ANCC NURSING INFORMATICS
CERTIFICATION REVIEW 2025
ANCC Nursing Informatics Certification
Review 2025 – Exam Prep Questions with
Rationales, Clinical Decision Support,
EHRs & Data Standards | Informatics RN-
BC Study Guide & Flashcard Bundle
,ANCC Nursing Informatics Certification Review 2025
If the informatics nurse is concerned that a computer system may not function well during
peak times of access, the type of testing needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing
d. load/volume testing
Rationale: This is a non-functional testing for reliability that assesses the ability of the system to
function under various loads, such as at peak times when multiple users in multiple departments
are accessing the system. The purpose of load/volume testing is to determine the maximum load
capacity and to identify the load at which problems begin to occur. Testing is done at both the
safe working load (SWL) and above the SWL.
In preparation for the workflow redesign necessitated for implementation of an EHR, the
first step should be to:
A. assess compatibility with EHR
B. assess the EHR requirements
C. map the current workflow
D. conduct surveys about workflow
map the current workflow
1. When utilizing a prioritization matrix to prioritize activities as a project manager, the
informatics nurse must first establish:
a. rating scale and timeframe
b. criteria and rating scale
c. rating scale and categories
d. criteria and timeframe
b. establish criteria and rating scale
Rationale: The criteria includes those factors that are utilized to determine how important each
project is; for example, a project mandated by regulations is more important than a project that
may improve customer satisfaction. A rating scale for each project should be established with
numeric values (such as 1 to 10) used to demonstrate how effective the project is in meeting the
criteria. A typical prioritization matrix may have up to a dozen criteria
1. Which of the following standardized nursing terminologies is comprised of (1) a problem
classification scheme, (2) an intervention scheme, and (3) a problem rating scale for
outcomes?
a. PNDS
,b. NANDA-I
c. OMAHA
d. ICNP
c. OMAHA
Rationale: a research-based and comprehensive practice, documentation, and information
management framework based on the nursing or problem-solving process, the clinician-client
relationship, and concepts of diagnostic reasoning, clinical judgment, and quality improvement.
It was designed for members of various disciplines, including nurses, other health care
professionals, and students. It consists of three relational, reliable, and valid clinical components
useful from the time of client admission until discharge from service. The components are
designed for classifying assessment (problem classification scheme), interventions(intervention
scheme), and outcomes measurement (problem rating scale for outcomes). See Appendix on the
Omaha System.
In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written
b. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before orders are
written and they should be automated. Alerts that occur after orders are written are more likely to
be ignored or overridden. Additional alerts, including hard stops, should occur if orders for
contraindicated drugs or drugs to which the patient is allergic are ordered despite the original
alert. The alerts should be carefully evaluated because excessive alerts may result in "alert
fatigue" to the point that clinicians begin to ignore them.
Which of the following is not a function of system design?
A. Defining the architecture
B. Defining the components
C. Demanding actions and answers
D. Satisfying specific requirements
c. demanding actions and answers
Process and system improvements:
A. Do not need to consider outside departments or stakeholders.
B. Are more possible when the process is inefficient and outdated.
C. Are best achieved when everyone in the organization is a potential advocate.
D. Involve transitioning existing processes to electronic tools.
, c. are best achieved when everyone in the organization is a potential advocate.
The aim of a logical database design is:
A. The application of Codd's Law to every table.
B. To provide a logical reference to a given data item to locate it within the physical
database.
C. The representation of the relationship existing between two data items. Incorrect
D. To apply a hashing function to the key to obtain an address.
A. the application of Codd's Law to every table.
What is Codd rules in database?
Codd's twelve rules are a set of thirteen rules (numbered zero to twelve) proposed by Edgar F.
Codd, a pioneer of the relational model for databases, designed to define what is required from a
database management system in order for it to be considered relational, i.e., a relational database
management system (RDBMS).
What does the (System design life cycle) SDLC do?
A. Provides guidance in system development.
B. Provides a checklist of activities.
C. Provides a set of stages for system development.
D. All of the above.
d. all of the above
Note: Another common breakdown also contains 5 phases: Requirements
Design
Implementation
Test
Maintenance.
Quality assurance is:
A. The act of giving confidence or the state of being certain.
B. An evaluation to indicated needed corrective responses.
C. The observation of techniques and activities used to fulfill requirements for quality.
D. Planned and systematic activities implemented so that quality requirements will be
fulfilled.
D. Planned and systematic activities implemented so that quality requirements will be fulfilled.
What is the outcome of system design? The outcome is:
a. The architecture, framework and structure that supports the process in progressing to
system implementation and testing.
B. A roadmap that allows the testers to determine whether the system can withstand peak
CERTIFICATION REVIEW 2025
ANCC Nursing Informatics Certification
Review 2025 – Exam Prep Questions with
Rationales, Clinical Decision Support,
EHRs & Data Standards | Informatics RN-
BC Study Guide & Flashcard Bundle
,ANCC Nursing Informatics Certification Review 2025
If the informatics nurse is concerned that a computer system may not function well during
peak times of access, the type of testing needed is:
a. functional testing
b. black box testing
c. system integration testing
d. load/volume testing
d. load/volume testing
Rationale: This is a non-functional testing for reliability that assesses the ability of the system to
function under various loads, such as at peak times when multiple users in multiple departments
are accessing the system. The purpose of load/volume testing is to determine the maximum load
capacity and to identify the load at which problems begin to occur. Testing is done at both the
safe working load (SWL) and above the SWL.
In preparation for the workflow redesign necessitated for implementation of an EHR, the
first step should be to:
A. assess compatibility with EHR
B. assess the EHR requirements
C. map the current workflow
D. conduct surveys about workflow
map the current workflow
1. When utilizing a prioritization matrix to prioritize activities as a project manager, the
informatics nurse must first establish:
a. rating scale and timeframe
b. criteria and rating scale
c. rating scale and categories
d. criteria and timeframe
b. establish criteria and rating scale
Rationale: The criteria includes those factors that are utilized to determine how important each
project is; for example, a project mandated by regulations is more important than a project that
may improve customer satisfaction. A rating scale for each project should be established with
numeric values (such as 1 to 10) used to demonstrate how effective the project is in meeting the
criteria. A typical prioritization matrix may have up to a dozen criteria
1. Which of the following standardized nursing terminologies is comprised of (1) a problem
classification scheme, (2) an intervention scheme, and (3) a problem rating scale for
outcomes?
a. PNDS
,b. NANDA-I
c. OMAHA
d. ICNP
c. OMAHA
Rationale: a research-based and comprehensive practice, documentation, and information
management framework based on the nursing or problem-solving process, the clinician-client
relationship, and concepts of diagnostic reasoning, clinical judgment, and quality improvement.
It was designed for members of various disciplines, including nurses, other health care
professionals, and students. It consists of three relational, reliable, and valid clinical components
useful from the time of client admission until discharge from service. The components are
designed for classifying assessment (problem classification scheme), interventions(intervention
scheme), and outcomes measurement (problem rating scale for outcomes). See Appendix on the
Omaha System.
In an EHR with CPOE and CDS, allergy alerts should be triggered:
a. in response to contraindicated drug orders
b. before orders are written
c. on physician request by accessing a link
after orders are written
d. after orders are written
b. before orders are written
Rationale: In an EHR with CPOE and CDS, allergy alerts should be triggered before orders are
written and they should be automated. Alerts that occur after orders are written are more likely to
be ignored or overridden. Additional alerts, including hard stops, should occur if orders for
contraindicated drugs or drugs to which the patient is allergic are ordered despite the original
alert. The alerts should be carefully evaluated because excessive alerts may result in "alert
fatigue" to the point that clinicians begin to ignore them.
Which of the following is not a function of system design?
A. Defining the architecture
B. Defining the components
C. Demanding actions and answers
D. Satisfying specific requirements
c. demanding actions and answers
Process and system improvements:
A. Do not need to consider outside departments or stakeholders.
B. Are more possible when the process is inefficient and outdated.
C. Are best achieved when everyone in the organization is a potential advocate.
D. Involve transitioning existing processes to electronic tools.
, c. are best achieved when everyone in the organization is a potential advocate.
The aim of a logical database design is:
A. The application of Codd's Law to every table.
B. To provide a logical reference to a given data item to locate it within the physical
database.
C. The representation of the relationship existing between two data items. Incorrect
D. To apply a hashing function to the key to obtain an address.
A. the application of Codd's Law to every table.
What is Codd rules in database?
Codd's twelve rules are a set of thirteen rules (numbered zero to twelve) proposed by Edgar F.
Codd, a pioneer of the relational model for databases, designed to define what is required from a
database management system in order for it to be considered relational, i.e., a relational database
management system (RDBMS).
What does the (System design life cycle) SDLC do?
A. Provides guidance in system development.
B. Provides a checklist of activities.
C. Provides a set of stages for system development.
D. All of the above.
d. all of the above
Note: Another common breakdown also contains 5 phases: Requirements
Design
Implementation
Test
Maintenance.
Quality assurance is:
A. The act of giving confidence or the state of being certain.
B. An evaluation to indicated needed corrective responses.
C. The observation of techniques and activities used to fulfill requirements for quality.
D. Planned and systematic activities implemented so that quality requirements will be
fulfilled.
D. Planned and systematic activities implemented so that quality requirements will be fulfilled.
What is the outcome of system design? The outcome is:
a. The architecture, framework and structure that supports the process in progressing to
system implementation and testing.
B. A roadmap that allows the testers to determine whether the system can withstand peak
