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PREASSESSMENT: TECHNOLOGY APPLICATIONS IN

1.
A patient presents to the inpatient unit following surgery. The receiving nurse has not heard a report from
the operating room (OR) nurse. The patient is experiencing great discomfort, and the receiving nurse
wishes to see the documentation for any pain medication given by the previous nurse. The leadership has
not achieved meaningful use stage 2 yet.

Which point of care system software will improve communication?

YOUR CORRECT
ANSWER ANSWER

Laboratory information system

Computerized provider order entry

Picture archiving communication system

Electronic medication administration record

2.
A medical facility meaningful use objective is to develop a health IT system. The medical facility objective
is to improve patient engagement. In order to improve patient engagement it will be necessary to
communicate with patients through a patient portal.

What will be needed for this implementation?

YOUR CORRECT
ANSWER ANSWER

Local area network

Open source software

Interoperability protocols

Clinical work ow analysis

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3.
Leadership at a healthcare organization implements a new electronic healthcare record system without
performing appropriate work ow analysis. The staff stopped using the system within one week and the
implementation was unsuccessful.

What is the primary issue that contributed to the implementation's failure?

YOUR CORRECT
ANSWER ANSWER

Lack of a physician champion

Failure to incorporate legacy data

Failure to select an appropriate vendor

Lack of communication from management

4.
A healthcare organization implemented a new electronic health records system using an in-house server.
From the rst week of go-live, users complained that the system was too slow and was unusable when a
lot of users were entering data at the same time. The information technology department has determined
the issue to be an infrastructure problem.

What should have been the foreseeable cause of the system performance problem?

YOUR CORRECT
ANSWER ANSWER

The server room is too hot.

The network cable runs are too long.

The server was con gured incorrectly.

The user access privileges are inadequate.

5.
A patient is at high risk of stroke. The patient's physician is concerned about adherence to the
recommended weight loss and diet recommendations. The physician is on an integrated hospital
management information system (HMIS).

Which documentation format will ensure accurate and timely data is presented to the physician?
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YOUR CORRECT
ANSWER ANSWER

Manual logging of data in a logbook for entry into the HMIS

Data sent to the HMIS from a wearable device that tracks in real time

HMIS alerts about out-of-range readings sent to the patient via a patient portal

Record of symptoms completed by patient via a paper report and faxed to HMIS

6.
A hospital realizes patients are expecting access to personal health records on demand. In response, they
want to build a mobile health application that would be widely adopted and meet the needs of the
majority of the patients.

Which feature of the mobile healthcare application should be the focus to meet these goals?

YOUR CORRECT
ANSWER ANSWER

Speed and accuracy

Security and ease of use

Designed for use on speci c devices

Immediate use of emerging platforms

7.
As part of an enterprise implementation of a new electronic health record, a healthcare organization
decides to migrate 10 years of legacy data from the previous system into a cloud.

What are two bene ts to this organization by doing this?

Choose 2 answers
 

YOUR CORRECT
ANSWER ANSWER

Decreased data storage costs

Quicker learning curve among clinical staff

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YOUR CORRECT
ANSWER ANSWER

Preservation of the longitudinal patient record

Improved quality assurance testing during implementation phase

8.
Social media has changed the way patients access and share medical information. One of the most active
groups of information seekers is made up of those who suffer from rare or chronic conditions.

What does this new technology offer these patients?

YOUR CORRECT
ANSWER ANSWER

Blogs that are reviewed by medical professionals

Communication with people who have similar conditions

Experimental treatment options that are available for use

Research on conditions that has been validated for accuracy

9.
A patient diagnosed with cancer is searching the Internet for more information about the condition.

Which website would be helpful to this patient?

YOUR CORRECT
ANSWER ANSWER

Advertisement about cures using essential oils

Presentation of oncologists and their biographies

Online support group of patients with the same condition

Summary of alternative treatments and their success rates

10.

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A privacy of cer for a small hospital recently discovered that radiology reports were being e-mailed by
the transcription service to the radiology department to be added to the electronic medical record.

Which secure method should be used for transmitting reports?

YOUR CORRECT
ANSWER ANSWER

Transmit the les through a direct interface to the electronic medical record

Set up a local area network for transmitting the les directly to the department

Send and receive dictation and transcribed les through a HIPAA-compliant tran-
scription application service

Transmit les in PDF format so they cannot be edited by those attaching them to
the Electronic Health Record

11.
A practice must provide patients with a clinical summary at the conclusion of the visit to meet meaningful
use standards.

Which risk is possible when providing patients with clinical summaries after each visit?

YOUR CORRECT
ANSWER ANSWER

Patients may ask more questions about the lab tests ordered.

Patients may discuss the clinical summary with family and friends.

Patients may give a copy of the clinical summary to other physicians.

Patients may leave paper copies behind in areas accessible to other patients.

12.
A doctor’s of ce is concerned that it needs to nd an effective way to reduce medical error and increase
patient safety.

Which system will address these concerns?

YOUR CORRECT
ANSWER ANSWER

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YOUR CORRECT
ANSWER ANSWER

ERP

CRM

CDSS

CPOE

13.
A hospital's chief operations of cer is interested in how many patients have urology surgery versus other
surgeries.

Which dataset should be queried for this information?

YOUR CORRECT
ANSWER ANSWER

EMR plan of care

CMS core measures

ICD 9/10 diagnosis code

ICD 9/10 procedure code

14.
A chief nursing of cer noticed that the number of patient complaints after discharge from the cardiac
medical unit increased over the past three months. The director of client services is requested to identify
the top reasons for patient complaints.

Which tool should be used to obtain this information?

YOUR CORRECT
ANSWER ANSWER

EMR follow-up call module

Customer risk management software

Customer relationship management software

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YOUR CORRECT
ANSWER ANSWER

Administrative services complaint spreadsheet

15.
A team leader of a hospital is trying to improve access to personal medical records as well as educational
materials for all people who receive treatment at the hospital.

Which system should the team leader implement?

YOUR CORRECT
ANSWER ANSWER

Clinical database

Online patient portal

Electronic health records

Health information exchange

16.
A leader of a steering committee at a local hospital is overseeing the implementation of a computerized
physician order system. In addition, the team leader is working with the marketing department to
advertise the bene ts of the system to providers who may be hesitant to embrace the new technology.

What is one bene t to providers?

YOUR CORRECT
ANSWER ANSWER

Viewing radiological images online

Saving charting time by bundling orders

Copying and pasting orders between records

Sending a radiological image back to the PACS

17.

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A patient visits a provider and is admitted to the hospital. The hospital and provider have achieved stage 2
meaningful use and are part of a health information exchange.

How can the admitting hospital use the health information exchange to obtain this patient's information?

YOUR CORRECT
ANSWER ANSWER

Call the provider

E-mail the provider

Review the patient portal record

Access the summary of care record

18.
Two facilities in the same state are members of the state operated health information exchange (HIE).
Both facilities have different electronic health record (EHR) systems and wish to exchange information
with the HIE system.

What should be used?

YOUR CORRECT
ANSWER ANSWER

Virtual care team

Health Level 7 (HL7) standard

Interface engine links to databases

Clinical Document Architecture

19.
A hospital was contacted to join a community-based health information exchange (HIE). During the initial
meeting, representatives from the IT department discussed the system requirements. The team's goal is to
make sure that data integrity and timeliness is ensured.

Which standard will support the accomplishment of this goal?

YOUR CORRECT
ANSWER ANSWER

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YOUR CORRECT
ANSWER ANSWER

HL7

HIPAA

LOINC

SNOMED

20.
A physician’s of ce sends all urine specimens out to an independent reference lab for culture. The
reference lab is on a different computerized patient record system that does not interface with the
physician’s of ce system, and results must be entered into the patient records manually by the staff at the
physician’s of ce.

Why is this scenario a concern?

YOUR CORRECT
ANSWER ANSWER

The data must be entered by a physician

Manual entry requires a high level of experience

Entering the data manually increases the risk of errors

Retrieval of the results is delayed to the lack of interface

21.
To create an integrated healthcare delivery system, a hospital formed linkages with other healthcare
entities such as physicians, insurers, and providers.

What is a bene t of this system to the patient?

YOUR CORRECT
ANSWER ANSWER

Shared risk

Eliminated cost shifting

Increased quality of care

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YOUR CORRECT
ANSWER ANSWER

Decreased unnecessary resource use

22.
To create an integrated healthcare delivery system, a hospital formed linkages with other healthcare
entities such as physicians, insurers, and providers.

What is a bene t of this system to the provider?

YOUR CORRECT
ANSWER ANSWER

Increased care quality

Enhanced network security

Seamless continuum of care

Improved community health status

23.
An elderly patient with chronic obstructive pulmonary disease (COPD) is not able to move around easily.
The patient lives alone, but is part of an outpatient telemedicine service offered by the local hospital that
collects data transmitted daily by the patient.

Which technical concern is a common challenge that should be anticipated for the remote service?

YOUR CORRECT
ANSWER ANSWER

The physician is not able to access the patient's data.

The data cannot be transmitted because the WIFI is down.

The patient has forgotten how to operate the remote device.

The nurse who manages the service has not been trained on the device.

24.

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In a rural hospital, psychiatric services are not available. The doctor decides to order a telepsych consult
from a psychiatric hospital on a patient with a long history of depression who is being seen for in uenza A
with IV antibiotics.

What is a bene t of contacting this psychiatrist?

YOUR CORRECT
ANSWER ANSWER

Drug interactions can be prevented.

The patient can obtain antidepressants.

There will be a higher reimbursement of payment.

The hospital can avoid any credentialing concerns.

25.
A large urban hospital wants to implement an information and communications technology (ICT). The
hospital is about to relocate and existing systems are failing. It needs to centralize its resources and unify
several databases.

Which information do stakeholders need to determine if this change is executable for the hospital?

YOUR CORRECT
ANSWER ANSWER

Open-source licensing costs

Identi cation of a project champion

A plan to ensure the project aligns with the organization's long-term goals

Options for the proposed servers to be implemented at the new location

26.
Which executive leader is responsible for managing the data, technology, end-users, and functional task
components during the implementation of an information system?

YOUR CORRECT
ANSWER ANSWER

CIO

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YOUR CORRECT
ANSWER ANSWER

CFO

CEO

CMO

27.
A women’s health clinic wants to add a clinical decision support system to help them identify women at
elevated risk of inheritable breast cancer. This tablet-based system will prompt patients for additional
information prior to their appointment while in the waiting area. The organization needs to automate
processes and streamline usage of this new system.

Which step should be taken to meet this goal?

YOUR CORRECT
ANSWER ANSWER

Eliminating less-common prompts from question sets

Implementing sensor-based inputs to simplify data entry

Training users on how to use the system more ef ciently

Building interfaces to retrieve relevant data from the medical record

28.
A vendor is implementing the picture archiving and communication system portion of an electronic health
record at a clinic. The training needs to focus on the correct end users.

How can the correct end users be ensured in advance?

YOUR CORRECT
ANSWER ANSWER

Include end users in the planning process

Determine the appropriate training program

Perform a work ow analysis during planning

Train the entire group of end users at one time

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29.
A clinic has adopted an electronic health records system. A provider at the clinic is consistently behind
schedule because the physician likes to write down all instructions for patients.

Which feature of this new system will help this provider?

YOUR CORRECT
ANSWER ANSWER

Problem list

Patient portal

Provider notes

Clinical summary

30.
Providers at a medical clinic are frustrated about needing to remain at the of ce late to return patient
phone calls. They are considering adopting an electronic health records system.

Which feature of the electronic health records system will ease the burden of returning patient calls?

YOUR CORRECT
ANSWER ANSWER

Patient portal

Decision support

Voice messaging

Clinical summary

31.
Northeast Regional Hospital, a state-owned institution, is facing severe nancial cutbacks due to the
nancial recession in its home state. Senior executives propose that adopting certain software
applications may result in substantial nancial savings.

What is a critical success factor for computerized physician order entry system implementation in this
case?

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YOUR CORRECT
ANSWER ANSWER

Will result in higher patient satisfaction scores

Will reduce costs related to duplication of expensive testing

Medications are easily tracked preventing duplicate dispensing

Orders are easy to read since they are typed instead of being handwritten

32.
A doctor is entering patient medication orders into the computerized physician order entry system
(CPOE). A window pops up with the following message:

"Medication Y is contraindicated as the patient is currently on a non-steroid medication. Do you want to

Which feature of the CPOE does this action demonstrate?

YOUR CORRECT
ANSWER ANSWER

Alert

Reminder

Reference to literature on Medication Y

Reference to literature on non-steroids

33.
Following the decision to proceed with a picture archiving and communication system installation, an
organization will conduct a needs assessment.

What is required as part of this assessment?

YOUR CORRECT
ANSWER ANSWER

Pulling out the old system and rolling out the new system

Identifying the difference between the current and desired state

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YOUR CORRECT
ANSWER ANSWER

Analyzing the increase in cost between the old and new systems

Finding a vendor and starting implementation as soon as feasible

34.
A hospital is replacing many of its legacy applications with an integrated electronic health record (EHR).
The hospital needs to allow access to legacy data to ful ll data retrieval requirements.

Which method will allow this access with the least risk?

YOUR CORRECT
ANSWER ANSWER

Continue to run the applications as they were on date of cutover

Convert existing data on other systems to a centralized repository

Print reports of data to PDF les and store at a document storage facility

Power down systems and return to service when needed for data access

35.
Given the following helpdesk prioritization graphic for an organization:

The chief information of cer’s personal computer (PC) will not boot. The CIO is working on a presentation
for a meeting tomorrow for all C-level administrators and does not want to postpone the presentation if at
all possible. The failure is with the PC.

In which helpdesk priority level does this issue fall?

YOUR CORRECT
ANSWER ANSWER

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YOUR CORRECT
ANSWER ANSWER

Priority 1

Priority 2

Priority 3

Priority 4

36.
Which system is responsible for the storing, archiving, digitizing, and delivering radiology images?

YOUR CORRECT
ANSWER ANSWER

LIMS

PACS

CDSS

DICOM

37.
The move to an electronic health record system has a big impact on the safety of the care delivered.

What metric will show how the system implementation has impacted patient safety?

YOUR CORRECT
ANSWER ANSWER

Pharmacy re ll turnaround times

Time spent by nurses charting on patients

Number of alerts identifying potential adverse drug events

Percentage of orders completed by computerized physician order entry

38.

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A psychiatric hospital budgeted for and implemented electronic health records (EHR) system and
integrated practice management (PM) system.

Which metric will indicate a reduction in billing errors and improvement in revenue cycle?

YOUR CORRECT
ANSWER ANSWER

Amount of cash ow

Number of medication errors

Amount of paper and of ce supplies purchased

Number of billing and coding full-time employees

39.
A hospital's six-month strategic plan includes reducing medication errors by implementing an electronic
medication administration system (eMAR) with barcode scanning. Information Technology's (IT) current
project load does not provide resources for such a project for one year.

How should the IT project manager respond?

YOUR CORRECT
ANSWER ANSWER

Recommend the accommodation of the eMAR project

Accept the project and tell staff to t it into their schedules

Let the eMAR vendor manage the project and provide the resources

Tell the board of directors that IT cannot take on the project for a year

40.
A leadership team at a hospital wishes to improve patient care by integrating clinical decision support
system (CDSS) with the electronic health records (EHR) system. The chief information of cer (CIO) is
resisting this because the EHR system just went live and is still in the six-month stabilization period.

What should the CIO do?

YOUR CORRECT
ANSWER ANSWER

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YOUR CORRECT
ANSWER ANSWER

Decline the CDSS project altogether.

Implement the CDSS while the EHR is still in the stabilization period.

Identify project constraints and place the CDSS on future project calendar.

Reassign resources to speed up EHR stabilization to accommodate this CDSS

41.
A healthcare organization is implementing a patient portal to improve communication with providers. The
board has approved a vendor, and the purchase and acquisition will occur in the next quarter. The vendor
has completed the feasibility analysis and the initial system testing.

What should be this organization's next step to effectively implement this system?

YOUR CORRECT
ANSWER ANSWER

Planning

Directing

Controlling

Organizing

42.
After a recent software upgrade, the emergency department registration is nding duplicate patient
records.

Which data stewardship concern is occurring?

YOUR CORRECT
ANSWER ANSWER

Integrity

Security

Transparency

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YOUR CORRECT
ANSWER ANSWER

Con dentiality

43.
A nurse leaves a telephone message for a patient that lists the next appointment date, the patient's
medical condition, and the treatment plan.

How did the nurse violate Health Insurance Portability and Accountability Act (HIPAA) guidelines?

YOUR CORRECT
ANSWER ANSWER

Gave the date of the next appointment

Disregarded the minimum necessary standard

Neglected to mail a letter before leaving a phone message

Left a recorded message instead of speaking to the patient

44.
A clinic's policy is to leave appointment reminders on voicemail of patients who have given written
authorization. A clerk at the clinic is leaving messages including the name of the clinic, name of the
procedure, and con rmation of the time. The clerk is told that this type of message violates the clinic's
privacy policy.

What should the clerk be told to change about the appointment reminders?

YOUR CORRECT
ANSWER ANSWER

Omit the name of the clinic

Withhold the name of the procedure

Wait until you reach the patient directly

Provide a written appointment reminder

45.

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A nurse employed by a university clinic saw a student who complained of a headache. After taking the
student's temperature, the nurse asked the student about their medical history. This information was left
out on the desk when the nurse left for lunch.

Which violation has occurred?

YOUR CORRECT
ANSWER ANSWER

GLBA

HIPAA

FERPA

HITECH

46.
A hospital has provided physicians with electronic mobile devices so they can access patients’ health
records easily.

Which security measure must also be put into place?

YOUR CORRECT
ANSWER ANSWER

Access control list for the device

Token and password requirements

Biometric identi ers on the home screen

Device encryption with password requirement

47.
A hospital experiences a breach involving a stolen laptop. The laptop was unencrypted, and contained the
electronic health records of 517 patients.

Which action must the administrator take in response to this breach, according to the Health Information
Technology for Economic and Clinical Health Act (HITECH)?

YOUR CORRECT
ANSWER ANSWER

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YOUR CORRECT
ANSWER ANSWER

The administrator must report the breach to the Secretary of HHS immediately,
and notify affected patients through prominent media outlets.

The administrator must report the breach to the Secretary of Health and Human
Service (HHS) immediately, and contact each affected patient by phone.

The administrator must record the breach and include the details in the hospital’s
annual report to the Secretary of HHS, and send a notice to all patients via rst
class mail.

The administrator must record the breach and include the details in the hospital’s
annual report to the Secretary of HHS, and notify affected patients through
prominent media outlets.

48.
An often overlooked asset in an enterprise when looking at security is the multifunction printer (MFP). An
unsecured MFP is a prime target for hacking into the enterprise.

Which key regulation requires manufacturers to eliminate exposure to the network and the organization's
data to hacking or data compromise?

YOUR CORRECT
ANSWER ANSWER

Sarbanes-Oxley Act

Family Education Rights and Privacy Act

Health Insurance Portability and Accountability Act

Health Information Technology for Economical and Clinical Health

49.
A healthcare organization wants to establish an IT security program and is fully aware of the basic
framework requirements. They will begin by addressing key risk management goals.

Which two goals should leadership target rst?

Choose 2 answers
 

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YOUR CORRECT
ANSWER ANSWER

Send security team to advanced training

Developing a security management program

Selecting technology to track system breaches

Executing an information security risk assessment

50.
A hospital wants to use state-of-the-art clinical and information technology. The medical data ow in the
network will be extensive so security goals must be ensured.

Which technology will help meet this goal?

YOUR CORRECT
ANSWER ANSWER

Wireless infrastructure

Biometric authentication

Robust network backbone

Uni ed communication solution

51.
The neurology of ce training program includes review of the current policy of ensuring at least two phone
calls are attempted to the patient to relate test results before leaving the test results on the patients
answering machine/voicemail.

Which concern should the privacy of cer have with the current policy?

YOUR CORRECT
ANSWER ANSWER

Communication of protected health information (PHI) should only be given to the

Protected health information (PHI) should be blinded before communicating to

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YOUR CORRECT
ANSWER ANSWER

There must be three attempts of contact before protected health information

Phone calls should be documented when communicating protected health infor-

52.
An established dialysis center is acquired by a healthcare system. There is a need to review how
information will ow from the newly acquired dialysis center into the billing system of the acquiring
healthcare system.

Which HL7 concept will ensure seamless billing in this situation?

YOUR CORRECT
ANSWER ANSWER

IDC/CPT clinical coding accuracy

Coding dictionary interface operability

Physician documentation completeness

Wireless encryption with security interface

53.
A patient arrives in the emergency department (ED) and requests his medical record. The clerk in the ED
prints it and gives it to the patient.

What is required to be in compliance with the Health Insurance Portability and Accountability Act?

YOUR CORRECT
ANSWER ANSWER

Driver's license of patient

Healthcare power of attorney

Authorization for release of information

Patient account balance is not past due

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54.
A local hospital has decided to incorporate single sign-on authentication with facial recognition and
desktop virtualization into its clinical and administrative information technology systems.

Which two vulnerabilities will be mitigated by doing this?

Choose 2 answers
 

YOUR CORRECT
ANSWER ANSWER

HIPAA non-compliance

Authentication weakness

Unauthorized code set use

Incomplete EMR functionality

55.
A medical center provides teleconference services to consult on stroke patients. During one of the
sessions, the video signal was lost and doctors had to call IT to x the problem. After the problem was
resolved, the IT technician remained present during the teleconference and overheard the patients'
diagnoses and treatment plan. Later, the IT technician discussed speci c details about the case he had
overheard with his coworkers.

Which privacy violation took place?

YOUR CORRECT
ANSWER ANSWER

Patient failed to sign HIPAA consent form

Security incident report failed to be created

Testing and revision procedures failed to be reinforced

Employee failed to follow procedures outlined in HIPAA training

Accessibility Policy Accessibility Settings

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