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NR599 Final Exam: Questions & Accurate Answers
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NR599 Final Exam: Questions & Accurate Answers
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NR599 Final Exam: Questions & Accurate AnswersWhy is it difficult to integrate information from all hospital departments into a
single hospital information system?
a. Individual departments want to obtain & maintain specialized systems
b. Hospital departments are organized along vertical lines while the
continuum of care for patients flows along horizontal lines
c. Patient care systems & financial management systems are incompatible
with each other
d. Each department is required by law & the Joint Commission on
Accreditation of Hospitals& Health Care Organizations to maintain specific
information for billing & accreditation purposese. Individual departments do
not see the value in comprehensive patient records Right Ans - b. Hospital
departments are organized along vertical lines while the continuum of care
for patients flows along horizontal lines
The nurse understands that nursing informatics is recognized as a specialty
area of practice by which statement? (CO 7)
There is a need for nursing informatics interests to gain representation by
work groups and organizations within the United States.
The use of information and computer technology as a tool to process
information to support all areas of nursing, including practice, education,
administration and research.
A formal educational program at the master's level must be completed before
a nurse is eligible to sit for the credentialing examination.
As a differentiated practice, nursing informatics is focused upon the client, the
environment, health, and the nurse. Right Ans - The use of information and
computer technology as a tool to process information to support all areas of
nursing, including practice, education, administration and research.
Which statement by the nurse verifies that the nurse is "information literate"?
(C0 1)
"I can use software applications such as word processing, spreadsheets, and
presentations." "I utilize databases in the health care setting to input client
information such as skin condition."
,"I use email over the Internet to correspond with clients and provide
information."
"I understand how to search for a website and evaluate its usefulness for
health care needs." Right Ans - "I understand how to search for a website
and evaluate its usefulness for health care needs."
The nurse gathers much data when caring for clients. Which is an example of
the higher-level "information" useful in caring for clients?
Lab work results include an electrolyte panel and complete blood count with
differential.
After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the
client reported feeling better today.
The client is a widowed 64-year-old black male admitted with prostatitis.
The vital signs are BP of 130/70, HR of 88, RR of 24, temperature of 98.8
degrees F., and oxygen saturation of 98%. Right Ans - After receiving
Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today.
Which statement best distinguishes the difference between information
literacy and computer literacy? (CO 1)
Information literacy is the foundation of the EHR whereas computer literacy
helps the nurse to access data.
A nurse can extrapolate data with computer literacy and not information
skills.
Information literacy forms the basis for ongoing learning whereas computer
literacy refers to a familiarity with the use of personal computers.
Information literacy is unnecessary in health care whereas computer literacy
provides the basis for computer order entry. Right Ans - Information
literacy forms the basis for ongoing learning whereas computer literacy refers
to a familiarity with the use of personal computers.
, Which statement regarding pressures that drive the health care delivery
system today is not accurate? (CO 7)
Evidence-based practice is supported with technology that enables the health
care provider to utilize up-to-date research findings.
Managed care may utilize disease management to identify clients with chronic
conditions, and treat them effectively to minimize complications and cost.
The current and projected nursing shortage may be eliminated by instituting
technology enhancements in the acute care setting.
Medication errors and adverse events may be reduced with the
implementation of computerized physician order entry (CPOE). Right Ans -
The current and projected nursing shortage may be eliminated by instituting
technology enhancements in the acute care setting.
Which action indicates the nurse is functioning as a knowledge worker? (CO
1)
The nurse obtains the client's vital signs of BP-120/82, P-112, and R-32, totals
up the intake of 1040 ml and the output of 1100 ml, and records these data in
the electronic medical record. The nurse auscultates hypoactive bowel sounds
while doing a client assessment eight hours
postoperatively after abdominal surgery and documents the assessment in the
electronic medical record.
The nurse auscultates diminished breath sounds in a postoperative client the
morning after abdominal surgery and encourages the client to turn, cough,
and deep breathe every hour instead of every two hours.
The nurse administers four units of regular insulin to the client whose blood
glucose is 240 at 11:30 a.m. per physician's sliding scale orders and
documents it on the electronic medical administration record. Right Ans -
The nurse auscultates diminished breath sounds in a postoperative client the
morning after abdominal surgery and encourages the client to turn, cough,
and deep breathe every hour instead of every two hours.
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