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NI Exam 2

Total questions: 86

Worksheet time: 46mins

Name
Class
Date
1.

A nurse records a blood glucose of 250 mg/dL. In the DIKW model, this is an example of:

a)

Data

b)

Information

c)

Knowledge

d)

Wisdom

2.

A nurse interprets repeated elevated BP readings as possible hypertension. Which level of DIKW is this?

a)

Data

b)

Information

c)

Knowledge

d)

Wisdom

3.

Applying sepsis guidelines to a febrile, tachycardic patient represents which level of DIKW?

a)

Data

b)

Information

c)

Knowledge

d)

Wisdom

4.

When a nurse initiates the hospital’s sepsis protocol, this demonstrates:

a)

Data

b)

Information

c)

Knowledge

d)

Wisdom

5.

Which is the correct order of the DIKW model?

a)

Data → Information → Knowledge → Wisdom

b)

Knowledge → Wisdom → Information → Data

c)

Data → Knowledge → Wisdom → Information

d)

Information → Data → Knowledge → Wisdom

6.

A nurse faxes patient records without a cover sheet. This is:

a)

Acceptable if urgent

b)

A HIPAA breach

c)

Allowed with verbal consent

d)

A secure practice

7.

Which is considered de-identified data?

4 lines
8.

Which situation permits disclosure without patient authorization?

a)

Family request for records

b)

Report to public health for infectious disease

c)

Request from employer

d)

Insurance inquiry without consent

9.

Which action is best to protect confidentiality in the EHR?

a)

Logging off when stepping away

b)

Sharing password with coworkers

c)

Writing notes on paper

d)

Leaving screen on but turned away

10.

A nurse loses a personal tablet containing patient information. First action?

a)

Attempt to retrieve it personally

b)

Report immediately to hospital IT/security

c)

Delete patient files remotely

d)

Tell the patient directly

11.

The primary benefit of ICNP is:

a)

Shorter documentation time

b)

Consistency and improved communication

c)

Reduced clinical hours

d)

Eliminated need for EHRs

12.

Using standardized language in EHRs primarily improves:

a)

Nurse satisfaction

b)

Research comparability and patient safety

c)

Shorter shift work

d)

Financial reimbursement

13.

Which terminology is maintained by the NLM to support interoperability?

a)

UMLS

b)

CPT

c)

DSM

d)

ICD-9

14.

Which is NOT considered a client identifier?

a)

Medical record number

b)

Social Security number

15.

The ANA definition of nursing informatics emphasizes:

a)

Combining nursing, computer, and information science

b)

Developing hardware for hospitals

c)

Managing billing systems

d)

Replacing nursing education with IT

16.

Which TIGER component focuses on integrating informatics into curricula?

a)

Leadership

b)

Education

c)

Policy

d)

Culture

17.

Which national group defines KSAs including informatics?

a)

ANA

b)

QSEN

c)

NLN

d)

AMIA

18.

The AACN supports nursing informatics by:

a)

Certifying informatics nurses

b)

Setting curriculum standards for BSN/MSN

c)

Funding hospital IT systems

d)

Managing UMLS

19.

The NLN’s primary role in informatics is:

a)

Promoting technology in education

b)

Developing coding languages

c)

Managing HIPAA

d)

Regulating billing

20.

Which group directly offers informatics nurse certification?

a)

ANA

b)

AACN

c)

QSEN

d)

AMIA

21.

Voice recognition software is MOST beneficial in:

a)

Emergency departments

b)

Long-term care

c)

Home health visits

d)

Schools

22.

The primary advantage of VR in nursing education is:

a)

Safe practice of skills without patient risk

b)

Reduced need for faculty

c)

Lower hospital costs

d)

Equal simulation time for all students

23.

Main benefit of barcoding in medication administration:

a)

Reduces medication errors

b)

Decreases nurse workload

c)

Improves patient satisfaction

d)

Reduces charting time

24.

Which is a disadvantage of cloud platforms?

a)

Costly setup

b)

Requires consistent internet to avoid outages

c)

Cannot collaborate across sites

d)

Not accessible remotely

25.

Which best describes open-source informatics projects?

a)

Privately owned, closed contributions

b)

Encourage collaboration and shared development

c)

Developed only by IT specialists

d)

Expire after one year

26.

Which is a hallmark of Agile methodology?

a)

Long project cycles with minimal feedback

b)

Iterative sprints with continuous user input

c)

Exclusively IT-driven decision-making

d)

One-time implementation with no changes

27.

Scrum is best described as:

a)

A project management style unrelated to Agile

b)

An Agile framework with sprints and roles

c)

A technical programming method

d)

A leadership model in nursing

28.

Which skill is essential for an informatics nurse specialist?

a)

Coding proficiency only

b)

Clinical knowledge + IT + communication skills

c)

Independent practice without teams

d)

Sole focus on data entry

29.

Minimum requirement to become an informatics nurse specialist?

a)

RN license

b)

RN license + PhD

c)

IT degree only

d)

No degree, just experience

30.

Which is a typical responsibility of an informatics nurse?

a)

Designing EHR systems and training staff

b)

Conducting physical assessments

c)

Administering medications

d)

Providing bedside shift reports only

31.

Which action by a nurse is MOST likely to cause a HIPAA violation?

a)

Speaking about patient care in cafeteria

b)

Logging off computer before leaving

c)

Using secure passwords

d)

Reporting infectious disease

32.

To ensure confidentiality during a teaching session, the nurse should:

a)

Use personal laptop with saved files

b)

Display data on a locked screen when not in use

c)

Share records through unsecured email

d)

Allow family unrestricted access

33.

The best way to protect passwords in healthcare is to:

a)

Share only with trusted colleagues

b)

Use strong, unique passwords not repeated

c)

Write them on the computer monitor

d)

Store in shared folders

34.

Which device safety measure protects PHI?

a)

Turn device toward others

b)

Keep device on but unsupervised

c)

Lock or log off when unattended

d)

Share device openly

35.

Before disclosing PHI to another provider, the nurse should:

a)

Call patient’s family

b)

Obtain valid signed authorization

c)

Ask coworker for approval

d)

Send records immediately

36.

Data integrity means:

a)

Protecting data from accidental or unauthorized changes

b)

Using short passwords

c)

Saving only partial records

d)

Storing information offline only

37.

Data availability means:

a)

Patients never access their records

b)

Data is accessible to authorized users when needed

c)

Nurses can change records freely

d)

Records are deleted after use

38.

Information accuracy is ensured by:

a)

Using consistent, standardized language

b)

Entering data only once

c)

Allowing duplicate records

d)

Ignoring documentation errors

39.

Which barrier do nurses face as data gatherers?

a)

Understaffing and EHR technical issues

b)

Lack of HIPAA

c)

Too many standardized terms

d)

Patient refusal to share data

40.

Which is an example of reusability in informatics?

a)

Using the same data set for multiple research studies

b)

Password sharing

c)

Turning off computers

d)

Faxing without cover sheets

41.

The NLM contributes to nursing informatics by:

a)

Managing PubMed and UMLS

b)

Certifying BSN graduates

42.

ClinicalTrials.gov is an example of:

a)

A database managed by NLM for clinical research access

b)

A HIPAA reporting system

c)

An ANA certification program

d)

A cloud-based EHR

43.

The UMLS developed by NLM supports:

a)

Interoperability of biomedical vocabularies

b)

HIPAA reporting

c)

Nurse credentialing

d)

Clinical reimbursement

44.

Which is an NLM responsibility?

a)

Leading biomedical informatics research

b)

Regulating nurse licensure exams

c)

Setting bedside ratios

d)

Certifying hospital budgets

45.

A nurse using PubMed is engaging with which resource?

a)

NLM digital resource

b)

QSEN competency exam

c)

ANA certification portal

d)

AACN essential

46.

Which example best illustrates instant feedback in a mobile health app?

a)

App sends delayed weekly report

b)

Patient receives immediate glucose trend alerts

c)

Nurse reviews logs at next appointment

d)

Data stored offline only

47.

Which is an operational benefit of voice recognition?

a)

Faster documentation than typing

b)

Requires transcription services

c)

Limited to home care

d)

Cannot recognize medical terms

48.

Which is a financial benefit of voice recognition?

a)

Reduces need for transcription services

b)

Lowers EHR subscription fees

49.

Which VR feature most benefits nursing students?

a)

Simulated high-risk patient scenarios

b)

Reduced faculty teaching workload

c)

Cheaper laptops for students

d)

Replacement of textbooks

50.

Which best describes the role of an informatics nurse specialist?

a)

Bridge between clinical nursing and IT, improving patient outcomes

b)

Primary provider of bedside care

c)

Only responsible for billing

d)

Works exclusively in research labs

51.

Raw facts like a single blood glucose value are ________.

a)

data

b)

information

c)

knowledge

d)

wisdom

52.

Interpreting repeated data in context is called ________.

a)

information

b)

statistics

c)

probability

d)

measurement

53.

Applying guidelines/evidence to information is called ________.

a)

knowledge

b)

data

c)

opinion

d)

guess

54.

Taking clinical action (protocol initiation) is called ________.

a)

wisdom

b)

knowledge

c)

data

d)

information

55.

What is the correct hierarchy of DIKW?

a)

Data → Information → Knowledge → Wisdom

b)

Wisdom → Knowledge → Information → Data

c)

Knowledge → Data → Information → Wisdom

d)

Information → Data → Wisdom → Knowledge

56.

Sending a cover sheet is required; sending without it is a ________.

a)

HIPAA breach

b)

best practice

c)

minor error

d)

routine procedure

57.

Removing identifiers like name, DOB, SSN is called ________.

a)

de-identified data

b)

encrypted data

c)

raw data

d)

metadata

58.

HIPAA allows PHI disclosure for infectious disease reporting. This is called ________.

a)

public health reporting

b)

medical billing

c)

insurance verification

d)

treatment authorization

59.

Preventing unauthorized access by logging off is an example of ________.

a)

logging off

b)

hacking

c)

phishing

d)

spamming

60.

Policy requires immediate reporting of lost PHI devices. Fill in the blank: Report immediately to ________.

a)

IT/security

b)

Human Resources

c)

Facilities

d)

Finance

61.

ICNP standardizes language for ________ and improved communication.

a)

consistency

b)

translation

c)

privacy

d)

billing

62.

Standardized language supports ________ comparability & safety.

a)

research

b)

confusion

c)

ambiguity

d)

disorder

63.

NLM’s ________ supports interoperability.

a)

Unified Medical Language System (UMLS)

b)

National Library of Medicine Database (NLMD)

c)

Medical Subject Headings (MeSH)

d)

PubMed Central (PMC)

64.

A medical condition itself is not a unique identifier. Fill in the blank: ________ is not a unique identifier.

a)

Diagnosis

b)

Social Security Number

c)

Medical Record Number

d)

Driver's License Number

65.

ANA definition of nursing informatics. Fill in the blank: Nursing informatics combines nursing, computer, and ________ science.

a)

information

b)

physical

c)

biological

d)

chemical

66.

Fill in the blank: ________ ensures informatics in curricula.

a)

TIGER

b)

WHO

c)

CDC

d)

ICN

67.

QSEN defines KSAs including informatics. Fill in the blank: ________ defines KSAs including informatics.

a)

QSEN

b)

ANA

c)

CDC

d)

WHO

68.

Fill in the blank: ________ outlines BSN/MSN informatics essentials.

a)

AACN

b)

ANA

c)

CDC

d)

FDA

69.

NLN advocates technology use in nursing education. Fill in the blank: ________ advocates technology use in nursing education.

a)

NLN

b)

WHO

c)

CDC

d)

FDA

70.

Fill in the blank: ________ offers Informatics Nursing Certification.

a)

ANA

b)

AMA

c)

CDC

d)

FDA

71.

Fill in the blank: ________ departments require fast-paced, hands-free documentation.

a)

Emergency

b)

Pediatrics

c)

Dermatology

d)

Radiology

72.

VR allows simulation for ________ practice without patient risk.

a)

safe

b)

dangerous

c)

expensive

d)

limited

73.

Barcoding prevents med administration errors. What is the main benefit of barcoding in medication administration?

a)

Reduces medication errors

b)

Increases medication costs

c)

Delays medication delivery

74.

Cloud systems risk outages/loss of access. What is a key challenge of using cloud systems in healthcare?

a)

Reduces medication errors

b)

Requires consistent internet

c)

Improves patient privacy

75.

Open-source projects thrive on collaboration. What is a major advantage of open-source development?

a)

Reduces medication errors

b)

Collaboration and shared development

c)

Increases software costs

76.

Agile emphasizes feedback-driven sprints. What is a key feature of agile methodology?

a)

Waterfall planning

b)

Iterative sprints with user input

c)

No user involvement

77.

Scrum = team roles, sprints, iterative improvements. What is Scrum an example of?

a)

Agile framework

b)

Waterfall model

c)

Solo development

78.

Informatics nurses combine these skill sets: Clinical + IT + communication. Which combination of skills is essential for informatics nurses?

a)

Clinical + IT + communication

b)

Finance + marketing

c)

Surgery + radiology

79.

Minimum requirement = RN with BSN preferred. What is the minimum license requirement for an informatics nurse?

a)

RN license

b)

LPN license

c)

Pharmacy license

80.

Core responsibility of informatics nurses. What is a primary responsibility of informatics nurses?

a)

Designing EHR systems and training staff

b)

Performing surgeries

c)

Managing hospital finances

81.

Public discussions violate HIPAA. What is a confidentiality risk when speaking about patient care in the cafeteria?

a)

Speaking about patient care in cafeteria

b)

Using strong passwords

c)

Locking computers

82.

Protects PHI when not actively used. What is a best practice for displaying data on a screen?

a)

Display data on an unlocked screen

b)

Display data on a locked screen

c)

Share data with everyone

83.

Best safeguard against breaches. What is the best safeguard against data breaches?

a)

Weak passwords

b)

Strong unique passwords

c)

Sharing passwords

84.

Protects unauthorized access. What should you do when leaving your computer unattended?

a)

Leave it unlocked

b)

Share your password

c)

Lock or log off when unattended

85.

Required before sharing with other providers. What must be obtained before sharing patient information with other providers?

a)

Verbal consent

b)

Obtain valid signed authorization

c)

No authorization needed

86.

Fill in the blank: Informatics nurses link ________ practice and technology.

a)

clinical

b)

financial

c)

recreational

d)

culinary

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