Question 1

Which of the following statements is true about knowledge discovery and the role of the nurse?

Accepted Answer

A) Point-of-care nurses do not have the education to translate knowledge into best practice models. 
B) Nurses have the ability to translate knowledge into improved practice patterns. 
C) Nurses cannot act upon data unless in collaboration with other health care professionals. 
D) Attending physicians rather than nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice. 
A) Point-of-care nurses do not have the education to translate knowledge into best practice models. 
B) Nurses have the ability to translate knowledge into improved practice patterns. 
C) Nurses cannot act upon data unless in collaboration with other health care professionals. 
D) Attending physicians rather than nurses are in the best position to deliver high-quality and cost-effective care that is dependent upon their ability to translate knowledge (evidence) into practice. B

Question 2

Knowledge discovery in databases offers the health care team trended patterns that can be transformed into useful data. Which nursing role can best benefit from knowledge discovery as it pertains to evidence-based practice?

Accepted Answer

A) The nurse as administrator 
B) The nurse as educator 
C) The nurse as researcher 
D) The nurse at point of care 
A) The nurse as administrator 
B) The nurse as educator 
C) The nurse as researcher 
D) The nurse at point of care C

Question 3

Technology committee members debate the merits of online versus offline storage. Which response is the most accurate when describing data storage?

Accepted Answer

A) Online storage is a slower retrieval system. 
B) Offline storage provides access to current data. 
C) Offline storage is used for data that are needed less frequently. 
D) Online storage provides limited access to current data. 
A) Online storage is a slower retrieval system. 
B) Offline storage provides access to current data. 
C) Offline storage is used for data that are needed less frequently. 
D) Online storage provides limited access to current data. C

Question 4

Data verification techniques are important to ensure data accuracy. For which of the following clients is data verification most difficult?

Accepted Answer

A) A client who is visually impaired can verbalize which data are correct and incorrect. 
B) A client who is hard of hearing can read and confirm printouts of entered data. 
C) A client who does not speak English can point to the screen to verify correct data. 
D) A client who is unable to read can affirm verbally that the information is correct. 
A) A client who is visually impaired can verbalize which data are correct and incorrect. 
B) A client who is hard of hearing can read and confirm printouts of entered data. 
C) A client who does not speak English can point to the screen to verify correct data. 
D) A client who is unable to read can affirm verbally that the information is correct.

Question 5

Which type of storage document is most accurate and improves access to records?

Accepted Answer

A) Immediate entry of data into automated systems 
B) Films of old records converted from old client paper records 
C) Document imaging and scanning of old client paper records 
D) Original paper records from old client charts 
A) Immediate entry of data into automated systems 
B) Films of old records converted from old client paper records 
C) Document imaging and scanning of old client paper records 
D) Original paper records from old client charts

Question 6

All members of the nurse manager's staff have attended classes that emphasized appropriate system access, input device use, potential harmful effects associated with incorrect data, data verification techniques, and error correction. They received a certificate indicating proficiency in the use of the input device and computer systems. These staff members will not require additional training unless the technology changes significantly. Which of the following suggests that this statement is false?

Accepted Answer

A) Continuing education is only necessary with significant changes. 
B) Continuing education should be consistent. 
C) Continuing education should be performed when time permits. 
D) Continuing education is essential for point-of-care staff only. 
A) Continuing education is only necessary with significant changes. 
B) Continuing education should be consistent. 
C) Continuing education should be performed when time permits. 
D) Continuing education is essential for point-of-care staff only.

Question 7

Which of the following is a result of the shift toward evidence-based practice in health care?

Accepted Answer

A) Quality of clinical data collected is not as important as the quantity of the data because AI can extract needed information. 
B) Data mining has reduced the need for special analysis and statistics. 
C) Dependence on information derived from examining patterns and relationships in data has increased. 
D) The need for primary data storage has increased while the need for secondary data storage has decreased. 
A) Quality of clinical data collected is not as important as the quantity of the data because AI can extract needed information. 
B) Data mining has reduced the need for special analysis and statistics. 
C) Dependence on information derived from examining patterns and relationships in data has increased. 
D) The need for primary data storage has increased while the need for secondary data storage has decreased.

Question 8

Data integrity may be affected by how data is stored. Which of the following storage methods is the most reliable?

Accepted Answer

A) Portable hard drive with removable disk 
B) Optical media and disks 
C) Magnetic tape or cartridges 
D) Redundant Array of Disks (RAI
D)  
A) Portable hard drive with removable disk 
B) Optical media and disks 
C) Magnetic tape or cartridges 
D) Redundant Array of Disks (RAI
D)

Question 9

Which of the following is an example of data cleansing or scrubbing?

Accepted Answer

A) Abbreviations are compared using software to ensure standard language is used. 
B) When the name of the admitting physician is blank, the primary physician is used by default. 
C) Users may sort and compare data to determine relationships. 
D) Data are used to identify standardized treatments for specific diseases. 
A) Abbreviations are compared using software to ensure standard language is used. 
B) When the name of the admitting physician is blank, the primary physician is used by default. 
C) Users may sort and compare data to determine relationships. 
D) Data are used to identify standardized treatments for specific diseases.

Question 10

Which of the following is considered a threat to information quality?

Accepted Answer

A) An unauthorized user hacks into the system to review the clients' records 
B) Not verifying information as correct prior to entry 
C) An earthquake interrupts the power supply and causes data loss 
D) A wireless transmission is intercepted to review a new client's records. 
A) An unauthorized user hacks into the system to review the clients' records 
B) Not verifying information as correct prior to entry 
C) An earthquake interrupts the power supply and causes data loss 
D) A wireless transmission is intercepted to review a new client's records.

Question 11

The night shift charge nurse is being promoted to the position of mental health unit nurse manager. The supervisor would contact the database administrator (DBA) to allow the nurse manager access to needed data required for this new position. Which of the following suggests this is a correct statement?

Accepted Answer

A) The DBA is responsible for overseeing all activities related to maintaining the database. 
B) The database administrator has no authority over the management of data input. 
C) The mental health manager should not have access to the database. 
D) The mental health manager does not have to communicate with the database manager and ask for permission for access. 
A) The DBA is responsible for overseeing all activities related to maintaining the database. 
B) The database administrator has no authority over the management of data input. 
C) The mental health manager should not have access to the database. 
D) The mental health manager does not have to communicate with the database manager and ask for permission for access.

Question 12

The rate of suspected adverse drug reaction (ADR) among clients in the maternity unit is climbing. The nurse manager is aware that a World Health Organization (WHO) ADR database analyzes millions of suspected ADR reports in order to uncover new adverse effects. This WHO tracking is an example of which of the following?

Accepted Answer

A) Data scrubbing 
B) Data mining 
C) Knowledge discovery 
D) Electronic data interchange 
A) Data scrubbing 
B) Data mining 
C) Knowledge discovery 
D) Electronic data interchange

Question 13

No agreement exists among health care groups in the United States regarding a common electronic data interchange (EDI) standard. This statement is true because of which of the following?

Accepted Answer

A) Experts have not yet finished the discussion phase leading to an agreement. 
B) There is an agreement among health care groups because there is no need for a common EDI. 
C) Agreements are part of the national health care reform initiative. 
D) Health groups have isolated databases while working toward unification. 
A) Experts have not yet finished the discussion phase leading to an agreement. 
B) There is an agreement among health care groups because there is no need for a common EDI. 
C) Agreements are part of the national health care reform initiative. 
D) Health groups have isolated databases while working toward unification.

Question 14

Data integrity is crucial to the success of professional nursing practice. Which of the following phrases identifies its relevance to quality care?

Accepted Answer

A) Data integrity provides a systematic approach to the care of the patient. 
B) The use of authentic data ensures mistakes are avoided. 
C) All data entered into the system are accurate. 
D) Data integrity is a driving force in treatment decision making. 
A) Data integrity provides a systematic approach to the care of the patient. 
B) The use of authentic data ensures mistakes are avoided. 
C) All data entered into the system are accurate. 
D) Data integrity is a driving force in treatment decision making.

Question 15

_______________________________ is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity.

Accepted Answer

Data management. 
Rationale : Data manag

Question 16

A relational database is a type of database that is specifically designed for which of the following?

Accepted Answer

A) Accessing data stored in multiple databases 
B) Exclusive use of a database administrator (DB
A)  
C) Answering complex analytical questions 
D) Using data that are represented as tables 
A) Accessing data stored in multiple databases 
B) Exclusive use of a database administrator (DB
A)  
C) Answering complex analytical questions 
D) Using data that are represented as tables

Question 17

The best teaching method to assure nurses are competent with laptops and handheld devices is which of the following?

Accepted Answer

A) A class based on relevant learning objectives with student demonstration of competence. 
B) Point-of-care orientation 
C) Online orientation 
D) Written directions found in a central location 
A) A class based on relevant learning objectives with student demonstration of competence. 
B) Point-of-care orientation 
C) Online orientation 
D) Written directions found in a central location

Question 18

Which of the following terms is a knowledge management tool that engages software to uncover inter-relationships within large data-sets?

Accepted Answer

A) Data mining 
B) Knowledge discovery 
C) Data destruction 
D) Data cleansing 
A) Data mining 
B) Knowledge discovery 
C) Data destruction 
D) Data cleansing

Question 19

In which instance is using the technique of data mining most appropriate?

Accepted Answer

A) To document quality improvement when problems are identified and targeted on a medical-surgical unit 
B) To find the appropriate treatment for a client with advanced lung cancer 
C) To identify an appropriate diagnosis for a client with undetermined signs and symptoms 
D) To assist in the determination of the correct dose of medication to give a client in congestive heart failure 
A) To document quality improvement when problems are identified and targeted on a medical-surgical unit 
B) To find the appropriate treatment for a client with advanced lung cancer 
C) To identify an appropriate diagnosis for a client with undetermined signs and symptoms 
D) To assist in the determination of the correct dose of medication to give a client in congestive heart failure

Question 20

Which of the following is an example of a system check?

Accepted Answer

A) When a duplicate entry is entered into the system, that entry is immediately deleted. 
B) The nurse asks clients to verify their names when prompted by the computer system. 
C) After turning on the bedside computer, the system performs a self-check before data will input. 
D) Software in the system automatically corrects misspelled words and abbreviations. 
A) When a duplicate entry is entered into the system, that entry is immediately deleted. 
B) The nurse asks clients to verify their names when prompted by the computer system. 
C) After turning on the bedside computer, the system performs a self-check before data will input. 
D) Software in the system automatically corrects misspelled words and abbreviations.

Exam 3: Ensuring Quality and Best Use of Information

Which of the following statements is true about knowledge discovery and the role of the nurse?

Knowledge discovery in databases offers the health care team trended patterns that can be transformed into useful data. Which nursing role can best benefit from knowledge discovery as it pertains to evidence-based practice?

Technology committee members debate the merits of online versus offline storage. Which response is the most accurate when describing data storage?

Data verification techniques are important to ensure data accuracy. For which of the following clients is data verification most difficult?

Which type of storage document is most accurate and improves access to records?

Which of the following is a result of the shift toward evidence-based practice in health care?

Data integrity may be affected by how data is stored. Which of the following storage methods is the most reliable?

Which of the following is an example of data cleansing or scrubbing?

Which of the following is considered a threat to information quality?

No agreement exists among health care groups in the United States regarding a common electronic data interchange (EDI) standard. This statement is true because of which of the following?

Data integrity is crucial to the success of professional nursing practice. Which of the following phrases identifies its relevance to quality care?

_______________________________ is the process of controlling the collection, storage, retrieval, and use of data to optimize accuracy and utility while safeguarding integrity.

A relational database is a type of database that is specifically designed for which of the following?

The best teaching method to assure nurses are competent with laptops and handheld devices is which of the following?

Which of the following terms is a knowledge management tool that engages software to uncover inter-relationships within large data-sets?

In which instance is using the technique of data mining most appropriate?

Which of the following is an example of a system check?

Informatics in Healthcare Professions

Hardware, Software

The Internet and the World Wide Web: an Overview

Professional Use of Electronic Devices

Healthcare Information Systems

Strategic Planning for Information Technology Projects

Selecting a Healthcare Information System

Improving the Usability of Health Informatics Applications

System Implementation and Maintenance

Information Systems Training

Information Security and Confidentiality

System Integration and Interoperability

The Electronic Health Record

The Role of Standardized Terminology and Languages in Informatics

The Personal Health Record Phr

Health Information Exchanges Hies

Health Information Technology and Policy

Legislation

Regulatory and Reimbursement Issues

Accreditation Issues for Information System Design and Use

Continuity Planning and Management Disaster Recovery

Technology, Informatics, and the Internet Into Nursing Education

Consumer Education and Informatics

Telehealth

Public Health Informatics

Evidence Based Practice and Research

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