NR 360 Week 5 Edapt
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. MCQ
A rural home-health patient with brittle COPD is enrolled in remote-
patient monitoring (RPM). The software automatically uploads pulse-ox
trends to the EHR and generates an alert when SpO₂ stays < 88 % for 20
minutes. Which informatics concept is most critical to preventing “alert
fatigue” in this algorithm?
A. Interoperability
B. Sensitivity/specificity calibration
C. End-user authentication
D. Data provenance auditing
ANS B
Rationale: Calibrating thresholds so that true positives outnumber false
positives keeps clinicians from ignoring important alerts.
---
2. MCQ
Your organization is opening a direct-to-consumer tele-urgent-care line
staffed by RNs. Which federal law primarily governs the nurse’s ability to
prescribe Schedule III drugs during the visit?
A. Ryan Haight Online Pharmacy Consumer Protection Act
B. HITECH Act
C. 42 CFR Part 2
D. No Surprises Act
ANS A
Rationale: The Ryan Haight Act restricts e-prescribing of controlled
substances unless an in-person exam or a special telemedicine exception
is met.
---
2
, 3. MCQ
A Spanish-speaking patient joins a video visit. The nurse practitioner
turns on the platform’s AI captioning and proceeds without a licensed
interpreter. This workaround most jeopardizes compliance with:
A. Title VI of the Civil Rights Act
B. Stark Law
C. MACRA Quality Payment Program
D. Sherman Antitrust Act
ANS A
Rationale: Title VI requires qualified language services; consumer-grade
captions are not sufficient for medical decision-making.
---
4. MCQ
An RPM company proposes inserting its vitals widget directly into the
hospital’s patient portal via a public API. Which HL7® standard will best
simplify this data exchange?
A. HL7 v2 Messaging
B. CDA R2
C. FHIR®
D. Arden Syntax
ANS C
Rationale: FHIR’s RESTful resources are optimized for web-based, app-
friendly data sharing.
---
5. MCQ
A postpartum client uses a commercial mood-tracking app that sells de-
identified data to advertisers. From the standpoint of U.S. privacy law,
the data are:
3
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. MCQ
A rural home-health patient with brittle COPD is enrolled in remote-
patient monitoring (RPM). The software automatically uploads pulse-ox
trends to the EHR and generates an alert when SpO₂ stays < 88 % for 20
minutes. Which informatics concept is most critical to preventing “alert
fatigue” in this algorithm?
A. Interoperability
B. Sensitivity/specificity calibration
C. End-user authentication
D. Data provenance auditing
ANS B
Rationale: Calibrating thresholds so that true positives outnumber false
positives keeps clinicians from ignoring important alerts.
---
2. MCQ
Your organization is opening a direct-to-consumer tele-urgent-care line
staffed by RNs. Which federal law primarily governs the nurse’s ability to
prescribe Schedule III drugs during the visit?
A. Ryan Haight Online Pharmacy Consumer Protection Act
B. HITECH Act
C. 42 CFR Part 2
D. No Surprises Act
ANS A
Rationale: The Ryan Haight Act restricts e-prescribing of controlled
substances unless an in-person exam or a special telemedicine exception
is met.
---
2
, 3. MCQ
A Spanish-speaking patient joins a video visit. The nurse practitioner
turns on the platform’s AI captioning and proceeds without a licensed
interpreter. This workaround most jeopardizes compliance with:
A. Title VI of the Civil Rights Act
B. Stark Law
C. MACRA Quality Payment Program
D. Sherman Antitrust Act
ANS A
Rationale: Title VI requires qualified language services; consumer-grade
captions are not sufficient for medical decision-making.
---
4. MCQ
An RPM company proposes inserting its vitals widget directly into the
hospital’s patient portal via a public API. Which HL7® standard will best
simplify this data exchange?
A. HL7 v2 Messaging
B. CDA R2
C. FHIR®
D. Arden Syntax
ANS C
Rationale: FHIR’s RESTful resources are optimized for web-based, app-
friendly data sharing.
---
5. MCQ
A postpartum client uses a commercial mood-tracking app that sells de-
identified data to advertisers. From the standpoint of U.S. privacy law,
the data are:
3
