NR 360 Week 1 Edapt
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. Smart pump override (MC)
A medical-surgical unit pilot-tests smart IV pumps with dose-error-
reduction software. During the first week, a nurse overrides three high-
risk medication alerts because the patient’s weight was entered in
pounds instead of kilograms.
Which stage of the DIKW hierarchy did the pump fail to move beyond
before the override occurred?
A. Data
B. Information
C. Knowledge
D. Wisdom
ANS: B
Rationale: The pump displayed information (numerical weight) but
did not contextualize it into knowledge (weight unit mismatch) or
wisdom (clinical judgment to prevent the error).
---
2. HL7 message mapping (FIB)
In an HL7 v2.x ADT message, the segment that uniquely identifies the
individual patient across organizations is the ________ segment.
ANS: PID
Rationale: The Patient Identification (PID) segment houses MRN,
demographic data, and cross-enterprise identifiers.
---
2
, 3. Tele-ICU ethics (T/F)
Allowing a remote intensivist to accept verbal orders from floor nurses
via encrypted video meets HIPAA’s “minimum necessary” standard for
PHI disclosure.
ANS: True
Rationale: Only data pertinent to the immediate care episode are
exchanged; encryption plus role-based access satisfies the rule.
---
4. Genomic CDS (MR)
A hospital integrates pharmacogenomic decision support into its EHR.
Which components are essential to achieve level-3 interoperability ?
Select ALL.
□ SNOMED CT-coded gene results
□ ASTM CCR PDF export
□ FHIR “MedicationKnowledge” resource
□ Proprietary SQL stored procedures
□ LOINC-coded lab observations
ANSs: SNOMED CT-coded gene results; FHIR “MedicationKnowledge”
resource; LOINC-coded lab observations
Rationale: Semantic (LOINC/SNOMED) + structural (FHIR) standards
enable computable, system-to-system knowledge sharing. PDFs and
proprietary SQL lack standardized semantics.
---
5. Bar-code medication timing (MC)
3
, Real-time analytics reveal that bar-code medication administration
(BCMA) compliance drops at 06:00.
Which informatics method is MOST appropriate to uncover workflow
causes before redesign?
A. Rapid ethnography
B. Heuristic usability inspection
C. Delphi forecasting
D. Balanced scorecard
ANS: A
Rationale: Rapid ethnography captures contextual human-technology
interactions during early-morning rounds.
---
6. eMAR alert fatigue (T/F)
Raising the alert threshold makes a clinical decision support tool more
sensitive.
ANS: False
Rationale: A higher threshold reduces sensitivity (misses true positives)
while increasing specificity.
---
7. Cybersecurity tabletop drill (MC)
During a ransomware simulation the CNO insists on paper downtime
forms. Which NIST cybersecurity framework function aligns with this
contingency?
A. Identify
4
Complete Quiz Review
(Questions & Solutions)
2025
1
, 1. Smart pump override (MC)
A medical-surgical unit pilot-tests smart IV pumps with dose-error-
reduction software. During the first week, a nurse overrides three high-
risk medication alerts because the patient’s weight was entered in
pounds instead of kilograms.
Which stage of the DIKW hierarchy did the pump fail to move beyond
before the override occurred?
A. Data
B. Information
C. Knowledge
D. Wisdom
ANS: B
Rationale: The pump displayed information (numerical weight) but
did not contextualize it into knowledge (weight unit mismatch) or
wisdom (clinical judgment to prevent the error).
---
2. HL7 message mapping (FIB)
In an HL7 v2.x ADT message, the segment that uniquely identifies the
individual patient across organizations is the ________ segment.
ANS: PID
Rationale: The Patient Identification (PID) segment houses MRN,
demographic data, and cross-enterprise identifiers.
---
2
, 3. Tele-ICU ethics (T/F)
Allowing a remote intensivist to accept verbal orders from floor nurses
via encrypted video meets HIPAA’s “minimum necessary” standard for
PHI disclosure.
ANS: True
Rationale: Only data pertinent to the immediate care episode are
exchanged; encryption plus role-based access satisfies the rule.
---
4. Genomic CDS (MR)
A hospital integrates pharmacogenomic decision support into its EHR.
Which components are essential to achieve level-3 interoperability ?
Select ALL.
□ SNOMED CT-coded gene results
□ ASTM CCR PDF export
□ FHIR “MedicationKnowledge” resource
□ Proprietary SQL stored procedures
□ LOINC-coded lab observations
ANSs: SNOMED CT-coded gene results; FHIR “MedicationKnowledge”
resource; LOINC-coded lab observations
Rationale: Semantic (LOINC/SNOMED) + structural (FHIR) standards
enable computable, system-to-system knowledge sharing. PDFs and
proprietary SQL lack standardized semantics.
---
5. Bar-code medication timing (MC)
3
, Real-time analytics reveal that bar-code medication administration
(BCMA) compliance drops at 06:00.
Which informatics method is MOST appropriate to uncover workflow
causes before redesign?
A. Rapid ethnography
B. Heuristic usability inspection
C. Delphi forecasting
D. Balanced scorecard
ANS: A
Rationale: Rapid ethnography captures contextual human-technology
interactions during early-morning rounds.
---
6. eMAR alert fatigue (T/F)
Raising the alert threshold makes a clinical decision support tool more
sensitive.
ANS: False
Rationale: A higher threshold reduces sensitivity (misses true positives)
while increasing specificity.
---
7. Cybersecurity tabletop drill (MC)
During a ransomware simulation the CNO insists on paper downtime
forms. Which NIST cybersecurity framework function aligns with this
contingency?
A. Identify
4
