Republic of the Philippines

BATANGAS STATE UNIVERSITY

The National Engineering University
Pablo Borbon, Rizal Avenue Extension, Batangas City
COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES

Name: ______________________________ Date: _______________________

Course and section: ____________________ Score: ______________________

MIDTERM EXAMINATION IN NURSING INFORMATICS

Direction: Read and analyze each items carefully. Encircle your answer.NO ERASURES! (2pts
each)

1. What is the permanent memory built into your computer called?

(a)RAM (c) CPU
(b) ROM (d) CD-ROM
2. RAM is an example of:
(a) Secondary memory (b) Primary memory
(c) Main memory (d) Both (a) and (b)
3. A command that takes what has been typed into the computer and can be seen on the screen
and sends it to the printer for output on  paper______.
(a) print (c) jump
(b) return (d) attention
4.  RAM stands for :
(a) Read Access Memory (c) Random Assigned Memory
(b) Random Access Memory (d) None of these
5.  _______ tags, when placed on an animal, can be used to record and track in a database all of
the animal’s movements.
(a) POS (c) PPS
(b) RFID (d) GPS
6. Chip is a common nickname for a (n):
(a) transistor (c) integrated circuit
(b) resistor (d) semiconductor
7. All of the following are examples of storage devices except:
(a) Hard disk drives
(b) Printers
(c) USB drive
(d) DVD drives
8.  ____ is any part of the computer that you can physically touch.
(a) Hardware (c) A peripheral
(b) A device (d) An application
9. A keyboard is this kind of device—
(a) black (c) output
(b) input (d) word Processing
10. The ______, also called the “brains” of the computer, is responsible for processing data.
(a) motherboard
(b) memory
(c) RAM
(d) Central Processing Unit (CPU)
11. During the boot process, the ____________ looks for the system files.
(a) CD (c) CPU
(b) BIOS (d) DVD
12. _______ is an output device that lets you see what the computer is doing.
(a) a disk drive (c) shift key
(b) monitor-screen (d) printer
13. All of the following are examples of storage devices EXCEPT:
(a) hard disk drives (c) floppy disk drives
(b) printers (d) USB drive
14. Which of the following is an example of an input device?
(a) scanner (c) CD
(b) speaker (d) printer
15. The barcode which is used on all types of items, is read by a scanning device directly into the
computer. What is the name of this scanning device?
(a) Laser scanner (c) OCR
(b) Wand (d) MICR
16.  A computer’s hard disk is
(a) an arithmetic and logical unit (c) an operating system
(b) computer software (d) computer hardware
17.  Computers that are portable and convenient for users who travel are known as _____
(a) Super computers (c) Mini computers
(b) Laptops (d) File servers
18. BIOS stands for :
(a) Basic Input Output System (c) Basic Interface Output System
(b) Basic Instruction Output System (d) All of these
19. The CPU and memory are located on the:
(a) expansion board (c) storage device
(b) motherboard (d) output device
20. The term that we use to describe physical components of a computer
(a) Hardware (c) Software
(b) Input (d) Operating System
21. The art and science of creating networks is referred to as?
(a) Networking (c) Network
(b) Topology (d) Server
22. A __________ is a set of cooperative interconnected computers for the purpose of information
exchange.
(a) Networking
(b) Topology
(c) Network
(d) Server
23. Modem is short for?
(a) Modulating and demodulating device
(b) Modelating and demodelating device
(c) Model and demodelling device
(d) None of the above
24. A unit of data in the binary numbering system.
(a) Hexadecimal
(b) Bits and Bytes
 (c) Numeral
(d) None of the choices
25. A type of storage media that has very high speed and high density that can store large capacity
of files?
(a) USB Disk
(b) CD ROM
(c) Diskette
(d) Hard drive
26. CD-ROM, Hard drive, USB disk and diskettes are types of?
(a) Input device
(b) Process
(c) Output device
(d) Storage media
27. What is the most commonly used input device?
(a) Keyboard and mouse
(b) Scanner and mouse
(c) Keyboard and scanner
(d) Scanner and speaker
28. For a computer to work, it must have a way of receiving commands. This is done through the
use of?
(a) Memory
(b) CPU
(c) Printer
(d) Input devices
29. Windows, Linux and Ubuntu is an example of?
(a) Network software
(b) Operating system
(c) Application software
(d) Internet software
30. A type of software that is designed to help the user to perform singular or multiple related
specific tasks.
(a) Network software
(b) Operating system
(c) Application software
(d) Internet software
31. What type of software that supervises the computer's system resources?
(a) Network software
(b) Operating system
(c) Application software
(d) Internet software
32. The type of memory that storage is not erased even if computer is turned off is called?
(a) RAM
(b) CPU
(c) ROM
(d) MU
33. It is referred as the brain of the computer.
(a) Output device
(b) Input device
 (c) Memory
(d) CPU
34. Users, manipulators that make the computer work is the?
(a) Hardware
(b) Peopleware
(c) Software
(d) Electrons
35. According to ANA, nursing informatics is a specialty that integrates 3 fields of sciences. These
are?
(a) Nursing, Health, and Technology
(b) Nursing, Computer and Technology
(c) Health, Computer and Technology
(d) Data, Knowledge and Technology
36. Who first originated the word informatics to INFORMATIKS?
(a) Walter Bauer
(b) Karl Steinbuch
(c) Scholes and Barber
(d) ANA
37. If the system on information technology is implemented in various institutions in Iligan City.
What is necessary to essentially educate the community and the entire society?
(a) Seminars
(b) Awareness
(c) Training
(d) workshop
38. Which of the following competencies is not included as expected outcome after taking the
subject nursing informatics?
(a) Information literacy
(b) Basic computer skills
(c) Basic informatics competencies
(d) Advance informatics competencies
39. What competency does the nurse demonstrate if he was able to use the information and
communication technology appropriately?
(a) Decision making
(b) Technical
(c) User
(d) Utility
40. It integrates all the information and data of all the hospital departments and manages health
information using modern information techniques.
(a) Dependable system
(b) Electronic health record system
(c) Nursing minimum data set
(d) Clinical and hospital information system
41. A newly licensed nurse is attending the hospital orientation training class. Which statement
made by the newly licensed nurse indicates understanding of the term "point of care"?
(a) "Point of care refers to interventions or testing that takes place using a transportable,
portable, or a handheld device near or at the bedside of the client."
(b) "Point of care interventions and testing do not include any type of specimen testing."
 (c) "Point of care refers only to testing that takes place using a handheld device near the
client."
(d) "Point of care refers to the name of the handheld device."
42. The nurse is providing discharge instructions about medications and exercise to a client with
congestive heart failure. What should the nurse do to ensure that the client is fully informed?
(a) Make sure a relative attend the discharge teaching session.
(b) Repeat the discharge teaching sessions twice.
(c) Ask the physician to reinforce teaching prior to discharging the client.
(d) Print the discharge instructions and hand them to the client prior to discharge.
43. During a home visit, the nurse inputs admission information into a computer-based medical
record system. The client asks what prevents a neighbor from accessing the information when
the nurse visits the client. What should the nurse respond to the client's concern?
(a) "I send your information and then delete it."
(b) "A password is required to access your information."
(c) "I use a new computer for each client."
(d) "I keep the notebook computer in my hands at all times."
44. The nurse educator at a hospital is conducting a class on the importance of uniform language
within health care. Which statement regarding uniform language made by the one of the staff
nurses would indicate the need for further instruction?
(a) "Uniform language refers to use of a standardized language across multiple disciplines."
(b) "The use of uniform language within the electronic health record only provides benefits to
the profession of nursing and the health organization."
(c) "The Do Not Use abbreviation list is one example of uniform language."
(d) "Continuity of care improves for the client when standardized terminology is used."
45. The nurse on the hospital research committee is assigned the task of reviewing literature on the
impact of an electronic medical record when documenting client care. What should the nurse do
to find the most appropriate information for this study?
(a) Look for articles at the medical library.
(b) Use Google to search for information.
(c) Access bibliographic databases online.
(d) Seek journals in the nursing library.
46. The nurse is planning care for a client who has just recently undergone a below-the-knee
amputation. How will the use of informatics help the nurse plan this client's care?
(a) Find out what was done on the previous admission
(b) Search for research to support evidence-based practice
(c) Look for standardized nursing language
(d) Search the Internet for information about the surgical procedure
47. The nurse who uses the computer during client care notices increased eyestrain since the
organization began using the electronic medical record for nursing documentation. What should
the nurse do to minimize eyestrain?
(a) Use a firm board to rest the palm.
(b) Use a glare filter.
(c) Obtain a paper chart for nursing documentation.
(d) Use a lumbar support.
48. A rural home health nurse is caring for a client recovering from a myocardial infarction. The
client is concerned that the community clinic does not have the ability to provide the necessary
monitoring for the health problem. Which response by the nurse would be most appropriate?
(a) "It is not necessary for you to be monitored after a myocardial infarction."
 (b) "Through technological advances such as telehealth, we can send your information to
the cardiologist."
(c) "You are right. We will be sending you to the city every month."
(d) "We use an intranet in this facility."
49. The nurse is preparing discharge instructions for a client with a foot wound. How will the
nursing information system support this client's learning needs?
(a) Improves documentation about the client's status
(b) Summarizes the list of charges that will appear on the client's bill
(c) Provides a record of all medications received while hospitalized
(d) Prints discharge instructions to use for teaching
50. While being providing care, a client asks the nurse why the computer is being used. What
should the nurse respond to the client?
(a) "The information that is uploaded is available for anyone to view."
(b) "Computers improve client care because information is readily available."
(c) "The computer decreases documentation time for nurses."
(d) "Computers allow you access to your medical record."
51. As knowledge develops and expands within a discipline, which information source will include
the oldest but best organized representation of that knowledge?
(a) Conference presentations
(b) Conference proceedings
(c) Journal articles
(d) Books
52. The historical roots of computer science can be traced to:
(a) language development, especially English.
(b) mathematics and engineering.
(c) library science.
(d) medicine and nursing.
53. The nursing staff of an intensive care unit is collaborating with staff pharmacists to install an
automated medication dispensing system, which will help:
(a) improve patient safety.
(b) streamline the electronic health record.
(c) improve communication between the pharmacy and nursing.
(d) enhance security of protected patient health information
54. A nurse accesses lab results of a patient not under the nurse’s care in the electronic health
record. The nurse is violating:
(a) patient confidentiality.
(b) patient safety.
(c) the state nurse practice act.
(d) care coordination.
55. A new nurse is caring for a patient with a complex care issue and consults with a clinical nurse
specialist and experienced nurses. The nurse is:
(a) building a foundation of knowledge.
(b) processing knowledge.
(c) processing wisdom.
(d) developing wisdom.
56. A nurse reviews a patient’s elevated temperature and symptoms of chills and malaise. The nurse
concludes that the patient has an infection. This process illustrates:
(a) nursing science.
 (b) nursing informatics.
(c) knowledge processing.
(d) knowledge generation.
57. A nurse understands that informatics:
(a) mitigates error.
(b) reduces communication.
(c) impedes knowledge.
(d) All of these are correct.
58. The nurse violates a patient’s confidentiality and right to privacy by:
(a) looking up the assigned patient diagnosis and laboratory results.
(b) providing bedside report containing patient information to the oncoming nurse.
(c) discussing diagnosis and laboratory results with other patient’s respiratory therapist.
(d) discussing a patient’s diagnosis with an authorized family member.
59. A nurse is required use standardized terminology in the electronic health record when
documenting. She understands that doing so:
(a) alleviates the need for quality patient care.
(b) improves safe patient care.
(c) ensures absolute efficiency in patient care.
(d) improves the implementation of standardized guidelines.
60. A new nurse is documenting in a patient’s electronic health record when a visitor approaches
the nurse to ask questions. What should the nurse do to ensure confidentiality and security of
the patient’s electronic health record?
(a) Close the electronic health record immediately.
(b) Take the visitor to the nurse’s station for assistance.
(c) Continue documenting the record and answer the visitor’s questions.
(d) None of these is correct
61. A nurse is performing a physical assessment on a patient with chest pain. Which of the following
is a technology that the nurse would use to obtain objective data on the physical status of the
patient?
(a) Heart monitor
(b) Electronic nursing journal
(c) Electronic health record
(d) clinical practice guideline
62. Which of the following is a skill that a nurse would demonstrate to improve the quality and
safety of healthcare systems?
(a) Document and plan the patient’s care in the electronic health record.
(b) Appreciate the necessity for health professional to seek lifelong learning.
(c) Explain why technology is important for safe patient care.
(d) Protect the confidentiality of protected health information of patients
63. A nurse reviews the electronic health record of a patient and identifies a drug allergy to the
medication that has been prescribed. The nurse has demonstrated:
(a) interpretation of data.
(b) dissemination of nursing science.
(c) generation of new knowledge.
(d) informatics competency
64. A nurse reviews the patient’s electronic health record prior to meeting the patient. The nurse is:
(a) Gathering information and data
(b) Acquiring knowledge and wisdom
 (c) Analyzing knowledge and data
(d) Applying knowledge from the basic sciences
65. A nursing professional reads a nursing journal article on a new patient care technology. This
nursing professional is:
(a) Acquiring knowledge
(b) Processing knowledge
(c) Using feedback
(d) Generating knowledge
66. When a nurse reviews the electronic health record prior to interacting with a patient, he or she
is gathering
(a) Data and information
(b) Data and knowledge
(c) Knowledge and wisdom
(d) All of these are correct
67. Which of the following best describes the central goal of nursing informatics?

68. To foster interdisciplinary

collaboration and
communication in a
healthcare
69. organization
(a) To foster interdisciplinary collaboration and communication in a healthcare organization
(b) To promote patient safety and prevent falls by assigning a fall risk number to
hospitalized patients
(c) To increase efficiency of care delivery and help to manage costs
(d) To manage and communicate data, information, knowledge, and wisdom in the
delivery of nursing care

(e) To promote patient

safety and prevent falls by
assigning a fall risk
number to
 (f) hospitalized patients
To promote patient safety and prevent falls by assigning a fall risk number to
hospitalized patients
70. A telephone number, a birth date, and a customer name are all examples of
(a) A database
(b) A file
(c) Data
(d) A record
71. A collection of unprocessed items is ____
(a) Reports
(b) Memory
(c) Data
(d) Information
70. ____ represents raw facts, whereas ___ is data made meaningful.
(a) Data, information
(b) Information, reporting
(c) Information, bits
(d) Records, bytes
71. _____ is one reason for problems of data integrity.
(a) Data redundancy
(b) Security constraints
(c) Data inconsistency
(d) Data availability constraints
72. The following are components of a database except _____
(a) reports
(b) indexes
(c) metadata
(d) user data
73. The file manager is responsible for
(a) Deleting files
(b) Saving files
(c) Naming files
(d) All of these
74. Utility programs include
(a) Operating systems
(b) Spreadsheets
(c) Editors
(d) All of these
75. What is the alternative name for application software?
(a) End-user software
(b) Utility software
(c) Specific software
(d) All of these
76. Educational software includes
(a) Simulation programs
(b) Tutorial programs
 (c) Drill-and –practice programs
(d) All of these
77. Which item is called the “heart of a word processing system”?
(a) Input devices
(b) Data file
(c) Floppy disk drive
(d) Software
78. Which of the following entity does not belong to word processing?
(a) Paragraphs
(b) Cells
(c) Words
(d) Characters
79. Which of the following is an example of application software?
(a) Security software
(b) Command system
(c) Operating system
(d) CAD/CAM system
80. What is the overall term for creating, editing, formatting, storing, retrieving and printing a text
document?
(a) Database Management
(b) Web design
(c) Spreadsheet design
(d) Word processing
81. Through which device the main components of the computer communicate with each other?
(a) System bus
(b) Keyboard
(c) Monitor
(d) Memory
82. Errors in a computer program are referred to as ____?
(a) Blunders
(b) Bugs
(c) Mistakes
(d) Item overlooked
83. Which is used to store firmware?
(a) EPROM
(b) ROM
(c) RAM
(d) PROM
84. What is correcting error in a program called?
(a) Grinding
(b) Interpreting
(c) Debugging
(d) Compiling
85. A (n) ___is a program that makes the computer easier to use.
(a) Application
(b) Operating system
(c) Network
(d) Utility
86. ____ software creates a mirror image of the entire hard disk, including the operating system,
applications, files, and data.
(a) Driver imaging
(b) Utility programs
(c) Backup software
(d) Operating system
87. The ___ of a system includes the programs or instructions.
(a) Software
(b) Hardware
(c) Icon
(d) Information
88. The fifth generation digital computer will be
(a) Artificial intelligence
(b) Versatility
(c) Very expensive
(d) Extremely low cost
89. How many kilobytes make a megabyte?
(a) 128
(b) 256
(c) 512
(d) 1024
90. Software for organizing storage and retrieval of information is a(an)
(a) Data warehouse
(b) Database program
(c) Database
(d) Operating system
91. Computers process binary numbers, which are composed of ____
(a) 1s and 2s
(b) 2s and 4s
(c) 2s and 3s
(d) 0s and 1s
92. The informatics nurse who is leading an evidence-based practice (EBP) initiative knows that
a key factor for a successful project includes:
(a) celebrating success primarily by acknowledging the senior leadership team for their
support of the project.
(b) developing clinical tools, such as guidelines or order sets, after the EBP initiative has
been adopted by staff.
(c) establishing a formal implementation team that includes both staff and
graduate-level or higher nurses.
(d) implementing on a large scale across the organization, as opposed to pilot testing on
smaller units first.
93. Integrating clinical practice guidelines with an electronic health record facilitates quality
improvement measurement by:
(a) comparing guideline parameters to clinical outcomes.
(b) presenting results at the point of treatment decisions.
(c) providing reference information to measurement staff.
(d) representing patient acuity data.
94. Adult learners most effectively learn about a new clinical information system when the
instructor:
 (a) assumes that the learner knows nothing about the system.
(b) begins the formal training as early as possible in the implementation process.
(c) emphasizes the technical specifications of the structure of the system.
(d) encourages the learner to use previous experience to interpret new learning.
95. A downtime of the electronic health record (EHR) system is planned for three months from
today. The informatics nurse is formulating a communication plan for the clinical staff about
the downtime. The nurse plans to:
(a) bring copies of the communication plan to IT meetings, and discuss it with the IT
directors and managers.
(b) bring copies of the communication plan to IT meetings, and discuss it with the IT
directors and managers.
(c) present the information at the super-user meetings, department and unit
meetings, and at other specialty clinician meetings, in addition to having a
message posted on the message-of-the-day screen in the EHR.
(d) print fliers with the downtime plan and post them in bathrooms and breakrooms, as
well as on bulletin boards in various locations in the hospitals.
96. The informatics nurse violates a patient's legal right to privacy and confidentiality by:
(a) discussing a patient's diagnosis with an authorized family member.
(b) discussing care-related information with the patient's physical therapist.
(c) looking up a colleague's diagnosis and laboratory results while he or she is
hospitalize
(d) providing a handoff report containing patient information to another department.
97. Adherence to a standardized nursing language will lead to:
(a) A barrier in national interoperability
(b) A larger database of interventions
(c) Improved evaluation of nursing outcomes
(d) Increased nursing competencies
98. What is the initial layer of protection to prevent unauthorized, external access to a facility's
information network?
(a) Digital Certificates
(b) Encryption
(c) Firewall
(d) Password authentication
99. Knowledge that is patterned for use in reasoning is known as:
(a) artificial intelligence
(b) knowledge query
(c) knowledge representation
(d) neural computing
100. The primary purpose of software is to turn data into _____?
(a) Objects
(b) Programs
(c) Information
(d) Websites

Prepared by:

ERWIN L. LUMBERA,RN,LPT,MAED
Instructor
Reviewed by:

MARY-ANN H. BRIONES, RN, MBA

Program Chairperson, College of Nursing

Noted by:

ROCHELLE ANNE QUINIA,RND

Associate Dean, CONAHS

Approved by:

DR. MARIA CHRISTINA BERNADETTE C. AGUBA

Dean, CONAHS