Contents
Chapter 21: Informatics and Health Care Technologies ........................................................... 2
Answer Key ........................................................................................................................... 5
Chapter 22: Developmental Concepts ....................................................................................... 6
Answer Key ......................................................................................................................... 10
Chapter 23: Conception Through Young Adulthood .............................................................. 11
Answer Key ......................................................................................................................... 15
Chapter 24: Middle and Older Adulthood .............................................................................. 16
Answer Key ......................................................................................................................... 19
Chapter 25: Asepsis and Infection Control ............................................................................. 21
Answer Key ......................................................................................................................... 26
Chapter 26: Vital Signs ........................................................................................................... 27
Answer Key ......................................................................................................................... 32
Chapter 27: Health Assessment .............................................................................................. 33
Answer Key ......................................................................................................................... 37
Chapter 28: Safety, Security, and Emergency Preparedness .................................................. 38
Answer Key ......................................................................................................................... 42
Chapter 29: Complementary and Integrative Health .............................................................. 43
Answer Key ......................................................................................................................... 47
Chapter 30: Medications ......................................................................................................... 48
Answer Key ......................................................................................................................... 53
,1. Because several disciplines support the foundation of informatics nursing, it is important
for the informatics nurse to understand that:
a. informatics nursing differs from other disciplines, as it focuses on supporting the
process of obtaining data.
b. informatics nursing uses the concepts, tools, and methods of various disciplines to
facilitate nursing process.
c. information technology and nursing technology are synonymous, as they have the
same goal.
d. the boundaries between the various disciplines are clearly defined.
2. Knowledge that is patterned for use in reasoning is known as:
a. artificial intelligence.
b. knowledge query.
c. knowledge representation.
d. neural computing.
3. Which document articulates the primary factors that guide professional nursing judgment,
regarding confidential patient information?
a. Administrative Simplification Provisions.
b. Code of Ethics for Nurses with Interpretive Statements.
c. Health Insurance Portability and Accountability Act.
d. Nursing Informatics: Scope and Standards of Practice.
4. In promoting change, the people who are recognized as opinion leaders and role models
are known as the:
a. early adopters.
b. early majority.
c. innovators.
d. risk takers.
5. The basic network protocol that determines the rules used to create and route packets of
data between computers is:
a. HL7.
b. URL.
c. TCP/IP.
d. XML.
6. Applications that are designed to run on a common platform, operate in a common
environment, and communicate through direct data transfer are known as:
a. integrated.
b. interfaced.
, c. normalized.
d. optimized.
7. What is the most common risk to patient privacy and confidentiality?
a. An organization's employees.
b. Inadequate firewall protection.
c. Inadequate system design.
d. Viruses, worms, and Trojan horses.
8. Adherence to a standardized nursing language will lead to:
a. a barrier in national interoperability.
b. a larger database of interventions.
c. improved evaluation of nursing outcomes.
d. increased nursing competencies.
9. The informatics nurse violates a patient's legal right to privacy and confidentiality, by:
a. discussing a patient's diagnosis with an authorized family member.
b. discussing care-related information with the patient's physical therapist.
c. looking up a colleague's diagnosis and laboratory results while he or she is
hospitalized.
d. providing a handoff report containing patient information to another department.
10. Using parallel strategy for the roll-out of an electronic medication administration system
means that all:
a. data entries are cosigned by two health care team members.
b. medications are documented using both the current method and the new system.
c. notebook computers and bar code scanners are positioned on the same surface.
d. vital signs are entered on the same screen as is medication administration.
11. In project management, the critical path is best described as a series of activities that:
a. includes the path with the most slack or float.
b. indicates the earliest possible time a project can be completed.
c. is scheduled for the next current phase of the process.
d. shows the shortest path through the network diagram.
12. The foundation of strategic system planning begins with a review of the:
a. existing computing environment.
b. health care industry.
c. information system plan.
d. organization's business mission.
13. The focus of data analysis is to:
a. collect data from various sources.
b. evaluate data for efficiency.
c. identify data sources for later inclusion.
d. transform data into a usable form.
, 14. Which tool tracks resources, milestones, and time frames associated with the
implementation of a new clinical program?
a. A database.
b. An expert system.
c. Project management software.
d. Spreadsheet software.
15. What process produces a blueprint that details how hardware and software meet the needs
of the organization?
a. Benchmarking.
b. Feasibility study.
c. System analysis.
d. System design.
16. A downtime of the electronic health record (EHR) system is planned for three months
from today. The informatics nurse is formulating a communication plan for the clinical
staff about the downtime. The nurse plans to:
a. announce the upcoming downtime at system-wide meetings, and at department
meetings of specific system hospitals affected by the downtime.
b. bring copies of the communication plan to IT meetings, and discuss it with the IT
directors and managers.
c. present the information at the super-user meetings, department and unit meetings,
and at other specialty clinician meetings, in addition to having a message posted
on the message-of-the-day screen in the EHR.
d. print fliers with the downtime plan and post them in bathrooms and breakrooms,
as well as on bulletin boards in various locations in the hospitals.
17. Adult learners most effectively learn about a new clinical information system when the
instructor:
a. assumes that the learner knows nothing about the system.
b. begins the formal training as early as possible in the implementation process.
c. emphasizes the technical specifications of the structure of the system.
d. encourages the learner to use previous experience to interpret new learning.
18. As an ambulatory provider reviews the patient's chart, the provider reads lab data from an
external organization. This scenario exemplifies:
a. a health information exchange.
b. a system to update patient records.
c. a violation of privacy regulations.
d. an electronic health record.
19. The problems of an existing system have been identified, along with possible solutions.
What is the next step in the systems analysis stage?
a. A feasibility study.
b. Requirements gathering.
c. Systems design.
d. Systems testing.
Chapter 21: Informatics and Health Care Technologies ........................................................... 2
Answer Key ........................................................................................................................... 5
Chapter 22: Developmental Concepts ....................................................................................... 6
Answer Key ......................................................................................................................... 10
Chapter 23: Conception Through Young Adulthood .............................................................. 11
Answer Key ......................................................................................................................... 15
Chapter 24: Middle and Older Adulthood .............................................................................. 16
Answer Key ......................................................................................................................... 19
Chapter 25: Asepsis and Infection Control ............................................................................. 21
Answer Key ......................................................................................................................... 26
Chapter 26: Vital Signs ........................................................................................................... 27
Answer Key ......................................................................................................................... 32
Chapter 27: Health Assessment .............................................................................................. 33
Answer Key ......................................................................................................................... 37
Chapter 28: Safety, Security, and Emergency Preparedness .................................................. 38
Answer Key ......................................................................................................................... 42
Chapter 29: Complementary and Integrative Health .............................................................. 43
Answer Key ......................................................................................................................... 47
Chapter 30: Medications ......................................................................................................... 48
Answer Key ......................................................................................................................... 53
,1. Because several disciplines support the foundation of informatics nursing, it is important
for the informatics nurse to understand that:
a. informatics nursing differs from other disciplines, as it focuses on supporting the
process of obtaining data.
b. informatics nursing uses the concepts, tools, and methods of various disciplines to
facilitate nursing process.
c. information technology and nursing technology are synonymous, as they have the
same goal.
d. the boundaries between the various disciplines are clearly defined.
2. Knowledge that is patterned for use in reasoning is known as:
a. artificial intelligence.
b. knowledge query.
c. knowledge representation.
d. neural computing.
3. Which document articulates the primary factors that guide professional nursing judgment,
regarding confidential patient information?
a. Administrative Simplification Provisions.
b. Code of Ethics for Nurses with Interpretive Statements.
c. Health Insurance Portability and Accountability Act.
d. Nursing Informatics: Scope and Standards of Practice.
4. In promoting change, the people who are recognized as opinion leaders and role models
are known as the:
a. early adopters.
b. early majority.
c. innovators.
d. risk takers.
5. The basic network protocol that determines the rules used to create and route packets of
data between computers is:
a. HL7.
b. URL.
c. TCP/IP.
d. XML.
6. Applications that are designed to run on a common platform, operate in a common
environment, and communicate through direct data transfer are known as:
a. integrated.
b. interfaced.
, c. normalized.
d. optimized.
7. What is the most common risk to patient privacy and confidentiality?
a. An organization's employees.
b. Inadequate firewall protection.
c. Inadequate system design.
d. Viruses, worms, and Trojan horses.
8. Adherence to a standardized nursing language will lead to:
a. a barrier in national interoperability.
b. a larger database of interventions.
c. improved evaluation of nursing outcomes.
d. increased nursing competencies.
9. The informatics nurse violates a patient's legal right to privacy and confidentiality, by:
a. discussing a patient's diagnosis with an authorized family member.
b. discussing care-related information with the patient's physical therapist.
c. looking up a colleague's diagnosis and laboratory results while he or she is
hospitalized.
d. providing a handoff report containing patient information to another department.
10. Using parallel strategy for the roll-out of an electronic medication administration system
means that all:
a. data entries are cosigned by two health care team members.
b. medications are documented using both the current method and the new system.
c. notebook computers and bar code scanners are positioned on the same surface.
d. vital signs are entered on the same screen as is medication administration.
11. In project management, the critical path is best described as a series of activities that:
a. includes the path with the most slack or float.
b. indicates the earliest possible time a project can be completed.
c. is scheduled for the next current phase of the process.
d. shows the shortest path through the network diagram.
12. The foundation of strategic system planning begins with a review of the:
a. existing computing environment.
b. health care industry.
c. information system plan.
d. organization's business mission.
13. The focus of data analysis is to:
a. collect data from various sources.
b. evaluate data for efficiency.
c. identify data sources for later inclusion.
d. transform data into a usable form.
, 14. Which tool tracks resources, milestones, and time frames associated with the
implementation of a new clinical program?
a. A database.
b. An expert system.
c. Project management software.
d. Spreadsheet software.
15. What process produces a blueprint that details how hardware and software meet the needs
of the organization?
a. Benchmarking.
b. Feasibility study.
c. System analysis.
d. System design.
16. A downtime of the electronic health record (EHR) system is planned for three months
from today. The informatics nurse is formulating a communication plan for the clinical
staff about the downtime. The nurse plans to:
a. announce the upcoming downtime at system-wide meetings, and at department
meetings of specific system hospitals affected by the downtime.
b. bring copies of the communication plan to IT meetings, and discuss it with the IT
directors and managers.
c. present the information at the super-user meetings, department and unit meetings,
and at other specialty clinician meetings, in addition to having a message posted
on the message-of-the-day screen in the EHR.
d. print fliers with the downtime plan and post them in bathrooms and breakrooms,
as well as on bulletin boards in various locations in the hospitals.
17. Adult learners most effectively learn about a new clinical information system when the
instructor:
a. assumes that the learner knows nothing about the system.
b. begins the formal training as early as possible in the implementation process.
c. emphasizes the technical specifications of the structure of the system.
d. encourages the learner to use previous experience to interpret new learning.
18. As an ambulatory provider reviews the patient's chart, the provider reads lab data from an
external organization. This scenario exemplifies:
a. a health information exchange.
b. a system to update patient records.
c. a violation of privacy regulations.
d. an electronic health record.
19. The problems of an existing system have been identified, along with possible solutions.
What is the next step in the systems analysis stage?
a. A feasibility study.
b. Requirements gathering.
c. Systems design.
d. Systems testing.
