinator for Health Information
Technology)
C. CDC
D. AHRQ
,6. A nurse notices that the EHR has a built-in alert for drug allergies. This is
an example of which EHR feature?
✔ A. Clinical decision support (CDS)
B. Health information exchange (HIE)
C. Patient portal
D. Meaningful use
7. What is a patient portal in the context of EHR systems?
A. A door leading to the patient's room
✔ B. A secure online website that gives patients 24-hour access to their
health information
C. A tool used exclusively by physicians
D. A billing interface for insurers
8. The ability for different EHR systems to communicate and exchange data
is called:
A. Data mining
✔ B. Interoperability
C. Encryption
D. Redundancy
9. Which of the following best describes a Personal Health Record (PHR)?
A. A record maintained by a hospital
✔ B. A health record managed and maintained by the patient
C. A government-mandated health document
D. A record used only in emergency departments
10. What is a key nursing benefit of EHR adoption?
A. Eliminates the need for nursing documentation
✔ B. Reduces medication errors and improves care coordination
C. Replaces nurse-patient interactions
D. Eliminates all paper from hospital settings
Answer Key — Section 1: Electronic Health Records (EHR)
Q1: B | Q2: B | Q3: A | Q4: B | Q5: B | Q6: A | Q7: B | Q8: B |
Q9: B | Q10: B
Section 2: Clinical Decision Support Systems
11. Clinical Decision Support (CDS) systems are primarily designed to:
, A. Replace physician judgment
✔ B. Provide clinicians with patient-specific information to enhance
decision-making
C. Automate billing codes
D. Track hospital finances
12. A CDS system alerts a nurse that a prescribed medication dose
exceeds the recommended limit. This is an example of:
A. Drug-drug interaction alert
✔ B. Dosing alert
C. Allergy alert
D. Lab result notification
13. Which type of CDS alert notifies a provider of a potential harmful
interaction between two prescribed medications?
A. Allergy alert
✔ B. Drug-drug interaction alert
C. Lab critical value alert
D. Dosing alert
14. Alert fatigue in clinical decision support systems occurs when:
A. Alerts are too infrequent to be useful
✔ B. Clinicians begin to ignore alerts due to an overwhelming number
of non-actionable notifications
C. EHR systems crash from too many data inputs
D. Patients override clinical alerts
15. Which of the following is the BEST strategy to reduce alert fatigue in
CDS systems?
A. Eliminate all alerts
✔ B. Customize and prioritize alerts based on clinical relevance
C. Only allow physicians to receive alerts
D. Display alerts in a secondary system
16. An order set in a CDS system refers to:
A. A list of patients waiting for discharge
✔ B. A pre-defined group of orders for a specific condition or
procedure
C. A medication list for a single patient
D. A billing code set for insurance
, 17. Evidence-based practice is incorporated into CDS systems by:
A. Relying on physician preference
✔ B. Embedding clinical guidelines and research into the alert and
recommendation logic
C. Asking nurses to vote on best practices
D. Reviewing only pharmaceutical company recommendations
18. A nurse follows a clinical pathway embedded in the EHR for post-
surgical care. This is an example of:
A. Workaround
✔ B. Standardized care supported by CDS
C. Administrative override
D. Patient-directed care
19. CDS tools that remind nurses about preventive care measures (e.g., flu
vaccine reminders) are called:
A. Drug alerts
✔ B. Preventive care reminders
C. Lab notifications
D. Discharge summaries
20. Which of the following best describes passive CDS?
A. Alerts that interrupt workflow and require action
✔ B. Information resources available for lookup without automatically
triggering alerts
C. Automated ordering systems
D. Systems that replace clinical staff
Answer Key — Section 2: Clinical Decision Support Systems
Q11: B | Q12: B | Q13: B | Q14: B | Q15: B | Q16: B | Q17: B |
Q18: B | Q19: B | Q20: B
Section 3: Nursing Informatics
21. The American Nurses Association (ANA) defines nursing informatics
as:
A. The use of computers in nursing only
✔ B. A specialty that integrates nursing science, computer science, and
information science
C. The process of computerizing nursing records
Records (EHR) in U.S. healthcare settings?
A. HIPAA
✔ B. HITECH Act
C. ACA
D. Sarbanes-Oxley Act
2. What is the primary purpose of an Electronic Health Record (EHR)?
A. To replace nurses with computers
✔ B. To provide a digital version of a patient's paper chart
C. To automate billing only
D. To store hospital financial data
3. Which of the following is a key difference between an EHR and an EMR?
✔ A. An EHR can be shared across different healthcare settings; an
EMR cannot
B. An EMR is more comprehensive than an EHR
C. An EHR is only used in hospitals
D. An EMR is mandated by federal law
4. What does 'meaningful use' refer to in the context of EHR adoption?
A. Using the EHR for financial transactions only
✔ B. Meeting specific criteria to improve quality, safety, and efficiency
of care
C. Ensuring that only physicians use the EHR
D. Printing EHR records for patients
5. Which organization certifies EHR technology in the United States?
A. FDA
✔ B. ONC (Office of the National Coordinator for Health Information
Technology)
C. CDC
D. AHRQ
,6. A nurse notices that the EHR has a built-in alert for drug allergies. This is
an example of which EHR feature?
✔ A. Clinical decision support (CDS)
B. Health information exchange (HIE)
C. Patient portal
D. Meaningful use
7. What is a patient portal in the context of EHR systems?
A. A door leading to the patient's room
✔ B. A secure online website that gives patients 24-hour access to their
health information
C. A tool used exclusively by physicians
D. A billing interface for insurers
8. The ability for different EHR systems to communicate and exchange data
is called:
A. Data mining
✔ B. Interoperability
C. Encryption
D. Redundancy
9. Which of the following best describes a Personal Health Record (PHR)?
A. A record maintained by a hospital
✔ B. A health record managed and maintained by the patient
C. A government-mandated health document
D. A record used only in emergency departments
10. What is a key nursing benefit of EHR adoption?
A. Eliminates the need for nursing documentation
✔ B. Reduces medication errors and improves care coordination
C. Replaces nurse-patient interactions
D. Eliminates all paper from hospital settings
Answer Key — Section 1: Electronic Health Records (EHR)
Q1: B | Q2: B | Q3: A | Q4: B | Q5: B | Q6: A | Q7: B | Q8: B |
Q9: B | Q10: B
Section 2: Clinical Decision Support Systems
11. Clinical Decision Support (CDS) systems are primarily designed to:
, A. Replace physician judgment
✔ B. Provide clinicians with patient-specific information to enhance
decision-making
C. Automate billing codes
D. Track hospital finances
12. A CDS system alerts a nurse that a prescribed medication dose
exceeds the recommended limit. This is an example of:
A. Drug-drug interaction alert
✔ B. Dosing alert
C. Allergy alert
D. Lab result notification
13. Which type of CDS alert notifies a provider of a potential harmful
interaction between two prescribed medications?
A. Allergy alert
✔ B. Drug-drug interaction alert
C. Lab critical value alert
D. Dosing alert
14. Alert fatigue in clinical decision support systems occurs when:
A. Alerts are too infrequent to be useful
✔ B. Clinicians begin to ignore alerts due to an overwhelming number
of non-actionable notifications
C. EHR systems crash from too many data inputs
D. Patients override clinical alerts
15. Which of the following is the BEST strategy to reduce alert fatigue in
CDS systems?
A. Eliminate all alerts
✔ B. Customize and prioritize alerts based on clinical relevance
C. Only allow physicians to receive alerts
D. Display alerts in a secondary system
16. An order set in a CDS system refers to:
A. A list of patients waiting for discharge
✔ B. A pre-defined group of orders for a specific condition or
procedure
C. A medication list for a single patient
D. A billing code set for insurance
, 17. Evidence-based practice is incorporated into CDS systems by:
A. Relying on physician preference
✔ B. Embedding clinical guidelines and research into the alert and
recommendation logic
C. Asking nurses to vote on best practices
D. Reviewing only pharmaceutical company recommendations
18. A nurse follows a clinical pathway embedded in the EHR for post-
surgical care. This is an example of:
A. Workaround
✔ B. Standardized care supported by CDS
C. Administrative override
D. Patient-directed care
19. CDS tools that remind nurses about preventive care measures (e.g., flu
vaccine reminders) are called:
A. Drug alerts
✔ B. Preventive care reminders
C. Lab notifications
D. Discharge summaries
20. Which of the following best describes passive CDS?
A. Alerts that interrupt workflow and require action
✔ B. Information resources available for lookup without automatically
triggering alerts
C. Automated ordering systems
D. Systems that replace clinical staff
Answer Key — Section 2: Clinical Decision Support Systems
Q11: B | Q12: B | Q13: B | Q14: B | Q15: B | Q16: B | Q17: B |
Q18: B | Q19: B | Q20: B
Section 3: Nursing Informatics
21. The American Nurses Association (ANA) defines nursing informatics
as:
A. The use of computers in nursing only
✔ B. A specialty that integrates nursing science, computer science, and
information science
C. The process of computerizing nursing records
