WGU D118 NURSING INFORMATICS
COMPREHENSIVE ASSESSMENT
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
1. Which phase of the Systems Development Life Cycle (SDLC) involves performing a gap
analysis to determine the difference between the current state and the desired future state?
A. Analysis
B. Implementation
C. Design
D. Planning
Answer: A
Conceptual Explanation: The Analysis phase is where the current system is evaluated,
requirements are gathered, and a gap analysis is conducted to understand what is needed
for the new system.
2. In the context of Health Information Exchange (HIE), which model allows for data to be
stored in a shared central repository that all participating providers can access?
A. Federated Model
B. Decentralized Model
,C. Hybrid Model
D. Centralized Model
Answer: D
Conceptual Explanation: A centralized model stores all data in a single master database,
providing consistent access but raising higher security and privacy concerns.
3. Which standardized terminology is primarily used for identifying laboratory results and
clinical observations?
A. ICD-10-CM
B. LOINC
C. SNOMED CT
D. CPT
Answer: B
Conceptual Explanation: LOINC (Logical Observation Identifiers Names and Codes) is the
universal standard for identifying medical laboratory observations.
4. A nurse is using a Clinical Decision Support System (CDSS) that triggers an alert for a
potential drug-drug interaction. Which type of CDSS is this?
A. Passive CDSS
B. Knowledge-based CDSS
C. Non-knowledge-based CDSS
, D. Administrative CDSS
Answer: B
Conceptual Explanation: Knowledge-based CDSS use a set of rules (if-then statements)
and a knowledge base to provide specific clinical advice, such as drug interaction alerts.
5. Which informatics competency level is characterized by the ability to identify and solve
data issues, manage projects, and analyze trends?
A. Beginner Nurse
B. Informatics Nurse Specialist
C. Experienced Nurse
D. Informatics Innovator
Answer: B
Conceptual Explanation: An Informatics Nurse Specialist has advanced education and is
responsible for analysis, design, and implementation of information systems.
6. Under the HIPAA Security Rule, which safeguard includes policies for protecting
information systems from natural hazards and unauthorized intrusion?
A. Physical Safeguards
B. Administrative Safeguards
C. Technical Safeguards
D. Organizational Requirements
COMPREHENSIVE ASSESSMENT
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
1. Which phase of the Systems Development Life Cycle (SDLC) involves performing a gap
analysis to determine the difference between the current state and the desired future state?
A. Analysis
B. Implementation
C. Design
D. Planning
Answer: A
Conceptual Explanation: The Analysis phase is where the current system is evaluated,
requirements are gathered, and a gap analysis is conducted to understand what is needed
for the new system.
2. In the context of Health Information Exchange (HIE), which model allows for data to be
stored in a shared central repository that all participating providers can access?
A. Federated Model
B. Decentralized Model
,C. Hybrid Model
D. Centralized Model
Answer: D
Conceptual Explanation: A centralized model stores all data in a single master database,
providing consistent access but raising higher security and privacy concerns.
3. Which standardized terminology is primarily used for identifying laboratory results and
clinical observations?
A. ICD-10-CM
B. LOINC
C. SNOMED CT
D. CPT
Answer: B
Conceptual Explanation: LOINC (Logical Observation Identifiers Names and Codes) is the
universal standard for identifying medical laboratory observations.
4. A nurse is using a Clinical Decision Support System (CDSS) that triggers an alert for a
potential drug-drug interaction. Which type of CDSS is this?
A. Passive CDSS
B. Knowledge-based CDSS
C. Non-knowledge-based CDSS
, D. Administrative CDSS
Answer: B
Conceptual Explanation: Knowledge-based CDSS use a set of rules (if-then statements)
and a knowledge base to provide specific clinical advice, such as drug interaction alerts.
5. Which informatics competency level is characterized by the ability to identify and solve
data issues, manage projects, and analyze trends?
A. Beginner Nurse
B. Informatics Nurse Specialist
C. Experienced Nurse
D. Informatics Innovator
Answer: B
Conceptual Explanation: An Informatics Nurse Specialist has advanced education and is
responsible for analysis, design, and implementation of information systems.
6. Under the HIPAA Security Rule, which safeguard includes policies for protecting
information systems from natural hazards and unauthorized intrusion?
A. Physical Safeguards
B. Administrative Safeguards
C. Technical Safeguards
D. Organizational Requirements
