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ANCC Nursing Informatics Certification Review: Questions and Answers, Exams of Nursing

A series of questions and answers related to the ancc nursing informatics certification review, focusing on key concepts in nursing informatics. It covers topics such as hipaa regulations, data security, system testing, and the role of the informatics nurse in healthcare settings. The questions address various aspects of data protection, system functionality, and the application of informatics in nursing practice, offering valuable insights for those preparing for certification or seeking to enhance their knowledge in this field. This resource is designed to test and reinforce understanding of essential informatics principles and practices. It includes questions on data representation, disaster planning, and the use of standardized nursing terminologies, providing a comprehensive overview of the subject matter. Useful for university students.

Typology: Exams

2024/2025

Available from 05/20/2025

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ANCC Nursing Informatics Certification Review
Questions and Answers 100% Correct
1. HIPPAvonlyvappliesvtovorganizationsvthatvhavevelectronicvhealthvrecords.vTrue
False:vFalse
2. ThevInformaticsvnursevisvinvolvedvwithvmeasurevtovprotectvthevsecurityvandvconfidentiali
tyvofvpatientvdatavbecause:
a. itvisvavjointvcommissionvmandate
b. itvisvregulatedvbyvHIPPAvlegislation
c. thevmajorvcausevofvsecurityvbreachesvisvhumanverror
d. bothvBvandvCvarevcorrect:vd.vItvisvregulatedvbyvHIPPAvLegislationvandvThevMajorvcausevofvsecur
ityvbreechesvisvhumanverror.
3. Controlsvtovprotectvdatavprivacyvandvintegrityvarevbothvlogicalvand:
a. physical
b. analytical
c. theoretical
d. psychological:vb.vanalytical
4. Whichvofvthevfollowingvisvnotvavmechanismvforvprotectingvthevsecurityvofvhealthvdata:
a. Automaticvsign-offs
b. AvStrongvPassword
c. Havingvonevpasswordvpervnursingvunit
d. Firewalls:vC.vHavingvonevpasswordvpervnursingvunit.
5. Anvauditvtrailvisv:
a. avlogvofvwhichvprojectvmeetingsvandveventsvhavevbeenvcompleted
b. anvelectronicvtoolvthatvcanvtrackvsystemvaccessvbyvindividualvuservwhovviewedvavspe
cificvclientvrecord.
c. avproactivevtoolvtovmonitorvwhovwillvbevusingvavsystemvandvmodifyingvdata.
d. usedvprimarilyvasvavdatavintegrityvtool:vb.vanvelectronicvtoolvthatvcanvtrackvsystemvaccessvbyvin
dividualvuservwhovviewedvavspecificvclientvrecord.
6. DatavcanvbevrepresentedvbyvallvEXCEPT:
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ANCC Nursing Informatics Certification Review

Questions and Answers 100% Correct

  1. HIPPAvonlyvappliesvtovorganizationsvthatvhavevelectronicvhealthvrecords.vTrue False:v False
  2. ThevInformaticsvnursevisvinvolvedvwithvmeasurevtovprotectvthevsecurityvandvconfidentiali tyvofvpatientvdatavbecause: a. itvisvavjointvcommissionvmandate b. itvisvregulatedvbyvHIPPAvlegislation c. thevmajorvcausevofvsecurityvbreachesvisvhumanverror d. bothvBvandvCvarevcorrect:v d.vItvisvregulatedvbyvHIPPAvLegislationvandvThevMajorvcausevofvsecur ityvbreechesvisvhumanverror.
  3. Controlsvtovprotectvdatavprivacyvandvintegrityvarevbothvlogicalvand: a. physical b. analytical c. theoretical d. psychological:v b.vanalytical
  4. Whichvofvthevfollowingvisvnotvavmechanismvforvprotectingvthevsecurityvofvhealthvdata: a. Automaticvsign-offs b. AvStrongvPassword c. Havingvonevpasswordvpervnursingvunit d. Firewalls:v C.vHavingvonevpasswordvpervnursingvunit.
  5. Anvauditvtrailvisv: a. avlogvofvwhichvprojectvmeetingsvandveventsvhavevbeenvcompleted b. anvelectronicvtoolvthatvcanvtrackvsystemvaccessvbyvindividualvuservwhovviewedvavspe cificvclientvrecord. c. avproactivevtoolvtovmonitorvwhovwillvbevusingvavsystemvandvmodifyingvdata. d. usedvprimarilyvasvavdatavintegrityvtool:v b.vanvelectronicvtoolvthatvcanvtrackvsystemvaccessvbyvin dividualvuservwhovviewedvavspecificvclientvrecord.
  6. DatavcanvbevrepresentedvbyvallvEXCEPT:

a. text b. audio c. transmissionvwaves d. video:v a.vtext

  1. Thingsvtovconsidervrelatedvtovdisastervplanningvinclude: a. shouldvhavevonlyv 1 vdatabasevtovmakevitveasiervtovrecover b. allvdatavshouldvbevstoredvonsitevsovitvisvaccessible c. mustvhavevavsolidvcommunicationvplanvduringvdisastervandvrecovery. d. anvassociationvorvgroupvthatvshowsvuniformity:v C.vMustvhavevavsolidvcommu- vnicationvplanvduringvdisastervandvrecover.

d. Mapvthevcurrentvworkflow:v mapvthevcurrentvworkflow

  1. Whichvresourcevforvevidence- basedvresearchvisvprovidedvbyvthevNationalvLibraryvofvMedicine? a. BMJvPublishing b. CINAHL c. PubMed d. WorldvViewvonvEvidencevbased-vnursing:v PubMedvisvavresourcevforvevi-vdence- basedvresearchvthatvisvprovidedvbyvthevNationalvLibraryvofvMedicine,vwhich

wasvdevelopedvbyvthevNationalvCentervforvBiotechnologyvInformationv(NCBI).vPubMedvprovides vaccessvtovnumerousvdatabasesvwithv 24 vmillionvcitationsvfromvMEDLINEv(thevNationalvLibraryvofv Medicine'svbibliographicvdatabasevwithvreferencesvtovlifevsciencesvandvbiomedicalvsciences),vlife vsciencevjournals,vandvelectronicvbooksvwithvlinksvtovfullvtextvwhenvitvisvavailable.

  1. Whenvconsideringvtransitioningvtovcloudvstoragevandvassessingvvendors,vthevmostvcriti calvassessmentvrelatesvto: a. regulatoryvcompliance b. monitoringvmechanisms c. costvanalysis d. interoperability:v Thevmostvcriticalvassessmentvrelatesvtovcompliancevwithvregu- vlatoryvrequirementsvbecausevifvthevvendorvcannotvverifyvthatvthevcompanyvmeetsvHIPAAvrequir ementsvandvsatisfiesvthevCodevofvFederalvRegulationsvTitlev21,vPartv 11 v(whichvprovidesvregulatio nsvregardingvelectronicvrecordsvandvelectronicvsignatures),vthenvsecurityvofvpatientvdatavmayvbev inadequate.vOthervimportantvconsiderationsvin- vcludevcostvanalysisv(includingvcostvofvimplementationvandvongoingvcosts),vmonitoringvmechanis ms,vandvinteroperability.
  2. Whenvutilizingvavprioritizationvmatrixvtovprioritizevactivitiesvasvavprojectvmanager,vth evinformaticsvnursevmustvfirstvestablish: a. ratingvscalevandvcategories b. criteriavandvtimeframe c. criteriavandvratingvscale d. ratingvscalevandvtimeframe:v thevinformaticsvnursevmustvfirstvestablishvcriteriavandvavratingvsca le.vThevcriteriavincludesvthosevfactorsvthatvarevutilizedvtovdeterminevhowvimportantveachvproject vis;vforvexample,vavprojectvmandatedvbyvregulationsvisvmorevimportantvthanvavprojectvthatvmayvi mprovevcustomervsatisfaction.vAvratingvscalevforveachvprojectvshouldvbevestablishedvwithvnum ericvvaluesv(suchvasv 1 vtov10)vusedvtovdemonstratevhowveffectivevthevprojectvisvinvmeetingvthevcrite ria.vAvtypicalvprioritizationvmatrixvmayvhavevupvtovavdozenvcriteria.
  3. Anvadvantagevofvanvidentityvandvaccessvmanagementv(IAM)vsystemvisvthatvthevIAMvsyste m: a. providesvHIPAA-requiredvencryptionvforvPHI b. satisfiesvthevCodevofvFederalvRegulationsvTitlev21,vPartv 11

whichvincreasesvrisksvtovsecurity.vThevIAMvsystemvshouldvprovidevauthenticationv(singlevsign- invandvsessionvmanagement),vauthorizationv(basedvonvroles,vrules,vandvattributes),vuservmanage mentv(provisioningvandvpasswordvmanagement),vandvavcentralvdirectory.

  1. Whenvutilizingvavprioritizationvmatrixvtovprioritizevactivitiesvasvavprojectvmanager,vth evinformaticsvnursevmustvfirstvestablish: a. ratingvscalevandvcategories b. criteriavandvtimeframe c. criteriavandvratingvscale d. ratingvscalevandvtimeframe:v firstvestablishvcriteriavandvavratingvscale.vThevcriteriavincludesvth osevfactorsvthatvarevutilizedvtovdeterminevhowvimportantveachvprojectvis;vforvexample,vavprojectv mandatedvbyvregulationsvisvmorevimportantvthanvavprojectvthatvmayvimprovevcustomervsatisfac tion.vAvratingvscalevforveachvprojectvshouldvbevestablishedvwithvnumericvvaluesv(suchvasv 1 vtov10)vu sedvtovdemonstratevhowveffectivevthevprojectvisvinvmeetingvthevcriteria.vAvtypicalvprioritizationvm atrixvmayvhavevupvtovavdozenvcriteria.
  2. Anvadvantagevofvanvidentityvandvaccessvmanagementv(IAM)vsystemvisvthatvthevIAMvsyste m: a. providesvHIPAA-requiredvencryptionvforvPHI b. satisfiesvthevCodevofvFederalvRegulationsvTitlev21,vPartv 11 c. meetsvHIPAA'svSecurityvRulevrequirementsvregardingvaccessvtovPHI c.vmeetsvHIPAA'svPrivacyvRulevrequirementsvregardingvidentification:v providesvHIPAA- requiredvencryptionvforvPHI
  3. Whichvofvthevfollowingvstandardizedvnursingvterminologiesvisvcomprisedvofv(1)vavprobl emvclassificationvscheme,v(2)vanvinterventionvscheme,vandv(3)vavproblemvratingvscalevforv outcomes? a. NANDA-I b. PNDS c. OMAHA c.vICNP:v OMAHAvisvstandardizedvnursingvterminologyvthatvisvcomprisedvofv(1)vavproblemvclassifi cationvscheme,v(2)vanvinterventionvscheme,vandv(3)vavproblemvratingvscalevforvoutcome.vOMAHAv wasvdevelopedvbyvthevVisitingvNursevAssociationvinvOmaha,vNebraska,vinvthev1970svandvwasvlat ervdevelopedvfurthervthroughvresearchvprojectsvfundedvbyvthevUSvDepartmentvofvHealthvandvHu

manvServices.vOMAHAvisvinvthevpublicvdomainvbutvmustvbevusedvasvpublishedv(asvopposedvtovm odified).

  1. Thevsmallestvpossiblevpiecevofvdatavutilizedvinvcomputervprocessingvisvthe: a. byte b. zettabyte c. nibble

c. artificialvintelligence d. cognitivevinformatics:v AIv-vArtificialvIntelligence.vResearchersvinvartificialvintel- vligencevmustvengineervgeneralvintelligencevandvreasoningvskillsvintovthevartificialvintelligencevp rogramsvasvwellvasvthevabilityvtovdevelopvandvlearnvfromvexperiencesvandverrorsvandvtovprocessvn aturalvlanguage.vOnevexamplevofvanvartificialvintelligencevprogramvisvSiri,vwhichvrespondsvtovver balvqueriesvandvisvfoundvonvApplevdevices,vsuchvasvtheviPhonevandviPad.

  1. InvanvEHRvwithvCPOEvandvCDS,vallergyvalertsvshouldvbevtriggered: a. aftervordersvarevwritten b. onvphysicianvrequestvbyvaccessingvavlink c. beforevordersvarevwritten d. invresponsevtovcontraindicatedvdrugvorders:v invresponsevtovcontraindicatedvdrugvorder.
  2. Thevhuman-technologyvinterfacev(HTI): a. connectsvavuservdevicevtovthevInternet b. allowsvuservinteractionvwithvtechnology c. standardizesvapplicationsvutilizedvinvallvdevices d. allowsvaccessvtovthevtechnologyvonlyvtovauthorizedvpeople:v Allowsvuservinteractionvw ithvtechnology.
  3. Thevnursevinformaticistv(NI)visvworkingvonvthevimplementationvofvavreplace- vmentvlaboratoryvsystem.vOnevmajorvconsiderationvinvordervtovhavevavfullyvoperationalvsyst emvis: A. End-uservsupport B. Stressvtesting C. Executivevlevelvsupport D. Datavconversion:v D.vDatavConversionv- vAllvresponsesvarevimportant,vbutvinvordervtovmovevfromvonevsystemvtovanothervthevdatavneedsvtov bevmoved.
  4. Thevorganizationvhasvagreedvtovbevthevfirstvmajorvtestvsitevinvwhichvsoftwarevwillvbevinstall ed.vThisvsitevisvknownvasva/an: A. Primaryvsite B. Secondaryvsite C. Alphavsite D. Betavsite:v D.vBetavsite.vBetavsitevtestingvisvthevfinalvstagevofvtestingv(usuallyvbeforevcommercialv release).vPrimaryvandvsecondaryvsitesvarevnotvthevappropriatevtermsvandvalphavsitevisvanvinitialv phasevofvtestingvoftenvusedvinvdevelopmentvofvsoftware.
  5. ThevInformaticsvNursevSpecialistvisvdevelopingvavtestvscenariovtovdeterminevifvthevadmissi ons,vdischarge,vandvtransfervapplicationvwillvworkvwithvthevclinicalvdocumentationvandvlabora toryvresultsvreportingvmodulesvofvavlargervelectronicvhealthvrecord.vThisvisvknownvas:
  1. Thevimplementationvteamvhasvdeterminedvthatvthevconversionvtovthevnewvsystemvwillvo ccurvdepartmentvbyvdepartment,vwithvtwovweeksvinvbetweenveachvinstallation.vThisvisvknown vas: A. Parallelvinstallation B. Phasedvinstallation C. Bigvbangvinstallation D. Riskyvinstallation:v b.vphasevinstallationv-vPhasedvinstallationvisvwhenvthevimple- vmentationvisvdonevinvstages,vwherevonevphasevleadsvtovanother.
  2. Parallelvinstallationvdefined::v Parallelvinstallationvoccursvwhenvoldvandvnewvsystemvarevi mplementedvsimultaneously,vandvthev 2 vsystemsvrunvsimultaneouslyv(i.e.vpapervandvelectronic,v" old"vsystemvandv"new"vsystem).
  3. WhichvofvthevfollowingvisvNOTvavmajorvphasevinvimplementationvandvtest-ving? A. EducationvandvTraining B. Conversionvandv"GovLive C. OperationsvandvLanguagevBarriers D. ImplementationvStrategies:v C.vOperationsvandvlanguagevbarriers Rationale:vOperationsvandvLanguagevBarriersvarevnotvavmajorvphasevinvimplemen- vtationvandvtesting.
  4. Invavformalvplanvforvimplementationvandvtestingvitvisvnotvnecessaryvtovinclude: A. Teamvmembers B. Vendorvrepresentatives C. ExecutivevStaff D. CrisisvCoaches:v Crisisvcoaches. FormalvPlanvmustvinclude:v-vStaffv-vTeamvmembersv-vVendorsv-vExecutivevstaffv-vExternalvresources
  5. Avdomainvis: A. Avcopyvofvthevsoftwarevsystem,vorvenvironment,vinvavparticularvstate B. Anvimplementationvstrategyvinvolvingvreiteration C. Avgo-livevconversionvfactorvinvolvingvconversionvdiscrepancies D. Avdatavstoragevdevice:v A.vAvcopyvofvthevsoftwarevsystem,vorvenvironment,vinvavparticularvsta te.

Rationale:vAvdomainvisvavcopyvofvthevsoftwarevsystem,vorvenvironment,vinvavparticularvstate.vForvexa mple,vtestvsystemv(orvdomain);vdevelopmentvsystemv(orvdomain),vtrainingvsystemvandvproductio nvsystem.

  1. "Bugs"vinvcomputervlanguagevarevnotvreallyvinsects,vbut A. Avtestingvmethodology

includevtrainingvasvwellvasvhelpvdeskvoperations.

  1. Financialvevaluationvshould: A. Havevthevmaximumvbudgetvfinalizedvpriorvtovassessmentvandvpurchasesvofvpriorityvitem svconformedvtovthatvceiling,vwhichvwillvnotvbevadjusted B. Involvevprimarilyvcliniciansvworkingvtovdesignvthevsystem C. Includevbothvtangiblevandvintangiblevcosts D. Focusvonvcostsvforvstagesvonevandvtwovprimarily:v C.vIncludevbothvtangiblevandvintangiblevcos ts
  1. WhichvisvNOTvtruevaboutvbackupvandvrecovery: A. Usevmultiplevbackupvdevices B. PerformvbackupsvonvWednesdaysvduringvpeakvuse C. Usevfullvbackupsvtovminimizevthevtimevtovrestorevdatabases D. Testvthevbackupsvperiodicallyvtovmakevsurevdatavcanvbevrestored:v B.vPerformvbackupsvonvW ednesdaysvduringvpeakvuse Rationale:vBackupsvdovnotvneedvtovhappenvonvavparticularvdayvofvthevweek.vInvpracticevitvisvbestvtovba ckupvduringvperiodsvofvleastvuse.
  2. ThevInformaticsvNursevisvconcernedvwithvuservsupport.vProcedurevmanualsvwillvbevdevel opedvthatvwill: A. Includevpoliciesvthatvarevchangedvbyvthevsystem B. Describevhowvtovperformvbusinessvtasksvwhilevusingvthevsystem C. Providevstep-by-stepvinstructionsvonvhowvtovprogramvthevapplications D. Outlinevsecurityvcontrolsvinvthevsystem:v B.vDescribevhowvtovperformvbusinessvtasksvwhilevu singvthevsystem Rationale:vUsersvwillvneedvtovknowvhowvtovperformvtheirvjobvusingvthevautomatedvsystem.vMostvus ersvwillvnotvbevinvolvedvinvprogrammingvthevapplications,vonlyvusingvthem.
  3. Duringvthevevaluationvphasevwhichvofvthevfollowingvtoolsvarevusedvforvconstruction vandvconsistency? A. Settingvdefaults B. Amendingvthevdatabase C. Formattingvandvtransferringvdata D. Allvofvthevabove:v D.vallvofvthevabove Rationale:vAllvofvthevabovevarevtoolsvusedvforvconstructionvandvconsistency.
  4. WhichvofvthevfollowingvisvNOTvpartvofvdocumentationvtesting? A. Proofreading B. Subscribervcolorvpreferences C. Readabilityvandvaccuracy D. Punctuationvandvgrammar:v B.vsubscribervcolorvpreferences. Rationale:vSubscribervcolorvpreferencesvisvanvaspectvofvusability,vnotvdocumentationvtesting.

Rationale:vQualityvmonitoringvmayvincludevauditvtrails,vbutvitvisvmorevthanvonevmethodology.vItvisvav componentvofvavsystemvperformancevmaintenancevstrategy.

  1. Evaluationvandvsupport: A. Shouldvbevoutlinedvinvthevoriginalvprojectvplanvasvanvongoingvprocess. B. Arevunnecessaryvoncevthevimplementationvisvcomplete. C. Doesvnotvrequirevdedicatedvresources. D. Canvbevdonevbyvassignedvsupervusers:v a.vShouldvbevoutlinedvinvthevoriginalvprojectvplanva svanvongoingvprocess. Rationale:vEvaluationvisvavmajorvcomponentvofvthevsystemvdesignvlifevcyclevandvplanningvforvevalu ationvshouldvbevincludedvinvthevoriginalvprojectvplan.
  2. Workvflow: A. Almostvnevervchangesvwithvthevimplementationvofvavsystem B. Isvreflectedvsolelyvinvpoliciesvandvprocedures C. Changesvinvmanyvwaysvincludingvculture,vproductivity,vandvclinicalvpracticevduringvanvim plementation D. Canvbevdeterminedvbyvindividualvdepartmentsvandvspecialties:v C.vChangesvinvmanyvway svincludingvculture,vproductivity,vandvclinicalvpracticevduringvanvimple-vmentation Rationale:vWorkflowvWILLvchangevwithvthevimplementationvofvthevsystemvandvisvmorevthanvsim plyvdocumentingvpoliciesvandvprocedures.vThevworkflowvmustvbevdeterminedvorganization- widevandvnotvbevleftvtovindividualvdepartmentsvasvsystemsvandvprocessesvmustvbevintegrated.
  3. WhichvisvNOTvavtypevofvmaintenance? A. Corrective B. Preventative C. Flexible D. Emergent:v C.vFlexible Rationale:vAccordingvtovthevchartvinvthevModule,vthreevtypesvofvmaintenancevarevcorrective,vpreve ntative,vandvemergent.
  4. Whatvarevthevtechniquesvthatvapplyvalgorithmsvforvextractingvpatternsvfromvdatavstoredvi nvdatavwarehousesvthatvarevtypicallyvnotvapparentvtovhumanvdecisionvmakersvarevknownvas :

A. Datavminingvorvknowledgevdiscoveryvinvdatabases. B. Statisticalvgenerationvfromvwarehousedvdata c.vEvidencevgenerationvfromvwarehousedvdata d.vDatavretrievalvandvcleansing:v A.vDatavminingvorvknowledgevdiscoveryvinvdata-vbases