ANCC Informatics Nursing 2

Question 1

To evaluate whether a new EHR fall risk assessment tool improves patient outcomes, which study design provides the strongest evidence?

Accepted Answer

Randomized controlled trial comparing units using the tool versus standard care

Answer

A randomized controlled trial (RCT) provides the highest level of evidence by controlling for confounding variables through random assignment, allowing causal inference.

Question 2

What does CPOE stand for and what is its primary patient safety benefit?

Accepted Answer

Computerized Physician Order Entry — eliminates handwriting-related errors and enables real-time CDS

Answer

CPOE enables electronic medical orders, eliminating illegible handwriting and transcription errors, and enabling real-time CDS including drug interactions, allergy checks, and dosing alerts.

Question 3

What is the primary purpose of SNOMED CT in clinical documentation?

Accepted Answer

Standardized clinical terminology to enable consistent, computable clinical concepts across systems

Answer

SNOMED CT is a comprehensive multilingual clinical terminology providing standardized, computable clinical concepts for documentation, semantic interoperability, and data analytics.

Question 4

During EHR downtime, which nursing documentation practice is essential to ensure patient safety and data integrity when the system comes back online?

Accepted Answer

Use standardized paper downtime forms then back-enter all data into EHR during reconciliation

Answer

Effective EHR downtime management requires pre-established paper-based backup processes for documentation, followed by systematic back-entry and reconciliation when the system is restored.

Question 5

What does 'meaningful use' (now called 'Promoting Interoperability') of EHRs refer to?

Accepted Answer

A CMS incentive program requiring certified EHR technology use to improve quality, safety, and care coordination in exchange for Medicare/Medicaid payments

Answer

Meaningful Use (now Promoting Interoperability under CMS) is the federal incentive program established by the HITECH Act requiring specific EHR use criteria to receive Medicare/Medicaid incentive payments and avoid payment penalties.

ANCC - American Nurses Credentialing Center Practice Test

ANCC - American Nurses Credentialing Center Practice Test

ANCC Informatics Nursing 2