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Hebda, Handbook of Informatics, 5/e Test Bank
Chapter 10
Question 1
Type: MCSA
Which description best fits a work breakdown structure (WBS)?
1. A project planning software program is selected for use by the steering committee to assist in planning needed
changes.
2. The implementation committee learns about the capabilities of a new wireless system.
3. A timeline is developed to determine who will do necessary tasks for the implementation of each project phase.
4. A committee is formed to guide the implementation of a new wireless system.
Question 2
Type: MCSA
Communication during the maintenance phase of the system's life cycle is crucial. Which of the following is most
beneficial to the organization during the maintenance phase?
1. A newsletter for users is posted yearly in accessible sites for new information
2. A help desk provides 24/7 telephone user support for employees
3. Users given internet access and procedure manual to troubleshoot problems
4. A list of frequently asked questions (FAQs) posted on a password protected site
Question 3
Type: MCSA
To be effective users of a new documentation system, the staff must be trained. Which shows the most effective
use of training for a new computer system?
1. A training environment is set up off site.
2. Training is scheduled during the normal workday.
3. Training is provided with actual live software.
4. Actual client data are stored in the training system.
Question 4
Type: MCSA
Back loading of some pre-existing data must be completed for the system to create accurate medication
administration records and billing charges. How is this best accomplished?
1. Selected data from client records are loaded into the system by data entry specialists.
2. Each staff member is responsible for inputting medications for each patient for the 24 hours prior to going live.
3. When the system goes live, data from clients' medication administration records since admission are inputted
for all clients.
4. A pharmacist selects needed data from client medication administration records and inputs the data
immediately prior to going live.
Question 5
Type: MCMA
Once the go-live date of the system has been established, the production environment is in effect. Which planning
is most necessary at this time?
Standard Text: Select all that apply.
1. A newly released software upgrade will be performed so the new system provides users with the latest
technology.
2. A website is constructed so employees may answer questionnaires relating to system satisfaction and ask
questions as needed.
3. A 24/7 support schedule is initiated to answer questions when necessary.
4. Information back loading is scheduled the day that the system is to go live.
5. The implementation of the system will begin in the emergency department and will move to other units when
they signal that they are ready.
Question 6
Type: MCSA
Which strategy might cause problems during implementation of a new information system?
1. Once the committee has given information to the vendor regarding system needs, a small addition is requested.
2. An open system is set up such that software upgrades can be implemented quickly and easily.
3. The vendor is asked to fully customize the information system for a specialty organization.
4. The committee verifies that the vendor provides annual maintenance with an additional contract.
Question 7
Type: MCSA
Which instance is most helpful during system training?
1. Training software is provided for staff to practice inputting fictitious client information.
2. Training sessions are scheduled for the four to six week period prior to going live so all users can feel
comfortable with the system.
3. Designated trainers are appointed based on their ability to expertly care of patients.
4. New users are trained through an online learning platform such as Blackboard.
Question 8
Type: MCSA
Which of the following is the best example of "feature creep"?
1. When an additional feature must be added to the system, the implementation committee approves the change
after investigating its cost.
2. The system is totally customized for an individual organization to reflect the current workflow.
3. Staff nurses expect the new system will cut their workload relating to documentation in half.
4. The emergency department and intensive care unit supervisors meet and come up with a list of new features to
be added to the system.
Question 9
Type: MCSA
What should be the end result of implementation of a new wireless information system in a 712-bed acute-care
facility?
1. Retention of staff is enhanced
2. Staff can utilize the new technology effectively
3. Client satisfaction with care is enhanced
4. Client care outcomes are improved
Question 10
Type: MCSA
Analyzing appropriate hardware requirements is necessary when implementing a new information system. Which
of the following solutions is most appropriate?
1. Needs assessment information is compared to budget and hardware and software features.
2. Thin clients are placed in central locations to access the system.
3. Staff may elect to use their own personal digital assistants to send and receive client data.
4. Laser printers are connected to the system network for printing laboratory results.
Question 11
Type: MCMA
Which of the following strategies would be appropriate for identifying a potential candidate for implementation
project leader?
Standard Text: Select all that apply.
1. Since this will be a complex implementation, focus on the candidate's technical skills and less on
communication and leadership skills.
2. Restrict the selection to someone that is a member of the steering committee because of their understanding of
the vision, goals, and expectations for the system.
3. Select the consultant that has been assigned to the project from the beginning as the leader.
4. Delay the selection of a leader until after the committee members are selected and then, with the help of the
members, select one of the members as leader.
5. Select the chief information officer because of the position of authority and knowledge of the organization's
information needs.
Question 12
Type: MCSA
A hospital is implementing a new electronic nurse charting system. When selecting members for the
implementation committee, if all are available, which one of these should be given priority?
1. Informatics nurse specialist
2. Experienced consultant
3. Steering committee chairperson
4. Chief information officer
Question 13
Type: MCSA
An implementation is to go live in a limited number of client units but in all ancillary departments. The remaining
client units would be scheduled to go live in groups, staggered over a specified time frame. What implementation
strategy is being used?
1. Roll out
2. Modular
3. Occur all at once
4. Direct
Question 14
Type: MCMA
Which of the following are recommended for developing system procedures and documentation?
Standard Text: Select all that apply.
1. Create backup procedures to be used in the event that the system is not running either for reasons of scheduled
maintenance or unforeseen circumstances.
2. If major modifications were made to the base system, use the vendor's system user guides.
3. Develop a data dictionary containing system terms and terms for mapping from one system to another.
4. During the training process, develop procedures for how the system will be used to support client care and
associated administrative activities.
5. Create separate documentation that includes the downtime procedures and manual requisition forms and locate
in an easily identifiable and accessible location.
Question 15
Type: MCMA
Which of the following are examples of ongoing systems technical maintenance?
Standard Text: Select all that apply.
1. Problem solving and debugging
2. Performing a file backup
3. Maintaining a backup supply of hardware
4. Maintaining and updating the disaster recovery plan
5. Configuring, testing, and installing system upgrades
Question 16
Type: MCMA
A major consideration for organizations implementing new systems is the return on investment (ROI). ROI can be
measured using tangible and intangible measures. Which of the following are examples of tangible measures?
Standard Text: Select all that apply.
1. Decreased costs for labor and non-labor expenses such as maintenance
2. Higher retention rate for care givers
3. Increased revenue
4. Alignment with business strategy
5. Greater compliance with regulations
Question 17
Type: FIB
_______________________ environment is another term that refers to the time when the new system is in
operation.
Standard Text:
Question 18
Type: MCMA
The implementation committee members analyze the base system as delivered from the vendor before the system
is installed in the event that clarification or changes are necessary. Which of the following are analyzed
throughout this process?
Standard Text: Select all that apply.
1. Technology
2. Vendor standing
3. Vendor compliance with regulatory requirements
4. Integration with other systems
5. Clinician support
Question 19
Type: MCMA
A group of tasks related to the analysis of hardware requirements must be addressed during the implementation
phase. Which of the following are considered specific tasks?
Standard Text: Select all that apply.
1. Network infrastructure analysis
2. Review of workstation types
3. Input applications review
4. Printer decisions
5. Cabling capacity analysis
