WGU C791 Nursing Informatics ACTUAL EXAM PREP OBJECTIVE ASSESSMENT 2026/2027 COMPLETE QUESTIONS AND VERIFIED CORRECT SOLUTIONS WITH RATIONALES //100% ARANTEED PASS RECENT VERSION
Assessment Test - ANSWERconducted early in or midway through the development of a product application. After the organization and general design are determined, this kind of test assesses lower-level operations of the application, stressing the efficiency goals of the product (versus effectiveness) and how well the task is presented to users.
conducted whens system partially developed
validation test - ANSWERcompleted later in the systems life cycle using a more mature product. This type of test assesses how this particular product compares to a predetermined standard, benchmark, or performance measure.
weaknesses of agile process: - ANSWER requires meaningful stakeholder participation
Agile cannot define what will be delivered at the end of a project.
Agile requires a strong team of process subject matter experts.
No "Scrum Master" role. Unlike with software development teams, in healthcare there is likely no one who is coaching the team on Agile practices, such as defining work in iterations. This is where a subject matter lead role, sponsor, or even project manager will need to lead.
The team needs to function at a high level, and thus requires experienced team members with high levels of demonstrated professionalism.
Systems Life Cycle SLC - ANSWERAnalyze: The existing environment and systems are evaluated. Major problems and deficiencies are identified using informal or formal methods. A needs assessment is developed. Gaps are noted and current capabilities and limitations are outlined. Initial user and system requirements are formulated.
•Plan: The proposed system is planned comprehensively. Planning includes strategic levels, such as whether the system will be developed internally, purchased and tailored, or designed and developed jointly with a vendor.
•Develop or purchase: At this stage either the system is purchased or the new system development begins. New components and programs are obtained and installed. For vendor-supported solutions, extensive tailoring occurs.
•Test: At this stage extensive testing occurs just before Stage 5 and "go" or "no go" decisions are made about deadlines. Toward the end of this phase, marketing and communication efforts are accelerated to make users aware of the impending change.
•Implement or go-live: The system is implemented using a selected method best suited to the organization and its tolerance for risk. User training is completed.
•Maintain and evolve: Once the system has been formally acknowledged as passing user acceptance testing, typically at 90 or 120 days after go-live, it enters a maintenance phase.
•Evaluate: Activities in each phase are assessed for their quality and effectiveness.
workaround - ANSWERa method used to circumvent a problem without solving it
ADT Testing - ANSWERADT testing involves testing for every possible type of ADT transaction used in the organization for inpatients, outpatients, serial patients, and preadmits. These transactions include admit; discharge; transfer; cancel admit; cancel discharge; cancel transfer; change beds, rooms, or departments; merge accounts; etc.
Unit Testing and functional testing - ANSWERUnit testing is a very basic type of testing where the tester runs through the basic functionalities and features of an application. It is a high-level cursory walk-through of the application. The goal is to identify deviations from the expectations and to correct these unexpected results. The tester will not test every order or documentation field but will need to test every possible scenario.
integrated testing - ANSWERIntegrated testing tests the transmission of messages between all systems such as the healthcare information system, laboratory, radiology, pharmacy, dietary, cardiology, etc. This test includes testing all bidirectional order messages and results going across the interface(s)
ARRA-related Meaningful Use testing - ANSWERWith the introduction of Meaningful Use, eligible providers, hospital organizations, and Critical Access Hospitals (CAH) must test their ability to collect required information and demonstrate that they meet Meaningful Use criteria.
big bang go live - ANSWERoccurs when all applications or modules are implemented at once. This approach is favored by vendors and facilities conducting large upgrades
phased go live - ANSWERboth paper and electronic environments exist at the same time within the healthcare institution; however, the existence of both paper and electronic environments forces the clinician to use different work flows in patient units that have implemented the system than in units that have not, potentially creating safety concerns.
ten key principles relevant to successful clinical systems integration. - ANSWERComprehensive Services across the Continuum of Care, Patient Focus, Geographic Coverage and Rostering, Standardized Care Delivery through Interprofessional Teams, Performance Management, Information Systems, Organizational Culture and Leadership, Physician Integration, Governance Structure, and Financial Management
point of service (POS) - ANSWERdevice is a computer or information system that is located where information is required or where the data are collected.
client server - ANSWERis system architecture that splits an application into a front-end client application and a back-end server component as the basis for distributed applications. The term client in this context refers to the computer.
system architecture - ANSWERensures efficient and effective access to data by enabling rapid screen flips or field filling, consistent and timely network communication, and decreased downtime.
Comparison Study - ANSWERcan conduct comparison studies at any point in the systems life cycle but they are more commonly done to compare an existing design with a redesign or an early prototype with a more mature product.
The major objective of this usability test is to determine which application, design, or product is more effective, efficient, and satisfying
Steps for Conducting Usability Tests - ANSWER1) define a clear purpose
2) assess constraints
3) Use an HCI framework to define pertinent components.
4) Match methods to the purpose, constraints, and framework assessment.
human factors - ANSWERThe complex interactions among multiple users, products, and environments with varying characteristics in health information technology is referred to
project - ANSWERis a planned undertaking, with a beginning and end that produces a well-defined result or product.
information system development project - ANSWERa planned undertaking that produces a new information system
predictive approach to the SDLC - ANSWERassumes that the development project can be planned and organized and that the new information system can be developed according to the plan
useful for building systems that are well understood and defined.
company may want to convert its old networked client/server system to a newer Web-based system that includes a smartphone app. In this type of project, the staff already understands the requirements very well, and no new processes need to be added
traditional (70s-90s)
adaptive approach to the SDLC - ANSWERis used when the system's requirements and/or the users' needs aren't well understood. In this situation, the project can't be planned completely.
Some system requirements may need to be determined after preliminary development work.
(late 90s-today)
project initiation (predictive) - ANSWERIn predictive approaches, there is a group of activities that identifies the problem and secures approval to develop a new system
Project planning (predictive) - ANSWERIn predictive approaches, there is a group of activities that identifies the problem and secures approval to develop a new system
map out the project's overall structure
analysis (predictive) - ANSWERfocuses on discovering and understanding the details of the problem or need. The intent here is to figure out exactly what the system must do to support the business processes
knowledge base (knowledge repository) - ANSWERa component within the EHR that stores and organizes a healthcare enterprise's information and knowledge used by the enterprise for clinical operations
usually organized by attaching metadata to content items, allowing categorization of the knowledge content based on contextual need.
allows an EHR to become a "content-driven" system as opposed to a system whose knowledge is hard-coded in software programs.
metadata - ANSWER(information describing the content)
metadata model - ANSWERdetailed data format description
interface engine (IE) - ANSWERallows each network data source to have one outbound interface that can then be connected to any receiving system on the network. The IE is able to queue the messages from a data source, transform the messages to the proper format for the receiving systems, and then transmit the messages to appropriate systems.
application service provider (ASP) - ANSWERa company that hosts an EHR or departmental system solution for a healthcare enterprise and provides access to the application via a secure network
STEEEP principles - ANSWERThe Institute of Medicine (IOM) expert panel issued recommendations for urgent action to redesign healthcare so that it is safe, timely, effective, efficient, equitable, and patient-centered
(S) in STEEEP - ANSWERSafe-Avoid injuries to patients from the care that is intended to help them.
(T) in STEEEP - ANSWERTimely-Reduce waits and sometimes harmful delays for both those who receive and those who give care.
(E) in STEEEP - ANSWEREffective-Provide services based on scientific knowledge to all who could benefit, and refrain from providing services to those not likely to benefit.
(E) in STEEEP - ANSWEREfficient-Avoid waste, including waste of equipment, supplies, ideas, and energy.
(E) in STEEEP - ANSWEREquitable-Provide care that does not vary in quality because of personal characteristics such as gender, ethnicity, geographic location, and socioeconomic status.
(P) in STEEEP - ANSWERPatient-centered Provide care that is respectful of and responsive to individual patient preferences, needs, and values, and ensure that patient values guide all clinical decisions.
ACE Star Model of Knowledge Transformation
Advancing Research and Clinical Practice through Close Collaboration (ARCC)
Model of Evidence-Based Practice in Nursing and Healthcare
Johns Hopkins Nursing Evidence-Based Practice Model and Guidelines
Iowa Model of Evidence-Based Practice
Stetler Model of Research Utilization - ANSWERFOCUS: EBP, research use, and knowledge transformation processes
DESCRIPTION: Direct a systematic approach to synthesizing knowledge and transforming research findings to improve patient outcomes and the quality of care
Address both individual practitioners and healthcare organizations Focus on increasing the meaningfulness and utility of research findings in clinical decision making
Promoting Action on Research Implementation in Health Services (PARiHS)
Vratny and Shriver Model for Evidence-Based Practice Pettigrew and Whipp Model of Strategic Change
Outcomes-Focused Knowledge Translation
Determinants of Effective Implementation of Complex Innovations in Organizations
Content preview
WGU C791 Nursing Informatics ACTUAL EXAM
PREP OBJECTIVE ASSESSMENT 2026/2027
COMPLETE QUESTIONS AND VERIFIED
CORRECT SOLUTIONS WITH RATIONALES
//100% ARANTEED PASS RECENT VERSION
Assessment Test - ANSWERconducted early in or midway through the
development of a product application. After the organization and general
design are determined, this kind of test assesses lower-level operations of the
application, stressing the efficiency goals of the product (versus
effectiveness) and how well the task is presented to users.
conducted whens system partially developed
validation test - ANSWERcompleted later in the systems life cycle using a
more mature product. This type of test assesses how this particular product
compares to a predetermined standard, benchmark, or performance measure.
weaknesses of agile process: - ANSWER requires meaningful stakeholder
participation
Agile cannot define what will be delivered at the end of a project.
,Agile requires a strong team of process subject matter experts.
No "Scrum Master" role. Unlike with software development teams, in
healthcare there is likely no one who is coaching the team on Agile practices,
such as defining work in iterations. This is where a subject matter lead role,
sponsor, or even project manager will need to lead.
The team needs to function at a high level, and thus requires experienced
team members with high levels of demonstrated professionalism.
Systems Life Cycle SLC - ANSWERAnalyze: The existing environment and
systems are evaluated. Major problems and deficiencies are identified using
informal or formal methods. A needs assessment is developed. Gaps are
noted and current capabilities and limitations are outlined. Initial user and
system requirements are formulated.
•Plan: The proposed system is planned comprehensively. Planning includes
strategic levels, such as whether the system will be developed internally,
purchased and tailored, or designed and developed jointly with a vendor.
•Develop or purchase: At this stage either the system is purchased or the new
system development begins. New components and programs are obtained and
installed. For vendor-supported solutions, extensive tailoring occurs.
•Test: At this stage extensive testing occurs just before Stage 5 and "go" or
"no go" decisions are made about deadlines. Toward the end of this phase,
marketing and communication efforts are accelerated to make users aware of
the impending change.
,•Implement or go-live: The system is implemented using a selected method
best suited to the organization and its tolerance for risk. User training is
completed.
•Maintain and evolve: Once the system has been formally acknowledged as
passing user acceptance testing, typically at 90 or 120 days after go-live, it
enters a maintenance phase.
•Evaluate: Activities in each phase are assessed for their quality and
effectiveness.
workaround - ANSWERa method used to circumvent a problem without
solving it
ADT Testing - ANSWERADT testing involves testing for every possible
type of ADT transaction used in the organization for inpatients, outpatients,
serial patients, and preadmits. These transactions include admit; discharge;
transfer; cancel admit; cancel discharge; cancel transfer; change beds, rooms,
or departments; merge accounts; etc.
Unit Testing and functional testing - ANSWERUnit testing is a very basic
type of testing where the tester runs through the basic functionalities and
features of an application. It is a high-level cursory walk-through of the
application. The goal is to identify deviations from the expectations and to
correct these unexpected results. The tester will not test every order or
documentation field but will need to test every possible scenario.
integrated testing - ANSWERIntegrated testing tests the transmission of
, messages between all systems such as the healthcare information system,
laboratory, radiology, pharmacy, dietary, cardiology, etc. This test includes
testing all bidirectional order messages and results going across the
interface(s)
ARRA-related Meaningful Use testing - ANSWERWith the introduction of
Meaningful Use, eligible providers, hospital organizations, and Critical
Access Hospitals (CAH) must test their ability to collect required information
and demonstrate that they meet Meaningful Use criteria.
big bang go live - ANSWERoccurs when all applications or modules are
implemented at once. This approach is favored by vendors and facilities
conducting large upgrades
phased go live - ANSWERboth paper and electronic environments exist at
the same time within the healthcare institution; however, the existence of
both paper and electronic environments forces the clinician to use different
work flows in patient units that have implemented the system than in units
that have not, potentially creating safety concerns.
ten key principles relevant to successful clinical systems integration. -
ANSWERComprehensive Services across the Continuum of Care, Patient
Focus, Geographic Coverage and Rostering, Standardized Care Delivery
through Interprofessional Teams, Performance Management, Information
Systems, Organizational Culture and Leadership, Physician Integration,
Governance Structure, and Financial Management
point of service (POS) - ANSWERdevice is a computer or information