WGU D220 INFORMATION
TECHNOLOGY IN NURSING PRACTICE
OBJECTIVE ASSESSMENT QUESTIONS
AND ANSWERS
1. Within the DIKW framework, which of the following best describes the transition from
‘Knowledge’ to ‘Wisdom’?
A. Organizing disparate data points into a meaningful structure.
B. Applying clinical experience and ethical judgment to solve complex patient problems.
C. Aggregating information to identify patterns and trends in patient care.
D. Ensuring data integrity through automated validation rules.
Answer: B
Conceptual Explanation: Wisdom is the highest level of the DIKW hierarchy, involving the
ethical and practical application of knowledge to make clinical decisions and solve
problems.
,2. A nurse informatics specialist is evaluating a new Clinical Decision Support System (CDSS).
Which feature most effectively mitigates the risk of ‘alert fatigue’?
A. Increasing the auditory volume of all high-priority alerts.
B. Requiring a manual override reason for every interruptive alert.
C. Tiering alerts based on clinical severity and relevance to the specific patient context.
D. Displaying all potential drug-drug interactions regardless of clinical significance.
Answer: C
Conceptual Explanation: Tiering alerts ensures that only clinically significant
notifications interrupt the workflow, reducing the desensitization known as alert fatigue.
3. Which level of interoperability refers to the ability of two systems to exchange data such
that the clinical meaning of the information is preserved and understood by the receiving
system?
A. Foundational Interoperability
B. Structural Interoperability
C. Semantic Interoperability
D. Technical Interoperability
Answer: C
Conceptual Explanation: Semantic interoperability is the highest level, ensuring that the
interpretability of data is preserved across systems via standardized terminologies.
, 4. Under the HITECH Act, which program was established to incentivize healthcare providers
to demonstrate the use of certified EHR technology to improve patient care?
A. The TIGER Initiative
B. The Patient Protection and Affordable Care Act
C. The HIPAA Privacy Rule
D. Meaningful Use (Promoting Interoperability)
Answer: D
Conceptual Explanation: The Meaningful Use program, now called Promoting
Interoperability, was created under the HITECH Act to encourage the adoption and
effective use of EHRs.
5. The TIGER (Technology Informatics Guiding Education Reform) initiative primarily focuses
on which aspect of nursing?
A. Defining the competencies needed for all practicing nurses to use informatics effectively.
B. Developing proprietary hardware for bedside monitoring.
C. Lobbying for increased federal funding for nursing research.
D. Standardizing the billing codes used in private practice settings.
Answer: A
Conceptual Explanation: TIGER focuses on ensuring that the nursing workforce is
prepared to practice in a technology-rich environment through informatics competencies.
TECHNOLOGY IN NURSING PRACTICE
OBJECTIVE ASSESSMENT QUESTIONS
AND ANSWERS
1. Within the DIKW framework, which of the following best describes the transition from
‘Knowledge’ to ‘Wisdom’?
A. Organizing disparate data points into a meaningful structure.
B. Applying clinical experience and ethical judgment to solve complex patient problems.
C. Aggregating information to identify patterns and trends in patient care.
D. Ensuring data integrity through automated validation rules.
Answer: B
Conceptual Explanation: Wisdom is the highest level of the DIKW hierarchy, involving the
ethical and practical application of knowledge to make clinical decisions and solve
problems.
,2. A nurse informatics specialist is evaluating a new Clinical Decision Support System (CDSS).
Which feature most effectively mitigates the risk of ‘alert fatigue’?
A. Increasing the auditory volume of all high-priority alerts.
B. Requiring a manual override reason for every interruptive alert.
C. Tiering alerts based on clinical severity and relevance to the specific patient context.
D. Displaying all potential drug-drug interactions regardless of clinical significance.
Answer: C
Conceptual Explanation: Tiering alerts ensures that only clinically significant
notifications interrupt the workflow, reducing the desensitization known as alert fatigue.
3. Which level of interoperability refers to the ability of two systems to exchange data such
that the clinical meaning of the information is preserved and understood by the receiving
system?
A. Foundational Interoperability
B. Structural Interoperability
C. Semantic Interoperability
D. Technical Interoperability
Answer: C
Conceptual Explanation: Semantic interoperability is the highest level, ensuring that the
interpretability of data is preserved across systems via standardized terminologies.
, 4. Under the HITECH Act, which program was established to incentivize healthcare providers
to demonstrate the use of certified EHR technology to improve patient care?
A. The TIGER Initiative
B. The Patient Protection and Affordable Care Act
C. The HIPAA Privacy Rule
D. Meaningful Use (Promoting Interoperability)
Answer: D
Conceptual Explanation: The Meaningful Use program, now called Promoting
Interoperability, was created under the HITECH Act to encourage the adoption and
effective use of EHRs.
5. The TIGER (Technology Informatics Guiding Education Reform) initiative primarily focuses
on which aspect of nursing?
A. Defining the competencies needed for all practicing nurses to use informatics effectively.
B. Developing proprietary hardware for bedside monitoring.
C. Lobbying for increased federal funding for nursing research.
D. Standardizing the billing codes used in private practice settings.
Answer: A
Conceptual Explanation: TIGER focuses on ensuring that the nursing workforce is
prepared to practice in a technology-rich environment through informatics competencies.
