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| Section | Weight | Objectives |
|---|---|---|
| Topic 1: Technology Environment | 27% | - IT Infrastructure
|
| Topic 2: Healthcare Environment | 26% | - Clinical and Business Terminology
|
| Topic 3: Related Topics | 20% | - Healthcare Reform and Trends
|
| Topic 4: Systems Management | 27% | - Systems Implementation and Support
|
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NEW QUESTION # 40
Which of the following is a health problem that is NOT associated with poor ergonomics?
Answer: C
Explanation:
Poor ergonomics in healthcare technology environments is commonly associated with musculoskeletal strain, visual discomfort, and cognitive overload resulting from poorly designed workstations and systems.
Repetitive Stress Injury (RSI) is directly linked to improper keyboard positioning, repetitive mouse use, awkward wrist angles, and prolonged data entry-common issues in clinical documentation workflows.
Computer Vision Syndrome is also ergonomics-related and results from extended screen time, glare, improper monitor height, and inadequate lighting, leading to eye strain, headaches, and blurred vision. Alert fatigue , while more cognitive than physical, is associated with human-computer interaction and system design; excessive or poorly configured clinical decision support alerts can overwhelm clinicians and reduce responsiveness, making it a recognized health IT usability concern.
In contrast, Restless Leg Syndrome (RLS) is a neurological condition characterized by uncomfortable sensations in the legs and an urge to move them, typically unrelated to workstation setup, repetitive motion, or display ergonomics. It is a medical condition not caused by poor ergonomic design in technology environments.
Therefore, among the listed options, Restless Leg Syndrome is not associated with poor ergonomics, making option D the correct answer.
NEW QUESTION # 41
Which of the following BEST describes the purpose of the domain name system (DNS)?
Answer: B
Explanation:
The Domain Name System (DNS) is the internet's distributed "naming service" that translates human- readable names (like server or website names) into machine-usable network identifiers , primarily IP addresses. This capability allows internet applications to uniquely locate and connect to resources such as web servers, email servers, application endpoints, and other network services without requiring users or systems to memorize numeric IP addresses. In practical terms, when a clinician launches a web-based EHR, a patient portal, or a secure messaging service, DNS helps the workstation or mobile device resolve the service name to the correct destination so the connection can be made.
Option A is incorrect because DNS is not a security mechanism by default; while there are security enhancements (e.g., DNSSEC), DNS itself is about naming and resolution. Option B describes identity services (like Active Directory, LDAP, Kerberos, SSO), not DNS. Option C refers to secure routing or transport protections (e.g., TLS, VPNs, secure network protocols); DNS does not "route" traffic, it only helps determine where traffic should go. Therefore, the best description of DNS is that it enables applications to reliably identify and reach network resources.
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NEW QUESTION # 42
A healthcare organization is scheduled to decommission 400 computers. An employee committee suggests the computers should be donated to a local charity. Which of the following is the MOST relevant IT policy?
Answer: B
Explanation:
The most relevant IT policy is the media disposal policy because donating decommissioned computers creates a high-risk pathway for unintentional disclosure of sensitive data , including ePHI. Even if the organization's intent is charitable, any storage media inside those computers (hard drives, SSDs, removable media) may contain patient information, employee data, cached credentials, configuration files, audit logs, or locally stored documents. A media disposal policy defines the required processes to prevent data leakage when equipment leaves organizational control, including asset inventory and tracking, approved sanitization methods, verification/validation of data destruction, documentation, and chain-of-custody controls .
In healthcare, secure disposal (or re-use/donation) typically requires sanitization aligned to organizational standards-such as cryptographic wiping, secure erase procedures, degaussing where appropriate, or physical destruction-plus records showing which assets were sanitized, by whom, when, and using what method. This ensures compliance with privacy and security obligations and reduces breach risk.
Conflict of interest and charitable contribution policies may apply to governance and ethics, but they do not address the core IT control required before donation: ensuring all data is irretrievably removed. Release of information policies focus on authorized disclosure of patient records, not device-level data sanitization.
Therefore, media disposal policy is the correct choice.
NEW QUESTION # 43
**A project manager follows a project communication plan that includes:
Weekly team meetings
Bi-weekly sponsor meetings
Weekly status reports
Executive sponsor meetings as needed
On the ninth week of this 12-week project, the manager identifies a critical scope issue with the project. The BEST way to resolve this is to**
Answer: B
Explanation:
A critical scope issue late in a project (week 9 of 12) is a governance and decision-rights matter that typically requires immediate escalation to the executive sponsor . The executive sponsor owns accountability for aligning the project with organizational priorities, approving major trade-offs, and authorizing changes that affect the "triple constraint" (scope, time, cost) and risk exposure. Scheduling an immediate executive sponsor meeting (C) enables timely decisions such as: whether to defer the scope item to a later phase, adjust requirements, approve additional resources, change timeline, or accept residual risk. This prevents uncontrolled scope creep and protects project outcomes.
Merely highlighting the issue on a weekly status report (A) increases visibility but does not ensure a timely decision, especially when the issue is critical and time-sensitive. Adding it to the next team meeting (B) is insufficient because the team may not have authority to change scope or timeline. Automatically delaying go- live to expand scope (D) is premature and may be inappropriate without sponsor approval and impact analysis. Because the communication plan explicitly includes executive sponsor meetings as needed , a critical scope issue is exactly the trigger for immediate sponsor engagement.
NEW QUESTION # 44
Which of the following is a standard for clinical healthcare terminology for electronic health records (EHR)?
Answer: A
Explanation:
SNOMED (commonly implemented as SNOMED CT) is a widely adopted standard clinical terminology used in EHRs to represent patient problems, diagnoses, findings, procedures, organisms, substances, and other clinical concepts in a consistent, computable way. In clinical informatics, terminology standards are essential because they allow clinicians to document care using structured concepts that support clinical decision support, quality measurement, analytics, population health reporting, and interoperability . When different clinicians or organizations use the same standardized clinical terms, the meaning is preserved and can be accurately interpreted by receiving systems, reducing ambiguity that often occurs with free-text documentation.
The other options are not clinical terminology standards. SSAE 16 relates to service organization controls reporting (an assurance/audit framework). DICOM is a standard for medical imaging data and related information exchange
NEW QUESTION # 45
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