Question 1

Soon after the go-live event, ____________ from the implementation evaluation should be acted on in a timely manner.

Accepted Answer

feedback 
Rationale : Soon after the go-

Question 2

A major consideration for organizations implementing new systems is the return on investment (ROI). ROI can be measured using tangible and intangible measures. Which of the following are examples of tangible measures?

Accepted Answer

A) Decreased costs for labor and non-labor expenses such as maintenance 
B) Higher retention rate for care givers 
C) Increased revenue 
D) Alignment with business strategy 
E) Greater compliance with regulations 
A) Decreased costs for labor and non-labor expenses such as maintenance 
B) Higher retention rate for care givers 
C) Increased revenue 
D) Alignment with business strategy 
E) Greater compliance with regulations

Question 3

The implementation committee members analyze the base system as delivered from the vendor before the system is installed in the event that clarification or changes are necessary. Which of the following are analyzed throughout this process?

Accepted Answer

A) Technology 
B) Vendor standing 
C) Vendor compliance with regulatory requirements 
D) Integration with other systems 
E) Clinician support 
A) Technology 
B) Vendor standing 
C) Vendor compliance with regulatory requirements 
D) Integration with other systems 
E) Clinician support

Question 4

_______________________ environment is another term that refers to the time when the new system is in operation.

Accepted Answer

Production 
Rationale : Test environment

Question 5

Which of the following best defines data dictionaries?

Accepted Answer

A) Data dictionaries contain lists and definitions of all terms used. 
B) Data dictionaries contain actual data. 
C) Data dictionaries have nothing to do with data quality. 
D) Data dictionaries can be found in the nursing office. 
A) Data dictionaries contain lists and definitions of all terms used. 
B) Data dictionaries contain actual data. 
C) Data dictionaries have nothing to do with data quality. 
D) Data dictionaries can be found in the nursing office.

Question 6

_________________ creep is the unexpected and uncontrolled growth of user expectations as the project progresses.

Accepted Answer

Scope 
Rationale : Scope creep is the un

Question 7

Which of the following is not an example of a function?

Accepted Answer

A) Upgrading 
B) Order entry 
C) Results reporting 
D) Documentation 
A) Upgrading 
B) Order entry 
C) Results reporting 
D) Documentation

Question 8

Which of the following are examples of ongoing systems technical maintenance?

Accepted Answer

A) Problem solving and debugging 
B) Performing a file backup 
C) Maintaining a backup supply of hardware 
D) Maintaining and updating the disaster recovery plan 
E) Configuring, testing, and installing system upgrades
F)None of the above. 
A) Problem solving and debugging 
B) Performing a file backup 
C) Maintaining a backup supply of hardware 
D) Maintaining and updating the disaster recovery plan 
E) Configuring, testing, and installing system upgrades
F)None of the above.

Question 9

Clinical operation disruption is can be minimized through which of the following?

Accepted Answer

A) Identification of the processes and their changes are included in training. 
B) Following the IT liaison's demands for perfection 
C) Making the changes during the night shift 
D) Spending money on a consultant. 
A) Identification of the processes and their changes are included in training. 
B) Following the IT liaison's demands for perfection 
C) Making the changes during the night shift 
D) Spending money on a consultant.

Question 10

Although an information system may be replaced, which of the following answer best describes the impact on the information system's life cycle?

Accepted Answer

A) The life cycle is an ongoing process that never ends. 
B) The life cycle and information system are unrelated. 
C) The life cycle stops to upgrade the system. 
D) The life cycle is altered with any upgrade. 
A) The life cycle is an ongoing process that never ends. 
B) The life cycle and information system are unrelated. 
C) The life cycle stops to upgrade the system. 
D) The life cycle is altered with any upgrade.

Question 11

Which of the following strategies would be appropriate for identifying a potential candidate for implementation project leader?

Accepted Answer

A) Since this will be a complex implementation, focus on the candidate's technical skills and less on communication and leadership skills. 
B) Restrict the selection to someone that is a member of the steering committee because of their understanding of the vision, goals, and expectations for the system. 
C) Select the consultant that has been assigned to the project from the beginning as the leader. 
D) Delay the selection of a leader until after the committee members are selected and then, with the help of the members, select one of the members as leader. 
E) Select the chief information officer because of the position of authority and knowledge of the organization's information needs. 
A) Since this will be a complex implementation, focus on the candidate's technical skills and less on communication and leadership skills. 
B) Restrict the selection to someone that is a member of the steering committee because of their understanding of the vision, goals, and expectations for the system. 
C) Select the consultant that has been assigned to the project from the beginning as the leader. 
D) Delay the selection of a leader until after the committee members are selected and then, with the help of the members, select one of the members as leader. 
E) Select the chief information officer because of the position of authority and knowledge of the organization's information needs.

Question 12

Which of the following critical elements apply to the development of the timeline prior to implementation of the system?

Accepted Answer

A) Necessary tasks 
B) Scope of each task 
C) The members' roles and responsibilities in accomplishing the tasks 
D) Driving forces of the market 
E) Development of crib sheets 
A) Necessary tasks 
B) Scope of each task 
C) The members' roles and responsibilities in accomplishing the tasks 
D) Driving forces of the market 
E) Development of crib sheets

Question 13

Back loading of some pre-existing data must be completed for the system to create accurate medication administration records and billing charges. How is this best accomplished?

Accepted Answer

A) Selected data from client records are loaded into the system by data entry specialists. 
B) Each staff member is responsible for inputting medications for each patient for the 24 hours prior to going live. 
C) When the system goes live, data from clients' medication administration records since admission are inputted for all clients. 
D) A pharmacist selects needed data from client medication administration records and inputs the data immediately prior to going live. 
A) Selected data from client records are loaded into the system by data entry specialists. 
B) Each staff member is responsible for inputting medications for each patient for the 24 hours prior to going live. 
C) When the system goes live, data from clients' medication administration records since admission are inputted for all clients. 
D) A pharmacist selects needed data from client medication administration records and inputs the data immediately prior to going live.

Question 14

Any significant change in the workplace can lead to discomfort and resistance. Which of the following statements can decrease staff resistance to the implementation of a new system?

Accepted Answer

A) "Give it time, you will like it." 
B) "Perhaps you need more staff development programs." 
C) "We know what we are doing.The committee has worked on this project for months." 
D) "If you find that its functions are not user-friendly, the committee can make the appropriate changes." 
A) "Give it time, you will like it." 
B) "Perhaps you need more staff development programs." 
C) "We know what we are doing.The committee has worked on this project for months." 
D) "If you find that its functions are not user-friendly, the committee can make the appropriate changes."

Question 15

The ________________________ environment is a term that refers to the time when the new system is in operation.

Accepted Answer

production 
Rationale : Produc

Question 16

The notion of staggering the implementation of the system is determined during the planning phase by committee members. The rationale behind staggering the implementation of the new system can be related to which of the following statements?

Accepted Answer

A) The decision to incorporate a roll out model of implementation can be used to identify issues before the entire system goes live. 
B) Staggering allows staff members to become more familiar with the new technology. 
C) Budgetary constraints are the main factors in determining whether a system should be staggered or fully implemented. 
D) Nurses and staff need additional time to accept an unwanted technological change. 
A) The decision to incorporate a roll out model of implementation can be used to identify issues before the entire system goes live. 
B) Staggering allows staff members to become more familiar with the new technology. 
C) Budgetary constraints are the main factors in determining whether a system should be staggered or fully implemented. 
D) Nurses and staff need additional time to accept an unwanted technological change.

Question 17

To be effective users of a new documentation system, the staff must be trained. Which shows the most effective use of training for a new computer system?

Accepted Answer

A) A training environment is set up off site. 
B) Training is scheduled during the normal workday. 
C) Training is provided with actual live software. 
D) Actual client data are stored in the training system. 
A) A training environment is set up off site. 
B) Training is scheduled during the normal workday. 
C) Training is provided with actual live software. 
D) Actual client data are stored in the training system.

Question 18

The ongoing maintenance of the technical issues is the role of which of the following departments?

Accepted Answer

A) Nursing 
B) Information services department 
C) Computer programmers 
D) Vice president of technology 
A) Nursing 
B) Information services department 
C) Computer programmers 
D) Vice president of technology

Question 19

An implementation is to go live in a limited number of client units but in all ancillary departments. The remaining client units would be scheduled to go live in groups, staggered over a specified time frame. What implementation strategy is being used?

Accepted Answer

A) Roll out 
B) Modular 
C) Occur all at once 
D) Direct 
A) Roll out 
B) Modular 
C) Occur all at once 
D) Direct

Question 20

Analyzing appropriate hardware requirements is necessary when implementing a new information system. Which of the following solutions is most appropriate?

Accepted Answer

A) Needs assessment information is compared to budget and hardware and software features. 
B) Thin clients are placed in central locations to access the system. 
C) Staff may elect to use their own personal digital assistants to send and receive client data. 
D) Laser printers are connected to the system network for printing laboratory results. 
A) Needs assessment information is compared to budget and hardware and software features. 
B) Thin clients are placed in central locations to access the system. 
C) Staff may elect to use their own personal digital assistants to send and receive client data. 
D) Laser printers are connected to the system network for printing laboratory results.

Exam 10: System Implementation and Maintenance

Soon after the go-live event, ____________ from the implementation evaluation should be acted on in a timely manner.

A major consideration for organizations implementing new systems is the return on investment (ROI). ROI can be measured using tangible and intangible measures. Which of the following are examples of tangible measures?

The implementation committee members analyze the base system as delivered from the vendor before the system is installed in the event that clarification or changes are necessary. Which of the following are analyzed throughout this process?

_______________________ environment is another term that refers to the time when the new system is in operation.

Which of the following best defines data dictionaries?

_________________ creep is the unexpected and uncontrolled growth of user expectations as the project progresses.

Which of the following is not an example of a function?

Which of the following are examples of ongoing systems technical maintenance?

Clinical operation disruption is can be minimized through which of the following?

Although an information system may be replaced, which of the following answer best describes the impact on the information system's life cycle?

Which of the following strategies would be appropriate for identifying a potential candidate for implementation project leader?

Which of the following critical elements apply to the development of the timeline prior to implementation of the system?

Back loading of some pre-existing data must be completed for the system to create accurate medication administration records and billing charges. How is this best accomplished?

Any significant change in the workplace can lead to discomfort and resistance. Which of the following statements can decrease staff resistance to the implementation of a new system?

The ________________________ environment is a term that refers to the time when the new system is in operation.

The notion of staggering the implementation of the system is determined during the planning phase by committee members. The rationale behind staggering the implementation of the new system can be related to which of the following statements?

To be effective users of a new documentation system, the staff must be trained. Which shows the most effective use of training for a new computer system?

The ongoing maintenance of the technical issues is the role of which of the following departments?

An implementation is to go live in a limited number of client units but in all ancillary departments. The remaining client units would be scheduled to go live in groups, staggered over a specified time frame. What implementation strategy is being used?

Analyzing appropriate hardware requirements is necessary when implementing a new information system. Which of the following solutions is most appropriate?

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