Solutions
The nurse understands that nursing informatics is recognized as a specialty area of practice by
which statement?
1. Research priorities for nursing informatics include the development of a standard nursing
language and the development of databases for clinical information.
2. A formal educational program at the master's level must be completed before a nurse is
eligible to sit for the credentialing examination.
3. As a differentiated practice, nursing informatics is focused upon the client, the environment,
health, and the nurse.
4. There is a need for nursing informatics interests to gain representation by work groups and
organizations within the United States. 1
Which statement by the nurse verifies that the nurse is "information literate"?
1. "I understand how to search for a website and evaluate its usefulness for health care needs."
2. "I utilize databases in the health care setting to input client information such as skin
condition."
3. "I use email over the Internet to correspond with clients and provide information."
4. "I can use software applications such as word processing, spreadsheets, and presentations."
1
, Nursing Informatics CH 1-4 Questions With
Solutions
The nurse gathers much data when caring for clients. Which is an example of the higher-level
"information" useful in caring for clients?
1. 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%.
2. Lab work results include an electrolyte panel and complete blood count with differential.
3. The client is a widowed 64-year-old black male admitted with prostatitis.
4. After receiving Rocephin (ceftriaxone sodium) 1.0 gram IV yesterday, the client reported
feeling better today. 4
Which statement best distinguishes the difference between information literacy and computer
literacy?
1. Information literacy is unnecessary in health care whereas computer literacy provides the basis
for computer order entry.
2. Information literacy is the foundation of the EHR whereas computer literacy helps the nurse to
access data.
3. A nurse can extrapolate data with computer literacy and not information skills.
4. Information literacy forms the basis for ongoing learning whereas computer literacy refers to a
familiarity with the use of personal computers 4
, Nursing Informatics CH 1-4 Questions With
Solutions
Which statement indicates the appropriate level of informatics competencies to the correct nurse?
1. A nurse informatics specialist extrapolates data to develop best practice model for indwelling
catheter care.
2. The novice nurse using a spreadsheet to document medication reactions.
3. An experienced staff nurse creates databases employing SNOMED.
4. A beginning nurse utilizes the Internet to integrate multidisciplinary languages. 1
Which statement regarding pressures that drive the health care delivery system today is not
accurate?
1. The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting.
2. Evidence-based practice is supported with technology that enables the health care provider to
utilize up-to-date research findings.
3. Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE).
4. Managed care may utilize disease management to identify clients with chronic conditions, and
treat them effectively to minimize complications and cost. 1
, Nursing Informatics CH 1-4 Questions With
Solutions
Describe at least three factors in the current healthcare delivery system that drive the
implementation of information technology in the acute care setting.
1. Patient safety
2. Nursing shortage
3. Evidence-based practice
4. Increased numbers of digital natives in nursing practice 4
Which action indicates the nurse is functioning as a knowledge worker?
1. 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.
2. 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.
3. 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.
4. 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.
3