ANCC Informatics Nursing

Question 1

A CDS alert fires 400 times per month but 92% are overridden by clinicians. This phenomenon is called:

Accepted Answer

Alert fatigue

Answer

Clinical relevance failure

Answer

False negative error rate

Answer

Usability deficit

Question 2

Which level of informatics competency is expected of ALL nurses regardless of specialization?

Accepted Answer

Basic computer and information literacy including EHR documentation and data retrieval

Answer

Ability to develop new clinical information systems

Answer

Proficiency in programming and database query languages

Answer

Leadership of health IT implementation projects

Question 3

Which principle of human factors engineering is most important when designing a medication reconciliation workflow in the EHR to prevent medication errors?

Accepted Answer

Designing systems that make it easy to do the right thing and difficult to make an error using forcing functions and error proofing

Answer

Increasing the number of alert pop-ups to ensure every discrepancy is flagged

Answer

Requiring nurses to memorize the medication reconciliation steps

Answer

Allowing each unit to develop its own custom medication entry screens

Question 4

Which of the following best describes interoperability in health information technology?

Accepted Answer

The ability of different health information systems to exchange and use clinical data seamlessly

Answer

The ability of a hospital EHR to generate billing reports

Answer

Security encryption used to protect patient data

Answer

The process of converting paper records to electronic format

Question 5

Which usability testing method involves observing nurses performing real tasks in the EHR and measuring time-on-task, errors, and satisfaction?

Accepted Answer

Summative usability testing with task-based performance metrics

Answer

Expert heuristic evaluation

Answer

Formative usability testing with think-aloud protocol

Answer

Cognitive walkthrough by the design team

Question 6

Under HIPAA, which represents a permitted use of PHI without requiring patient authorization?

Accepted Answer

Disclosing PHI to another treating provider for care coordination (treatment purpose)

Answer

Sharing a patient's HIV status with their employer for workplace accommodation

Answer

Selling de-identified patient data to a pharmaceutical company for marketing

Answer

Providing a patient's mental health records to their family member upon family request