Informatics Nurse Test Clinical Decision Support Systems 2

Question 1

Which CDSS knowledge representation format uses IF-THEN logic to encode clinical rules?

Accepted Answer

Arden Syntax

Answer

HL7 FHIR

Answer

SNOMED CT

Answer

ICD-10

Question 2

A 'hard stop' in a CDSS workflow means:

Accepted Answer

The clinician must change the order or obtain an override before proceeding

Answer

The system logs the event and continues

Answer

The alert is silent and sent only to a pharmacist

Answer

The order is automatically cancelled

Question 3

In CDSS governance, who is primarily responsible for approving new clinical alert rules?

Accepted Answer

A multidisciplinary Clinical Decision Support Committee

Answer

The EHR vendor

Answer

The hospital billing department

Answer

The network security team

Question 4

Which outcome measure indicates that a CDSS medication alert is clinically valuable?

Accepted Answer

Reduction in adverse drug events following implementation

Answer

High volume of alerts generated

Answer

Increased time spent on documentation

Answer

Lower nurse satisfaction scores

Question 5

CDS Hooks is a standard used to:

Accepted Answer

Integrate CDSS services with EHR workflows via web service calls

Answer

Encrypt patient data during transmission

Answer

Create nursing care plans automatically

Answer

Connect lab analyzers to the EHR

Question 6

An informatics nurse notices that a sepsis screening CDSS alert fires for nearly every patient in the ED. The BEST next step is to:

Accepted Answer

Analyze the alert logic and triggering criteria for potential refinement

Answer

Disable the alert immediately

Answer

Increase the number of alerts to catch more cases

Answer

Escalate to hospital administration without further analysis