Clinical Nurse Leader Certification Clinical Nurse Leader Certification Health Informatics & Technology

Question 1

Which federal legislation established meaningful use criteria for electronic health records (EHRs) in the United States?

Accepted Answer

Health Information Technology for Economic and Clinical Health (HITECH) Act

Answer

Health Insurance Portability and Accountability Act (HIPAA)

Answer

Affordable Care Act (ACA)

Answer

Emergency Medical Treatment and Labor Act (EMTALA)

Question 2

A CNL notices that nurses frequently override clinical decision support (CDS) alerts in the EHR. The most appropriate response is to:

Accepted Answer

Analyze override patterns to determine if alerts are irrelevant or poorly designed

Answer

Disable all CDS alerts to reduce workflow interruption

Answer

Report all nurses who override alerts to administration

Answer

Add more CDS alerts to reinforce clinical rules

Question 3

Under HIPAA, which action by a nurse constitutes a breach of protected health information (PHI)?

Accepted Answer

Texting a patient's diagnosis to a colleague using a personal smartphone

Answer

Discussing a patient's care with the treating physician in a private setting

Answer

Accessing the patient's chart to provide ordered care

Answer

Sharing de-identified data for quality improvement purposes

Question 4

Which term describes the ability of different EHR systems to exchange and use patient data seamlessly?

Accepted Answer

Interoperability

Answer

Redundancy

Answer

Data warehousing

Answer

Scalability

Question 5

When using telehealth to manage a patient with diabetes, the CNL should prioritize which nursing action?

Accepted Answer

Assessing patient's technology literacy and access to ensure equitable care delivery

Answer

Scheduling in-person visits exclusively for all diabetic patients

Answer

Avoiding telehealth because it cannot replace physical assessment

Answer

Documenting telehealth encounters differently than in-person visits per personal preference

Question 6

Which data type is most useful for the CNL when evaluating the impact of a new fall prevention protocol?

Accepted Answer

Outcome data: fall rates per 1,000 patient days before and after implementation

Answer

Process data: number of staff who attended fall prevention training

Answer

Input data: cost of purchasing non-slip footwear

Answer

Satisfaction data: nursing staff opinions about the new protocol