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WGU D220 INFORMATION TECHNOLOGY IN NURSING
PRACTICE FINAL EXAM 2026/2027 | TIGER
Competencies | 100% Correct | Pass Guaranteed - A+
Graded
Section 1: Nursing Informatics Foundations & TIGER Competencies (Questions 1-
12)
Q1. According to the American Nurses Association (ANA), which statement best
defines nursing informatics?
A. Nursing informatics focuses exclusively on computer hardware maintenance and
network troubleshooting in hospitals
B. Nursing informatics is the specialty that integrates nursing science with multiple
information and analytical sciences to identify, define, manage, and communicate
data, information, knowledge, and wisdom in nursing practice
C. Nursing informatics is limited to EHR data entry training and basic keyboarding
skills for new graduate nurses
D. Nursing informatics is a technical support role with no requirement for clinical
nursing knowledge or licensure
Correct Answer: B. Nursing informatics is the specialty that integrates nursing
science with multiple information and analytical sciences to identify, define,
manage, and communicate data, information, knowledge, and wisdom in nursing
practice [CORRECT]
Rationale: The ANA defines nursing informatics as the integration of nursing science
with information and analytical sciences to manage and communicate data,
information, knowledge, and wisdom. It is a clinical specialty requiring nursing
expertise, not merely IT support or data entry training.
Q2. A nurse reviews a patient's blood pressure reading of 180/110 mmHg (data),
recognizes this as stage 2 hypertension per evidence-based guidelines (information),
understands that uncontrolled hypertension increases stroke and MI risk
,2
(knowledge), and initiates the hypertensive emergency assessment protocol and
notifies the provider (wisdom). Which DIKW transformation sequence is
demonstrated?
A. Data → Information → Knowledge → Wisdom
B. Information → Data → Knowledge → Wisdom
C. Data → Knowledge → Information → Wisdom
D. Wisdom → Knowledge → Information → Data
Correct Answer: A. Data → Information → Knowledge → Wisdom [CORRECT]
Rationale: The DIKW framework progresses from raw data (180/110) to
contextualized information (stage 2 hypertension), to applied knowledge (stroke/MI
risk), and finally to wisdom (clinical action/protocol initiation). This sequence
represents the full DIKW hierarchy central to nursing informatics.
Q3. Which TIGER (Technology Informatics Guiding Education Reform) competency
domain includes proficiency with word processing, spreadsheets, database
management, and fundamental computer navigation?
A. Information literacy
B. Basic computer competencies
C. Clinical informatics
D. Interoperability
Correct Answer: B. Basic computer competencies [CORRECT]
Rationale: TIGER identifies basic computer competencies as the foundational
domain encompassing hardware/software operation, word processing, spreadsheets,
and database use. Information literacy focuses on evaluating information quality;
clinical informatics applies technology to care; interoperability addresses system
exchange.
,3
Q4. A nurse needs to evaluate the credibility, relevance, and currency of a clinical
research article found through an online database before integrating the findings
into patient care. Which TIGER competency does this action demonstrate?
A. Basic computer competencies
B. Information literacy
C. Data management
D. Quality improvement
Correct Answer: B. Information literacy [CORRECT]
Rationale: Information literacy is the TIGER competency that enables nurses to
locate, evaluate, and effectively use information from various sources. It requires
critical appraisal of evidence quality, not merely the ability to operate computers or
collect data.
Q5. A registered nurse works at the bedside and primarily assists colleagues with EHR
navigation, barcode medication administration troubleshooting, and basic device
support. This nurse has not completed graduate-level informatics education. Which
role best describes this nurse?
A. Informatics Nurse Specialist (INS)
B. Clinical Informatics Nurse
C. Chief Nursing Informatics Officer (CNIO)
D. Nurse Informaticist with a doctoral degree
Correct Answer: B. Clinical Informatics Nurse [CORRECT]
Rationale: A Clinical Informatics Nurse functions at the unit level, supporting
technology use in direct care without requiring graduate informatics preparation. An
Informatics Nurse Specialist requires graduate education; a CNIO is an executive
leadership role; a doctoral-prepared informaticist conducts research and system-level
design.
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Q6. Which TIGER competency ensures that nurses understand how different health
information systems exchange data and how continuity of care is maintained across
acute, ambulatory, and community settings?
A. Privacy and security
B. Interoperability
C. Ethics
D. Data management
Correct Answer: B. Interoperability [CORRECT]
Rationale: The TIGER interoperability competency specifically addresses the ability to
understand and facilitate data exchange across disparate systems and care settings.
Privacy/security focuses on protection; ethics addresses moral principles; data
management involves storage and retrieval within systems.
Q7. A nurse uses EHR-generated reports to monitor catheter-associated urinary tract
infection (CAUTI) rates, tracks trends over six months, and presents findings to the
unit-based quality council to inform protocol revisions. Which TIGER competency is
demonstrated?
A. Information literacy
B. Quality improvement
C. Clinical informatics
D. Basic computer competencies
Correct Answer: B. Quality improvement [CORRECT]
Rationale: The TIGER quality improvement competency involves using data and
technology to monitor outcomes, identify trends, and drive care process
improvements. While clinical informatics and data management support this work,
the active use of metrics to improve care quality specifically reflects the quality
improvement domain.
WGU D220 INFORMATION TECHNOLOGY IN NURSING
PRACTICE FINAL EXAM 2026/2027 | TIGER
Competencies | 100% Correct | Pass Guaranteed - A+
Graded
Section 1: Nursing Informatics Foundations & TIGER Competencies (Questions 1-
12)
Q1. According to the American Nurses Association (ANA), which statement best
defines nursing informatics?
A. Nursing informatics focuses exclusively on computer hardware maintenance and
network troubleshooting in hospitals
B. Nursing informatics is the specialty that integrates nursing science with multiple
information and analytical sciences to identify, define, manage, and communicate
data, information, knowledge, and wisdom in nursing practice
C. Nursing informatics is limited to EHR data entry training and basic keyboarding
skills for new graduate nurses
D. Nursing informatics is a technical support role with no requirement for clinical
nursing knowledge or licensure
Correct Answer: B. Nursing informatics is the specialty that integrates nursing
science with multiple information and analytical sciences to identify, define,
manage, and communicate data, information, knowledge, and wisdom in nursing
practice [CORRECT]
Rationale: The ANA defines nursing informatics as the integration of nursing science
with information and analytical sciences to manage and communicate data,
information, knowledge, and wisdom. It is a clinical specialty requiring nursing
expertise, not merely IT support or data entry training.
Q2. A nurse reviews a patient's blood pressure reading of 180/110 mmHg (data),
recognizes this as stage 2 hypertension per evidence-based guidelines (information),
understands that uncontrolled hypertension increases stroke and MI risk
,2
(knowledge), and initiates the hypertensive emergency assessment protocol and
notifies the provider (wisdom). Which DIKW transformation sequence is
demonstrated?
A. Data → Information → Knowledge → Wisdom
B. Information → Data → Knowledge → Wisdom
C. Data → Knowledge → Information → Wisdom
D. Wisdom → Knowledge → Information → Data
Correct Answer: A. Data → Information → Knowledge → Wisdom [CORRECT]
Rationale: The DIKW framework progresses from raw data (180/110) to
contextualized information (stage 2 hypertension), to applied knowledge (stroke/MI
risk), and finally to wisdom (clinical action/protocol initiation). This sequence
represents the full DIKW hierarchy central to nursing informatics.
Q3. Which TIGER (Technology Informatics Guiding Education Reform) competency
domain includes proficiency with word processing, spreadsheets, database
management, and fundamental computer navigation?
A. Information literacy
B. Basic computer competencies
C. Clinical informatics
D. Interoperability
Correct Answer: B. Basic computer competencies [CORRECT]
Rationale: TIGER identifies basic computer competencies as the foundational
domain encompassing hardware/software operation, word processing, spreadsheets,
and database use. Information literacy focuses on evaluating information quality;
clinical informatics applies technology to care; interoperability addresses system
exchange.
,3
Q4. A nurse needs to evaluate the credibility, relevance, and currency of a clinical
research article found through an online database before integrating the findings
into patient care. Which TIGER competency does this action demonstrate?
A. Basic computer competencies
B. Information literacy
C. Data management
D. Quality improvement
Correct Answer: B. Information literacy [CORRECT]
Rationale: Information literacy is the TIGER competency that enables nurses to
locate, evaluate, and effectively use information from various sources. It requires
critical appraisal of evidence quality, not merely the ability to operate computers or
collect data.
Q5. A registered nurse works at the bedside and primarily assists colleagues with EHR
navigation, barcode medication administration troubleshooting, and basic device
support. This nurse has not completed graduate-level informatics education. Which
role best describes this nurse?
A. Informatics Nurse Specialist (INS)
B. Clinical Informatics Nurse
C. Chief Nursing Informatics Officer (CNIO)
D. Nurse Informaticist with a doctoral degree
Correct Answer: B. Clinical Informatics Nurse [CORRECT]
Rationale: A Clinical Informatics Nurse functions at the unit level, supporting
technology use in direct care without requiring graduate informatics preparation. An
Informatics Nurse Specialist requires graduate education; a CNIO is an executive
leadership role; a doctoral-prepared informaticist conducts research and system-level
design.
, 4
Q6. Which TIGER competency ensures that nurses understand how different health
information systems exchange data and how continuity of care is maintained across
acute, ambulatory, and community settings?
A. Privacy and security
B. Interoperability
C. Ethics
D. Data management
Correct Answer: B. Interoperability [CORRECT]
Rationale: The TIGER interoperability competency specifically addresses the ability to
understand and facilitate data exchange across disparate systems and care settings.
Privacy/security focuses on protection; ethics addresses moral principles; data
management involves storage and retrieval within systems.
Q7. A nurse uses EHR-generated reports to monitor catheter-associated urinary tract
infection (CAUTI) rates, tracks trends over six months, and presents findings to the
unit-based quality council to inform protocol revisions. Which TIGER competency is
demonstrated?
A. Information literacy
B. Quality improvement
C. Clinical informatics
D. Basic computer competencies
Correct Answer: B. Quality improvement [CORRECT]
Rationale: The TIGER quality improvement competency involves using data and
technology to monitor outcomes, identify trends, and drive care process
improvements. While clinical informatics and data management support this work,
the active use of metrics to improve care quality specifically reflects the quality
improvement domain.
