Informatics Week 6 Assessment
Exam: Comprehensive Exam with
Verified Answers & Detailed
Explanations
1. What is this an illustration of? A nurse is using the NANDA-I terms to enter
nursing problems. Although she uses words to enter the terms, her system
immediately translates the term to the appropriate code for NANDA-I.
• A. Data mining
• B. Interface terminology
• C. Mapping
• D. Data warehousing
Answer: C – Mapping
Rationale: Mapping is the process of linking one terminology or code set to
another. Here, the nurse enters a NANDA-I term, and the system automatically
maps it to the corresponding code.
2. The nurse enters terms in what form?
• A. SNOMED-CT code
• B. NANDA term
• C. ICD-10 code
• D. Omaha System term
Answer: B – NANDA term
Rationale: The nurse uses the NANDA-I terminology as the interface terminology
to enter nursing problems.
,3. The system stores the terms in what form?
• A. NANDA term
• B. SNOMED-CT code
• C. Free text
• D. LOINC code
Answer: B – SNOMED-CT code
Rationale: SNOMED-CT is a comprehensive clinical terminology used for storing
data in many electronic health records. The system maps the NANDA term to a
SNOMED-CT code for storage.
4. Describe the process of retrieving terms.
• A. Nurse pulls up patient record → system retrieves NANDA code → maps
to SNOMED-CT → translates to Omaha term
• B. Nurse pulls up patient record → system retrieves SNOMED-CT code →
maps to Omaha system code → translates to actual term from Omaha
system
• C. Nurse pulls up patient record → system retrieves ICD-10 code → maps to
NANDA → translates to SNOMED
• D. Nurse pulls up patient record → system retrieves free text → maps to
LOINC → translates to NANDA
Answer: B
Rationale: The system stores data in a reference terminology (SNOMED-CT).
When the nurse retrieves data, it maps to the interface terminology (e.g., Omaha
System) and displays it in a human-readable format.
5. In what form does the nurse read retrieved records?
• A. SNOMED-CT codes
, • B. The Omaha System
• C. ICD-10 codes
• D. Binary data
Answer: B – The Omaha System
Rationale: The nurse sees the data presented in the interface terminology (the
Omaha System) which is familiar and readable.
6. What is the term for an integrated, comprehensive, computerized system that
is used to collect, store, manage, analyze, and communicate all the information
needed to run a health care facility?
• A. Clinical decision support system
• B. Healthcare information system
• C. Electronic medical record
• D. Practice management system
Answer: B – Healthcare information system
Rationale: A healthcare information system (HIS) encompasses both clinical and
administrative functions to manage all aspects of a healthcare organization.
7. The healthcare information system is divided into two categories, what are
they?
• A. Inpatient and outpatient
• B. Clinical information systems and administrative information systems
• C. Electronic health records and personal health records
• D. Nursing systems and physician systems
Answer: B – Clinical information systems and administrative information systems
Rationale: Clinical information systems support patient care, while administrative
information systems manage business and operational functions.
, 8. Your login serves as what? This is why you should make sure that it is spelled
correctly.
• A. Username
• B. Password
• C. Electronic signature
• D. Audit trail
Answer: C – Electronic signature
Rationale: In many healthcare systems, the login credentials function as an
electronic signature, legally binding the user to entries made under that login.
9. How long does electronic charting take in comparison to paper charting?
• A. Always takes longer
• B. Takes the same amount of time
• C. Generally takes less time than thorough paper charting after the
learning period
• D. Always takes less time from the beginning
Answer: C – Generally takes less time than thorough paper charting after the
learning period
Rationale: After initial training and adaptation, electronic charting can be more
efficient than paper, though a learning curve exists.
10. List the nurse’s roles with clinical information systems. (Select all that apply)
• A. Think about what would work best for you
• B. Give input to developers
• C. Learn the system
Exam: Comprehensive Exam with
Verified Answers & Detailed
Explanations
1. What is this an illustration of? A nurse is using the NANDA-I terms to enter
nursing problems. Although she uses words to enter the terms, her system
immediately translates the term to the appropriate code for NANDA-I.
• A. Data mining
• B. Interface terminology
• C. Mapping
• D. Data warehousing
Answer: C – Mapping
Rationale: Mapping is the process of linking one terminology or code set to
another. Here, the nurse enters a NANDA-I term, and the system automatically
maps it to the corresponding code.
2. The nurse enters terms in what form?
• A. SNOMED-CT code
• B. NANDA term
• C. ICD-10 code
• D. Omaha System term
Answer: B – NANDA term
Rationale: The nurse uses the NANDA-I terminology as the interface terminology
to enter nursing problems.
,3. The system stores the terms in what form?
• A. NANDA term
• B. SNOMED-CT code
• C. Free text
• D. LOINC code
Answer: B – SNOMED-CT code
Rationale: SNOMED-CT is a comprehensive clinical terminology used for storing
data in many electronic health records. The system maps the NANDA term to a
SNOMED-CT code for storage.
4. Describe the process of retrieving terms.
• A. Nurse pulls up patient record → system retrieves NANDA code → maps
to SNOMED-CT → translates to Omaha term
• B. Nurse pulls up patient record → system retrieves SNOMED-CT code →
maps to Omaha system code → translates to actual term from Omaha
system
• C. Nurse pulls up patient record → system retrieves ICD-10 code → maps to
NANDA → translates to SNOMED
• D. Nurse pulls up patient record → system retrieves free text → maps to
LOINC → translates to NANDA
Answer: B
Rationale: The system stores data in a reference terminology (SNOMED-CT).
When the nurse retrieves data, it maps to the interface terminology (e.g., Omaha
System) and displays it in a human-readable format.
5. In what form does the nurse read retrieved records?
• A. SNOMED-CT codes
, • B. The Omaha System
• C. ICD-10 codes
• D. Binary data
Answer: B – The Omaha System
Rationale: The nurse sees the data presented in the interface terminology (the
Omaha System) which is familiar and readable.
6. What is the term for an integrated, comprehensive, computerized system that
is used to collect, store, manage, analyze, and communicate all the information
needed to run a health care facility?
• A. Clinical decision support system
• B. Healthcare information system
• C. Electronic medical record
• D. Practice management system
Answer: B – Healthcare information system
Rationale: A healthcare information system (HIS) encompasses both clinical and
administrative functions to manage all aspects of a healthcare organization.
7. The healthcare information system is divided into two categories, what are
they?
• A. Inpatient and outpatient
• B. Clinical information systems and administrative information systems
• C. Electronic health records and personal health records
• D. Nursing systems and physician systems
Answer: B – Clinical information systems and administrative information systems
Rationale: Clinical information systems support patient care, while administrative
information systems manage business and operational functions.
, 8. Your login serves as what? This is why you should make sure that it is spelled
correctly.
• A. Username
• B. Password
• C. Electronic signature
• D. Audit trail
Answer: C – Electronic signature
Rationale: In many healthcare systems, the login credentials function as an
electronic signature, legally binding the user to entries made under that login.
9. How long does electronic charting take in comparison to paper charting?
• A. Always takes longer
• B. Takes the same amount of time
• C. Generally takes less time than thorough paper charting after the
learning period
• D. Always takes less time from the beginning
Answer: C – Generally takes less time than thorough paper charting after the
learning period
Rationale: After initial training and adaptation, electronic charting can be more
efficient than paper, though a learning curve exists.
10. List the nurse’s roles with clinical information systems. (Select all that apply)
• A. Think about what would work best for you
• B. Give input to developers
• C. Learn the system
