WGU C790 Actual Exam 2026/2027: Foundations
in Nursing Informatics Questions With Correct
Answers | 100% Verified | Graded A+ for Nursing
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Section 1: Foundational Concepts (15 Questions)
Q1: Which metastructure in the DIKW framework represents the application of knowledge to
make informed decisions in patient care?
A. Data
B. Information
C. Knowledge
D. Wisdom [CORRECT]
Correct Answer: D
Rationale: The DIKW (Data-Information-Knowledge-Wisdom) framework represents a
hierarchy where data are raw facts, information is processed data with context, knowledge is the
understanding of patterns in information, and wisdom represents the application of knowledge to
make sound clinical judgments. In nursing informatics, wisdom guides evidence-based practice
and clinical decision-making. [Competency: Foundational Knowledge of Metastructures - ANA
Scope and Standards]
Q2: According to the ANCC Informatics Nursing Certification content outline, which of the
following is considered a foundational competency for all informatics nurses?
A. Programming in Python and R for healthcare analytics
B. Understanding of nursing vocabularies, terminologies, and ontologies [CORRECT]
C. Advanced network security administration
D. Hardware engineering for medical devices
Correct Answer: B
Rationale: ANCC certification requirements emphasize foundational knowledge of nursing
vocabularies, terminologies, and ontologies (such as SNOMED CT, LOINC, and NANDA-I) as
core competencies. While programming, security, and hardware knowledge may be beneficial,
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they are not foundational requirements for the informatics nurse role. [Competency: Foundations
of Practice - ANCC Role Delineation Study]
Q3: The TIGER (Technology Informatics Guiding Education Reform) initiative identified three
core informatics competencies for all practicing nurses. Which of the following is NOT one of
these three core competencies?
A. Basic computer competencies
B. Information literacy
C. Information management
D. Systems analysis and design [CORRECT]
Correct Answer: D
Rationale: The TIGER model consists of three components: (1) basic computer competencies,
(2) information literacy, and (3) information management (including EHR use). Systems analysis
and design is considered an advanced competency for informatics nurse specialists rather than a
basic competency required for all practicing nurses. [Competency: TIGER Initiative
Competencies]
Q4: In the context of nursing informatics, what does the term "interoperability" primarily refer
to?
A. The ability of nurses to work across different hospital units
B. The capability of different information systems to exchange and use data seamlessly
[CORRECT]
C. The integration of nursing theory with computer science
D. The standardization of nursing education curricula
Correct Answer: B
Rationale: Interoperability refers to the ability of different health information systems, devices,
and applications to access, exchange, integrate, and cooperatively use data in a coordinated way.
This is essential for continuity of care across different healthcare settings and systems.
[Competency: Healthcare Technology - HIMSS Standards]
Q5: Which professional organization is responsible for the Informatics Nursing Certification
(RN-BC) examination in the United States?
A. American Medical Informatics Association (AMIA)
B. Healthcare Information and Management Systems Society (HIMSS)
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C. American Nurses Credentialing Center (ANCC) [CORRECT]
D. American Nursing Informatics Association (ANIA)
Correct Answer: C
Rationale: The American Nurses Credentialing Center (ANCC), a subsidiary of the American
Nurses Association (ANA), offers the only accredited nursing informatics certification in the
U.S. (RN-BC). The certification validates entry-level clinical knowledge and skills in nursing
informatics. [Competency: Professional Development - ANCC Certification]
Q6: According to AACN's Essentials of Master's Education (2021), which domain specifically
addresses informatics and healthcare technologies?
A. Domain 4: Scholarship for the Nursing Discipline
B. Domain 6: Interprofessional Partnerships
C. Domain 8: Informatics and Healthcare Technologies [CORRECT]
D. Domain 10: Personal, Professional, and Leadership Development
Correct Answer: C
Rationale: The AACN Essentials 2021 framework identifies Domain 8 as "Informatics and
Healthcare Technologies," which encompasses competencies related to information management,
patient care technologies, and data analytics to support nursing practice and improve healthcare
outcomes. [Competency: Professional Standards - AACN Essentials]
Q7: What is the primary purpose of standardized nursing terminologies such as NANDA-I, NIC,
and NOC?
A. To replace the need for narrative nursing documentation
B. To enable data aggregation, analysis, and comparison across healthcare systems [CORRECT]
C. To simplify nursing education curricula
D. To eliminate the need for clinical decision support systems
Correct Answer: B
Rationale: Standardized nursing terminologies (NANDA-I for diagnoses, NIC for interventions,
NOC for outcomes) enable consistent documentation that can be aggregated, analyzed, and
compared across different healthcare settings. This supports evidence-based practice, quality
improvement, and research while maintaining the granularity needed for clinical care.
[Competency: Data Management - ANA Standards]