NRS 450 Exam 1 V2 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale
(NRS450 Exam 1) | Grand Canyon
University
1. The American Nurses Association (ANA) defines nursing informatics primarily as a specialty
that integrates which of the following sciences?
A. Biological science, computer science, and social science
B. Information science, physical science, and nursing science
C. Nursing science, computer science, and information science
D. Management science, computer science, and nursing science
Correct Answer: C
Rationale: Nursing informatics is officially recognized by the ANA as a specialty that
integrates nursing science with multiple information and analytical sciences. By combining
these fields, informatics nurses are able to identify, define, manage, and communicate data
and knowledge in nursing practice. This integration is essential for supporting patients,
nurses, and other providers in their decision-making roles.
2. Which of the following are considered primary benefits of implementing an Electronic
Health Record (EHR) system in a clinical setting? (Select All That Apply)
A. Increased clinical productivity and speed of documentation
,B. Improved access to patient information across the continuum of care
C. Reduction in medication errors through integrated decision support
D. Elimination of the need for standardized nursing terminologies
E. Enhanced ability to track and report quality outcome measures
F. Promotion of evidence-based practice through data analysis
Correct Answer: B, C, E, F
Rationale: EHRs provide a centralized platform that ensures patient data is available to
authorized providers whenever and wherever it is needed. Integrated systems like CPOE
and CDSS significantly reduce errors by alerting clinicians to potential drug interactions or
allergies. Furthermore, the ability to aggregate data allows organizations to monitor quality
metrics and implement evidence-based protocols more effectively.
3. Within the DIKW hierarchy, how is ‘Knowledge’ best described in the context of nursing
practice?
A. Raw facts such as a blood pressure reading of 120/80
B. The synthesis of information to identify relationships and patterns
C. The application of data to a specific patient scenario to make a decision
D. Data that has been processed and organized into a meaningful form
Correct Answer: B
,Rationale: Knowledge is the level of the hierarchy where information is synthesized so
that relationships are identified and formalized. In nursing, this involves looking at trends
in patient data (information) and applying clinical expertise to understand the underlying
condition. It represents a deeper level of understanding than just viewing organized data
points.
4. The TIGER (Technology Informatics Guiding Education Reform) initiative was primarily
developed to:
A. Mandate the use of specific EHR vendors in all US hospitals
B. Establish international standards for medical coding
C. Replace the ANA Scope and Standards of Nursing Informatics
D. Create a nursing workforce capable of using technology to improve care
Correct Answer: D
Rationale: The TIGER initiative focused on ensuring that all practicing nurses and nursing
students develop the necessary informatics competencies. It aims to bridge the gap
between clinical practice and technology to improve patient safety and quality of care. By
fostering these skills, TIGER helps nurses use IT tools effectively within their daily
workflows.
5. Which legislative act provided financial incentives for the ‘Meaningful Use’ of certified EHR
technology?
A. Health Insurance Portability and Accountability Act (HIPAA)
, B. The Affordable Care Act (ACA)
C. The HITECH Act under the ARRA
D. The Patient Safety and Quality Improvement Act
Correct Answer: C
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act was part of the American Recovery and Reinvestment Act of 2009. It established
programs under Medicare and Medicaid to provide incentive payments for the ‘Meaningful
Use’ of EHRs. This legislation was a major catalyst for the rapid adoption of digital records
in healthcare facilities across the United States.
6. A nurse is using a Clinical Decision Support System (CDSS) while administering medications.
Which of the following is a function of this system?
A. Automatically documenting the medication in the MAR
B. Calculating the patient’s billing charges based on the drug cost
C. Providing an alert if a patient has a documented allergy to a prescribed drug
D. Granting the nurse permission to bypass a physician’s order
Correct Answer: C
Rationale: CDSS tools provide clinicians with patient-specific information and knowledge
at the point of care to enhance decision-making. Examples include drug-drug interaction
Informatics | Actual Q&A with Rationale
(NRS450 Exam 1) | Grand Canyon
University
1. The American Nurses Association (ANA) defines nursing informatics primarily as a specialty
that integrates which of the following sciences?
A. Biological science, computer science, and social science
B. Information science, physical science, and nursing science
C. Nursing science, computer science, and information science
D. Management science, computer science, and nursing science
Correct Answer: C
Rationale: Nursing informatics is officially recognized by the ANA as a specialty that
integrates nursing science with multiple information and analytical sciences. By combining
these fields, informatics nurses are able to identify, define, manage, and communicate data
and knowledge in nursing practice. This integration is essential for supporting patients,
nurses, and other providers in their decision-making roles.
2. Which of the following are considered primary benefits of implementing an Electronic
Health Record (EHR) system in a clinical setting? (Select All That Apply)
A. Increased clinical productivity and speed of documentation
,B. Improved access to patient information across the continuum of care
C. Reduction in medication errors through integrated decision support
D. Elimination of the need for standardized nursing terminologies
E. Enhanced ability to track and report quality outcome measures
F. Promotion of evidence-based practice through data analysis
Correct Answer: B, C, E, F
Rationale: EHRs provide a centralized platform that ensures patient data is available to
authorized providers whenever and wherever it is needed. Integrated systems like CPOE
and CDSS significantly reduce errors by alerting clinicians to potential drug interactions or
allergies. Furthermore, the ability to aggregate data allows organizations to monitor quality
metrics and implement evidence-based protocols more effectively.
3. Within the DIKW hierarchy, how is ‘Knowledge’ best described in the context of nursing
practice?
A. Raw facts such as a blood pressure reading of 120/80
B. The synthesis of information to identify relationships and patterns
C. The application of data to a specific patient scenario to make a decision
D. Data that has been processed and organized into a meaningful form
Correct Answer: B
,Rationale: Knowledge is the level of the hierarchy where information is synthesized so
that relationships are identified and formalized. In nursing, this involves looking at trends
in patient data (information) and applying clinical expertise to understand the underlying
condition. It represents a deeper level of understanding than just viewing organized data
points.
4. The TIGER (Technology Informatics Guiding Education Reform) initiative was primarily
developed to:
A. Mandate the use of specific EHR vendors in all US hospitals
B. Establish international standards for medical coding
C. Replace the ANA Scope and Standards of Nursing Informatics
D. Create a nursing workforce capable of using technology to improve care
Correct Answer: D
Rationale: The TIGER initiative focused on ensuring that all practicing nurses and nursing
students develop the necessary informatics competencies. It aims to bridge the gap
between clinical practice and technology to improve patient safety and quality of care. By
fostering these skills, TIGER helps nurses use IT tools effectively within their daily
workflows.
5. Which legislative act provided financial incentives for the ‘Meaningful Use’ of certified EHR
technology?
A. Health Insurance Portability and Accountability Act (HIPAA)
, B. The Affordable Care Act (ACA)
C. The HITECH Act under the ARRA
D. The Patient Safety and Quality Improvement Act
Correct Answer: C
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act was part of the American Recovery and Reinvestment Act of 2009. It established
programs under Medicare and Medicaid to provide incentive payments for the ‘Meaningful
Use’ of EHRs. This legislation was a major catalyst for the rapid adoption of digital records
in healthcare facilities across the United States.
6. A nurse is using a Clinical Decision Support System (CDSS) while administering medications.
Which of the following is a function of this system?
A. Automatically documenting the medication in the MAR
B. Calculating the patient’s billing charges based on the drug cost
C. Providing an alert if a patient has a documented allergy to a prescribed drug
D. Granting the nurse permission to bypass a physician’s order
Correct Answer: C
Rationale: CDSS tools provide clinicians with patient-specific information and knowledge
at the point of care to enhance decision-making. Examples include drug-drug interaction
