NR-361 – RN Information Systems Focuses on
nursing informatics, healthcare technology
applications, clinical documentation, data
analysis, and quality improvement initiatives.
1. A nurse is learning about nursing informatics. Which definition best
describes this specialty?
• A) The use of computers to manage hospital finances
• B) The integration of nursing science, computer science, and information
science to manage and communicate data, information, knowledge, and
wisdom
• C) The replacement of nurses with automated systems
• D) The study of how patients use health apps
Answer: B
Rationale: Nursing informatics integrates nursing science, computer science, and
information science to manage and communicate data, information, knowledge,
and wisdom in nursing practice. It supports decision-making and quality care.
2. According to the DIKW framework, what distinguishes "knowledge" from
"information"?
• A) Knowledge is raw data without context
• B) Knowledge is synthesized information that can be applied to make
decisions
• C) Knowledge is the same as wisdom
• D) Knowledge is stored only in paper charts
Answer: B
Rationale: DIKW: Data (raw facts) → Information (organized data with
,meaning) → Knowledge (synthesized information applied to decisions)
→ Wisdom (appropriate application of knowledge with ethical judgment).
3. A nurse enters a patient’s blood pressure reading into the electronic health
record (EHR). This action represents which component of the DIKW
framework?
• A) Data
• B) Information
• C) Knowledge
• D) Wisdom
Answer: A
Rationale: A single blood pressure reading (e.g., 120/80) is raw data until it is
interpreted in context (e.g., trend over time, comparison to norms) to become
information.
4. Which organization publishes the Scope and Standards of Nursing
Informatics Practice?
• A) American Medical Association (AMA)
• B) American Nurses Association (ANA)
• C) Health Information Management Systems Society (HIMSS)
• D) Centers for Medicare & Medicaid Services (CMS)
Answer: B
Rationale: The American Nurses Association (ANA) publishes the Nursing
Informatics: Scope and Standards of Practice, which defines competencies and
roles for informatics nurses.
5. A nurse informaticist is implementing a new EHR. Which is a core
competency required for this role?
• A) Surgical assisting skills
, • B) Project management and workflow analysis
• C) Pharmacy compounding
• D) Physical therapy techniques
Answer: B
Rationale: Nurse informaticists need competencies in project management,
workflow analysis, change management, data analytics, system design, and
user training to successfully implement health information technology.
6. The TIGER Initiative (Technology Informatics Guiding Education Reform)
focuses on:
• A) Reducing the use of technology in nursing
• B) Integrating informatics competencies into nursing education and practice
• C) Eliminating electronic health records
• D) Promoting paper-based documentation
Answer: B
Rationale: The TIGER Initiative aims to integrate informatics competencies into
nursing education, practice, and leadership to improve patient care through
technology.
7. A nurse uses a clinical decision support system (CDSS) that alerts her to a
potential drug interaction. This is an example of:
• A) Data entry
• B) Informatics wisdom
• C) Information overload
• D) Replacing clinical judgment
Answer: B
Rationale: The CDSS provides information/knowledge; the nurse uses wisdom to
evaluate the alert, consider patient context, and decide whether to override or
accept. Wisdom is applying knowledge ethically and appropriately.
, 8. Which federal act provided incentives for meaningful use of electronic
health records?
• A) HIPAA (1996)
• B) HITECH Act (2009)
• C) Affordable Care Act (2010)
• D) Cures Act (2016)
Answer: B
Rationale: The HITECH Act (Health Information Technology for Economic
and Clinical Health) provided financial incentives to hospitals and providers for
adoption and meaningful use of EHRs.
9. A nurse is concerned about the "digital divide." This term refers to:
• A) A gap in internet access and technology literacy between different
populations
• B) A type of computer hardware failure
• C) A security breach in hospital networks
• D) An algorithm that divides patient data
Answer: A
Rationale: The digital divide refers to disparities in access to technology (internet,
devices) and digital literacy, which can affect patients' ability to engage with e-
health tools and contribute to health inequities.
10. A nursing student is told to use "standardized terminologies." The
purpose of these is to:
• A) Make nursing notes longer
• B) Enable data sharing, comparison, and research across settings
• C) Replace clinical reasoning
nursing informatics, healthcare technology
applications, clinical documentation, data
analysis, and quality improvement initiatives.
1. A nurse is learning about nursing informatics. Which definition best
describes this specialty?
• A) The use of computers to manage hospital finances
• B) The integration of nursing science, computer science, and information
science to manage and communicate data, information, knowledge, and
wisdom
• C) The replacement of nurses with automated systems
• D) The study of how patients use health apps
Answer: B
Rationale: Nursing informatics integrates nursing science, computer science, and
information science to manage and communicate data, information, knowledge,
and wisdom in nursing practice. It supports decision-making and quality care.
2. According to the DIKW framework, what distinguishes "knowledge" from
"information"?
• A) Knowledge is raw data without context
• B) Knowledge is synthesized information that can be applied to make
decisions
• C) Knowledge is the same as wisdom
• D) Knowledge is stored only in paper charts
Answer: B
Rationale: DIKW: Data (raw facts) → Information (organized data with
,meaning) → Knowledge (synthesized information applied to decisions)
→ Wisdom (appropriate application of knowledge with ethical judgment).
3. A nurse enters a patient’s blood pressure reading into the electronic health
record (EHR). This action represents which component of the DIKW
framework?
• A) Data
• B) Information
• C) Knowledge
• D) Wisdom
Answer: A
Rationale: A single blood pressure reading (e.g., 120/80) is raw data until it is
interpreted in context (e.g., trend over time, comparison to norms) to become
information.
4. Which organization publishes the Scope and Standards of Nursing
Informatics Practice?
• A) American Medical Association (AMA)
• B) American Nurses Association (ANA)
• C) Health Information Management Systems Society (HIMSS)
• D) Centers for Medicare & Medicaid Services (CMS)
Answer: B
Rationale: The American Nurses Association (ANA) publishes the Nursing
Informatics: Scope and Standards of Practice, which defines competencies and
roles for informatics nurses.
5. A nurse informaticist is implementing a new EHR. Which is a core
competency required for this role?
• A) Surgical assisting skills
, • B) Project management and workflow analysis
• C) Pharmacy compounding
• D) Physical therapy techniques
Answer: B
Rationale: Nurse informaticists need competencies in project management,
workflow analysis, change management, data analytics, system design, and
user training to successfully implement health information technology.
6. The TIGER Initiative (Technology Informatics Guiding Education Reform)
focuses on:
• A) Reducing the use of technology in nursing
• B) Integrating informatics competencies into nursing education and practice
• C) Eliminating electronic health records
• D) Promoting paper-based documentation
Answer: B
Rationale: The TIGER Initiative aims to integrate informatics competencies into
nursing education, practice, and leadership to improve patient care through
technology.
7. A nurse uses a clinical decision support system (CDSS) that alerts her to a
potential drug interaction. This is an example of:
• A) Data entry
• B) Informatics wisdom
• C) Information overload
• D) Replacing clinical judgment
Answer: B
Rationale: The CDSS provides information/knowledge; the nurse uses wisdom to
evaluate the alert, consider patient context, and decide whether to override or
accept. Wisdom is applying knowledge ethically and appropriately.
, 8. Which federal act provided incentives for meaningful use of electronic
health records?
• A) HIPAA (1996)
• B) HITECH Act (2009)
• C) Affordable Care Act (2010)
• D) Cures Act (2016)
Answer: B
Rationale: The HITECH Act (Health Information Technology for Economic
and Clinical Health) provided financial incentives to hospitals and providers for
adoption and meaningful use of EHRs.
9. A nurse is concerned about the "digital divide." This term refers to:
• A) A gap in internet access and technology literacy between different
populations
• B) A type of computer hardware failure
• C) A security breach in hospital networks
• D) An algorithm that divides patient data
Answer: A
Rationale: The digital divide refers to disparities in access to technology (internet,
devices) and digital literacy, which can affect patients' ability to engage with e-
health tools and contribute to health inequities.
10. A nursing student is told to use "standardized terminologies." The
purpose of these is to:
• A) Make nursing notes longer
• B) Enable data sharing, comparison, and research across settings
• C) Replace clinical reasoning
