Nurse Executive Test Technology & Digital Applications 2 — Questions and Answers
Question 1: A nurse executive is evaluating EHR vendor proposals. Which criterion MOST directly impacts clinician efficiency at the point of care?
- Total cost of ownership over five years
- Workflow integration and screen navigation efficiency (Correct answer)
- Number of certified interfaces available
- Vendor market share and client base size
Correct answer: Workflow integration and screen navigation efficiency
Workflow integration and navigation efficiency directly affect how quickly clinicians can document and retrieve information at the bedside.
Question 2: Under HIPAA's Breach Notification Rule, what is the maximum number of days a covered entity has to notify affected individuals of a breach involving unsecured PHI?
- 30 days
- 45 days
- 60 days (Correct answer)
- 72 hours
Correct answer: 60 days
HIPAA requires covered entities to notify affected individuals within 60 days of discovering a breach of unsecured PHI.
Question 3: A nurse executive notices that nurses frequently override medication alerts in the BCMA system. The BEST initial intervention is to:
- Disable low-priority alerts system-wide
- Audit override reasons and retune alert thresholds with pharmacy and informatics (Correct answer)
- Discipline nurses who override alerts without documentation
- Replace the BCMA system with a newer vendor product
Correct answer: Audit override reasons and retune alert thresholds with pharmacy and informatics
Auditing override reasons and retuning alert thresholds reduces alert fatigue while preserving clinically meaningful warnings.
Question 4: Which data governance role is PRIMARILY responsible for defining data definitions, quality standards, and appropriate use policies for a specific clinical domain?
- Chief Information Officer
- Data Steward (Correct answer)
- Database Administrator
- Health Information Manager
Correct answer: Data Steward
A data steward owns the business rules and quality standards for data within their designated domain.
Question 5: A telehealth program is being launched for rural patients with chronic conditions. Which federal regulation governs licensure reciprocity for nurses providing telehealth across state lines?
- HITECH Act
- Nurse Licensure Compact (NLC) (Correct answer)
- Affordable Care Act Section 5510
- Ryan Haight Online Pharmacy Consumer Protection Act
Correct answer: Nurse Licensure Compact (NLC)
The Nurse Licensure Compact allows RNs and LPNs to practice across member state lines with one multistate license.
Question 6: When implementing a new clinical decision support (CDS) tool, the nurse executive should FIRST ensure that:
- The vendor provides a 24/7 help desk
- Clinical staff receive overtime pay for training hours
- Workflows and evidence base are validated by frontline clinicians before go-live (Correct answer)
- IT department approves the interface architecture
Correct answer: Workflows and evidence base are validated by frontline clinicians before go-live
Validating workflows and evidence with frontline clinicians before go-live ensures CDS recommendations are contextually appropriate and increases adoption.
Question 7: A hospital's remote patient monitoring (RPM) program generates large volumes of wearable data. The MOST appropriate first step in managing this data influx is to:
- Store all raw data indefinitely in the EHR
- Define clinical thresholds that trigger actionable alerts versus background data archiving (Correct answer)
- Hire additional nurses to review every data point manually
- Limit RPM enrollment to reduce data volume
Correct answer: Define clinical thresholds that trigger actionable alerts versus background data archiving
Defining alert thresholds ensures clinicians receive only actionable notifications, preventing data overload while maintaining patient safety.
Nurse Executive Test Technology & Digital Applications 2
A nurse executive is evaluating EHR vendor proposals.
Which criterion MOST directly impacts clinician efficiency at the point of care?