NR 599 MIDTERM EXAM 2026/2027 | Latest Questions &
100% Correct Answers | Chamberlain College of Nursing |
Pass Guaranteed - A+ Graded
Domain 1: Introduction to Nursing Informatics (Q1-14)
1A: Foundational Concepts (Definition, NI Roles) - Q1-6
Q1. A nurse is reviewing quarterly pressure ulcer rates on her unit using the hospital's
quality dashboard to identify trends and compare outcomes against national
benchmarks. Which QSEN informatics competency is she demonstrating?
A. Using information management tools to monitor outcomes of care processes
[CORRECT]
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Reviewing outcome data via a dashboard to monitor care processes directly
aligns with the QSEN informatics competency of using information management tools
to monitor outcomes. The other options describe distinct QSEN competencies not
reflected in this scenario.
Correct Answer: A
Q2. A nursing student is creating a concept map using electronic care planning
software to organize patient assessments, nursing diagnoses, and interventions for a
clinical assignment. Which QSEN informatics competency does this represent?
A. Using information management tools to monitor outcomes
,B. Documenting and planning patient care using information technology [CORRECT]
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Electronic care planning and documentation align with the QSEN competency
focused on documenting and planning patient care using information technology. The
other competencies describe different informatics functions.
Correct Answer: B
Q3. According to the ANA 2026 definition, nursing informatics is best described as a
specialty that:
A. Focuses exclusively on the implementation of electronic health records in acute care
settings
B. Primarily manages hospital information technology infrastructure and hardware
maintenance
C. Integrates nursing science with multiple information and analytical sciences to
identify, define, manage, and communicate data, information, knowledge, and wisdom in
nursing practice [CORRECT]
D. Replaces clinical nursing judgment with algorithmic decision-making tools
Rationale: The ANA 2026 definition explicitly states that nursing informatics integrates
nursing science with information and analytical sciences to manage DIKW in practice.
Options A, B, and D represent common misconceptions about the scope of NI.
Correct Answer: C
Q4. A registered nurse with a BSN is employed by a hospital to train staff on a new
electronic medication administration record system, analyze workflow data, and serve
as a liaison between clinical staff and the IT department. This nurse is best described
as a(n):
,A. Nurse Informaticist (typically requires graduate education and certification)
B. Clinical analyst with no nursing background
C. Informatics Nurse [CORRECT]
D. Health informatics technician without patient care experience
Rationale: An Informatics Nurse is an RN who works in informatics roles, often with BSN
preparation, focusing on training, workflow analysis, and liaison activities. A Nurse
Informaticist typically requires graduate education and advanced certification.
Correct Answer: C
Q5. During shift handoff, a nurse uses a standardized electronic SBAR template to
communicate a patient's deteriorating respiratory status to the oncoming team. Which
QSEN informatics competency is demonstrated?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error [CORRECT]
D. Demonstrating information literacy for evidence-based practice
Rationale: Using a standardized electronic template to communicate critical patient
information during handoff directly demonstrates the QSEN competency of
communicating clinical information to reduce error.
Correct Answer: C
Q6. A nurse locates a systematic review on pressure injury prevention in a clinical
database and appraises the evidence before proposing a protocol change to the unit
council. Which QSEN informatics competency does this illustrate?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
, C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice [CORRECT]
Rationale: Locating, appraising, and applying research evidence from databases
exemplifies the QSEN informatics competency of demonstrating information literacy for
evidence-based practice.
Correct Answer: D
1B: DIKW Framework (Data/Information/Knowledge/Wisdom) - Q7-10
Q7. In the DIKW framework, which of the following best represents the "Data" level?
A. "Heart rate 100 bpm" [CORRECT]
B. "The patient's blood pressure is elevated, suggesting possible post-operative
complications"
C. "Tachycardia in a post-operative patient may indicate hypovolemia or pain"
D. "Assess pain and blood pressure before administering a beta-blocker"
Rationale: Data consists of discrete, objective facts without context. "Heart rate 100
bpm" is a raw fact. Option B represents information (contextualized data), C represents
knowledge (synthesized patterns), and D represents wisdom (ethical judgment and
appropriate action).
Correct Answer: A
Q8. Which example best illustrates the "Information" level of the DIKW hierarchy?
A. A blood glucose reading of 85 mg/dL
B. "Elevated blood glucose in diabetic patients may indicate inadequate insulin dosing"
C. "The patient's blood glucose of 85 mg/dL is within normal limits for a fasting adult"
[CORRECT]
D. "Adjust insulin based on glucose trends, patient diet, and activity level"
100% Correct Answers | Chamberlain College of Nursing |
Pass Guaranteed - A+ Graded
Domain 1: Introduction to Nursing Informatics (Q1-14)
1A: Foundational Concepts (Definition, NI Roles) - Q1-6
Q1. A nurse is reviewing quarterly pressure ulcer rates on her unit using the hospital's
quality dashboard to identify trends and compare outcomes against national
benchmarks. Which QSEN informatics competency is she demonstrating?
A. Using information management tools to monitor outcomes of care processes
[CORRECT]
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Reviewing outcome data via a dashboard to monitor care processes directly
aligns with the QSEN informatics competency of using information management tools
to monitor outcomes. The other options describe distinct QSEN competencies not
reflected in this scenario.
Correct Answer: A
Q2. A nursing student is creating a concept map using electronic care planning
software to organize patient assessments, nursing diagnoses, and interventions for a
clinical assignment. Which QSEN informatics competency does this represent?
A. Using information management tools to monitor outcomes
,B. Documenting and planning patient care using information technology [CORRECT]
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Electronic care planning and documentation align with the QSEN competency
focused on documenting and planning patient care using information technology. The
other competencies describe different informatics functions.
Correct Answer: B
Q3. According to the ANA 2026 definition, nursing informatics is best described as a
specialty that:
A. Focuses exclusively on the implementation of electronic health records in acute care
settings
B. Primarily manages hospital information technology infrastructure and hardware
maintenance
C. Integrates nursing science with multiple information and analytical sciences to
identify, define, manage, and communicate data, information, knowledge, and wisdom in
nursing practice [CORRECT]
D. Replaces clinical nursing judgment with algorithmic decision-making tools
Rationale: The ANA 2026 definition explicitly states that nursing informatics integrates
nursing science with information and analytical sciences to manage DIKW in practice.
Options A, B, and D represent common misconceptions about the scope of NI.
Correct Answer: C
Q4. A registered nurse with a BSN is employed by a hospital to train staff on a new
electronic medication administration record system, analyze workflow data, and serve
as a liaison between clinical staff and the IT department. This nurse is best described
as a(n):
,A. Nurse Informaticist (typically requires graduate education and certification)
B. Clinical analyst with no nursing background
C. Informatics Nurse [CORRECT]
D. Health informatics technician without patient care experience
Rationale: An Informatics Nurse is an RN who works in informatics roles, often with BSN
preparation, focusing on training, workflow analysis, and liaison activities. A Nurse
Informaticist typically requires graduate education and advanced certification.
Correct Answer: C
Q5. During shift handoff, a nurse uses a standardized electronic SBAR template to
communicate a patient's deteriorating respiratory status to the oncoming team. Which
QSEN informatics competency is demonstrated?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error [CORRECT]
D. Demonstrating information literacy for evidence-based practice
Rationale: Using a standardized electronic template to communicate critical patient
information during handoff directly demonstrates the QSEN competency of
communicating clinical information to reduce error.
Correct Answer: C
Q6. A nurse locates a systematic review on pressure injury prevention in a clinical
database and appraises the evidence before proposing a protocol change to the unit
council. Which QSEN informatics competency does this illustrate?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
, C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice [CORRECT]
Rationale: Locating, appraising, and applying research evidence from databases
exemplifies the QSEN informatics competency of demonstrating information literacy for
evidence-based practice.
Correct Answer: D
1B: DIKW Framework (Data/Information/Knowledge/Wisdom) - Q7-10
Q7. In the DIKW framework, which of the following best represents the "Data" level?
A. "Heart rate 100 bpm" [CORRECT]
B. "The patient's blood pressure is elevated, suggesting possible post-operative
complications"
C. "Tachycardia in a post-operative patient may indicate hypovolemia or pain"
D. "Assess pain and blood pressure before administering a beta-blocker"
Rationale: Data consists of discrete, objective facts without context. "Heart rate 100
bpm" is a raw fact. Option B represents information (contextualized data), C represents
knowledge (synthesized patterns), and D represents wisdom (ethical judgment and
appropriate action).
Correct Answer: A
Q8. Which example best illustrates the "Information" level of the DIKW hierarchy?
A. A blood glucose reading of 85 mg/dL
B. "Elevated blood glucose in diabetic patients may indicate inadequate insulin dosing"
C. "The patient's blood glucose of 85 mg/dL is within normal limits for a fasting adult"
[CORRECT]
D. "Adjust insulin based on glucose trends, patient diet, and activity level"
