TEST BANK FOR NURSING INFORMATICS AND THE
FOUNDATION OF KNOWLEDGE 6TH EDITION
MCGONIGLE AND MASTRICAN
,CHAPTER 1: NURSING SCIENCE AND FOUNDATION OF KNOWLEDGE
Question 1
The nurse recognizes nursing informatics as a specialty area of practice based on which
statement?
Research priorities in nursing informatics include developing a standardized nursing
language and building clinical information databases.
Nurses must complete a formal master’s-level education to qualify for the credentialing
exam.
Nursing informatics, as a unique practice, focuses on the client, nurse, health, and
environment.
Nursing informatics needs representation by different working groups and organizations in
the U.S.
Correct Answer: 1
Rationale 1: Establishing research priorities defines a specialty practice. While master’s
programs exist, credentialing usually requires a bachelor’s degree and relevant practice.
Safe, cost-effective care relies on research-driven best practices.
Rationale 2: Specialty practice is not determined solely by completion of a master’s
program. Credentialing most often requires a bachelor’s degree and practice experience.
Defining research priorities identifies a specialty.
Rationale 3: This describes the overall nursing discipline, not nursing informatics.
Informatics merges nursing, computer, and information sciences to process and
communicate data. Defining research priorities establishes specialty practice.
Rationale 4: Informatics is already represented by groups such as the Nursing Informatics
Special Interest Group of the International Medical Informatics Association. Specialty
practice is defined by research priorities.
Question 2
Which statement demonstrates that the nurse is "information literate"?
"I know how to search websites and evaluate their relevance to healthcare needs."
"I record client data, such as skin condition, into healthcare databases."
"I use email to communicate with clients and provide information."
"I use tools such as word processors, spreadsheets, and presentation software."
,Correct Answer: 1
Rationale 1: Information literacy means being able to locate, evaluate, and use information
effectively. The other options reflect computer literacy without the evaluative and critical
thinking aspects.
Rationales 2–4: These are examples of computer literacy. Information literacy goes further
by assessing information quality and applying it appropriately.
Question 3
When caring for clients, the nurse gathers large amounts of data. Which situation represents
higher-level "information"?
Vital signs: BP 130/70, HR 88, RR 24, Temp 98.8°F, O₂ Sat 98%.
Laboratory findings: electrolyte panel and CBC with differential.
Client: 64-year-old Black widower hospitalized for prostatitis.
Client states feeling improved today after receiving 1 g IV Rocephin yesterday.
Correct Answer: 4
Rationales 1–3: These represent raw data that have not yet been analyzed or interpreted.
Rationale 4: This is clinical data that have been interpreted and structured, making them
useful "information" for guiding care decisions and monitoring recovery.
Question 4
What best describes the distinction between information literacy and computer literacy?
Information literacy is unnecessary for healthcare; computer literacy allows order entry.
Information literacy supports the EHR; computer literacy allows nurses to access data.
With computer literacy, a nurse can interpret data without needing information literacy.
Information literacy promotes lifelong learning, while computer literacy is computer
familiarity.
Correct Answer: 4
Rationales 1–3: Computer literacy is the ability to use software and hardware tools.
Information literacy involves evaluating and applying information to learning and practice.
Question 5
Which description matches the correct informatics competency level for a nurse?
An informatics specialist designs best practice models for catheter care using data analysis.
, A new nurse records medication side effects in a spreadsheet.
An experienced nurse builds databases using SNOMED coding.
A novice nurse integrates multiple disciplines through online research.
Correct Answer: 1
Rationale 1: Informatics specialists possess expertise to analyze data and design models that
improve nursing practice.
Rationales 2–4: These are tasks below the role of a specialist or not appropriate to the
novice/experienced nurse role as described.
Question 6
Which statement about today’s healthcare delivery system is inaccurate?
Technology can completely solve the acute care nursing shortage.
Evidence-based practice is enhanced by technology for retrieving research.
Computerized order entry reduces the risk of medication errors.
Managed care applies disease management for chronic illness.
Correct Answer: 1
Rationale: While technology improves care and reduces error rates, it cannot entirely
eliminate the shortage of nurses.
Question 7
Which factors are currently driving the use of IT in acute care settings?
Patient safety
Nursing shortage
Evidence-based practice
Growing number of digital-native nurses
Correct Answer: 4
Rationale: Although younger nurses are comfortable with technology, they are not the
primary driving force. Major factors include patient safety, staffing shortages, and the
demand for evidence-based practice.
FOUNDATION OF KNOWLEDGE 6TH EDITION
MCGONIGLE AND MASTRICAN
,CHAPTER 1: NURSING SCIENCE AND FOUNDATION OF KNOWLEDGE
Question 1
The nurse recognizes nursing informatics as a specialty area of practice based on which
statement?
Research priorities in nursing informatics include developing a standardized nursing
language and building clinical information databases.
Nurses must complete a formal master’s-level education to qualify for the credentialing
exam.
Nursing informatics, as a unique practice, focuses on the client, nurse, health, and
environment.
Nursing informatics needs representation by different working groups and organizations in
the U.S.
Correct Answer: 1
Rationale 1: Establishing research priorities defines a specialty practice. While master’s
programs exist, credentialing usually requires a bachelor’s degree and relevant practice.
Safe, cost-effective care relies on research-driven best practices.
Rationale 2: Specialty practice is not determined solely by completion of a master’s
program. Credentialing most often requires a bachelor’s degree and practice experience.
Defining research priorities identifies a specialty.
Rationale 3: This describes the overall nursing discipline, not nursing informatics.
Informatics merges nursing, computer, and information sciences to process and
communicate data. Defining research priorities establishes specialty practice.
Rationale 4: Informatics is already represented by groups such as the Nursing Informatics
Special Interest Group of the International Medical Informatics Association. Specialty
practice is defined by research priorities.
Question 2
Which statement demonstrates that the nurse is "information literate"?
"I know how to search websites and evaluate their relevance to healthcare needs."
"I record client data, such as skin condition, into healthcare databases."
"I use email to communicate with clients and provide information."
"I use tools such as word processors, spreadsheets, and presentation software."
,Correct Answer: 1
Rationale 1: Information literacy means being able to locate, evaluate, and use information
effectively. The other options reflect computer literacy without the evaluative and critical
thinking aspects.
Rationales 2–4: These are examples of computer literacy. Information literacy goes further
by assessing information quality and applying it appropriately.
Question 3
When caring for clients, the nurse gathers large amounts of data. Which situation represents
higher-level "information"?
Vital signs: BP 130/70, HR 88, RR 24, Temp 98.8°F, O₂ Sat 98%.
Laboratory findings: electrolyte panel and CBC with differential.
Client: 64-year-old Black widower hospitalized for prostatitis.
Client states feeling improved today after receiving 1 g IV Rocephin yesterday.
Correct Answer: 4
Rationales 1–3: These represent raw data that have not yet been analyzed or interpreted.
Rationale 4: This is clinical data that have been interpreted and structured, making them
useful "information" for guiding care decisions and monitoring recovery.
Question 4
What best describes the distinction between information literacy and computer literacy?
Information literacy is unnecessary for healthcare; computer literacy allows order entry.
Information literacy supports the EHR; computer literacy allows nurses to access data.
With computer literacy, a nurse can interpret data without needing information literacy.
Information literacy promotes lifelong learning, while computer literacy is computer
familiarity.
Correct Answer: 4
Rationales 1–3: Computer literacy is the ability to use software and hardware tools.
Information literacy involves evaluating and applying information to learning and practice.
Question 5
Which description matches the correct informatics competency level for a nurse?
An informatics specialist designs best practice models for catheter care using data analysis.
, A new nurse records medication side effects in a spreadsheet.
An experienced nurse builds databases using SNOMED coding.
A novice nurse integrates multiple disciplines through online research.
Correct Answer: 1
Rationale 1: Informatics specialists possess expertise to analyze data and design models that
improve nursing practice.
Rationales 2–4: These are tasks below the role of a specialist or not appropriate to the
novice/experienced nurse role as described.
Question 6
Which statement about today’s healthcare delivery system is inaccurate?
Technology can completely solve the acute care nursing shortage.
Evidence-based practice is enhanced by technology for retrieving research.
Computerized order entry reduces the risk of medication errors.
Managed care applies disease management for chronic illness.
Correct Answer: 1
Rationale: While technology improves care and reduces error rates, it cannot entirely
eliminate the shortage of nurses.
Question 7
Which factors are currently driving the use of IT in acute care settings?
Patient safety
Nursing shortage
Evidence-based practice
Growing number of digital-native nurses
Correct Answer: 4
Rationale: Although younger nurses are comfortable with technology, they are not the
primary driving force. Major factors include patient safety, staffing shortages, and the
demand for evidence-based practice.
