EXAM 2026/2027 | Objective Assessment Complete Solutions
| Application of Technology Verified Answers | Pass
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Competency 1: Nursing Informatics Fundamentals (12 Questions)
Q1: The nurse is implementing a new clinical documentation system on a
medical-surgical unit. Which action demonstrates understanding of the TIGER-based
competency for informatics?
A. Asking the IT specialist to handle all data entry for the first week
B. Using the system's help feature only when absolutely necessary
C. Participating in workflow analysis to optimize documentation efficiency [CORRECT]
D. Documenting all assessments on paper until the system is fully tested
Correct Answer: C
Rationale: The TIGER (Technology Informatics Guiding Education Reform) initiative
identifies core competencies including the ability to use information and technology to
communicate, manage knowledge, mitigate error, and support decision-making. Active
participation in workflow analysis demonstrates the TIGER competency of "Information
Management" and "Clinical Information Management." Option A is incorrect because
delegating data entry prevents skill development. Option B is incorrect because help
features should be utilized proactively to ensure accurate system use. Option D is
,incorrect because avoiding the system entirely contradicts informatics competency
development, though temporary parallel documentation may be institutionally required
during transition.
Q2: A nurse is explaining the role of nursing informatics to a new graduate. Which
statement best describes the primary focus of nursing informatics?
A. Managing hospital IT budgets and hardware procurement
B. Developing software applications for nursing units
C. Integrating nursing science with information management and analytical sciences
[CORRECT]
D. Providing technical support for computer hardware issues
Correct Answer: C
Rationale: According to the American Nurses Association (ANA), nursing informatics is
the specialty that integrates nursing science with multiple information management and
analytical sciences to identify, define, manage, and communicate data, information,
knowledge, and wisdom in nursing practice. Option A describes IT administration, not
nursing informatics. Option B describes software development. Option D describes
technical support roles. The core focus is on the intersection of clinical nursing practice
and information science.
Q3: Which TIGER competency domains are essential for nurses in the era of digital
health transformation? (Select all that apply.)
A. Basic Computer Competencies [CORRECT]
,B. Information Literacy [CORRECT]
C. Clinical Information Management [CORRECT]
D. Financial Management of IT Resources
E. Leadership in Information Management [CORRECT]
Correct Answers: A, B, C, E
Rationale: The TIGER initiative identifies three primary competency domains: Basic
Computer Competencies (A), Information Literacy (B), and Clinical Information
Management (C). Additionally, Leadership in Information Management (E) is recognized
as essential for advancing nursing practice. Option D is incorrect because while
financial awareness is important, financial management of IT resources is not a core
TIGER competency for bedside nurses; this falls under administrative informatics roles.
Q4: The nurse is evaluating the usability of a new electronic medication administration
record (eMAR). Which observation indicates a potential violation of human factors
engineering principles?
A. The system requires barcode scanning before medication administration
B. The alert for high-risk medications appears in the same color as routine alerts
[CORRECT]
C. The interface allows for real-time documentation at the bedside
D. The system integrates with the pharmacy information system
Correct Answer: B
, Rationale: Human factors engineering principles emphasize that critical safety alerts
must be distinguishable from routine notifications through visual coding (color, size,
sound). Using identical colors for high-risk and routine alerts creates cognitive overload
and increases risk of alert fatigue. Option A represents proper safety verification. Option
C demonstrates workflow efficiency. Option D shows appropriate system
interoperability. The failure to differentiate alert severity violates usability principles and
patient safety standards.
Q5: A nurse educator is developing informatics competencies for nursing students.
Which learning objective aligns with the "Information Literacy" domain of TIGER
competencies?
A. Students will demonstrate proficiency in typing speed for documentation
B. Students will evaluate the credibility of online health information sources [CORRECT]
C. Students will troubleshoot network connectivity issues
D. Students will calculate medication dosages manually without technology
Correct Answer: B
Rationale: Information literacy involves the ability to recognize when information is
needed and to locate, evaluate, and effectively use the needed information. Evaluating
credibility of online health sources (B) directly addresses this competency. Option A
addresses basic computer skills. Option C addresses technical troubleshooting. Option
D contradicts informatics principles, which emphasize appropriate technology use for
safety. Information literacy specifically focuses on knowledge management and
evidence-based practice skills.