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Nursing Informatics Worksheet Questions

Total questions: 83

Worksheet time: 42mins

Name
Class
Date
1.

A nurse wants to determine the effectiveness of a new BP documentation tool. What should she measure?

a)

Nurse satisfaction

b)

Accuracy of BP documentation before and after

c)

Number of hours trained

d)

Number of devices purchased

2.

A nurse notices that chart fields moved after an EHR update. What should she do first?

a)

Ask IT to revert the update

b)

Attend the provided orientation

c)

Stop documenting temporarily

d)

Ignore changes

3.

A patient’s device shows low glucose but the EHR shows normal values. What is the MOST likely cause?

a)

Human error

b)

Device-to-EHR syncing failure

c)

Client misunderstanding

d)

Nurse forgot to document

4.

A nurse receives a text message asking her to verify login information. This is:

a)

A password reset

b)

A phishing attempt

c)

Automatic verification

d)

Firewall update

5.

What is the first step when evaluating an informatics project?

a)

Assessment

b)

Planning

c)

Implementation

d)

Budgeting

6.

A nurse wants to reduce medication errors in older adults. What action is MOST effective?

a)

Rely on patient memory

b)

Double-check dose and route

c)

Allow auto-populate to fill medication fields

d)

Skip checking if busy

7.

Low use of an alert system is identified. What should the informatics nurse assess first?

a)

Staff break times

b)

Alert fatigue or barriers

c)

Nurse-patient ratios

d)

Physician orders

8.

The main purpose of Clinical Decision Support tools is to:

a)

Replace nurse judgment

b)

Provide evidence-based recommendations using patient data

c)

Predict staffing needs

d)

Audit nurse performance

9.

Which teaching method is BEST for a client with low health literacy?

a)

Medical terminology

b)

Teach-back using plain language

c)

Long written instructions

d)

Online quizzes only

10.

A nurse documenting an event must include a detailed narrative because it:

a)

Blames the responsible staff

b)

Supports QI by clarifying contributing factors

c)

Extends charting time

d)

Replaces incident reports

11.

A nurse finds missing data in the EHR due to device malfunction. What should she do?

a)

Wait for sync

b)

Enter data manually and notify informatics

c)

Skip documentation

d)

Adjust the device herself

12.

Most important purpose of standardized charting?

a)

Faster charting

b)

More consistent and accurate documentation

c)

Elimination of audits

d)

Prevent nurse autonomy

13.

The pharmacy database contains all of the following EXCEPT:

a)

Allergies

b)

Weight

c)

Height

d)

Fall history

14.

Which graph is BEST for displaying trends across time?

a)

Table

b)

Line graph with labeled time points

c)

Pie chart

d)

Paragraph summary

15.

A nurse cannot locate a feature in the new EHR. Best next step?

a)

Ask a super user

b)

Stop charting

c)

Guess

d)

Open old software

16.

Alarm fatigue is most likely when:

a)

Alarms are rare

b)

Staff override alerts without evaluating them

c)

Alarms are well calibrated

d)

Staff document properly

17.

The purpose of chart audits is to evaluate:

a)

Individual performance

b)

Documentation accuracy

c)

Nurse seniority

d)

Patient compliance

18.

Nurse suspects unauthorized access to cloud data. What is the major concern?

a)

Slow network

b)

Data breach

c)

Lack of backup

d)

Too little storage

19.

If all telemetry devices display incorrect readings, the nurse should:

a)

Replace each device

b)

Report to informatics for rule refinement

c)

Ignore it

d)

Restart computer

20.

Which federal agency manages hazardous substance exposure data?

a)

FDA

b)

ATSDR

c)

EPA

d)

HHS

21.

A nurse opens a patient chart out of curiosity. This is a violation of:

a)

Public health law

b)

HIPAA privacy

c)

Case management policy

d)

Informatics rules only

22.

When teaching elderly clients to use a patient portal, the nurse should:

a)

Use complex medical terms

b)

Use simple instructions and teach-back

c)

Expect full tech literacy

d)

Skip demonstrations

23.

A device transmits data intermittently. What is the FIRST action?

a)

Restart device

b)

Report syncing issue

c)

Replace it

d)

Ignore it

24.

Public health informatics mainly helps:

a)

Hospitals only

b)

Populations and communities

c)

Individual nurses

d)

Administrative billing

25.

Telehealth reduces door-to-needle time for stroke clients. This indicates:

a)

System failure

b)

Effective telehealth services

c)

Need for slower responses

d)

Unqualified staff

26.

Which is a strong password?

a)

nurse123

b)

123456

c)

Rx2024!N#

d)

Password1

27.

A nurse training module should include which to improve engagement?

a)

Interactive videos

b)

Dense text

c)

No feedback

d)

Only quizzes

28.

When updating a client’s device data manually, the nurse must ensure:

a)

Shorthand entries

b)

Accuracy and time stamp

c)

Only minimal data is entered

d)

No notation explaining reason

29.

Interoperability ensures:

a)

Systems communicate data meaningfully

b)

Paper charting continues

c)

Nurses skip tasks

d)

Providers guess history

30.

A nurse educator wants to assess patient learning needs. What must she assess FIRST?

a)

Literacy level

b)

Written preferences

c)

Medications list

d)

Age

31.

Data mining helps organizations:

a)

Destroy old data

b)

Identify patterns

c)

Hide errors

d)

Limit research

32.

The nurse documenting an adverse event should:

a)

Use objective facts only

b)

Include personal blame

c)

Alter data later

d)

Add opinions

33.

The primary benefit of EHR for clients is:

a)

Access to their own health information

b)

Unlimited document editing

c)

Freedom from updates

d)

Automatic treatment decisions

34.

Which BEST ensures confidentiality in large datasets?

a)

Using patient initials

b)

Full names in encrypted folders

c)

Removing identifiers

d)

Storing data on USB

35.

Standardization in charting reduces:

a)

Errors

b)

Workflow

c)

Evidence-based practice

d)

System access

36.

A nurse repeatedly overrides alerts. This MOST likely indicates:

a)

Alert fatigue

b)

Good practice

c)

Proper prioritization

d)

Correct alert usage

37.

The nurse checks a patient’s monitor and sees correct values but wrong EHR documentation. What likely happened?

a)

Syncing error

b)

Client manipulation

c)

Nurse entered wrong room

d)

Device broken

38.

The primary purpose of bioinformatics is to:

a)

Analyze biological data

b)

Manage payroll

c)

Schedule shifts

d)

Design facility maps

39.

Risk assessments are part of evaluating:

a)

Nurse hours

b)

Quality improvement

c)

Fiscal waste

d)

Social media use

40.

Nurses should avoid using personal smartphones for charting because:

a)

It drains battery

b)

It violates HIPAA

c)

It looks unprofessional

d)

It slows charting

41.

If nurses report low confidence using a system, the organization should:

a)

Discourage questions

b)

Offer additional training

c)

Replace EHR immediately

d)

Reduce documentation requirements

42.

A nurse teaching a patient to use a glucose app should:

a)

Require independent learning

b)

Provide simple step-by-step demonstrations

c)

Use complex language

d)

Skip reviewing features

43.

Which is a primary danger of alarm fatigue?

a)

Increased staff engagement

b)

Ignoring true critical alerts

c)

Faster workflow

d)

Fewer errors

44.

HIPAA requires nurses to:

a)

Log off devices

b)

Share passwords

c)

Disable screen locks

d)

Copy charts to USB

45.

Case management systems benefit clients by:

a)

Identifying variances in chronic care

b)

Increasing wait times

c)

Reducing documentation

d)

Eliminating assessments

46.

Which action demonstrates safe cyber security?

a)

Clicking unknown links

b)

Using multi-factor authentication

c)

Using identical passwords everywhere

d)

Leaving devices unlocked

47.

A nurse adds incorrect data and discovers it later. What should she do?

a)

Delete the entry

b)

Correct it with proper notation

c)

Ignore it

d)

Change the timestamp

48.

To evaluate usability of a new charting tool, leaders should measure:

a)

Staff vacation days

b)

Documentation completeness

c)

Nurse age

d)

Number of coworkers trained

49.

A nurse analyzing workflow inefficiencies uses:

a)

Observation

b)

Social media

c)

Medication records only

d)

Printer logs

50.

EHR upgrades often require:

a)

Deleting older data

b)

Nurse orientation

c)

Removing user access

d)

Manual reinstallation

51.

Which is NOT a benefit of EHR?

a)

Improved data access

b)

Trend tracking ability

c)

Greater confidentiality risks

d)

Reduced accuracy

52.

Which population is MOST at risk for low health literacy?

a)

Pediatric clients

b)

Older adults

c)

Nurses

d)

Lab technicians

53.

The primary function of HHS is to:

a)

Protect public health

b)

Control military

c)

Manage agriculture

d)

Store medical images

54.

Nurse should evaluate client learning using:

a)

Silence

b)

Teach-back

c)

Handouts only

d)

Yes/no questions

55.

The role of the EPA in healthcare relates to:

a)

Environmental safety

b)

Billing

c)

Informatics security

d)

Nurse scheduling

56.

Ris benefits include:

a)

PACS imaging retrieval

b)

Slow results

c)

Manual film use

d)

Data restrictions

57.

The goal of the HapMap project is to:

a)

Map human genetic variation

b)

Track social media behavior

c)

Monitor staff compliance

d)

Record hospital finances

58.

If an informatics issue persists after training, the next step is:

a)

Workflow observation

b)

Remove system

c)

Replace nurses

d)

Skip auditing

59.

Data reduction involves:

a)

Grouping data into meaningful categories

b)

Deleting essential information

c)

Expanding datasets

d)

Changing formatting

60.

During telehealth visits, nurses should ensure:

a)

Poor lighting

b)

Strong internet privacy

c)

Personal devices are used

d)

Phones stay unprotected

61.

A staff nurse frequently overrides medication alerts. Leadership should:

a)

Discipline her

b)

Investigate alert logic and fatigue

c)

Turn alerts off

d)

Increase workload

62.

A nurse wants to determine if an informatics change improved outcomes. She should measure:

a)

Number of emails sent

b)

Clinical outcome changes

c)

Opinions

d)

Social media activity

63.

Which is a safe practice for removable media?

a)

Use encrypted USB

b)

Use home USB

c)

Leave USBs in public areas

d)

Share data widely

64.

A nurse documenting in real time must ensure:

a)

Entries match actual care

b)

Future predictions

c)

Duplicate entries

d)

Minimum information

65.

If nurse cannot locate a medication field after update:

a)

Look in help menu

b)

Avoid documenting

c)

Ask patient

d)

Skip until next shift

66.

Why should a nurse add a narrative to an error report?

a)

Provides context

b)

Extends shift

c)

Adds personal emotion

d)

Blocks review

67.

Nurse teaches a client about a new glucose app. Best method?

a)

Case-based scenarios

b)

High-level pathophysiology

c)

Complex terminology

d)

No demonstration

68.

Standardization supports:

a)

Reduced variation

b)

Less accuracy

c)

More charting errors

d)

Decreased clarity

69.

Device accuracy should always be:

a)

Assumed

b)

Cross-checked

c)

Ignored

d)

Delegated

70.

Which is the safest login practice?

a)

Using public Wi-Fi

b)

Entering credentials in unknown links

c)

Logging in through secure portal

d)

Saving login in browser

71.

A sync failure between devices and EHR is a:

a)

Data integrity issue

b)

Non-issue

c)

Client fault

d)

IT punishment

72.

A nurse educates about phishing. Which sign is suspicious?

a)

Official spelling

b)

Requests for credentials

c)

Sent from internal secure system

d)

Uses organization logo correctly

73.

A nurse reviewing public health informatics data is MOST likely examining:

a)

Population trends

b)

Staff gossip

c)

Inventory lists

d)

Device maintenance

74.

The informatics team should investigate further when:

a)

Charts are 100% complete

b)

Nurses skip high-priority alerts

c)

System runs smoothly

d)

Device sync is fast

75.

Secure login reduces:

a)

Unauthorized access

b)

Nurse autonomy

c)

System updates

d)

Device accuracy

76.

Data discrepancies between two devices suggest:

a)

Transmission issues

b)

Perfect function

c)

Nurse sabotage

d)

No intervention needed

77.

Case management systems help reduce:

a)

Chronic condition complications

b)

Nurse staffing

c)

Equipment waste

d)

Payroll

78.

If client data doesn’t display, nurse should:

a)

Notify informatics

b)

Document “N/A”

c)

Guess values

d)

Skip vital signs

79.

The main goal of health literacy interventions is:

a)

Improve understanding

b)

Increase workload

c)

Confuse clients

d)

Reduce teaching time

80.

Patient portal benefits include:

a)

Client ability to participate in care

b)

Increased staff charting

c)

Restricted access

d)

Delayed updates

81.

A nurse uses teach-back after education because it:

a)

Confirms understanding

b)

Tests memory only

c)

Confuses clients

d)

Reduces teaching workload

82.

Identifying patterns in QI data requires:

a)

Data mining

b)

Social media

c)

Printed flyers

d)

Staff interviews only

83.

A facility installs new risk assessment tools. What outcome is MOST important?

a)

Improved documentation accuracy

b)

Reduced adverse events and harm

c)

Increased staff satisfaction

d)

Faster audit cycles