NRS 450 Exam 2 V3 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale
(NRS450 Exam 2) | Grand Canyon
University
1. Which of the following best describes the Data-Information-Knowledge-Wisdom (DIKW)
hierarchy in nursing informatics?
A. Knowledge is the application of data to a specific case.
B. Information is data that has been given purpose and meaning.
C. Wisdom is the collection of organized facts.
D. Data is the synthesis of information to form a pattern.
Correct Answer: B
Rationale: The DIKW model represents a structural relationship where data is the rawest
form. Information is created when data is processed and interpreted to have meaning.
Wisdom involves using knowledge to solve problems and make decisions in clinical
practice.
2. Which legislation was primarily responsible for providing financial incentives for the
‘meaningful use’ of Electronic Health Records (EHRs)?
A. The HIPAA Act of 1996
B. The Affordable Care Act (ACA)
,C. The HITECH Act of 2009
D. The MACRA Act
Correct Answer: C
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act was passed to promote the adoption and meaningful use of health information
technology. It provided incentive payments to healthcare providers who demonstrated the
use of certified EHR technology to improve care. This legislation significantly accelerated
the digitization of health records across the United States.
3. According to the TIGER (Technology Informatics Guiding Education Reform) initiative,
which competencies are essential for all practicing nurses? (Select all that apply)
A. Basic Computing Skills
B. Information Literacy
C. Information Management
D. Computer Programming and Coding
E. Database Architecture Design
F. Advanced Statistical Analysis
Correct Answer: A, B, C
Rationale: The TIGER initiative identified three core pillars of informatics competencies
for nurses: basic computer competencies, information literacy, and information
, management. These skills ensure that nurses can navigate digital tools and use data to
support evidence-based practice. Advanced skills like programming or database design are
reserved for informatics specialists rather than general practitioners.
4. A nurse is using a clinical decision support system (CDSS) that triggers an alert for a
potential drug-drug interaction. This is an example of which informatics concept?
A. Administrative Information System
B. Retrospective Reporting
C. Data Mining
D. Real-time Clinical Decision Support
Correct Answer: D
Rationale: Real-time clinical decision support provides clinicians with filtered information
at the point of care to enhance health and healthcare. These alerts are designed to prevent
medical errors and improve patient safety by providing immediate feedback. This
functionality is a key component of certified EHR systems used in modern hospitals.
5. What is the primary goal of nursing informatics in the clinical setting?
A. To improve patient outcomes and safety through information management.
B. To reduce the time nurses spend at the bedside.
C. To increase the billing revenue for the hospital.
D. To eliminate the need for paper-based documentation entirely.
Informatics | Actual Q&A with Rationale
(NRS450 Exam 2) | Grand Canyon
University
1. Which of the following best describes the Data-Information-Knowledge-Wisdom (DIKW)
hierarchy in nursing informatics?
A. Knowledge is the application of data to a specific case.
B. Information is data that has been given purpose and meaning.
C. Wisdom is the collection of organized facts.
D. Data is the synthesis of information to form a pattern.
Correct Answer: B
Rationale: The DIKW model represents a structural relationship where data is the rawest
form. Information is created when data is processed and interpreted to have meaning.
Wisdom involves using knowledge to solve problems and make decisions in clinical
practice.
2. Which legislation was primarily responsible for providing financial incentives for the
‘meaningful use’ of Electronic Health Records (EHRs)?
A. The HIPAA Act of 1996
B. The Affordable Care Act (ACA)
,C. The HITECH Act of 2009
D. The MACRA Act
Correct Answer: C
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act was passed to promote the adoption and meaningful use of health information
technology. It provided incentive payments to healthcare providers who demonstrated the
use of certified EHR technology to improve care. This legislation significantly accelerated
the digitization of health records across the United States.
3. According to the TIGER (Technology Informatics Guiding Education Reform) initiative,
which competencies are essential for all practicing nurses? (Select all that apply)
A. Basic Computing Skills
B. Information Literacy
C. Information Management
D. Computer Programming and Coding
E. Database Architecture Design
F. Advanced Statistical Analysis
Correct Answer: A, B, C
Rationale: The TIGER initiative identified three core pillars of informatics competencies
for nurses: basic computer competencies, information literacy, and information
, management. These skills ensure that nurses can navigate digital tools and use data to
support evidence-based practice. Advanced skills like programming or database design are
reserved for informatics specialists rather than general practitioners.
4. A nurse is using a clinical decision support system (CDSS) that triggers an alert for a
potential drug-drug interaction. This is an example of which informatics concept?
A. Administrative Information System
B. Retrospective Reporting
C. Data Mining
D. Real-time Clinical Decision Support
Correct Answer: D
Rationale: Real-time clinical decision support provides clinicians with filtered information
at the point of care to enhance health and healthcare. These alerts are designed to prevent
medical errors and improve patient safety by providing immediate feedback. This
functionality is a key component of certified EHR systems used in modern hospitals.
5. What is the primary goal of nursing informatics in the clinical setting?
A. To improve patient outcomes and safety through information management.
B. To reduce the time nurses spend at the bedside.
C. To increase the billing revenue for the hospital.
D. To eliminate the need for paper-based documentation entirely.
