Font size
WorksheetsNCM 110: FINALS EXAMS
Total questions: 81
Worksheet time: 1hrs 1mins
What is the main purpose of a Clinical Decision Support System (CDSS)?
To entertain patients during long hospital stays
To assist healthcare providers in making informed clinical decisions
To replace human judgment with automation
To monitor hospital staff attendance
Which of the following is a common feature of a Clinical Information System (CIS)?
Gaming tools for relaxation
Access to social media platforms
Electronic health Records integration
Patient cooking preferences
The healthcare system of the Philippines is the ___________?
SSS
MEDICARE
PHILHEALTH
PAG-IBIG
Refers to any system that captures, stores, manage or transmits information related to the health of individuals or the activities of the organization that work within the health sector.
Health informatics
Health information system
Health information technology
Computer technology
Computerized assisted instruction is in which Nursing Informatics application?
Nursing Administration
Nursing Clinical Practice
Nursing Education
Nursing Research
The adoption of standardized language related to nursing terms is in which Nursing Informatics application?
Nursing Research
Nursing Administration
Nursing Education
Nursing Clinical Practice
The nurse can access the information for the patient or teach the patient where to find appropriate and helpful
information.
Patient Data
Patient Education
Nursing Education
Nursing Research
What is a benefit of EHR?
Ability to access patient account from any location
Physician resistance
Initial cost savings
Physicians need to compile hard copies of records.
One benefit of using CIS is:
Reducing nurse-patient contact
Real-time access to patient data
Limiting communication across departments
Increasing documentation time manually
A nurse receives an alert about a drug interaction. What system most likely provided this warning?
Laboratory Information System
Administrative Billing System
Clinical Decision Support System
Appointment Scheduler
What is a major advantage of using a CIS in nursing practice?
Improved paperwork management
Automated cleaning schedules
Enhanced coordination of patient care
Reduced patient education
Which of the following best demonstrates a risk when using CDSS?
Faster diagnosis support
Alerts based on outdated information
Personalized care reminders
Automated documentation
Which role does a nurse play in the effective use of CIS and CDSS?
Passive observer
Technical manager
Advice evaluator user
Syatem programmer
In a global pandemic, informatics tools enable cross-border data sharing. What future trend does this represent?
Data hoarding
Global health informatics collaboration
Clinical gatekeeping
Informatics reductionism
A nursing team resists using a new handover app. What is the most appropriate leadership response?
Threaten job loss
Eliminate handovers entirely
Assign the task to only tech-savvy staff
Conduct a needs assessment and offer training
A patient wants access to their own health records through a mobile app. What principle does this promote?
Institutional control
Health provider dependency
Patient empowerment
Clinical secrecy
A nurse educator integrates informatics into simulation training. What future direction is this aligned with?
Limiting technology in nursing
Integrating informatics into nursing curriculum
Promoting handwritten care plans
Encouraging passive learning
A nurse manager observes that staff underutilize the Clinical Decision Support System (CDSS). What is the most likely root cause?
Lack of air conditioning
the system is too complicated
Lack of digital literacy and training
Nurses dislike computers
. A student nurse questions the need to study blockchain in health records. What is the best rationale?
It improves hospital aesthetics
It eliminates all types of technology errors
It provides a secure and tamper-proof way to store patient data
It’s required for passing licensure exams
In a rural barangay, a telehealth program is launched, but many patients don’t own smartphones. What approach best ensures equitable access?
Cancel the program
Require all patients to purchase smartphones
Set up community digital kiosks with health workers assisting
Switch to entirely paper-based health services
. During a disaster response, the EHR system is inaccessible due to a cyberattack. What should be the nurse's immediate action?
Leave the patients to find the IT staff
Wait for the incident report to be completed
Refuse to document until the system is restored
Revert to paper documentation to ensure continuity of care
A nurse is reviewing a new AI tool for predicting patient deterioration. It has high accuracy but lacks transparency in how decisions are made. What should the nurse advocate for?
Immediate implementation due to high accuracy
Removal of all manual decision-making processes
Full reliance on the AI without question
Further evaluation for ethical implications and explainability
A nurse manager plans to lead the next phase of EHR updates.This reflects which CHED-recommended outcome?
Passive involvement
Informal learning
Nurse-leadership in digital health
Technological resistance
The hospital adopts global informatics benchmarks for disaster response. This action promotes:
Data conflict
Research exclusivity
International interoperability
Privacy loss
During a system outage, handwritten notes are temporarily used. This reflects a need for:
Backup protocols
Automation
Redundancy
Digital divide
After using a mobile app for medication reminders, patients show improved adherence. This illustrates what concept?
Cybersecurity
Compliance regulation
Cloud failure
Patient empowerment
What does the Internet of Things (IoT) provide in healthcare settings?
Access to social media
Remote monitoring through connected devices
More entertainment
Manual patient tracking
Which is a legal issue when using AI in nursing care?
Uploading patient photos
Connecting to Wi-Fi
More enVerifying pulse ratetertainment
Determining algorithm accountability
What role do nurses play in managing big data?
Accurate and timely documentation
Hospital construction
Writing computer codes
Data mining
How do smart hospital technologies affect nurses' workload?
Increase manual charting
Require more paperwork
Replace nurses entirely
Reduce repetitive tasks and enhance safety
What is the most effective strategy to overcome digital divide in patient care?
Avoid using technology
Train both patients and healthcare staff
Limit telehealth access
Use paper records only
. What future direction will most help in nurse preparedness for informatics roles?
Eliminate IT support
Offer more clinical rotations only
Decrease nurse training
Integrate informatics into nursing curricula
How does blockchain improve EHR management?
Ensures tamper-proof and decentralized records
Requires multiple consent
Centralizes control to one authority
Makes access less secure
Which statement best describes interoperability?
Technology that isolates health records
Encrypting all emails
Using smartphones in the hospital
Sharing patient data between different systems
What is one major issue affecting adoption of new informatics systems in hospitals?
Overstaffing of IT departments
Excessive training opportunities
Too many nurses using computers
Resistance to change from users
How does Artificial Intelligence enhance clinical decision-making?
Limits diagnostic options
Increases paperwork
Requires manual data collection
Provides predictive analytics for care planning
In which scenario does telehealth significantly reduce healthcare disparities?
Limiting access to specialists
Providing specialty consults to urban patients only
Reaching patients in geographically isolated areas
Replacing all bedside nurses
What is one ethical concern in telehealth delivery?
The need for power of attorney
In-person appointment availability
Maintaining patient confidentiality
Diagnosing flu remotely
Which situation best illustrates the benefit of remote patient monitoring?
Sending emails to colleagues
Uploading discharge summaries
Billing patients online
Monitoring blood pressure of a rural patient daily
What is the most crucial element for building rapport in a telehealth nursing consultation?
Bandwidth size
Medical terminology use
Effective virtual communication skills
Providing prescriptions
What is the main benefit of documenting patient vital signs directly into the Clinical Information System (CIS) at the bedside?
It delays the update of the patient’s data for safety reasons.
It improves data accuracy and ensures that patient information is updated in real-time.
It increases the nurse’s workload by requiring manual updates.
It eliminates the need for care planning documentation.
During a telehealth consultation, a patient refuses to show their face. What is the most appropriate action by the nurse?
The nurse should end the call immediately as it is a violation of protocol.
The nurse should continue the session without verifying the patient’s identity.
The nurse should ask a family member to communicate on the patient’s behalf without further questions.
The nurse should pause the consultation and explain the importance of identity verification to ensure patient safety.
Why might older nurses resist the use of nursing informatics tools?
They prefer doing more manual work to feel productive.
They distrust digital data and consider it unreliable.
They may be unfamiliar or uncomfortable with using modern technology in clinical settings.
They believe that technology devalues the nurse-patient relationship.
What is the purpose of Fast Healthcare Interoperability Resources (FHIR) in health informatics?
FHIR is designed to encrypt and hide all health records from users.
FHIR blocks patient data sharing to enhance privacy.
FHIR is used to track nurse scheduling and employee attendance.
FHIR facilitates the smooth exchange of health information between different electronic health record systems.
What makes blockchain a valuable tool in electronic health record systems?
Blockchain allows anyone to edit patient records for flexibility.
Blockchain promotes transparency by keeping a tamper-proof access log of patient records.
Blockchain enables patient data to be posted directly on public platforms.
Blockchain encourages duplication of health records for safety.
A nurse finds that a telehealth system is slow and frequently disconnects during consultations. What does this issue represent?
This is a common sign of a healthcare workforce shortage.
This reflects an ethical problem related to AI in nursing care.
This is caused by too much use of robots in hospital settings.
This is a limitation in the technological infrastructure of the facility.
How does big data analytics support nursing practice?
Big data replaces nurses with automated machines.
Big data is mainly used to evaluate hospital cafeteria performance.
Big data is used to store unused patient forms.
Big data helps nurses identify care trends and make evidence-based decisions
What is a nurse's ethical responsibility when using artificial intelligence (AI) in clinical decision-making?
The nurse should allow AI to make final clinical decisions without question.
The nurse should ignore the patient’s perspective if the AI provides a solution.
The nurse should avoid discussing AI recommendations with the patient.
The nurse should use AI tools to support decision-making but always apply professional judgment and prioritize patient-centered care
Which action demonstrates a nurse's readiness for future trends in nursing informatics?
The nurse avoids using digital tools and prefers traditional charting.
The nurse resists workflow changes and discourages system updates.
The nurse participates in ongoing education and adapts to technological innovations in healthcare
The nurse delegates all informatics responsibilities to the IT department.
What is the nurse’s best action when noticing that patient data entered into the Clinical Information System (CIS) appears incorrect?
The nurse should ignore it since the physician will double-check the data later.
The nurse should wait until the patient is discharged to fix it.
The nurse should delete the entry without informing anyone.
The nurse should report the discrepancy immediately and correct the documentation as needed.
Why is continuous training essential in adopting new informatics tools in a hospital setting?
Training is needed to increase nurses' workload and reduce patient contact.
Training helps nurses learn how to bypass the system for efficiency.
Training is only necessary for IT staff, not clinical nurses.
Continuous training ensures safe, accurate, and effective use of digital tools in patient care.
What is a major concern when storing patient data in cloud-based systems?
Cloud systems cannot store healthcare data.
Cloud systems make data permanently inaccessible to authorized users.
Cloud systems eliminate the need for nurse documentation.
Cloud systems pose privacy and cybersecurity risks if not properly protected.
What role does a nurse play in supporting the use of mobile health (mHealth) applications?
The nurse discourages patients from using apps to prevent self-diagnosis.
The nurse monitors, educates, and empowers patients in using mHealth tools responsibly.
The nurse deletes the apps on patients’ devices after hospital discharge.
The nurse uses mHealth only to track personal fitness goals.
When implementing smart hospital technologies, what is a potential risk to nursing staff?
Nurses will have more opportunities to spend time with patients.
Nurses may be replaced by robots entirely without notice.
Nurses will not need to learn any new skills or systems.
Over-reliance on technology may reduce critical thinking if not balanced with clinical judgment.
A nurse receives an alert from a wearable sensor about a patient’s sudden drop in oxygen levels. What is the best immediate response?
The nurse ignores it because wearable sensors are usually inaccurate.
. The nurse verifies the alert, contacts the patient, and escalates the case if needed.
The nurse remotely sends a message and waits for a response from the patient.
The nurse waits for a scheduled physician round to assess.
What makes interoperability crucial in nursing informatics?
Interoperability allows health information to be exchanged seamlessly across systems for coordinated care.
Interoperability limits patient access to their own data.
Interoperability works best when systems are isolated.
Interoperability prevents data from being shared among professionals.
What is the nurse’s responsibility when encountering an ethical issue involving AI-generated treatment suggestions?
The nurse must always follow the AI recommendations regardless of context.
The nurse should consider patient autonomy, safety, and evidence-based practice in decision-making
The nurse can delegate all decisions to the AI and document accordingly.
The nurse should only discuss the AI decision with the IT department.
What is the best way for a nurse to address a patient’s concern about privacy in telehealth?
The nurse should avoid discussing data security to prevent fear.
The nurse should transfer the patient to IT support.
The nurse should suggest canceling the telehealth service.
The nurse should assure the patient that privacy protocols and encryption are in place.
How can the nurse contribute to bridging the digital divide in healthcare delivery?
The nurse can focus only on patients who are technologically literate.
The nurse can assist and educate patients with limited access or understanding of digital tools.
The nurse can recommend that such patients opt out of digital health programs.
The nurse can replace digital tools with handwritten instructions.
A patient’s blood pressure readings are transmitted daily via a remote monitoring system. One reading is abnormally high. What should the nurse do first?
Document the reading and wait for the doctor’s next visit.
Call the patient to verify symptoms and assess the need for further intervention.
Assume it’s a device error and ignore the data.
Deactivate the monitoring device to avoid future false alarms.
During a hospital orientation, a nurse notices that several staff members share one login for the EHR. What is the appropriate response?
Report the issue to the informatics or compliance officer.
Join in, as it's a common and time-saving practice.
Log in using the shared credentials only during emergencies.
Ignore the practice since it doesn’t affect patient care directly.
A nurse is assigned to educate elderly patients on using a hospital's patient portal. What approach is most effective?
Hand them the manual and encourage independent learning.
Guide them step-by-step and allow practice with real-time support.
Skip the portal training because older patients rarely use digital tools.
Ask their caregivers to do it for them without involving the patient.
A nurse finds that the EHR system crashes frequently during shift reports. What should be done?
Inform IT support and document the timing and impact of system failures.
Continue using the system and hope the issue resolves itself.
Switch to manual documentation without informing anyone.
Ignore the problem since it happens during non-critical times.
. A hospital is transitioning to a voice-activated documentation system. What can the nurse do to ensure patient safety during the transition?
Skip documentation when the system fails to save time.
Test and validate the entries and provide feedback to improve accuracy
Avoid using the system until it's perfected.
Document only critical patient information to reduce errors.
While using AI-supported triage software, a nurse notices that the system downgraded a critical case. What is the most ethical response?
Override the AI and escalate the case based on clinical judgment.
Follow the AI’s assessment to maintain consistency.
Ask another nurse to assess the case to avoid personal accountability.
Shut down the software to prevent further errors.
A nurse receives training on blockchain-secured health records. How should this knowledge be applied in practice?
Continue using traditional methods and disregard new protocols.
Understand how secure data-sharing improves trust and apply it when educating patients.
Share passwords to make data access easier.
Avoid using blockchain tools to prevent delays.
During a telehealth consultation, a nurse notices the patient seems uncomfortable using video. What is the most appropriate action?
Proceed with the consultation regardless of the patient’s comfort.
Switch to a voice-only or text-based format while ensuring patient understanding and privacy
End the session immediately and mark the patient as non-compliant.
Ignore the discomfort as telehealth is mandatory.
A nurse notices that a patient's wearable device data isn't syncing properly with the system. What is the best next step?
Troubleshoot the device and involve IT if necessary.
Wait for the data to sync eventually.
ssume the patient didn’t wear the device and proceed with care.
Disable the wearable feature in the EHR.
A nursing student on clinical duty is asked to enter patient notes but doesn't have proper access credentials yet. What should they do?
Ask a staff nurse to log in and let them use the account.
Wait for official access and avoid entering data under another’s login.
Use a shared staff account temporarily.
Write notes on paper and have someone else enter them later.
Which of the following best evaluates the effectiveness of a hospital’s new EHR system?
The number of staff members who log in daily.
The reduction in medication errors and improved patient documentation accuracy.
The cost of implementing the system.
The speed of the hospital’s internet connection.
A nurse leader is assessing different training modules on cybersecurity. Which option demonstrates the most comprehensive approach?
A short video on password management.
A multi-day training covering phishing, malware, access control, and simulations.
A memo reminding staff to lock screens.
A list of antivirus software to install.
How should a nurse evaluate whether a mobile health (mHealth) app is reliable for patient use?
Based on its user rating in app stores.
By its design and popularity among peers.
By reviewing evidence-based content, data privacy compliance, and endorsements by health institutions.
If it’s free and easy to install.
What is the best method to determine if telehealth improves patient outcomes?
Ask patients if they enjoy using it.
Review clinical data comparing recovery rates before and after telehealth implementation
Track how often telehealth is used.
Observe nurse satisfaction with the platform.
What is the most appropriate criterion to evaluate an EHR vendor’s system for a small clinic?
Whether the system looks modern.
If it has more features than other systems.
If it is user-friendly, cost-effective, meets privacy standards, and integrates with existing tools.
If the vendor is popular among hospitals.
Which of the following is the best indicator that a hospital's informatics infrastructure supports evidence-based practice?
Staff have access to the internet.
The hospital subscribes to online journals.
The EHR system provides real-time clinical guidelines and updated protocols.
Nurses attend external conferences.
How can a nurse best assess whether a patient understands how to use the patient portal?
Ask if they found the login page.
Have them demonstrate logging in, viewing lab results, and sending a message to a provider.
Confirm that a family member can assist them.
Check if they have internet access.Check if they have internet access.
After implementing a barcode medication administration (BCMA) system, what is the most appropriate metric to assess its effectiveness?
Nurse satisfaction scores.
Decrease in medication administration errors and near-miss reports.
Number of medications dispensed per day.
Time spent on documentation.
A hospital’s new EHR system is causing workflow delays for nurses. What is the most likely reason based on informatics principles?
The nurses lack clinical experience.
The EHR interface is poorly designed and not aligned with clinical workflow.
The nurses are unwilling to change their habits.
The hospital uses outdated medical equipment.
A nurse notices that multiple staff members repeatedly bypass security protocols to save time. What does this behavior suggest?
Nurses are not tech-savvy.
The security training was effective.
The system design may not be user-centered, leading to risky workarounds.
Nurses do not care about privacy.
During a system update, nurses experience difficulty accessing patient records. What is the most appropriate analysis of this event?
The hospital should revert to paper charts.
Downtime procedures and contingency planning were likely inadequate.
The nurses should ignore technology issues.
Technology always causes delays in healthcare.
Write the Florence Nightingale Pledge.
