WGU D220 EXAM ACTUAL 2026/2027 | Information
Technology in Nursing Practice | Complete Guide with
Questions & Verified Answers 100% Correct | Pass
Guaranteed - A+ Graded
Part I: Foundations of Nursing Informatics & Health Information
Systems
Q1: According to the American Nurses Association, nursing informatics is defined as
the specialty that integrates:
A. Only computer programming skills with nursing practice
B. Nursing science with multiple information and analytical sciences [CORRECT]
C. Medical diagnostics with billing procedures only
D. Administrative tasks exclusively without clinical components
Correct Answer: B
Rationale: ANA defines nursing informatics as integrating nursing science with
information management and analytical sciences to manage and communicate data,
information, knowledge, and wisdom in nursing practice. It's broader than programming
(A), not just medical diagnostics/billing (C), and includes clinical practice (D is wrong).
Q2: The TIGER initiative in nursing informatics primarily focuses on:
,A. Developing new medical devices for patient monitoring
B. Improving informatics competencies and technology skills among nurses [CORRECT]
C. Creating pharmaceutical databases exclusively
D. Managing hospital cafeteria systems
Correct Answer: B
Rationale: TIGER (Technology Informatics Guiding Education Reform) aims to prepare
nurses to use informatics and technology to improve patient care through education,
competency development, and leadership. Not about devices (A), drugs (C), or
non-clinical systems (D).
Q3: A nurse who can effectively use EHRs for documentation, access patient
information, and use basic decision support features demonstrates which level of
informatics competency?
A. Beginner/novice
B. Proficient [CORRECT]
C. Expert/innovator
D. Incompetent
Correct Answer: B
Rationale: Proficient nurses effectively use technology for daily practice, understand
workflow integration, and can troubleshoot common issues. Beginners (A) need
guidance. Experts (C) lead informatics initiatives and optimize systems. Incompetent
(D) is not a standard level.
,Q4: The key difference between an Electronic Health Record (EHR) and an Electronic
Medical Record (EMR) is:
A. EMRs are used by multiple organizations; EHRs are single-facility only
B. EHRs are designed to share information across organizations; EMRs are
facility-specific [CORRECT]
C. EHRs are only for billing purposes; EMRs are only for clinical care
D. There is no difference between the two terms
Correct Answer: B
Rationale: EHRs are longitudinal records designed for interoperability across care
settings. EMRs are digital versions of paper charts within single organizations. EHRs
include both clinical and administrative functions (C is wrong). The distinction is
important (D is wrong).
Q5: A Personal Health Record (PHR) is best described as:
A. The hospital's official medical record maintained by physicians
B. A health record controlled by and for the individual patient [CORRECT]
C. A government database of all citizens' health information
D. An insurance company's claims database
Correct Answer: B
, Rationale: PHRs are controlled by patients, containing health information from multiple
sources (EHRs, patient input, wearables). Not provider-controlled (A), government
database (C), or insurer records (D). Examples: Apple Health, patient portals.
Q6: In the DIKW framework, "information" represents:
A. Raw, unprocessed facts and symbols
B. Data that has been processed, organized, and given context [CORRECT]
C. Synthesis of information with experience to guide decisions
D. The highest level requiring ethical application of knowledge
Correct Answer: B
Rationale: DIKW hierarchy: Data (raw facts), Information (processed/organized data
with meaning), Knowledge (synthesis for decision-making), Wisdom (ethical
application). Data (A), Knowledge (C), and Wisdom (D) are other levels.
Q7: A nurse uses data from the past month showing fall rates on different units,
combines it with evidence about fall prevention interventions, and develops a
unit-specific prevention protocol. This demonstrates progression to which DIKW level?
A. Data only
B. Information only
C. Knowledge [CORRECT]
D. Wisdom
Correct Answer: C
Technology in Nursing Practice | Complete Guide with
Questions & Verified Answers 100% Correct | Pass
Guaranteed - A+ Graded
Part I: Foundations of Nursing Informatics & Health Information
Systems
Q1: According to the American Nurses Association, nursing informatics is defined as
the specialty that integrates:
A. Only computer programming skills with nursing practice
B. Nursing science with multiple information and analytical sciences [CORRECT]
C. Medical diagnostics with billing procedures only
D. Administrative tasks exclusively without clinical components
Correct Answer: B
Rationale: ANA defines nursing informatics as integrating nursing science with
information management and analytical sciences to manage and communicate data,
information, knowledge, and wisdom in nursing practice. It's broader than programming
(A), not just medical diagnostics/billing (C), and includes clinical practice (D is wrong).
Q2: The TIGER initiative in nursing informatics primarily focuses on:
,A. Developing new medical devices for patient monitoring
B. Improving informatics competencies and technology skills among nurses [CORRECT]
C. Creating pharmaceutical databases exclusively
D. Managing hospital cafeteria systems
Correct Answer: B
Rationale: TIGER (Technology Informatics Guiding Education Reform) aims to prepare
nurses to use informatics and technology to improve patient care through education,
competency development, and leadership. Not about devices (A), drugs (C), or
non-clinical systems (D).
Q3: A nurse who can effectively use EHRs for documentation, access patient
information, and use basic decision support features demonstrates which level of
informatics competency?
A. Beginner/novice
B. Proficient [CORRECT]
C. Expert/innovator
D. Incompetent
Correct Answer: B
Rationale: Proficient nurses effectively use technology for daily practice, understand
workflow integration, and can troubleshoot common issues. Beginners (A) need
guidance. Experts (C) lead informatics initiatives and optimize systems. Incompetent
(D) is not a standard level.
,Q4: The key difference between an Electronic Health Record (EHR) and an Electronic
Medical Record (EMR) is:
A. EMRs are used by multiple organizations; EHRs are single-facility only
B. EHRs are designed to share information across organizations; EMRs are
facility-specific [CORRECT]
C. EHRs are only for billing purposes; EMRs are only for clinical care
D. There is no difference between the two terms
Correct Answer: B
Rationale: EHRs are longitudinal records designed for interoperability across care
settings. EMRs are digital versions of paper charts within single organizations. EHRs
include both clinical and administrative functions (C is wrong). The distinction is
important (D is wrong).
Q5: A Personal Health Record (PHR) is best described as:
A. The hospital's official medical record maintained by physicians
B. A health record controlled by and for the individual patient [CORRECT]
C. A government database of all citizens' health information
D. An insurance company's claims database
Correct Answer: B
, Rationale: PHRs are controlled by patients, containing health information from multiple
sources (EHRs, patient input, wearables). Not provider-controlled (A), government
database (C), or insurer records (D). Examples: Apple Health, patient portals.
Q6: In the DIKW framework, "information" represents:
A. Raw, unprocessed facts and symbols
B. Data that has been processed, organized, and given context [CORRECT]
C. Synthesis of information with experience to guide decisions
D. The highest level requiring ethical application of knowledge
Correct Answer: B
Rationale: DIKW hierarchy: Data (raw facts), Information (processed/organized data
with meaning), Knowledge (synthesis for decision-making), Wisdom (ethical
application). Data (A), Knowledge (C), and Wisdom (D) are other levels.
Q7: A nurse uses data from the past month showing fall rates on different units,
combines it with evidence about fall prevention interventions, and develops a
unit-specific prevention protocol. This demonstrates progression to which DIKW level?
A. Data only
B. Information only
C. Knowledge [CORRECT]
D. Wisdom
Correct Answer: C
