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WGU C854 Nursing Informatics Capstone (2026–2027): System Optimization Practice Exam | Original Objective Assessment–Style Questions with Detailed Answer Rationales Covering Nursing Informatics, Electronic Health Records (EHR), Clinical Decision Suppo

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WGU C854 Nursing Informatics Capstone (2026–2027): System Optimization Practice Exam | Original Objective Assessment–Style Questions with Detailed Answer Rationales Covering Nursing Informatics, Electronic Health Records (EHR), Clinical Decision Support Systems (CDSS), Healthcare Data Analytics, Interoperability (HL7, FHIR, HIE), HIPAA, Cybersecurity, Workflow Analysis, Quality Improvement, Change Management, Project Management, Population Health, Artificial Intelligence, Leadership, and Capstone System Optimization

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,1.

A hospital plans to optimize its electronic health record (EHR) system after nurses
report excessive documentation time. What should the informatics nurse do first?

A. Purchase a new EHR.

B. Implement additional mandatory fields.

C. Analyze current workflows to identify inefficiencies.

D. Remove clinical decision support alerts.

Answer: C

Rationale: Workflow analysis identifies inefficiencies before system modifications
are made, ensuring improvements address actual problems.



2.

Which primary goal should guide every nursing informatics system optimization
project?

A. Increase software licensing costs.

B. Reduce nursing staff.

C. Improve patient care, safety, and clinical efficiency.

D. Eliminate all paper documentation.

,Answer: C

Rationale: The primary purpose of health information technology is improving
patient outcomes while supporting efficient care delivery.



3.

A nurse notices duplicate patient records in the EHR. Which data quality issue does
this represent?

A. Availability

B. Confidentiality

C. Data integrity

D. Encryption

Answer: C

Rationale: Duplicate records threaten data integrity by increasing the risk of
incomplete or inaccurate patient information.



4.

Which component of an EHR provides clinicians with medication interaction
alerts?

A. Health Information Exchange

B. Patient Portal

, C. Clinical Decision Support System (CDSS)

D. Billing Module

Answer: C

Rationale: CDSS assists clinicians by providing evidence-based alerts, reminders,
and recommendations.



5.

An informatics nurse is evaluating barcode medication administration (BCMA).
Which outcome best demonstrates successful implementation?

A. Increased medication documentation time.

B. Higher printing costs.

C. Reduced medication administration errors.

D. Fewer nurse logins.

Answer: C

Rationale: BCMA improves patient safety by verifying the right patient,
medication, dose, route, and time.



6.

Which healthcare quality domain focuses on preventing patient harm during care
delivery?

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