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WGU C790 Nursing Informatics Objective Assessment (OA) Exam: Versions A, B & C – Complete Study Guide with Practice Questions & Answers

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This comprehensive study guide is designed for students preparing for the Objective Assessment (OA) in WGU's C790 Nursing Informatics course. The exam is available in multiple versions (Version A, Version B, and Version C), each containing unique question sets covering the same core competencies. This resource synthesizes content from all three exam versions, including verified questions and detailed answers. Key topics include: Foundations of Nursing Informatics (data, information, knowledge, wisdom), System Development Life Cycle (SDLC) – predictive vs. adaptive approaches, Waterfall, Agile, and Scrum methodologies, Evidence-Based Practice (EBP) models including STEEEP principles and the ACE Star Model, EHR implementation strategies and go-live approaches, Usability testing methods (exploratory, assessment, validation), Database management systems and data structures, Healthcare terminology standards (ICD, SNOMED, LOINC, HL7, ICNP), Change management and innovation diffusion theories, Clinical Decision Support (CDS) systems, Project management phases and stakeholder roles, and Federal regulations including Meaningful Use.

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age 1 of 108




WGU C790 Nursing Informatics OA Exam A, B & C

SLC Stages .......Answer.........Feasibility and analysis, planning,

develop or purchase, implementation, maintenance and

evaluation


1) Feasibility and analysis (SLC) .......Answer.........The existing

environment and systems are evaluated. A readiness assessment

may be conducted. User needs and information system

deficiencies are identified using informal or formal methods.

New system requirements are defined. Deficiencies in the

existing system are addressed with specific proposals for

improvement.


2) Planning (SLC) .......Answer.........The proposed system is

planned and designed. Planning includes extensive work in

myriad topics: physical construction, hardware, operating

,age 2 of 108




systems, programming, communications, implementation support,

evaluation, and security issues. A workflow analysis and process

reengineering may be completed as a basis for determining the

scope of system functions and the flow of information and

activities within care processes.


3) Develop or Purchase (SLC) .......Answer.........The new system is

developed or purchased. New components and programs are

obtained and installed. For vendor-supported solutions,

extensive tailoring occurs. Users are trained in its use and all

aspects are tested. Ideally, adjustments are made at this stage

to correct gaps in the scope of system functions or work

processes.


4) Implementation (SLC) .......Answer.........The new system is

developed or purchased. New components and programs are

obtained and installed. For vendor-supported solutions,

,age 3 of 108




extensive tailoring occurs. Users are trained in its use and all

aspects are tested. Ideally, adjustments are made at this stage

to correct gaps in the scope of system functions or work

processes.


5) Maintenance and Evaluation .......Answer.........Once the new

system is up and running, it should be evaluated exhaustively. A

maintenance phase begins to focus on maintaining system

integrity, upgrades, and correcting issues that arise. Evaluation

occurs at the end of the cycle.


Staggers and Nelson Systems Life Cycle Model (SLCM)

.......Answer.........depicts the cycle as a spiral. incorporates

revious work from Thompson, Synder-Halpern, and Staggers.


Steps: Analyze, Plan, Develop or Purchase, Test, Implement or

Go-Live, Maintain and Evolve, Evaluate, Return to Analyze

, age 4 of 108




model .......Answer.........The visual representation that illustrates

what is occurring and how one understands the intervention to

solve a problem is called


Chaos Theory, Systems Theory .......Answer.........two major

theories that help us analyze and explain the occurrences or

instances of certain phenomena with health informatics


goal of EBP .......Answer.........is improvement of systems and

microsystems within healthcare, with these improvements based

on science


STEEEP principles .......Answer.........The Institute of Medicine (IOM)

expert panel issued recommendations for urgent action to

redesign healthcare so that it is safe, timely, effective, efficient,

equitable, and patient-centered

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