NR 599 NURSING INFORMATICS MIDTERM
PRACTICE EXAMINATION 2026–2027 — STUDY GUIDE
| LATEST UPDATE 2026/2027 | PRACTICE QUESTIONS
AND ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS | ALREADY
GRADED A+
1. Which of the following best defines nursing informatics?
A) The use of computers to replace nursing judgment
B) The integration of nursing science, information science, and computer
science to manage and communicate data, information, knowledge, and
wisdom in nursing practice
C) The study of how to repair medical equipment
D) The process of billing for nursing services
Correct Answer: B
Nursing informatics integrates nursing science, computer science, and information
science to support the management and communication of data, information,
knowledge, and wisdom. It does not replace nursing judgment, repair equipment,
or focus on billing.
2. According to the Data-Information-Knowledge-Wisdom (DIKW) framework,
which of the following is an example of knowledge?
A) A patient's temperature of 101.5°F
B) A list of all temperatures recorded in the last 24 hours
C) The recognition that a rising temperature may indicate infection
D) Applying infection control protocols based on temperature trends
Correct Answer: C
Knowledge is the synthesis of information to identify relationships and patterns,
such as recognizing that a rising temperature may indicate infection. Data are raw
,facts (A), information is organized data (B), and wisdom is applying knowledge in
context (D).
3. Which federal act provides incentives for the meaningful use of certified
electronic health record technology?
A) HIPAA
B) HITECH Act
C) ACA
D) FDASIA
Correct Answer: B
The Health Information Technology for Economic and Clinical Health (HITECH) Act
promoted the adoption and meaningful use of EHRs by providing financial
incentives. HIPAA focuses on privacy and security. ACA expanded health coverage.
FDASIA addresses FDA safety and innovation.
4. What is the primary purpose of clinical decision support (CDS) systems?
A) To replace clinician judgment
B) To provide clinicians with knowledge and patient-specific information to
enhance decision-making
C) To increase documentation burden
D) To limit access to patient data
Correct Answer: B
CDS systems provide clinicians with evidence-based knowledge and patient-
specific information at the point of care to improve quality and safety. They are
designed to augment, not replace, clinical judgment, and should not increase
documentation burden or limit access.
5. Which of the following is a standardized nursing terminology recognized by
the ANA?
A) ICD-10-CM
B) SNOMED CT
C) NANDA-I, NIC, and NOC
D) CPT
,Correct Answer: C
The ANA recognizes NANDA-I (nursing diagnoses), NIC (interventions), and NOC
(outcomes) as standardized nursing terminologies. ICD-10 is for diagnoses,
SNOMED CT is a comprehensive clinical terminology, and CPT is for procedures and
billing.
6. A nurse is documenting a fall risk assessment in the EHR. Which type of
data is this?
A) Administrative data
B) Clinical data
C) Financial data
D) Aggregate data only
Correct Answer: B
Fall risk assessment is clinical data related to patient care. Administrative data
include demographics and billing. Financial data include charges and payments.
Aggregate data are summarized data, not individual assessments.
7. Which principle ensures that health information is accessible only to
authorized individuals?
A) Availability
B) Integrity
C) Confidentiality
D) Accountability
Correct Answer: C
Confidentiality ensures that information is accessible only to those authorized.
Availability ensures information is accessible when needed. Integrity ensures
information is accurate and unaltered. Accountability traces actions to individuals.
8. A healthcare organization experiences a breach of unsecured protected
health information affecting 500 patients. Under HIPAA, what is the
required notification?
A) Notify only the affected patients by phone
B) Notify affected individuals, the Secretary of HHS, and, in some cases, the
, media
C) No notification is required unless harm occurs
D) Only post a notice on the organization's website
Correct Answer: B
HIPAA Breach Notification Rule requires notification to affected individuals, the
Secretary of HHS, and media if more than 500 individuals are affected. Notification
is required regardless of harm. Phone alone or website-only notification is
insufficient.
9. Which of the following best describes interoperability?
A) The ability of a system to operate only with proprietary software
B) The ability of different systems and devices to exchange and use
information
C) The physical connection of computers within one building
D) The use of a single vendor for all systems
Correct Answer: B
Interoperability is the ability of different information systems and devices to
exchange, interpret, and use data. Proprietary systems and single-vendor solutions
may limit interoperability. Physical connection within one building is a network,
not interoperability.
10.What is the role of a clinical nurse informaticist?
A) To provide direct patient care only
B) To bridge the gap between clinical practice and information technology
C) To repair computers in the hospital
D) To manage hospital finances
Correct Answer: B
The clinical nurse informaticist bridges clinical practice and IT, helping design,
implement, and evaluate systems that support nursing care. They may still provide
patient care but their primary role is informatics. They do not repair computers or
manage finances.
PRACTICE EXAMINATION 2026–2027 — STUDY GUIDE
| LATEST UPDATE 2026/2027 | PRACTICE QUESTIONS
AND ANSWERS | EXAM REVIEW | 100% CORRECT
ANSWERS | VERIFIED SOLUTIONS | ALREADY
GRADED A+
1. Which of the following best defines nursing informatics?
A) The use of computers to replace nursing judgment
B) The integration of nursing science, information science, and computer
science to manage and communicate data, information, knowledge, and
wisdom in nursing practice
C) The study of how to repair medical equipment
D) The process of billing for nursing services
Correct Answer: B
Nursing informatics integrates nursing science, computer science, and information
science to support the management and communication of data, information,
knowledge, and wisdom. It does not replace nursing judgment, repair equipment,
or focus on billing.
2. According to the Data-Information-Knowledge-Wisdom (DIKW) framework,
which of the following is an example of knowledge?
A) A patient's temperature of 101.5°F
B) A list of all temperatures recorded in the last 24 hours
C) The recognition that a rising temperature may indicate infection
D) Applying infection control protocols based on temperature trends
Correct Answer: C
Knowledge is the synthesis of information to identify relationships and patterns,
such as recognizing that a rising temperature may indicate infection. Data are raw
,facts (A), information is organized data (B), and wisdom is applying knowledge in
context (D).
3. Which federal act provides incentives for the meaningful use of certified
electronic health record technology?
A) HIPAA
B) HITECH Act
C) ACA
D) FDASIA
Correct Answer: B
The Health Information Technology for Economic and Clinical Health (HITECH) Act
promoted the adoption and meaningful use of EHRs by providing financial
incentives. HIPAA focuses on privacy and security. ACA expanded health coverage.
FDASIA addresses FDA safety and innovation.
4. What is the primary purpose of clinical decision support (CDS) systems?
A) To replace clinician judgment
B) To provide clinicians with knowledge and patient-specific information to
enhance decision-making
C) To increase documentation burden
D) To limit access to patient data
Correct Answer: B
CDS systems provide clinicians with evidence-based knowledge and patient-
specific information at the point of care to improve quality and safety. They are
designed to augment, not replace, clinical judgment, and should not increase
documentation burden or limit access.
5. Which of the following is a standardized nursing terminology recognized by
the ANA?
A) ICD-10-CM
B) SNOMED CT
C) NANDA-I, NIC, and NOC
D) CPT
,Correct Answer: C
The ANA recognizes NANDA-I (nursing diagnoses), NIC (interventions), and NOC
(outcomes) as standardized nursing terminologies. ICD-10 is for diagnoses,
SNOMED CT is a comprehensive clinical terminology, and CPT is for procedures and
billing.
6. A nurse is documenting a fall risk assessment in the EHR. Which type of
data is this?
A) Administrative data
B) Clinical data
C) Financial data
D) Aggregate data only
Correct Answer: B
Fall risk assessment is clinical data related to patient care. Administrative data
include demographics and billing. Financial data include charges and payments.
Aggregate data are summarized data, not individual assessments.
7. Which principle ensures that health information is accessible only to
authorized individuals?
A) Availability
B) Integrity
C) Confidentiality
D) Accountability
Correct Answer: C
Confidentiality ensures that information is accessible only to those authorized.
Availability ensures information is accessible when needed. Integrity ensures
information is accurate and unaltered. Accountability traces actions to individuals.
8. A healthcare organization experiences a breach of unsecured protected
health information affecting 500 patients. Under HIPAA, what is the
required notification?
A) Notify only the affected patients by phone
B) Notify affected individuals, the Secretary of HHS, and, in some cases, the
, media
C) No notification is required unless harm occurs
D) Only post a notice on the organization's website
Correct Answer: B
HIPAA Breach Notification Rule requires notification to affected individuals, the
Secretary of HHS, and media if more than 500 individuals are affected. Notification
is required regardless of harm. Phone alone or website-only notification is
insufficient.
9. Which of the following best describes interoperability?
A) The ability of a system to operate only with proprietary software
B) The ability of different systems and devices to exchange and use
information
C) The physical connection of computers within one building
D) The use of a single vendor for all systems
Correct Answer: B
Interoperability is the ability of different information systems and devices to
exchange, interpret, and use data. Proprietary systems and single-vendor solutions
may limit interoperability. Physical connection within one building is a network,
not interoperability.
10.What is the role of a clinical nurse informaticist?
A) To provide direct patient care only
B) To bridge the gap between clinical practice and information technology
C) To repair computers in the hospital
D) To manage hospital finances
Correct Answer: B
The clinical nurse informaticist bridges clinical practice and IT, helping design,
implement, and evaluate systems that support nursing care. They may still provide
patient care but their primary role is informatics. They do not repair computers or
manage finances.
