ANCC IQ DOMAINS 1 TO 5 2026
ASSESSMENT DIAGNOSTICS PLANNING
AND CLINICAL DECISION MAKING
PRACTICE GUIDE
◉ 1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM
Answer: d. e-mail and IM
◉ 1. The network that connects the departments in an organization
is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN
Answer: b. LAN - local area network
,◉ 1. When an institution is transitioning to a CPOE, a primary role of
the informatics nurse is that of:
a. system designer
b. liaison
c. software modifier
d. purchasing agent
Answer: b. liaison
◉ The field of science that attempts to create intelligent
technologies and then apply these technologies to the field of
informatics is:
a. cognitive science
b. cognitive informatics
c. artificial intelligence
d. information science
Answer: c. artificial intelligence
Rationale: The field of science that applies intelligent technologies to
the field of informatics is artificial intelligence. Researchers in
artificial intelligence must engineer general intelligence and
reasoning skills into the artificial intelligence programs as well as
the ability to develop and learn from experiences and errors and to
process natural language. One example of an artificial intelligence
program is Siri®, which responds to verbal queries and is found on
Apple devices, such as the iPhone and iPad.
,◉ 1. 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
Answer: 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.
◉ 1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices
, Answer: a. allows user interaction with technology
◉ 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
Answer: c. demanding actions and answers
◉ Which of the following is an application of an algorithm?
A. Potent application
B. Comprehensive application
C. Certification application Incorrect
D. None of the above.
Answer: d. none of the above
◉ System design:
A. Defines aspects of a system to satisfy specific requirements.
B. Is the first phase of the system life cycle.
C. Involves only the current-state process.
D. Is not necessarily in keeping with the mission of the organization.
ASSESSMENT DIAGNOSTICS PLANNING
AND CLINICAL DECISION MAKING
PRACTICE GUIDE
◉ 1. Communication software is most commonly used for:
a. audio files
b. documents
c. video files
d. e-mail and IM
Answer: d. e-mail and IM
◉ 1. The network that connects the departments in an organization
is likely a(n):
a. VSN
b. LAN
c. WAN
d. MAN
Answer: b. LAN - local area network
,◉ 1. When an institution is transitioning to a CPOE, a primary role of
the informatics nurse is that of:
a. system designer
b. liaison
c. software modifier
d. purchasing agent
Answer: b. liaison
◉ The field of science that attempts to create intelligent
technologies and then apply these technologies to the field of
informatics is:
a. cognitive science
b. cognitive informatics
c. artificial intelligence
d. information science
Answer: c. artificial intelligence
Rationale: The field of science that applies intelligent technologies to
the field of informatics is artificial intelligence. Researchers in
artificial intelligence must engineer general intelligence and
reasoning skills into the artificial intelligence programs as well as
the ability to develop and learn from experiences and errors and to
process natural language. One example of an artificial intelligence
program is Siri®, which responds to verbal queries and is found on
Apple devices, such as the iPhone and iPad.
,◉ 1. 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
Answer: 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.
◉ 1. The human-technology interface (HTI):
a. allows user interaction with technology
b. allows access to the technology only to authorized people
c. connects a user device to the Internet
d. standardizes applications utilized in all devices
, Answer: a. allows user interaction with technology
◉ 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
Answer: c. demanding actions and answers
◉ Which of the following is an application of an algorithm?
A. Potent application
B. Comprehensive application
C. Certification application Incorrect
D. None of the above.
Answer: d. none of the above
◉ System design:
A. Defines aspects of a system to satisfy specific requirements.
B. Is the first phase of the system life cycle.
C. Involves only the current-state process.
D. Is not necessarily in keeping with the mission of the organization.
