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Exam Coverage (per NR 599 course structure): Foundational Concepts,
Ethical/Legal/Bioethical Standards, Health IT Systems & EHR, Telehealth & mHealth,
Clinical Decision Support Systems (CDSS), Standardized Terminologies, Data Security &
HIPAA, Information Literacy & Knowledge Management, and Workflow Analysis & Process
Improvement.
Section 1: Foundational Concepts of Nursing Informatics (Q1–Q25)
Q1. Which statement best defines nursing informatics according to the American
Nurses Association (ANA)?
A. The use of electronic health records to document patient care
B. The integration of nursing science, computer science, and information science to manage
and communicate data, information, knowledge, and wisdom
C. The replacement of clinical judgment with computerized decision support
D. The process of coding nursing diagnoses for billing purposes
Answer: B – The ANA defines nursing informatics as the specialty that integrates nursing
science, computer science, and information science to manage and communicate data,
,information, knowledge, and wisdom in nursing practice. It is not merely EHR
documentation or billing coding.
Q2. The Foundation of Knowledge Model proposes that humans are:
A. Passive recipients of information
B. Organic information systems that constantly process knowledge
C. Dependent solely on technology for learning
D. Static repositories of data
Answer: B – The Foundation of Knowledge Model suggests that humans are organic
information systems that continuously acquire, process, generate, and disseminate
knowledge in both professional and personal lives.
Q3. Which of the following correctly lists the four elements of the Foundation of
Knowledge Model?
A. Knowledge storage, retrieval, deletion, and encryption
B. Knowledge acquisition, processing, generation, and dissemination
C. Knowledge input, output, storage, and analysis
D. Knowledge creation, validation, implementation, and evaluation
Answer: B – The Foundation of Knowledge Model is built on four key elements: knowledge
acquisition, knowledge processing, knowledge generation, and knowledge dissemination.
,Q4. In the DIKW framework, which level represents raw, unprocessed facts that lack
context or meaning?
A. Information
B. Knowledge
C. Data
D. Wisdom
Answer: C – Data are raw, discrete facts without context; information adds meaning,
knowledge identifies patterns, and wisdom applies ethical judgment for action.
Q5. A nurse reviews a flowsheet showing “HR 110, BP 142/88, RR 24, SpO₂ 91% on
room air” for a postoperative patient and recognizes this pattern indicates potential
respiratory compromise. This represents which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Answer: C – Knowledge involves synthesizing contextualized information to identify
patterns and relationships; data are raw measurements, information adds context, and
wisdom applies ethical judgment to intervene.
Q6. A nurse manager uses unit-level data on fall rates, staffing levels, and floor types
to develop a targeted intervention protocol that balances patient safety with resource
, allocation. This best exemplifies which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Answer: D – Wisdom applies knowledge with ethical judgment, contextual awareness, and
appropriate action; it transcends knowledge by integrating values, experience, and
organizational priorities.
Q7. A nursing student charts, “Patient ambulated 50 feet with assistance, tolerated
well, denies dyspnea, heart rate increased from 78 to 92.” This represents which
DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Answer: B – Information is data that has been given context and meaning—raw
measurements transformed into a meaningful clinical statement.
Q8. Which of the following is the correct hierarchy of the informatics pyramid from
bottom to top?
A. Knowledge → Information → Data → Wisdom