NURS 354: ADVANCED NURSING
INFORMATICS AND PROFESSIONAL
PRACTICE QUESTIONS AND ANSWERS
1. Which component of the DIKW framework involves applying knowledge to manage and
ameliorate human problems?
A. Wisdom
B. Information
C. Knowledge
D. Data
Answer: A
Conceptual Explanation: Wisdom is the highest level of the DIKW hierarchy, involving the
ethical and practical application of knowledge to clinical scenarios.
2. Which legislation significantly incentivized the adoption of Electronic Health Records
(EHRs) through the ‘Meaningful Use’ program?
A. HIPAA
B. Social Security Act
C. Affordable Care Act
,D. HITECH Act
Answer: D
Conceptual Explanation: The Health Information Technology for Economic and Clinical
Health (HITECH) Act of 2009 provided financial incentives for EHR adoption.
3. What is the primary difference between an Electronic Medical Record (EMR) and an
Electronic Health Record (EHR)?
A. EHRs are interoperable and follow the patient across different providers; EMRs are
limited to a single provider.
B. EMRs are designed to be shared; EHRs stay within one practice.
C. EMRs are longitudinal; EHRs are snapshot-based.
D. There is no functional difference between the two terms.
Answer: A
Conceptual Explanation: EHRs are designed to be interoperable across different
healthcare organizations, whereas EMRs are generally internal to one practice.
4. In the context of data exchange, what does ‘semantic interoperability’ refer to?
A. The ability of systems to exchange data so that the meaning is understood by the
receiving system.
B. The ability of two systems to exchange bits and bytes.
C. The physical connection between two servers.
, D. The legal framework allowing data sharing.
Answer: A
Conceptual Explanation: Semantic interoperability ensures that the receiving system can
interpret the data with the same meaning as the sending system, often using standardized
terminologies.
5. Which terminology is specifically designed for use in nursing to document nursing
diagnoses, interventions, and outcomes?
A. ICD-10
B. CPT
C. LOINC
D. NANDA-I
Answer: D
Conceptual Explanation: NANDA-I (North American Nursing Diagnosis Association
International) is a standardized terminology specifically for nursing diagnoses.
6. A nurse uses a barcode medication administration (BCMA) system. Which ‘Right’ of
medication administration is most directly enhanced by this technology?
A. Right Patient
B. Right Documentation
C. Right Reason
INFORMATICS AND PROFESSIONAL
PRACTICE QUESTIONS AND ANSWERS
1. Which component of the DIKW framework involves applying knowledge to manage and
ameliorate human problems?
A. Wisdom
B. Information
C. Knowledge
D. Data
Answer: A
Conceptual Explanation: Wisdom is the highest level of the DIKW hierarchy, involving the
ethical and practical application of knowledge to clinical scenarios.
2. Which legislation significantly incentivized the adoption of Electronic Health Records
(EHRs) through the ‘Meaningful Use’ program?
A. HIPAA
B. Social Security Act
C. Affordable Care Act
,D. HITECH Act
Answer: D
Conceptual Explanation: The Health Information Technology for Economic and Clinical
Health (HITECH) Act of 2009 provided financial incentives for EHR adoption.
3. What is the primary difference between an Electronic Medical Record (EMR) and an
Electronic Health Record (EHR)?
A. EHRs are interoperable and follow the patient across different providers; EMRs are
limited to a single provider.
B. EMRs are designed to be shared; EHRs stay within one practice.
C. EMRs are longitudinal; EHRs are snapshot-based.
D. There is no functional difference between the two terms.
Answer: A
Conceptual Explanation: EHRs are designed to be interoperable across different
healthcare organizations, whereas EMRs are generally internal to one practice.
4. In the context of data exchange, what does ‘semantic interoperability’ refer to?
A. The ability of systems to exchange data so that the meaning is understood by the
receiving system.
B. The ability of two systems to exchange bits and bytes.
C. The physical connection between two servers.
, D. The legal framework allowing data sharing.
Answer: A
Conceptual Explanation: Semantic interoperability ensures that the receiving system can
interpret the data with the same meaning as the sending system, often using standardized
terminologies.
5. Which terminology is specifically designed for use in nursing to document nursing
diagnoses, interventions, and outcomes?
A. ICD-10
B. CPT
C. LOINC
D. NANDA-I
Answer: D
Conceptual Explanation: NANDA-I (North American Nursing Diagnosis Association
International) is a standardized terminology specifically for nursing diagnoses.
6. A nurse uses a barcode medication administration (BCMA) system. Which ‘Right’ of
medication administration is most directly enhanced by this technology?
A. Right Patient
B. Right Documentation
C. Right Reason
