ANCC Nursing Informatics Certification Review Questions
With Complete Solutions
_____________ is a teaching strategy for educating staff that
involves face-to-face and online learning.
A. Virtual learning
B. Web-based learning
C. Group learning
D. Hybrid learning Correct Answers D. Hybrid learning
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR Correct
Answers c. aberrancies and failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR
Correct Answers c. Abberancies
Rationale: "Bugs" in computer language are defined as
aberrancies and failures in the system or a coding error.
1. An advantage of an identity and access management (IAM)
system is that the IAM system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
,c. meets HIPAA's Security Rule requirements regarding access
to PHI
d. meets HIPAA's Privacy Rule requirements regarding
identification Correct Answers c. meets HIPAA's Security Rule
requirements regarding access to PHI.
Rationale: o An advantage of an identity and access
management (IAM) system is that the IAM system meets
HIPAA's Security Rule requirements regarding access to PHI
through identity management. An IAM system provides,
captures, updates, and records user IDs and provides appropriate
access privileges, preventing "privilege creep," which increases
risks to security. The IAM system should provide authentication
(single sign-in and session management), authorization (based
on roles, rules, and attributes), user management (provisioning
and password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM Correct Answers d. e-mail and IM
1. If the informatics nurse is concerned that a computer system
may not function well during peak times of access, the type of
testing needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing Correct Answers d. load/volume testing
Rationale: This is a non-functional testing for reliability that
assesses the ability of the system to function under various
,loads, such as at peak times when multiple users in multiple
departments are accessing the system. The purpose of
load/volume testing is to determine the maximum load capacity
and to identify the load at which problems begin to occur.
Testing is done at both the safe working load (SWL) and above
the SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be
triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written Correct Answers b. before orders are
written
Rationale: In an EHR with CPOE and CDS, allergy alerts should
be triggered before orders are written and they should be
automated. Alerts that occur after orders are written are more
likely to be ignored or overridden. Additional alerts, including
hard stops, should occur if orders for contraindicated drugs or
drugs to which the patient is allergic are ordered despite the
original alert. The alerts should be carefully evaluated because
excessive alerts may result in "alert fatigue" to the point that
clinicians begin to ignore them.
1. In preparation for the workflow redesign necessitated for
implementation of an EHR, the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
, conduct surveys about workflow Correct Answers map the
current workflow
1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices Correct
Answers a. allows user interaction with technology
1. The network that connects the departments in an organization
is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN Correct Answers b. LAN - local area network
1. The smallest possible piece of data utilized in computer
processing is the:
a. byte
b. bit
c. nibble
d. zettabyte Correct Answers b. bit
1. When an institution is transitioning to a CPOE, a primary role
of the informatics nurse is that of:
a. system designer
b. liaison
c. software modifier
d. purchasing agent Correct Answers b. liaison
With Complete Solutions
_____________ is a teaching strategy for educating staff that
involves face-to-face and online learning.
A. Virtual learning
B. Web-based learning
C. Group learning
D. Hybrid learning Correct Answers D. Hybrid learning
'Bugs' in computer language are not really insects, but:
a. testing methodology
b. community within the code indicated with an asterisk
c. aberrancies and failures in the system
d. the nickname of the coder who designed the first EHR Correct
Answers c. aberrancies and failures in the system
"Bugs" in computer language are not really insects, but
A. A testing methodology
B. Commentary within the code indicated with an asterisk (*)
C. Aberrancies and failures in the system
D. The nickname of the coder who designed the first EHR
Correct Answers c. Abberancies
Rationale: "Bugs" in computer language are defined as
aberrancies and failures in the system or a coding error.
1. An advantage of an identity and access management (IAM)
system is that the IAM system:
a. satisfies the Code of Federal Regulations Title 21, Part 11
b. provides HIPAA-required encryption for PHI
,c. meets HIPAA's Security Rule requirements regarding access
to PHI
d. meets HIPAA's Privacy Rule requirements regarding
identification Correct Answers c. meets HIPAA's Security Rule
requirements regarding access to PHI.
Rationale: o An advantage of an identity and access
management (IAM) system is that the IAM system meets
HIPAA's Security Rule requirements regarding access to PHI
through identity management. An IAM system provides,
captures, updates, and records user IDs and provides appropriate
access privileges, preventing "privilege creep," which increases
risks to security. The IAM system should provide authentication
(single sign-in and session management), authorization (based
on roles, rules, and attributes), user management (provisioning
and password management), and a central directory.
1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM Correct Answers d. e-mail and IM
1. If the informatics nurse is concerned that a computer system
may not function well during peak times of access, the type of
testing needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing Correct Answers d. load/volume testing
Rationale: This is a non-functional testing for reliability that
assesses the ability of the system to function under various
,loads, such as at peak times when multiple users in multiple
departments are accessing the system. The purpose of
load/volume testing is to determine the maximum load capacity
and to identify the load at which problems begin to occur.
Testing is done at both the safe working load (SWL) and above
the SWL.
1. In an EHR with CPOE and CDS, allergy alerts should be
triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written Correct Answers b. before orders are
written
Rationale: In an EHR with CPOE and CDS, allergy alerts should
be triggered before orders are written and they should be
automated. Alerts that occur after orders are written are more
likely to be ignored or overridden. Additional alerts, including
hard stops, should occur if orders for contraindicated drugs or
drugs to which the patient is allergic are ordered despite the
original alert. The alerts should be carefully evaluated because
excessive alerts may result in "alert fatigue" to the point that
clinicians begin to ignore them.
1. In preparation for the workflow redesign necessitated for
implementation of an EHR, the first step should be to:
o assess compatibility with EHR
o assess the EHR requirements
o map the current workflow
, conduct surveys about workflow Correct Answers map the
current workflow
1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices Correct
Answers a. allows user interaction with technology
1. The network that connects the departments in an organization
is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN Correct Answers b. LAN - local area network
1. The smallest possible piece of data utilized in computer
processing is the:
a. byte
b. bit
c. nibble
d. zettabyte Correct Answers b. bit
1. When an institution is transitioning to a CPOE, a primary role
of the informatics nurse is that of:
a. system designer
b. liaison
c. software modifier
d. purchasing agent Correct Answers b. liaison
