WGU C790 Nursing Informatics Exam 2023
Questions and Answers(Verified)
1. Staggers & Nelson Life Cycle - order: ANS 1.Analysis/Planning
2. Development/Design
3. Implementation
4. Maintenance/Support
2. What describes the maintenance phase of the system development
life cycle ANS The system is upgraded
3. Describe what phase of the system life cycle is the scope of the
proposed project identified ANS Planning
4. What is the next step in the system life cycle after a new health
information system has been purchased ANS Test the system
5. In which ways can the use of clinical decision support systems affect
health information technology and create a culture of safety within
health- care ANS It improves quality of care
1/8
,It improves patient satisfaction
6. What is a major reason to install a clinical decision support system
within healthcare information technology: It reduces errors
7. How does a clinical decision support system that uses ANSI and
WEDI support a culture of safety: By standardizing healthcare
information
ANSI: American National Standard Institute
WEDI: Workgroup for Electronic Data
Interchange
8. Why do healthcare facilities favor purchased information systems over
or- ganization-developed information systems ANS System
enhancements are pro- vided
9. What step in the project implementation of the electronic health record
relies heavily upon the ability of the super users ANS Manage go-live
activities and post go-live support
10.Which stage of the planning phase provides the high-level
direction needed to reach organizational goals ANS Strategic
2/8
,Planning
11.What initiates the life cycle of an information system: Identification
of a vision or need
12.Place the implementation steps of the electronic health record life cycle
in order from first to last: 1. Identify the problem/ need, obtain approval
and proceed with the project
2. Discover and understand the details or the need of the project
3/8
,3. Build, test and integrate system
components 4.Complete system test and
then deploy the solution
13. As a crucial part of the whole information technology (IT)
infrastructure (hardware, software, networks, operations, etc.) of the
organization, this step in the project implementation must be aligned with
the organization's mission and support the overall business goals.
Which part of the project implementation plan would this be ANS
Strategic planning
14.What is the correct order of the phases of an adaptive system develop-
ment life cycle with six core processes and multiple iterations ANS 1.
Identify the problem and obtain approval
2. Plan and monitor project
3. Discover and understand details
4. Design system components
5. Build, test, and integrate system components
6. Complete system tests and deploy the solution
15.Which system development life cycle approach does the waterfall
model describe ANS A Sequential approach
4/8
,16.During which phase of the system development life cycle (SDLC) are
new components and programs obtained and installed ANS Develop or
purchase
17. As the implementation phase of the system development life cycle
(SDLC) is occuring, a member of the project management team wants to
confirm that all bar code printers have been updates to work with the
new system.
What testing should be used ANS Hardwire testing
18. The nursing team has been charged with selecting a new
information system for managing patient census data.
Which system should be chosen ANS Open system
19. An institution is using the (SDLC) adaptive approach for developing
its new information system. The institution will need to be flexible
throughout development.
Which SDLC approach should be used ANS Agile Development
5/8
,20. A physician's office wants to adopt an electronic medical record. The
providers and staff are unsure which system will best suit the needs of
the office.
Which system development life cycle approach suits this practice ANS
Adaptive
21. A complex healthcare system is implementing a new electronic health
record system with multiple sites. The sites include both inpatient and
out- patient clinics.
Which SDLC is appropriate for this institution ANS Layered
22.Which interdisciplinary team role will a chief information officer under-
take when implementing a health information system ANS Chair of the
informa- tion steering committee
23.Who focuses on the enterprise, surrounding environment, resources,
quality issues, and business processes to support direct patient care
deliv- ery ANS Administrator
24.Which groups are responsible for standards development during
the implementation of a health information system ANS Physicians
Pharmacist
Registered
Nurses
25. A project manager working with the surgery department at a local
hos- pital wants to increase revenue by 20% within three years capturing
6/8
,lost charges. The current supply charge process is evaluated and found
to be dysfunctional. An automated dispensing system is identifies as a
possible solution. It is projected this system will pay for itself in six
months.
Which step in the tactical planning process is taking place ANS Feasibility
Study
26. An electronic medical record project has been implemented. The
execu- tive team has approved the system and signed for payment to the
vendor. The information technology manager has verified that items on
the issues list have been resolved.
In which phase is the project management team working ANS Closing the
project
27. An electronic health record project quality team is preparing to
present a benefit-cost analysis comparing two systems for the project
manager.
Which phase of project management is described ANS Planning
7/8
, 28.What is the name of the group of people who work together to
coordinate the implementation of electronic health record (EHR) project
ANS Steering Com- mittee
29. The information technology department of the local hospital has imple-
mented the Academic Center for Evidence-Based Practice (ACE) Star
Model of Knowledge Transformation to assist nursing staff to care for
patients with methicillin-resistant Staphylococcus aureus more effectively.
Which point of the ACE Star Model of Knowledge Transformation is least
useful in clinical decision making when using evidence-based practice to
problem solve ANS Discovery research
30. A nursing informatics nurse is assisting with testing the upgraded
mes- saging system that was added to the electronic health record.
Which test should be used ANS Integrated testing
31. The informatics nurse completes a strengths, weaknesses,
opportunities, and threats (SWOT) analysis of the organization's electronic
health record related to medication errors. The issue involves the spelling
of certain med- ications.
Which component of SWOT analysis is applicable given the risk to
patients?-
: Threats
32. A nursing administrator wants to change practices in the electronic
8/8
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