NR599 MIDTERM EXAM LATEST 2023/85
QUESTIONS AND ANSWERS/ CHAMBERLAIN
COLLEGE
Q1. A nurse reviews quarterly pressure ulcer rates on the unit dashboard to identify trends and
compare outcomes against national benchmarks. Which QSEN informatics competency is this
nurse demonstrating?
A. Documenting and planning patient care using information technology
B. Using information management tools to monitor outcomes of care processes
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Correct Answer: B
Rationale: Using dashboards to review outcome data directly reflects the QSEN informatics
competency of using information management tools to monitor outcomes of care processes.
Option A describes electronic care planning, C involves communication tools to reduce error,
and D involves literature retrieval and appraisal.
Q2. According to the ANA definition, nursing informatics is best described as a specialty that:
A. Focuses exclusively on implementing electronic health records in acute care
B. Primarily manages hospital IT infrastructure and hardware maintenance
C. Integrates nursing science with multiple information and analytical sciences to identify,
define, manage, and communicate data, information, knowledge, and wisdom in nursing
practice
D. Replaces clinical nursing judgment with algorithmic decision-making tools
Correct Answer: C
Rationale: The ANA definition states that nursing informatics integrates nursing science with
information and analytical sciences to manage DIKW in nursing practice. Options A, B, and D
represent common misconceptions.
,Q3. A registered nurse with a BSN trains staff on a new electronic medication administration
record system, analyzes workflow data, and serves as a liaison between clinical staff and IT. This
nurse is best described as a(n):
A. Nurse Informaticist (requires graduate education and certification)
B. Informatics Nurse
C. Health informatics technician
D. Clinical analyst without nursing background
Correct Answer: B
Rationale: An Informatics Nurse is an RN, usually BSN-prepared, who focuses on training,
workflow analysis, and clinical-IT liaison work. A Nurse Informaticist typically requires graduate
education and advanced certification.
Q4. In the DIKW framework, which of the following best represents the "Data" level?
A. Heart rate 100 bpm
B. The patient's blood pressure is elevated, suggesting possible post-operative complications
C. Tachycardia in a post-operative patient may indicate hypovolemia or pain
D. Assess pain and blood pressure before administering a beta-blocker
Correct Answer: A
Rationale: Data are discrete, objective facts without context. "Heart rate 100 bpm" is a raw
fact. Option B is information (contextualized data), C is knowledge (synthesized patterns), and D
is wisdom (ethical judgment and appropriate action).
Q5. Which example best illustrates the "Information" level of the DIKW hierarchy?
A. A blood glucose reading of 85 mg/dL
B. Elevated blood glucose in diabetic patients may indicate inadequate insulin dosing
C. The patient's blood glucose of 85 mg/dL is within normal limits for a fasting adult
D. Adjust insulin based on glucose trends and patient diet
Correct Answer: C
Rationale: Information is data that has been organized, given meaning, and contextualized.
Placing a glucose value in the context of "normal for a fasting adult" is information. Option A is
data, B is knowledge, and D is wisdom.
,Q6. A nurse uses a standardized electronic SBAR template during shift handoff to communicate
a patient's deteriorating respiratory status. This best demonstrates which QSEN competency?
A. Using information management tools to monitor outcomes
B. Communicating clinical information to reduce error
C. Demonstrating information literacy for evidence-based practice
D. Documenting and planning patient care using information technology
Correct Answer: B
Rationale: Using a standardized electronic template to communicate critical patient
information at handoff directly demonstrates the QSEN informatics competency of
communicating clinical information to reduce error.
Q7. A nurse locates a systematic review on pressure injury prevention in a clinical database and
appraises the evidence before proposing a protocol change. This demonstrates:
A. Computer literacy
B. Data management
C. Information literacy for evidence-based practice
D. Clinical decision support utilization
Correct Answer: C
Rationale: Locating, appraising, and applying research evidence to practice is the core of
information literacy. Information literacy involves the ability to find, evaluate, and apply reliable
information sources.
Q8. Which statement by a nurse verifies that the nurse is "information literate"?
A. Can operate basic computer hardware
B. Can search for and evaluate the usefulness of health-related websites
C. Knows how to input data into spreadsheets
D. Understands network cabling protocols
Correct Answer: B
, Rationale: Information literacy involves effectively obtaining, evaluating, and using
information, particularly in healthcare. This enables nurses to use reliable online resources for
evidence-based practice.
Q9. Which statement best distinguishes information literacy from computer literacy?
A. Both focus on hardware troubleshooting
B. Information literacy is about evaluating content, while computer literacy is about using
devices
C. Computer literacy includes data ethics
D. Information literacy is hardware-specific
Correct Answer: B
Rationale: Information literacy emphasizes critical appraisal of the reliability and relevance
of data sources, while computer literacy involves basic tool proficiency. This distinction ensures
nurses handle patient data ethically and safely in digital systems.
Q10. A nurse is analyzing why a newly implemented barcode medication administration system
is experiencing low adoption. Which factor represents a sociotechnical consideration?
A. The server hardware specifications meet minimum technical requirements
B. The workflow requires nurses to scan medications in a noisy environment where alerts
are frequently missed
C. The software code contains 50,000 lines of programming
D. The vendor provides 24/7 technical support
Correct Answer: B
Rationale: Sociotechnical theory recognizes that technology exists within complex social and
organizational contexts. The interaction among people, technology, and the work environment
determines success. Option B illustrates how environmental factors (noise) interact with
technology (alerts) and human factors (missed alerts) to affect adoption.
Q11. Which theoretical framework would best guide a nurse informaticist designing an
educational intervention to improve nurses' acceptance of a new clinical decision support
system?
QUESTIONS AND ANSWERS/ CHAMBERLAIN
COLLEGE
Q1. A nurse reviews quarterly pressure ulcer rates on the unit dashboard to identify trends and
compare outcomes against national benchmarks. Which QSEN informatics competency is this
nurse demonstrating?
A. Documenting and planning patient care using information technology
B. Using information management tools to monitor outcomes of care processes
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Correct Answer: B
Rationale: Using dashboards to review outcome data directly reflects the QSEN informatics
competency of using information management tools to monitor outcomes of care processes.
Option A describes electronic care planning, C involves communication tools to reduce error,
and D involves literature retrieval and appraisal.
Q2. According to the ANA definition, nursing informatics is best described as a specialty that:
A. Focuses exclusively on implementing electronic health records in acute care
B. Primarily manages hospital IT infrastructure and hardware maintenance
C. Integrates nursing science with multiple information and analytical sciences to identify,
define, manage, and communicate data, information, knowledge, and wisdom in nursing
practice
D. Replaces clinical nursing judgment with algorithmic decision-making tools
Correct Answer: C
Rationale: The ANA definition states that nursing informatics integrates nursing science with
information and analytical sciences to manage DIKW in nursing practice. Options A, B, and D
represent common misconceptions.
,Q3. A registered nurse with a BSN trains staff on a new electronic medication administration
record system, analyzes workflow data, and serves as a liaison between clinical staff and IT. This
nurse is best described as a(n):
A. Nurse Informaticist (requires graduate education and certification)
B. Informatics Nurse
C. Health informatics technician
D. Clinical analyst without nursing background
Correct Answer: B
Rationale: An Informatics Nurse is an RN, usually BSN-prepared, who focuses on training,
workflow analysis, and clinical-IT liaison work. A Nurse Informaticist typically requires graduate
education and advanced certification.
Q4. In the DIKW framework, which of the following best represents the "Data" level?
A. Heart rate 100 bpm
B. The patient's blood pressure is elevated, suggesting possible post-operative complications
C. Tachycardia in a post-operative patient may indicate hypovolemia or pain
D. Assess pain and blood pressure before administering a beta-blocker
Correct Answer: A
Rationale: Data are discrete, objective facts without context. "Heart rate 100 bpm" is a raw
fact. Option B is information (contextualized data), C is knowledge (synthesized patterns), and D
is wisdom (ethical judgment and appropriate action).
Q5. Which example best illustrates the "Information" level of the DIKW hierarchy?
A. A blood glucose reading of 85 mg/dL
B. Elevated blood glucose in diabetic patients may indicate inadequate insulin dosing
C. The patient's blood glucose of 85 mg/dL is within normal limits for a fasting adult
D. Adjust insulin based on glucose trends and patient diet
Correct Answer: C
Rationale: Information is data that has been organized, given meaning, and contextualized.
Placing a glucose value in the context of "normal for a fasting adult" is information. Option A is
data, B is knowledge, and D is wisdom.
,Q6. A nurse uses a standardized electronic SBAR template during shift handoff to communicate
a patient's deteriorating respiratory status. This best demonstrates which QSEN competency?
A. Using information management tools to monitor outcomes
B. Communicating clinical information to reduce error
C. Demonstrating information literacy for evidence-based practice
D. Documenting and planning patient care using information technology
Correct Answer: B
Rationale: Using a standardized electronic template to communicate critical patient
information at handoff directly demonstrates the QSEN informatics competency of
communicating clinical information to reduce error.
Q7. A nurse locates a systematic review on pressure injury prevention in a clinical database and
appraises the evidence before proposing a protocol change. This demonstrates:
A. Computer literacy
B. Data management
C. Information literacy for evidence-based practice
D. Clinical decision support utilization
Correct Answer: C
Rationale: Locating, appraising, and applying research evidence to practice is the core of
information literacy. Information literacy involves the ability to find, evaluate, and apply reliable
information sources.
Q8. Which statement by a nurse verifies that the nurse is "information literate"?
A. Can operate basic computer hardware
B. Can search for and evaluate the usefulness of health-related websites
C. Knows how to input data into spreadsheets
D. Understands network cabling protocols
Correct Answer: B
, Rationale: Information literacy involves effectively obtaining, evaluating, and using
information, particularly in healthcare. This enables nurses to use reliable online resources for
evidence-based practice.
Q9. Which statement best distinguishes information literacy from computer literacy?
A. Both focus on hardware troubleshooting
B. Information literacy is about evaluating content, while computer literacy is about using
devices
C. Computer literacy includes data ethics
D. Information literacy is hardware-specific
Correct Answer: B
Rationale: Information literacy emphasizes critical appraisal of the reliability and relevance
of data sources, while computer literacy involves basic tool proficiency. This distinction ensures
nurses handle patient data ethically and safely in digital systems.
Q10. A nurse is analyzing why a newly implemented barcode medication administration system
is experiencing low adoption. Which factor represents a sociotechnical consideration?
A. The server hardware specifications meet minimum technical requirements
B. The workflow requires nurses to scan medications in a noisy environment where alerts
are frequently missed
C. The software code contains 50,000 lines of programming
D. The vendor provides 24/7 technical support
Correct Answer: B
Rationale: Sociotechnical theory recognizes that technology exists within complex social and
organizational contexts. The interaction among people, technology, and the work environment
determines success. Option B illustrates how environmental factors (noise) interact with
technology (alerts) and human factors (missed alerts) to affect adoption.
Q11. Which theoretical framework would best guide a nurse informaticist designing an
educational intervention to improve nurses' acceptance of a new clinical decision support
system?
