RN-BC Nursing Informatics Certification
RN-BC NURSING INFORMATICS CERTIFICATION COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS LATEST
2026/2027
1. A nurse informaticist explains that a single blood pressure reading of
168/98 mm Hg, recorded without context, represents which level of the
DIKW framework?
A. Wisdom
B. Data
C. Knowledge
D. Information
B. Data
A discrete value without interpretation or context is data. It becomes
information once it is organized and given meaning, such as being flagged
as elevated for that patient.
2. Which of the following best illustrates the "wisdom" level of the
Data-Information-Knowledge-Wisdom continuum?
A. A nurse applies experience and evidence to decide when to deviate
from a standard sepsis protocol for an individual patient
B. A nurse documents a temperature of 38.9 °C in the flowsheet
C. A report lists all patients with positive blood cultures this month
D. A monitor displays a heart rate trend over the past eight hours
A. A nurse applies experience and evidence to decide when to
deviate from a standard sepsis protocol for an individual patient
Wisdom is the appropriate, judicious use of knowledge to manage and
solve human problems, including knowing when and how to apply it.
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, RN-BC Nursing Informatics Certification
3. The American Nurses Association first recognized nursing
informatics as a nursing specialty in which year?
A. 2001
B. 1992
C. 1985
D. 2008
B. 1992
The ANA designated nursing informatics as a distinct specialty in 1992,
and the ANCC certification examination followed in 1995.
4. According to the ANA Nursing Informatics: Scope and Standards of
Practice, nursing informatics integrates nursing science with which two
other sciences?
A. Cognitive science and linguistics only
B. Computer science and information science
C. Biomedical engineering and statistics
D. Health administration and economics
B. Computer science and information science
The ANA definition describes nursing informatics as the specialty that
integrates nursing science with multiple information and analytical
sciences, historically framed as computer and information science.
5. Graves and Corcoran's 1989 model of nursing informatics is best
known for describing the relationship among which three components?
A. Structure, process, and outcome
B. Input, throughput, and output
C. People, process, and technology
D. Data, information, and knowledge
D. Data, information, and knowledge
Graves and Corcoran defined nursing informatics as the combination of
computer, information, and nursing sciences to manage data, information,
and knowledge.
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, RN-BC Nursing Informatics Certification
6. A nurse informaticist is analyzing why nurses bypass barcode
scanning. Which theory examines how perceived usefulness and
perceived ease of use influence system adoption?
A. Technology Acceptance Model
B. Lewin's Change Theory
C. General Systems Theory
D. Diffusion of Innovations theory
A. Technology Acceptance Model
Davis's Technology Acceptance Model holds that perceived usefulness and
perceived ease of use are the key predictors of a user's intention to adopt
a technology.
7. In Rogers' Diffusion of Innovations theory, staff members who adopt
a new documentation system only after most colleagues are using it are
classified as which group?
A. Innovators
B. Late majority
C. Early adopters
D. Early majority
B. Late majority
The late majority are skeptical, adopt after the average member of the
system, and often adopt because of peer pressure or necessity.
8. Which concept from General Systems Theory describes a hospital
information system's ability to reach the same outcome through
different pathways?
A. Negentropy
B. Homeostasis
C. Entropy
D. Equifinality
D. Equifinality
Equifinality means that open systems can reach the same final state from
different initial conditions and by different routes.
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, RN-BC Nursing Informatics Certification
9. Which theory is most useful when the informatics nurse wants to
understand how nurses progress from novice to expert in using a new
clinical system?
A. Maslow's Hierarchy of Needs
B. Benner's Novice to Expert model
C. Orem's Self-Care Deficit theory
D. Shannon-Weaver Communication model
B. Benner's Novice to Expert model
Benner's model describes five stages of skill acquisition and is commonly
applied to plan role-based training and super-user development.
10. The Shannon-Weaver model of communication is relevant to
informatics primarily because it introduced which concept?
A. Perceived ease of use
B. Feedback loops in organizational change
C. Unfreezing and refreezing behaviors
D. Noise that distorts a message between sender and receiver
D. Noise that distorts a message between sender and receiver
The Shannon-Weaver model identifies sender, channel, receiver, and
noise; informatics nurses apply it to reduce distortion in handoffs and
system messages.
11. Which statement best describes the Sociotechnical Systems
approach in health IT?
A. Technology, people, workflow, and organization must be considered
together because each affects the others
B. Social factors matter only after technical go-live is complete
C. Users should adapt their workflows completely to the software design
D. Technical performance is the primary determinant of successful
implementation
A. Technology, people, workflow, and organization must be
considered together because each affects the others
Sociotechnical models, such as Sittig and Singh's eight-dimension model,
stress that technology cannot be separated from the social context in
which it is used.
Page 4 of 66
RN-BC NURSING INFORMATICS CERTIFICATION COMPLETE
EXAM QUESTIONS AND CORRECT ANSWERS LATEST
2026/2027
1. A nurse informaticist explains that a single blood pressure reading of
168/98 mm Hg, recorded without context, represents which level of the
DIKW framework?
A. Wisdom
B. Data
C. Knowledge
D. Information
B. Data
A discrete value without interpretation or context is data. It becomes
information once it is organized and given meaning, such as being flagged
as elevated for that patient.
2. Which of the following best illustrates the "wisdom" level of the
Data-Information-Knowledge-Wisdom continuum?
A. A nurse applies experience and evidence to decide when to deviate
from a standard sepsis protocol for an individual patient
B. A nurse documents a temperature of 38.9 °C in the flowsheet
C. A report lists all patients with positive blood cultures this month
D. A monitor displays a heart rate trend over the past eight hours
A. A nurse applies experience and evidence to decide when to
deviate from a standard sepsis protocol for an individual patient
Wisdom is the appropriate, judicious use of knowledge to manage and
solve human problems, including knowing when and how to apply it.
Page 1 of 66
, RN-BC Nursing Informatics Certification
3. The American Nurses Association first recognized nursing
informatics as a nursing specialty in which year?
A. 2001
B. 1992
C. 1985
D. 2008
B. 1992
The ANA designated nursing informatics as a distinct specialty in 1992,
and the ANCC certification examination followed in 1995.
4. According to the ANA Nursing Informatics: Scope and Standards of
Practice, nursing informatics integrates nursing science with which two
other sciences?
A. Cognitive science and linguistics only
B. Computer science and information science
C. Biomedical engineering and statistics
D. Health administration and economics
B. Computer science and information science
The ANA definition describes nursing informatics as the specialty that
integrates nursing science with multiple information and analytical
sciences, historically framed as computer and information science.
5. Graves and Corcoran's 1989 model of nursing informatics is best
known for describing the relationship among which three components?
A. Structure, process, and outcome
B. Input, throughput, and output
C. People, process, and technology
D. Data, information, and knowledge
D. Data, information, and knowledge
Graves and Corcoran defined nursing informatics as the combination of
computer, information, and nursing sciences to manage data, information,
and knowledge.
Page 2 of 66
, RN-BC Nursing Informatics Certification
6. A nurse informaticist is analyzing why nurses bypass barcode
scanning. Which theory examines how perceived usefulness and
perceived ease of use influence system adoption?
A. Technology Acceptance Model
B. Lewin's Change Theory
C. General Systems Theory
D. Diffusion of Innovations theory
A. Technology Acceptance Model
Davis's Technology Acceptance Model holds that perceived usefulness and
perceived ease of use are the key predictors of a user's intention to adopt
a technology.
7. In Rogers' Diffusion of Innovations theory, staff members who adopt
a new documentation system only after most colleagues are using it are
classified as which group?
A. Innovators
B. Late majority
C. Early adopters
D. Early majority
B. Late majority
The late majority are skeptical, adopt after the average member of the
system, and often adopt because of peer pressure or necessity.
8. Which concept from General Systems Theory describes a hospital
information system's ability to reach the same outcome through
different pathways?
A. Negentropy
B. Homeostasis
C. Entropy
D. Equifinality
D. Equifinality
Equifinality means that open systems can reach the same final state from
different initial conditions and by different routes.
Page 3 of 66
, RN-BC Nursing Informatics Certification
9. Which theory is most useful when the informatics nurse wants to
understand how nurses progress from novice to expert in using a new
clinical system?
A. Maslow's Hierarchy of Needs
B. Benner's Novice to Expert model
C. Orem's Self-Care Deficit theory
D. Shannon-Weaver Communication model
B. Benner's Novice to Expert model
Benner's model describes five stages of skill acquisition and is commonly
applied to plan role-based training and super-user development.
10. The Shannon-Weaver model of communication is relevant to
informatics primarily because it introduced which concept?
A. Perceived ease of use
B. Feedback loops in organizational change
C. Unfreezing and refreezing behaviors
D. Noise that distorts a message between sender and receiver
D. Noise that distorts a message between sender and receiver
The Shannon-Weaver model identifies sender, channel, receiver, and
noise; informatics nurses apply it to reduce distortion in handoffs and
system messages.
11. Which statement best describes the Sociotechnical Systems
approach in health IT?
A. Technology, people, workflow, and organization must be considered
together because each affects the others
B. Social factors matter only after technical go-live is complete
C. Users should adapt their workflows completely to the software design
D. Technical performance is the primary determinant of successful
implementation
A. Technology, people, workflow, and organization must be
considered together because each affects the others
Sociotechnical models, such as Sittig and Singh's eight-dimension model,
stress that technology cannot be separated from the social context in
which it is used.
Page 4 of 66
