NURSING INFORMATICS EXAM –Questions
with Verified Answers & Rationales from Actual
Exam – A+ Grade Assured
1. What is the primary purpose of an Electronic Health Record (EHR)?
A. To store billing information only
B. To provide a longitudinal digital record of patient health information
across care settings
C. To replace nurses in documentation
D. To track employee attendance
Answer: B
Rationale: An EHR is a real-time, patient-centered record that makes information
available instantly and securely to authorized users across multiple healthcare
organizations.
2. Which nursing informatics competency is essential for all nurses?
A. Programming languages
B. Basic computer literacy and ability to use clinical information systems
C. Hardware engineering
D. Database administration
Answer: B
Rationale: All nurses need foundational skills to use electronic health records,
communicate electronically, and access evidence-based resources.
3. The Health Information Technology for Economic and Clinical Health
(HITECH) Act of 2009 primarily promoted:
A. Meaningful Use of electronic health records
B. Reduction of healthcare costs
C. Expansion of hospital beds
D. Telehealth reimbursement only
,Answer: A
Rationale: HITECH provided incentives for adoption and meaningful use of EHRs
to improve quality, safety, and efficiency.
4. Which of the following is a standardized nursing terminology?
A. ICD-10-CM
B. NANDA-I
C. CPT
D. LOINC
Answer: B
Rationale: NANDA-I (North American Nursing Diagnosis Association
International) is a standardized nursing terminology for diagnoses. ICD-10, CPT,
and LOINC are not nursing-specific.
5. The term “interoperability” in health informatics refers to:
A. The ability of different systems to exchange and use data seamlessly
B. The speed of data entry
C. The security of patient information
D. The cost of hardware
Answer: A
Rationale: Interoperability enables health information systems to work together
across organizational boundaries to improve care coordination.
6. Which federal law protects the privacy and security of electronic protected
health information (ePHI)?
A. HITECH Act
B. HIPAA (Health Insurance Portability and Accountability Act)
C. Affordable Care Act
D. Patient Safety and Quality Improvement Act
Answer: B
Rationale: HIPAA established national standards for the protection of ePHI,
including the Privacy and Security Rules.
,7. A clinical decision support system (CDSS) is designed to:
A. Replace the nurse’s clinical judgment
B. Provide clinicians with evidence-based alerts and reminders at the point of
care
C. Automatically prescribe medications
D. Generate billing codes
Answer: B
Rationale: CDSS tools help clinicians make decisions by integrating patient data
with knowledge bases to provide alerts, reminders, and recommendations.
8. What does the acronym SNOMED CT stand for?
A. Systematized Nomenclature of Medicine – Clinical Terms
B. Standardized Nursing Outcome Measures – Clinical Terms
C. Systematic Naming of Medications – Controlled Terminology
D. Secure Network for Medical Data – Clinical Transfer
Answer: A
Rationale: SNOMED CT is a comprehensive clinical terminology used for
electronic health records to capture, store, and exchange clinical data consistently.
9. Which stage of Meaningful Use focused on data capture and sharing?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: A
Rationale: Stage 1 (2011-2012) emphasized capturing health data in a structured
format and sharing it with patients and other providers.
10. A “nursing informatics specialist” is primarily responsible for:
A. Direct patient care
B. Designing, implementing, and evaluating information systems that support
, nursing practice
C. Managing hospital finances
D. Supervising medical staff
Answer: B
Rationale: Nursing informatics specialists bridge clinical practice and technology,
focusing on optimizing workflows, system usability, and data quality.
11. Which of the following is an example of a “secondary use” of clinical data?
A. Documentation of vital signs by a nurse
B. Population health trend analysis
C. Ordering a medication for a patient
D. Entering a nursing note
Answer: B
Rationale: Secondary use involves using clinical data for purposes other than
direct patient care, such as research, public health, and quality improvement.
12. The “TIGER Initiative” focuses on:
A. Integrating technology and informatics competencies into nursing
education and practice
B. Reducing hospital-acquired infections
C. Improving medication safety
D. Standardizing nursing salaries
Answer: A
Rationale: TIGER (Technology Informatics Guiding Education Reform) aims to
develop a workforce that can use informatics tools to improve patient care.
13. What is a “data dictionary” in an electronic health record?
A. A list of patient medications
B. A repository of metadata describing the structure, meaning, and
relationships of data elements
C. A security log of data access
D. A backup of the database
with Verified Answers & Rationales from Actual
Exam – A+ Grade Assured
1. What is the primary purpose of an Electronic Health Record (EHR)?
A. To store billing information only
B. To provide a longitudinal digital record of patient health information
across care settings
C. To replace nurses in documentation
D. To track employee attendance
Answer: B
Rationale: An EHR is a real-time, patient-centered record that makes information
available instantly and securely to authorized users across multiple healthcare
organizations.
2. Which nursing informatics competency is essential for all nurses?
A. Programming languages
B. Basic computer literacy and ability to use clinical information systems
C. Hardware engineering
D. Database administration
Answer: B
Rationale: All nurses need foundational skills to use electronic health records,
communicate electronically, and access evidence-based resources.
3. The Health Information Technology for Economic and Clinical Health
(HITECH) Act of 2009 primarily promoted:
A. Meaningful Use of electronic health records
B. Reduction of healthcare costs
C. Expansion of hospital beds
D. Telehealth reimbursement only
,Answer: A
Rationale: HITECH provided incentives for adoption and meaningful use of EHRs
to improve quality, safety, and efficiency.
4. Which of the following is a standardized nursing terminology?
A. ICD-10-CM
B. NANDA-I
C. CPT
D. LOINC
Answer: B
Rationale: NANDA-I (North American Nursing Diagnosis Association
International) is a standardized nursing terminology for diagnoses. ICD-10, CPT,
and LOINC are not nursing-specific.
5. The term “interoperability” in health informatics refers to:
A. The ability of different systems to exchange and use data seamlessly
B. The speed of data entry
C. The security of patient information
D. The cost of hardware
Answer: A
Rationale: Interoperability enables health information systems to work together
across organizational boundaries to improve care coordination.
6. Which federal law protects the privacy and security of electronic protected
health information (ePHI)?
A. HITECH Act
B. HIPAA (Health Insurance Portability and Accountability Act)
C. Affordable Care Act
D. Patient Safety and Quality Improvement Act
Answer: B
Rationale: HIPAA established national standards for the protection of ePHI,
including the Privacy and Security Rules.
,7. A clinical decision support system (CDSS) is designed to:
A. Replace the nurse’s clinical judgment
B. Provide clinicians with evidence-based alerts and reminders at the point of
care
C. Automatically prescribe medications
D. Generate billing codes
Answer: B
Rationale: CDSS tools help clinicians make decisions by integrating patient data
with knowledge bases to provide alerts, reminders, and recommendations.
8. What does the acronym SNOMED CT stand for?
A. Systematized Nomenclature of Medicine – Clinical Terms
B. Standardized Nursing Outcome Measures – Clinical Terms
C. Systematic Naming of Medications – Controlled Terminology
D. Secure Network for Medical Data – Clinical Transfer
Answer: A
Rationale: SNOMED CT is a comprehensive clinical terminology used for
electronic health records to capture, store, and exchange clinical data consistently.
9. Which stage of Meaningful Use focused on data capture and sharing?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
Answer: A
Rationale: Stage 1 (2011-2012) emphasized capturing health data in a structured
format and sharing it with patients and other providers.
10. A “nursing informatics specialist” is primarily responsible for:
A. Direct patient care
B. Designing, implementing, and evaluating information systems that support
, nursing practice
C. Managing hospital finances
D. Supervising medical staff
Answer: B
Rationale: Nursing informatics specialists bridge clinical practice and technology,
focusing on optimizing workflows, system usability, and data quality.
11. Which of the following is an example of a “secondary use” of clinical data?
A. Documentation of vital signs by a nurse
B. Population health trend analysis
C. Ordering a medication for a patient
D. Entering a nursing note
Answer: B
Rationale: Secondary use involves using clinical data for purposes other than
direct patient care, such as research, public health, and quality improvement.
12. The “TIGER Initiative” focuses on:
A. Integrating technology and informatics competencies into nursing
education and practice
B. Reducing hospital-acquired infections
C. Improving medication safety
D. Standardizing nursing salaries
Answer: A
Rationale: TIGER (Technology Informatics Guiding Education Reform) aims to
develop a workforce that can use informatics tools to improve patient care.
13. What is a “data dictionary” in an electronic health record?
A. A list of patient medications
B. A repository of metadata describing the structure, meaning, and
relationships of data elements
C. A security log of data access
D. A backup of the database
