NRS 450 Exam 1 V3 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale
(NRS450 Exam 1) | Grand Canyon
University
1. According to the American Nurses Association (ANA), what is the definitive description of
Nursing Informatics?
A. A specialty that integrates nursing science, computer science, and information science to
manage and communicate data, information, knowledge, and wisdom.
B. The use of computers and hardware to manage patient charts in a hospital setting.
C. The process of using clinical decision support to ensure that nurses do not make errors.
D. A field focused strictly on the development of electronic health records for billing
purposes.
Correct Answer: A
Rationale: Nursing informatics is formally defined as the integration of nursing, computer,
and information sciences. It focuses on the management and communication of data,
information, knowledge, and wisdom in nursing practice. This integration supports
patients, nurses, and other stakeholders in their decision-making in all roles and settings.
2. In the DIKW framework, which of the following best describes the ‘Wisdom’ component?
A. Discrete entities described objectively without further interpretation.
,B. Data that are interpreted, organized, or structured.
C. Information that is synthesized so that relationships are identified and formalized.
D. The appropriate application of knowledge to manage and solve human problems.
Correct Answer: D
Rationale: Wisdom is the highest level of the DIKW hierarchy and involves the ethical and
appropriate application of knowledge. It requires clinical judgment and experience to use
information and knowledge effectively for patient care. Unlike data or information, wisdom
is focused on the ‘why’ and the values associated with decision-making.
3. The TIGER (Technology Informatics Guiding Education Reform) initiative identified several
core competencies for all practicing nurses. Select all that apply:
A. Basic Computer Competency
B. Information Literacy
C. Information Management
D. Advanced Programming Skills
E. Hardware Engineering
Correct Answer: A, B, C
Rationale: The TIGER initiative focused on three main pillars: basic computer
competencies, information literacy, and information management. These are considered
essential for all nurses to provide safe and effective care in a digital environment. Skills
, such as advanced programming or hardware engineering are not considered baseline
competencies for general nursing practice.
4. What was the primary purpose of the Health Information Technology for Economic and
Clinical Health (HITECH) Act of 2009?
A. To mandate that all nurses become informatics specialists by 2020.
B. To decrease the salaries of healthcare workers who do not use computers.
C. To eliminate all paper documentation in healthcare within five years.
D. To promote the adoption and meaningful use of health information technology.
Correct Answer: D
Rationale: The HITECH Act was designed to stimulate the adoption of Electronic Health
Records (EHR) and supporting technology in the United States. It provided financial
incentives for ‘Meaningful Use’ to ensure that technology improved patient care quality and
safety. This legislation significantly accelerated the transition from paper-based to
electronic systems.
5. A nurse uses a clinical decision support system (CDSS) that alerts them to a potential drug
interaction. This is an example of which DIKW component?
A. Data
B. Information
C. Knowledge
Informatics | Actual Q&A with Rationale
(NRS450 Exam 1) | Grand Canyon
University
1. According to the American Nurses Association (ANA), what is the definitive description of
Nursing Informatics?
A. A specialty that integrates nursing science, computer science, and information science to
manage and communicate data, information, knowledge, and wisdom.
B. The use of computers and hardware to manage patient charts in a hospital setting.
C. The process of using clinical decision support to ensure that nurses do not make errors.
D. A field focused strictly on the development of electronic health records for billing
purposes.
Correct Answer: A
Rationale: Nursing informatics is formally defined as the integration of nursing, computer,
and information sciences. It focuses on the management and communication of data,
information, knowledge, and wisdom in nursing practice. This integration supports
patients, nurses, and other stakeholders in their decision-making in all roles and settings.
2. In the DIKW framework, which of the following best describes the ‘Wisdom’ component?
A. Discrete entities described objectively without further interpretation.
,B. Data that are interpreted, organized, or structured.
C. Information that is synthesized so that relationships are identified and formalized.
D. The appropriate application of knowledge to manage and solve human problems.
Correct Answer: D
Rationale: Wisdom is the highest level of the DIKW hierarchy and involves the ethical and
appropriate application of knowledge. It requires clinical judgment and experience to use
information and knowledge effectively for patient care. Unlike data or information, wisdom
is focused on the ‘why’ and the values associated with decision-making.
3. The TIGER (Technology Informatics Guiding Education Reform) initiative identified several
core competencies for all practicing nurses. Select all that apply:
A. Basic Computer Competency
B. Information Literacy
C. Information Management
D. Advanced Programming Skills
E. Hardware Engineering
Correct Answer: A, B, C
Rationale: The TIGER initiative focused on three main pillars: basic computer
competencies, information literacy, and information management. These are considered
essential for all nurses to provide safe and effective care in a digital environment. Skills
, such as advanced programming or hardware engineering are not considered baseline
competencies for general nursing practice.
4. What was the primary purpose of the Health Information Technology for Economic and
Clinical Health (HITECH) Act of 2009?
A. To mandate that all nurses become informatics specialists by 2020.
B. To decrease the salaries of healthcare workers who do not use computers.
C. To eliminate all paper documentation in healthcare within five years.
D. To promote the adoption and meaningful use of health information technology.
Correct Answer: D
Rationale: The HITECH Act was designed to stimulate the adoption of Electronic Health
Records (EHR) and supporting technology in the United States. It provided financial
incentives for ‘Meaningful Use’ to ensure that technology improved patient care quality and
safety. This legislation significantly accelerated the transition from paper-based to
electronic systems.
5. A nurse uses a clinical decision support system (CDSS) that alerts them to a potential drug
interaction. This is an example of which DIKW component?
A. Data
B. Information
C. Knowledge
