2026/2027 | Pre-Assessment Questions & Answers |
Application of Technology | Verified Solutions | Pass
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Competency 1: Nursing Informatics (15 Questions)
Q1
A nurse informaticist is implementing a new clinical documentation system. According
to TIGER (Technology Informatics Guiding Education Reform) competencies, which skill
is considered foundational for all nursing professionals in the 21st century?
A. Programming complex algorithms for healthcare software
B. Basic computer literacy and information literacy skills [CORRECT]
C. Advanced database administration techniques
D. Developing artificial intelligence protocols for clinical decision-making
Correct Answer: B
Rationale: The TIGER initiative identifies basic computer literacy and information literacy
as foundational competencies for all practicing nurses, not just informatics specialists.
These skills enable nurses to effectively use EHRs, access evidence-based information,
and participate in quality improvement. Option A is incorrect because programming is
specialized informatics work. Option C represents IT infrastructure skills beyond nursing
scope. Option D involves advanced data science competencies reserved for specialized
roles.
Q2
,Which nursing informatics pioneer developed the first nursing-specific minimum data
set to standardize nursing terminology and facilitate data comparison across
healthcare settings?
A. Virginia Henderson
B. Florence Nightingale
C. Norma Lang
D. Harriet Werley [CORRECT]
Correct Answer: D
Rationale: Dr. Harriet Werley developed the Nursing Minimum Data Set (NMDS) in the
1980s to standardize nursing data collection and enable comparison across settings.
Virginia Henderson (A) developed nursing need theory but not standardized data sets.
Florence Nightingale (B) pioneered statistical healthcare documentation but predated
electronic standardization. Norma Lang (C) contributed to nursing diagnosis
standardization but did not create the NMDS.
Q3 (Select-All-That-Apply)
Which activities demonstrate the nurse functioning in the role of informatics nurse
specialist? (Select all that apply)
A. Analyzing workflow processes to optimize EHR documentation efficiency [CORRECT]
B. Providing direct patient care during short-staffing situations
C. Translating clinical requirements into technical specifications for IT developers
[CORRECT]
D. Administering medications using barcode medication administration systems
E. Evaluating data trends to identify opportunities for quality improvement initiatives
[CORRECT]
F. Cleaning patient rooms between admissions
Correct Answer: A, C, E
,Rationale: The informatics nurse specialist bridges clinical practice and information
technology through workflow analysis (A), translation of clinical needs to technical
teams (C), and data analysis for quality improvement (E). Direct patient care (B, D)
represents staff nurse responsibilities, not informatics specialist roles. Environmental
services tasks (F) are unrelated to informatics competencies.
Q4
According to the ANCC Nursing Informatics Certification (RN-BC) content outline, which
competency domain focuses on the ethical management of patient data and protection
of information privacy?
A. System Design Life Cycle
B. Information Management [CORRECT]
C. Human Factors and Ergonomics
D. Leadership and Management
Correct Answer: B
Rationale: The Information Management domain specifically addresses data integrity,
privacy, security, and ethical use of health information. System Design Life Cycle (A)
focuses on implementation methodology. Human Factors (C) addresses user interface
and workflow optimization. Leadership (D) covers strategic planning and change
management, not specifically data ethics.
Q5
A hospital is transitioning from paper documentation to a comprehensive EHR system.
Which factor represents the primary driver for this informatics initiative according to
current healthcare policy?
, A. Reducing nursing documentation time by 50%
B. Meeting meaningful use requirements for reimbursement and quality reporting
[CORRECT]
C. Eliminating the need for clinical decision-making by nurses
D. Centralizing all hospital administrative functions in one department
Correct Answer: B
Rationale: Meaningful Use (now Promoting Interoperability) programs established by
the HITECH Act provide financial incentives for EHR adoption and require specific
capabilities for quality reporting and interoperability. While EHRs may reduce
documentation time (A), this is not the primary policy driver. Option C is incorrect—EHRs
support rather than replace clinical decision-making. Option D misrepresents the clinical
purpose of EHR implementation.
Q6
Which statement best describes the relationship between nursing informatics and
evidence-based practice (EBP)?
A. Informatics and EBP are separate disciplines with no significant overlap
B. Informatics provides the tools and data infrastructure to access, evaluate, and
implement evidence at the point of care [CORRECT]
C. EBP provides the theoretical framework for developing nursing informatics theory
D. Informatics replaces the need for EBP by providing automated clinical protocols
Correct Answer: B
Rationale: Nursing informatics creates the technological infrastructure—literature
databases, clinical decision support, data analytics—that enables nurses to access
research evidence, evaluate outcomes, and implement best practices. The disciplines
are integrated (A is wrong). Nursing theory predates and informs both fields (C is
wrong). Technology augments but does not replace clinical judgment (D is wrong).