NRS 450 Exam 3 V2 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale
(NRS450 Exam 3) | Grand Canyon
University
1. A nurse is reviewing the DIKW framework. Which of the following examples best illustrates
the ‘Wisdom’ component of this model?
A. The patient’s heart rate is 102 beats per minute.
B. Recognizing that a heart rate of 102 bpm is tachycardia for this specific patient based on
their age.
C. Deciding to hold a scheduled dose of digoxin because the patient’s heart rate is trending
downward and they are symptomatic.
D. Charting the heart rate in the Electronic Health Record.
Correct Answer: C
Rationale: Wisdom is the highest level of the DIKW hierarchy and involves the appropriate
use of knowledge to manage and solve human problems. It requires the nurse to integrate
information and knowledge with clinical experience to make sound judgments. In this
scenario, clinical decision-making regarding medication administration based on holistic
patient assessment demonstrates wisdom.
,2. Which of the following are considered primary goals of the TIGER (Technology Informatics
Guiding Education Reform) initiative? (Select all that apply)
A. Developing a nursing workforce capable of using electronic health records to improve
patient care.
B. Fostering interprofessional collaboration through information technology.
C. Decreasing the salary of nurse informaticists to reduce hospital overhead.
D. Ensuring all nurses are certified in computer programming.
E. Engaging nursing leadership in the adoption of health information technology.
F. Standardizing nursing informatics competencies for all levels of nursing practice.
Correct Answer: A, B, E, F
Rationale: The TIGER initiative was launched to create a vision for nursing that bridges the
gap between clinical practice and information technology. It focuses on informatics
competencies, leadership, and the integration of technology into the nursing curriculum
and practice environment. The goal is to ensure that all nurses are prepared to practice in a
digital environment to enhance patient safety and quality.
3. A nurse informaticist is working on ‘Usability’ for a new documentation module. Which
principle focuses on how easy it is for a user to accomplish basic tasks the first time they
encounter the design?
A. Efficiency
B. Error Prevention
, C. Memorability
D. Learnability
Correct Answer: D
Rationale: Learnability is a key component of usability that measures how quickly a user
can navigate a new system. It is critical for nursing staff who may have limited time for
training on new software updates. High learnability reduces the cognitive load on the
clinician and improves overall system adoption.
4. Under HIPAA, which of the following is considered Protected Health Information (PHI)?
(Select all that apply)
A. Social Security Number
B. Patient’s IP Address
C. A de-identified statistical report on hospital infection rates
D. Full-face photographic images
E. The patient’s vehicle identifier or serial number
F. The name of the patient’s employer
Correct Answer: A, B, D, E, F
Rationale: PHI includes any information that can be used to identify a patient’s identity,
health status, or payment for healthcare. HIPAA identifies 18 specific identifiers that must
Informatics | Actual Q&A with Rationale
(NRS450 Exam 3) | Grand Canyon
University
1. A nurse is reviewing the DIKW framework. Which of the following examples best illustrates
the ‘Wisdom’ component of this model?
A. The patient’s heart rate is 102 beats per minute.
B. Recognizing that a heart rate of 102 bpm is tachycardia for this specific patient based on
their age.
C. Deciding to hold a scheduled dose of digoxin because the patient’s heart rate is trending
downward and they are symptomatic.
D. Charting the heart rate in the Electronic Health Record.
Correct Answer: C
Rationale: Wisdom is the highest level of the DIKW hierarchy and involves the appropriate
use of knowledge to manage and solve human problems. It requires the nurse to integrate
information and knowledge with clinical experience to make sound judgments. In this
scenario, clinical decision-making regarding medication administration based on holistic
patient assessment demonstrates wisdom.
,2. Which of the following are considered primary goals of the TIGER (Technology Informatics
Guiding Education Reform) initiative? (Select all that apply)
A. Developing a nursing workforce capable of using electronic health records to improve
patient care.
B. Fostering interprofessional collaboration through information technology.
C. Decreasing the salary of nurse informaticists to reduce hospital overhead.
D. Ensuring all nurses are certified in computer programming.
E. Engaging nursing leadership in the adoption of health information technology.
F. Standardizing nursing informatics competencies for all levels of nursing practice.
Correct Answer: A, B, E, F
Rationale: The TIGER initiative was launched to create a vision for nursing that bridges the
gap between clinical practice and information technology. It focuses on informatics
competencies, leadership, and the integration of technology into the nursing curriculum
and practice environment. The goal is to ensure that all nurses are prepared to practice in a
digital environment to enhance patient safety and quality.
3. A nurse informaticist is working on ‘Usability’ for a new documentation module. Which
principle focuses on how easy it is for a user to accomplish basic tasks the first time they
encounter the design?
A. Efficiency
B. Error Prevention
, C. Memorability
D. Learnability
Correct Answer: D
Rationale: Learnability is a key component of usability that measures how quickly a user
can navigate a new system. It is critical for nursing staff who may have limited time for
training on new software updates. High learnability reduces the cognitive load on the
clinician and improves overall system adoption.
4. Under HIPAA, which of the following is considered Protected Health Information (PHI)?
(Select all that apply)
A. Social Security Number
B. Patient’s IP Address
C. A de-identified statistical report on hospital infection rates
D. Full-face photographic images
E. The patient’s vehicle identifier or serial number
F. The name of the patient’s employer
Correct Answer: A, B, D, E, F
Rationale: PHI includes any information that can be used to identify a patient’s identity,
health status, or payment for healthcare. HIPAA identifies 18 specific identifiers that must
