NR 599 Final Exam / NR599 Final Exam
(LATEST, 2021): Chamberlain College Of
Nursing (Updated Complete Solutions,
A)
Section 1: Foundational Concepts of Nursing Informatics (Q1 – Q20)
Q1. A nurse manager is explaining the scope of nursing informatics to new graduate nurses.
Which statement best reflects the American Nurses Association (ANA) definition of nursing
informatics?
A. The use of computer systems to document nursing care in hospital settings
B. A specialty that integrates nursing science with information and analytical sciences to
identify, define, manage, and communicate data, information, knowledge, and wisdom in
nursing practice
C. The application of telecommunication technologies to deliver remote nursing services
D. The study of how nurses use electronic health records in their daily workflow
Correct Answer: B
Rationale: The ANA defines nursing informatics as a specialty integrating nursing science
with multiple information and analytical sciences to manage and communicate data,
information, knowledge, and wisdom in nursing practice. This definition emphasizes the
synthesis of disciplines rather than merely the use of technology . Option A focuses only on
documentation, Option C describes telehealth specifically, and Option D limits the scope to EHR
use.
Q2. During a staff education session, a nurse asks what distinguishes nursing informatics from
health informatics. Which response by the informatics nurse is most accurate?
A. Nursing informatics focuses exclusively on nursing documentation, while health informatics
covers all clinical disciplines.
B. Nursing informatics applies informatics principles specifically to nursing practice, education,
administration, and research.
C. Health informatics is limited to hospital settings, while nursing informatics extends to
,community care.
D. There is no meaningful difference; the terms are used interchangeably.
Correct Answer: B
Rationale: Nursing informatics is a differentiated practice focused on the application of
informatics to nursing practice, education, administration, and research . While health
informatics encompasses a broader interdisciplinary scope, nursing informatics maintains a
distinct nursing focus. Options A and C misrepresent the scope, and Option D is incorrect
because the disciplines have distinct emphases.
Q3. Which historical event marked the formal recognition of nursing informatics as a specialty
area of practice by the American Nurses Association?
A. The first nursing informatics conference in 1982
B. The publication of the first nursing informatics textbook in 1986
C. The ANA recognition of nursing informatics as a specialty in 1992
D. The initiation of the TIGER Initiative in 2004
Correct Answer: C
Rationale: The ANA formally recognized nursing informatics as a specialty area of practice in
1992, followed by the publication of the Scope and Standards of Nursing Informatics Practice in
1994 . The 1982 conference and 1986 textbook were important milestones but did not
constitute formal specialty recognition. The TIGER Initiative came later, in the mid-2000s.
Q4. A nurse is considered "information literate" when demonstrating which of the following
competencies?
A. The ability to use word processing, spreadsheets, and presentation software
B. The ability to understand how to search for a website and evaluate its usefulness for
healthcare needs
C. The ability to send email over the Internet to correspond with clients
D. The ability to input client information into an EHR database
Correct Answer: B
Rationale: Information literacy refers to the ability to recognize when information is needed
and to locate, evaluate, and effectively use that information. Evaluating a website's usefulness
,for healthcare needs demonstrates information literacy . Options A, C, and D describe computer
literacy skills—the ability to use technology tools—rather than information literacy.
Q5. Which nursing informatics role requires a minimum of a master's degree and advanced
expertise?
A. Informatics nurse (IN)
B. Informatics nurse specialist (INS)
C. Clinical nurse informaticist
D. Nurse technology user
Correct Answer: B
Rationale: The informatics nurse specialist (INS) is distinguished from the informatics nurse
(IN) by requiring at minimum a master's degree and advanced expertise . The informatics nurse
possesses basic informatics skills, knowledge, and competencies. Options C and D are not
formal role distinctions with educational requirements.
Q6. A nurse is gathering data during a patient assessment. Which of the following represents
the highest level of the DIKW framework?
A. Blood pressure reading of 150/90 mmHg
B. Recognition that the patient's blood pressure has been trending upward over three visits
C. The decision to initiate antihypertensive therapy based on clinical judgment and patient
preferences
D. Documentation of the blood pressure in the electronic health record
Correct Answer: C
Rationale: The DIKW framework progresses from data (raw facts) to information (data with
context) to knowledge (synthesis of information) to wisdom (appropriate application of
knowledge to human problems). The decision to initiate therapy based on clinical judgment and
patient preferences represents wisdom—the judicious application of knowledge . Option A is
data, Option B is information, and Option D is merely recording data.
Q7. During a simulation debriefing, a nursing student asks how nursing informatics supports
evidence-based practice. Which response is most accurate?
, A. Informatics enables nurses to collect and analyze large datasets to identify best practices.
B. Informatics eliminates the need for clinical judgment by providing automated decisions.
C. Informatics focuses solely on documentation efficiency.
D. Informatics replaces the need for nursing research.
Correct Answer: A
Rationale: Nursing informatics supports evidence-based practice by enabling the collection,
analysis, and dissemination of data to identify effective interventions and improve patient
outcomes . Informatics does not eliminate clinical judgment—it supports decision-making. It
encompasses more than documentation and does not replace research but rather facilitates its
application.
Q8. Which organization issued a call for nursing education to "teach with and about technology
(informatics) to better inform healthcare interventions"?
A. The Joint Commission
B. The National League for Nursing (NLN)
C. The Centers for Medicare & Medicaid Services (CMS)
D. The Food and Drug Administration (FDA)
Correct Answer: B
Rationale: The NLN (2015) issued a call for nursing education to teach with and about
technology to better inform healthcare interventions that improve outcomes and prepare the
nursing workforce . The Joint Commission focuses on accreditation standards, CMS on
reimbursement, and FDA on device and drug regulation.
Q9. A nurse is evaluating a patient's laboratory results, vital signs, and subjective complaints to
formulate a care plan. This process best exemplifies which aspect of nursing informatics?
A. Computer literacy
B. Data entry
C. Information management and synthesis
D. Hardware maintenance
Correct Answer: C
Rationale: Information management involves turning data into information and knowledge
to support decision-making. Synthesizing multiple data points (labs, vitals, subjective data) into
(LATEST, 2021): Chamberlain College Of
Nursing (Updated Complete Solutions,
A)
Section 1: Foundational Concepts of Nursing Informatics (Q1 – Q20)
Q1. A nurse manager is explaining the scope of nursing informatics to new graduate nurses.
Which statement best reflects the American Nurses Association (ANA) definition of nursing
informatics?
A. The use of computer systems to document nursing care in hospital settings
B. A specialty that integrates nursing science with information and analytical sciences to
identify, define, manage, and communicate data, information, knowledge, and wisdom in
nursing practice
C. The application of telecommunication technologies to deliver remote nursing services
D. The study of how nurses use electronic health records in their daily workflow
Correct Answer: B
Rationale: The ANA defines nursing informatics as a specialty integrating nursing science
with multiple information and analytical sciences to manage and communicate data,
information, knowledge, and wisdom in nursing practice. This definition emphasizes the
synthesis of disciplines rather than merely the use of technology . Option A focuses only on
documentation, Option C describes telehealth specifically, and Option D limits the scope to EHR
use.
Q2. During a staff education session, a nurse asks what distinguishes nursing informatics from
health informatics. Which response by the informatics nurse is most accurate?
A. Nursing informatics focuses exclusively on nursing documentation, while health informatics
covers all clinical disciplines.
B. Nursing informatics applies informatics principles specifically to nursing practice, education,
administration, and research.
C. Health informatics is limited to hospital settings, while nursing informatics extends to
,community care.
D. There is no meaningful difference; the terms are used interchangeably.
Correct Answer: B
Rationale: Nursing informatics is a differentiated practice focused on the application of
informatics to nursing practice, education, administration, and research . While health
informatics encompasses a broader interdisciplinary scope, nursing informatics maintains a
distinct nursing focus. Options A and C misrepresent the scope, and Option D is incorrect
because the disciplines have distinct emphases.
Q3. Which historical event marked the formal recognition of nursing informatics as a specialty
area of practice by the American Nurses Association?
A. The first nursing informatics conference in 1982
B. The publication of the first nursing informatics textbook in 1986
C. The ANA recognition of nursing informatics as a specialty in 1992
D. The initiation of the TIGER Initiative in 2004
Correct Answer: C
Rationale: The ANA formally recognized nursing informatics as a specialty area of practice in
1992, followed by the publication of the Scope and Standards of Nursing Informatics Practice in
1994 . The 1982 conference and 1986 textbook were important milestones but did not
constitute formal specialty recognition. The TIGER Initiative came later, in the mid-2000s.
Q4. A nurse is considered "information literate" when demonstrating which of the following
competencies?
A. The ability to use word processing, spreadsheets, and presentation software
B. The ability to understand how to search for a website and evaluate its usefulness for
healthcare needs
C. The ability to send email over the Internet to correspond with clients
D. The ability to input client information into an EHR database
Correct Answer: B
Rationale: Information literacy refers to the ability to recognize when information is needed
and to locate, evaluate, and effectively use that information. Evaluating a website's usefulness
,for healthcare needs demonstrates information literacy . Options A, C, and D describe computer
literacy skills—the ability to use technology tools—rather than information literacy.
Q5. Which nursing informatics role requires a minimum of a master's degree and advanced
expertise?
A. Informatics nurse (IN)
B. Informatics nurse specialist (INS)
C. Clinical nurse informaticist
D. Nurse technology user
Correct Answer: B
Rationale: The informatics nurse specialist (INS) is distinguished from the informatics nurse
(IN) by requiring at minimum a master's degree and advanced expertise . The informatics nurse
possesses basic informatics skills, knowledge, and competencies. Options C and D are not
formal role distinctions with educational requirements.
Q6. A nurse is gathering data during a patient assessment. Which of the following represents
the highest level of the DIKW framework?
A. Blood pressure reading of 150/90 mmHg
B. Recognition that the patient's blood pressure has been trending upward over three visits
C. The decision to initiate antihypertensive therapy based on clinical judgment and patient
preferences
D. Documentation of the blood pressure in the electronic health record
Correct Answer: C
Rationale: The DIKW framework progresses from data (raw facts) to information (data with
context) to knowledge (synthesis of information) to wisdom (appropriate application of
knowledge to human problems). The decision to initiate therapy based on clinical judgment and
patient preferences represents wisdom—the judicious application of knowledge . Option A is
data, Option B is information, and Option D is merely recording data.
Q7. During a simulation debriefing, a nursing student asks how nursing informatics supports
evidence-based practice. Which response is most accurate?
, A. Informatics enables nurses to collect and analyze large datasets to identify best practices.
B. Informatics eliminates the need for clinical judgment by providing automated decisions.
C. Informatics focuses solely on documentation efficiency.
D. Informatics replaces the need for nursing research.
Correct Answer: A
Rationale: Nursing informatics supports evidence-based practice by enabling the collection,
analysis, and dissemination of data to identify effective interventions and improve patient
outcomes . Informatics does not eliminate clinical judgment—it supports decision-making. It
encompasses more than documentation and does not replace research but rather facilitates its
application.
Q8. Which organization issued a call for nursing education to "teach with and about technology
(informatics) to better inform healthcare interventions"?
A. The Joint Commission
B. The National League for Nursing (NLN)
C. The Centers for Medicare & Medicaid Services (CMS)
D. The Food and Drug Administration (FDA)
Correct Answer: B
Rationale: The NLN (2015) issued a call for nursing education to teach with and about
technology to better inform healthcare interventions that improve outcomes and prepare the
nursing workforce . The Joint Commission focuses on accreditation standards, CMS on
reimbursement, and FDA on device and drug regulation.
Q9. A nurse is evaluating a patient's laboratory results, vital signs, and subjective complaints to
formulate a care plan. This process best exemplifies which aspect of nursing informatics?
A. Computer literacy
B. Data entry
C. Information management and synthesis
D. Hardware maintenance
Correct Answer: C
Rationale: Information management involves turning data into information and knowledge
to support decision-making. Synthesizing multiple data points (labs, vitals, subjective data) into
