NUR3870
IT in Healthcare
Q & A w/ Rationales
2024
,1. A nurse is using a telehealth program to monitor the
blood pressure, heart rate, and oxygen saturation of a
patient with chronic heart failure at home. The nurse
notices that the patient's blood pressure is 180/100 mmHg,
heart rate is 110 beats per minute, and oxygen saturation is
88%. What should the nurse do next?
a) Call the patient and advise him to take his prescribed
medication and rest.
b) Call the patient's primary care provider and report the
findings.
c) Call 911 and request an ambulance for the patient.
d) Call the telehealth center and ask for technical
assistance.
*Answer: c) Call 911 and request an ambulance for the
patient.
Rationale: The patient's vital signs indicate a hypertensive
crisis and a risk of acute decompensated heart failure,
which are life-threatening emergencies. The nurse should
act quickly and arrange for immediate medical attention for
the patient.
2. A nursing student is using a smartphone app to learn
about pain management for pediatric patients with cancer.
The app provides interactive quizzes, videos, and case
scenarios. The student wants to evaluate the quality and
reliability of the app. What criteria should the student use?
a) The app's popularity, ratings, and reviews from other
users.
b) The app's design, usability, and functionality.
, c) The app's source, evidence, and currency of information.
d) The app's cost, accessibility, and compatibility with
different devices.
*Answer: c) The app's source, evidence, and currency of
information.
Rationale: The most important criteria for evaluating the
quality and reliability of a health app are the source,
evidence, and currency of information. The app should be
developed by credible and qualified authors, based on
current and relevant research, and updated regularly.
3. A nurse is using a clinical decision support system
(CDSS) to help diagnose a patient with suspected sepsis.
The CDSS prompts the nurse to enter the patient's vital
signs, laboratory results, and symptoms. The CDSS then
generates a list of possible diagnoses, ranked by
probability. How should the nurse use this information?
a) Accept the most probable diagnosis and initiate
treatment accordingly.
b) Compare the list of diagnoses with the patient's history
and physical examination findings.
c) Reject the list of diagnoses and rely on his or her own
clinical judgment.
d) Confirm the list of diagnoses with another nurse or a
physician.
*Answer: b) Compare the list of diagnoses with the
patient's history and physical examination findings.
Rationale: A CDSS is a tool that can assist nurses in
making clinical decisions, but it does not replace their
critical thinking skills. The nurse should use the CDSS as a
IT in Healthcare
Q & A w/ Rationales
2024
,1. A nurse is using a telehealth program to monitor the
blood pressure, heart rate, and oxygen saturation of a
patient with chronic heart failure at home. The nurse
notices that the patient's blood pressure is 180/100 mmHg,
heart rate is 110 beats per minute, and oxygen saturation is
88%. What should the nurse do next?
a) Call the patient and advise him to take his prescribed
medication and rest.
b) Call the patient's primary care provider and report the
findings.
c) Call 911 and request an ambulance for the patient.
d) Call the telehealth center and ask for technical
assistance.
*Answer: c) Call 911 and request an ambulance for the
patient.
Rationale: The patient's vital signs indicate a hypertensive
crisis and a risk of acute decompensated heart failure,
which are life-threatening emergencies. The nurse should
act quickly and arrange for immediate medical attention for
the patient.
2. A nursing student is using a smartphone app to learn
about pain management for pediatric patients with cancer.
The app provides interactive quizzes, videos, and case
scenarios. The student wants to evaluate the quality and
reliability of the app. What criteria should the student use?
a) The app's popularity, ratings, and reviews from other
users.
b) The app's design, usability, and functionality.
, c) The app's source, evidence, and currency of information.
d) The app's cost, accessibility, and compatibility with
different devices.
*Answer: c) The app's source, evidence, and currency of
information.
Rationale: The most important criteria for evaluating the
quality and reliability of a health app are the source,
evidence, and currency of information. The app should be
developed by credible and qualified authors, based on
current and relevant research, and updated regularly.
3. A nurse is using a clinical decision support system
(CDSS) to help diagnose a patient with suspected sepsis.
The CDSS prompts the nurse to enter the patient's vital
signs, laboratory results, and symptoms. The CDSS then
generates a list of possible diagnoses, ranked by
probability. How should the nurse use this information?
a) Accept the most probable diagnosis and initiate
treatment accordingly.
b) Compare the list of diagnoses with the patient's history
and physical examination findings.
c) Reject the list of diagnoses and rely on his or her own
clinical judgment.
d) Confirm the list of diagnoses with another nurse or a
physician.
*Answer: b) Compare the list of diagnoses with the
patient's history and physical examination findings.
Rationale: A CDSS is a tool that can assist nurses in
making clinical decisions, but it does not replace their
critical thinking skills. The nurse should use the CDSS as a
