NURS 4055 – Managing Health Information and Technology Exam 2 Questions with Verified Answers

NURS 4055 – Managing Health Information
and Technology Exam 2 Questions with
Verified Answers A+ Rated Latest 2025-
2026

**Exam 2 Practice Set Questions + Answers + Detailed Rationales)**
Covers the typical “Exam 2” topics in most programs:
EHR Implementation & Optimization • Clinical Decision Support •
Interoperability & Standards • Usability & Human Factors • Change
Management • Telehealth • Analytics • Project Management •
Emerging Tech/AI


### Multiple Choice (1–35)


| # | Question |
Correct Answer | Rationale / Reference
|
|---|-----------------------------------------------------------------------------------------
-----------|-----------------------------------------|----------------------------------------
------------------------------------------------------------------------------------|
| 1 | The phase of the Systems Development Life Cycle (SDLC) where
workflow gaps are identified is: | B. Analysis | Analysis

,includes current-state assessment, gap analysis, and requirements
gathering. |
| 2 | The most commonly used change model in nursing informatics
implementations is: | A. Lewin’s Change Theory (Unfreeze-
Change-Refreeze) | Classic model taught in almost every NI program;
also Kotter’s 8-step is accepted. |
| 3 | Which HL7 standard is built on modern web technologies (RESTful
APIs, JSON/XML)? | C. FHIR | Fast
Healthcare Interoperability Resources – the future standard (replaces v2
& CDA). |
| 4 | The ability for two systems to interpret exchanged data the same
way is: | B. Semantic interoperability | HIMSS
definition: Foundational → Structural → Semantic.
|
| 5 | A nurse receives an alert that duplicate labs were just ordered.
This is an example of: | A. Clinical Decision Support (CDS) | One
of the original “5 Rights” of CDS (Osheroff/Sittig).
|
| 6 | The federal rule that prohibits delaying or charging patients for API
access to their EHI is: | B. 21st Century Cures Act (Information
Blocking) | Final rule 2020; penalties up to $1M per violation (2025).
|
| 7 | The terminology standard required for nursing
problems/interventions in USCDI v5+ (2026) is: | C. Clinical Care
Classification (CCC) | First time nursing-specific terminologies are
mandatory in certified EHRs. |

, | 8 | Which usability heuristic is violated when a nurse must click 15
screens to chart vitals? | B. Minimize the user’s memory load /
Efficiency of use | Nielsen’s 10 Heuristics – common exam question.
|
| 9 | The most effective single intervention to reduce login time for
nurses is: | D. Proximity badge tap + single sign-on (SSO) |
Reduces average login from 60–90 sec to <5 sec (KLAS data).
|
|10 | “Alert fatigue” is primarily caused by:
| A. Low specificity of rules | Too many non-actionable alerts →
clinicians override >90 % (average). |
|11 | The current CMS program for hospitals (replaced Meaningful Use)
is: | A. Promoting Interoperability (PI) | Rebranded
in 2018; still requires certified EHR technology.
|
|12 | Which data standard defines message structure and format?
| B. HL7 (v2, v3, FHIR) | Terminologies (SNOMED, LOINC)
define concepts; HL7 defines the envelope. |
|13 | A hard-stop alert preventing a lethal drug–drug interaction is an
example of: | C. Interruptive CDS | Appropriate
use of interruptive (modal) alerts – saves lives.
|
|14 | The “S” in the SBAR-R handoff tool used in many EHRs stands for:
| A. Situation | Ensures closed-loop communication; “R”
= Readback. |