FUNDAMENTALS OF NURSING> TEST BANK EXAMS FOR NURSING
INFORMATICS AND THE FOUNDATION OF UNDERSTANDING &
KNOWLEDGE 4TH EDITION
Chapter 1 Nursing Science and the Foundation of Knowledge
The nurse understands that nursing informatics is recognized as a specialty area of practice by
which statement?
1. Research priorities for nursing informatics include the development of a standard nursing
language and the development of databases for clinical information.
2. A formal educational program at the master's level must be completed before a nurse is
eligible to sit for the credentialing examination.
3. As a differentiated practice, nursing informatics is focused upon the client, the
environment, health, and the nurse.
4. There is a need for nursing informatics interests to gain representation by work groups
and organizations within the United States.
Correct Answer: 1
Rationale 1: The development of research priorities is a key point in a specialty practice.
Although degrees at the master's level are available, the degree required for credentialing is
typically at the bachelor's level and includes experience in the field. Current demands for safer,
cost-effective, quality care require evidence of the best practices supported by research.
Question 2
Type: MCSA
Which statement by the nurse verifies that the nurse is "information literate"?
1. "I understand how to search for a website and evaluate its usefulness for health care needs."
,2. "I utilize databases in the health care setting to input client information such as skin
condition."
3. "I use email over the Internet to correspond with clients and provide information."
4. "I can use software applications such as word processing, spreadsheets, and presentations."
Correct Answer: 1
Rationale 1: Information literacy necessitates that nurses have the ability to find, evaluate, and
effectively use information. The other answers are examples of computer literacy but do not
have the higher functions of information literacy.
Outcome:
Question 3
Type: MCSA
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and
oxygen saturation of 98%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
Correct Answer: 4
.
Rationale 4: "Information" necessitates that the nurse interpret and structure clinical data into
information. It can then be used to aid clinical decision making and client monitoring. All other
responses included pieces of data without interpretation.
Question 4
Type: MCSA
,Which statement best distinguishes the difference between information literacy and computer
literacy?
1. Information literacy is unnecessary in health care whereas computer literacy provides the
basis for computer order entry.
2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse
to access data.
3. A nurse can extrapolate data with computer literacy and not information skills.
4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to
a familiarity with the use of personal computers.
Correct Answer: 4
Rationale 4: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing, spreadsheets,
databases, presentation graphics, and e-mail. The majority of students admitted to nursing
schools now enter with some level of computer literacy.
Question 5
ype: MCSA
Which statement indicates the appropriate level of informatics competencies to the correct
nurse?
1. A nurse informatics specialist extrapolates data to develop best practice model for indwelling
catheter care.
2. The novice nurse using a spreadsheet to document medication reactions.
3. An experienced staff nurse creates databases employing SNOMED.
4. A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
Correct Answer: 1
Rationale 1: The nurse informatics specialist has the ability and education to access data and
create a model of excellence based on the findings.
Question 6
, Type: MCSA
Which statement regarding pressures that drive the health care delivery system today is not
accurate?
1. The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
2. Evidence-based practice is supported with technology that enables the health care
provider to utilize up-to-date research findings.
3. Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE).
4. Managed care may utilize disease management to identify clients with chronic
conditions, and treat them effectively to minimize complications and cost.
Correct Answer: 1
Rationale 1: Although the nursing shortage may not be eliminated with information
technology, the probability that errors may be reduced with the implementation of technology
that enables the health care provider to double check medication administration may help with
client safety.
Question 7
Type: MCSA
Describe at least three factors in the current healthcare delivery system that drive the
implementation of information technology in the acute care setting.
1. Patient safety
2. Nursing shortage
3. Evidence-based practice
4. Increased numbers of digital natives in nursing practice
Correct Answer: 4
Rationale 4: Patient safety, nursing shortage, managed care, and evidenced based practice are
all factors that impact the acceptance and implementation of information technology in the
acute care setting. Digital natives may be more comfortable with technology, but they are not
the driving force toward change.
INFORMATICS AND THE FOUNDATION OF UNDERSTANDING &
KNOWLEDGE 4TH EDITION
Chapter 1 Nursing Science and the Foundation of Knowledge
The nurse understands that nursing informatics is recognized as a specialty area of practice by
which statement?
1. Research priorities for nursing informatics include the development of a standard nursing
language and the development of databases for clinical information.
2. A formal educational program at the master's level must be completed before a nurse is
eligible to sit for the credentialing examination.
3. As a differentiated practice, nursing informatics is focused upon the client, the
environment, health, and the nurse.
4. There is a need for nursing informatics interests to gain representation by work groups
and organizations within the United States.
Correct Answer: 1
Rationale 1: The development of research priorities is a key point in a specialty practice.
Although degrees at the master's level are available, the degree required for credentialing is
typically at the bachelor's level and includes experience in the field. Current demands for safer,
cost-effective, quality care require evidence of the best practices supported by research.
Question 2
Type: MCSA
Which statement by the nurse verifies that the nurse is "information literate"?
1. "I understand how to search for a website and evaluate its usefulness for health care needs."
,2. "I utilize databases in the health care setting to input client information such as skin
condition."
3. "I use email over the Internet to correspond with clients and provide information."
4. "I can use software applications such as word processing, spreadsheets, and presentations."
Correct Answer: 1
Rationale 1: Information literacy necessitates that nurses have the ability to find, evaluate, and
effectively use information. The other answers are examples of computer literacy but do not
have the higher functions of information literacy.
Outcome:
Question 3
Type: MCSA
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
1. The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8 degrees F., and
oxygen saturation of 98%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
Correct Answer: 4
.
Rationale 4: "Information" necessitates that the nurse interpret and structure clinical data into
information. It can then be used to aid clinical decision making and client monitoring. All other
responses included pieces of data without interpretation.
Question 4
Type: MCSA
,Which statement best distinguishes the difference between information literacy and computer
literacy?
1. Information literacy is unnecessary in health care whereas computer literacy provides the
basis for computer order entry.
2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse
to access data.
3. A nurse can extrapolate data with computer literacy and not information skills.
4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to
a familiarity with the use of personal computers.
Correct Answer: 4
Rationale 4: Computer literacy is a popular term used to refer to a familiarity with the use of
personal computers, including the use of software tools such as word processing, spreadsheets,
databases, presentation graphics, and e-mail. The majority of students admitted to nursing
schools now enter with some level of computer literacy.
Question 5
ype: MCSA
Which statement indicates the appropriate level of informatics competencies to the correct
nurse?
1. A nurse informatics specialist extrapolates data to develop best practice model for indwelling
catheter care.
2. The novice nurse using a spreadsheet to document medication reactions.
3. An experienced staff nurse creates databases employing SNOMED.
4. A beginning nurse utilizes the Internet to integrate multidisciplinary languages.
Correct Answer: 1
Rationale 1: The nurse informatics specialist has the ability and education to access data and
create a model of excellence based on the findings.
Question 6
, Type: MCSA
Which statement regarding pressures that drive the health care delivery system today is not
accurate?
1. The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
2. Evidence-based practice is supported with technology that enables the health care
provider to utilize up-to-date research findings.
3. Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE).
4. Managed care may utilize disease management to identify clients with chronic
conditions, and treat them effectively to minimize complications and cost.
Correct Answer: 1
Rationale 1: Although the nursing shortage may not be eliminated with information
technology, the probability that errors may be reduced with the implementation of technology
that enables the health care provider to double check medication administration may help with
client safety.
Question 7
Type: MCSA
Describe at least three factors in the current healthcare delivery system that drive the
implementation of information technology in the acute care setting.
1. Patient safety
2. Nursing shortage
3. Evidence-based practice
4. Increased numbers of digital natives in nursing practice
Correct Answer: 4
Rationale 4: Patient safety, nursing shortage, managed care, and evidenced based practice are
all factors that impact the acceptance and implementation of information technology in the
acute care setting. Digital natives may be more comfortable with technology, but they are not
the driving force toward change.
