WGU C854 Nursing Informatics Capstone (2026) – MCQ Practice Questions & Answers | System Optimization, CPE, Triple Aim |INSTANT PDF DOWNLOAD

WGU C854 Nursing Informatics Capstone (2026) –
MCQ Practice Questions & Answers | System
Optimization, CPE, Triple Aim |INSTANT PDF
DOWNLOAD

WGU C854 Nursing Informatics Capstone: system optimization proposal, CPE, KPI dashboards, SDLC,
Triple Aim, and informatics leadership.

Description
WGU C854 Nursing Informatics Capstone (2026) – Complete 150 Question Practice Exam with Answers
and Explanations.

This downloadable set is designed specifically for Western Governors University Nursing Informatics
students working on the C854 Capstone and related CPE tasks. It contains 150 original multiple-choice
questions with correct answers and concise explanations, built around the actual concepts emphasized in
the Nursing Informatics Capstone and Field Experience:

 System Optimization Proposal (Title, Problem Overview, Purpose, Triple Aim alignment)
 Clinical/Practice Experiences (CPE) and activity log expectations
 Needs assessment, gap analysis, and workflow analysis diagrams
 SWOT analysis, KPIs, ERDs, Gantt charts, and dashboard design
 SDLC phases: Planning and Analysis, Designing and Building, Implementing and Testing,
Monitoring and Maintaining
 UAT/SIT test planning, data quality, and ethical use of informatics data
 Nurse informaticist role, informatics leadership, and governance committees
 Evidence-based practice, literature review, and PDSA cycles
 Documentation standards, interoperability, and standardized nursing terminologies
 Patient-experience metrics, ED kiosk optimization, and Triple Aim (patient experience, population
health, cost)



Q1
In the Nursing Informatics Capstone, a student proposes a system change to
improve documentation of post-fall assessments for adult inpatients. What
primary aim should guide this optimization?

,A. Reduce nurse charting time only.
B. Increase number of forms in the EHR.
C. Improve data quality to support safer, evidence-based care.*
D. Replace nursing documentation with physician notes.

Explanation: The capstone emphasizes system optimization that strengthens
data quality and supports patient safety and evidence-based practice.


Q2
A student completes CPE hours observing nurses as they use the EHR for
medication administration. Which activity best supports an informatics-focused
capstone?
A. Watching passively without taking notes.
B. Systematically recording workflow steps and pain points.*
C. Socializing with staff in the break room.
D. Assisting with nonclinical errands.

Explanation: Structured observation with notes generates informatics-relevant
data about workflows and system issues.


Q3
The capstone system optimization proposal must connect to the Institute for
Healthcare Improvement Triple Aim. Which focus meets this requirement?
A. Staff lounge decoration.
B. Better monitoring of patient-safety outcomes.*
C. Cafeteria menu variety.
D. Parking lot redesign.

Explanation: Optimizing systems to monitor and improve safety outcomes
directly supports Triple Aim dimensions.


Q4

,During problem overview, the student identifies frequent missing vital-sign
entries in the EHR before rapid response events. What is the best problem
statement focus?+1
A. Staff personality conflicts.
B. Incomplete documentation of vital signs before emergencies.*
C. Cafeteria line length.
D. Patient visiting hours rules.

Explanation: The problem statement should clearly address the documentation
gap related to safety-critical data


Q5
A student plans a literature review to support their Nursing Informatics Capstone.
Which source mix is most appropriate?
A. Only blogs.
B. Recent peer-reviewed articles and current guidelines.*
C. Outdated textbooks from decades ago.
D. Social media comments.

Explanation: Up-to-date scholarly literature and guidelines provide sound
evidence for informatics decisions.


Q6
In defining the project purpose, the capstone guidelines require a focus on
optimizing a monitoring and reporting system for one Triple Aim dimension.
Which purpose is appropriate?
A. Improve staff parking assignments.
B. Optimize fall-risk documentation to monitor unit-level fall rates.*
C. Create a newsletter about hobbies.
D. Track staff birthdays.

, Explanation: The purpose must center on optimizing a system that monitors and
reports a clinical outcome related to Triple Aim.


Q7
When selecting KPIs, the student wants to measure success of a documentation
improvement project for sepsis screening. Which KPI is best?
A. Number of televisions on the unit.
B. Percentage of eligible patients with completed sepsis-screen documentation.*
C. Staff shoe color variety.
D. Visitor count per day.

Explanation: The KPI should directly reflect completion of critical documentation
related to the project aim.


Q8
The SDLC phases in the template for the systems optimization proposal include
Planning and Analysis, Designing and Building, Implementing and Testing, and
Monitoring. Which phase centers on defining requirements?
A. Implementing and Testing.
B. Planning and Analysis.*
C. Monitoring and Maintaining.
D. Disposal and retirement.

Explanation: Planning and Analysis focuses on understanding needs and
specifying requirements before design and build.


Q9
A student interviews stakeholders to understand problems with
discharge-summary documentation. Who is a key stakeholder?+1