ASSESSMENT 2026/2027 | Application of Technology
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Domain 1: Foundations of Nursing Informatics (15 Questions)
Q1: A nurse informaticist is implementing a new electronic health record system. Which
core component of the TIGER initiative should guide the integration of evidence-based
practice into clinical workflows?
A. Informatics Design
B. Information Management
C. Evidence and Information Transformation [CORRECT]
D. Clinical Information Management
Correct Answer: C
Rationale: The TIGER (Technology Informatics Guiding Education Reform) initiative
identifies three core components: Basic Computer Competencies, Information Literacy,
and Information Management. However, "Evidence and Information Transformation"
specifically addresses the integration of evidence-based practice into informatics
,workflows. This competency domain emphasizes transforming data into actionable
knowledge and integrating research evidence into clinical decision-making. Option A is
incorrect because "Informatics Design" is not a core TIGER component. Option B is too
broad and doesn't specifically address evidence integration. Option D is a distractor that
combines unrelated concepts. This aligns with WGU C468 Competency 1.1: Apply the
TIGER initiative principles to nursing informatics practice.
Q2: [Select All That Apply] Which of the following competencies are included in the
TIGER initiative's framework for nursing informatics? (Select all that apply)
A. Basic Computer Competencies [CORRECT]
B. Information Literacy [CORRECT]
C. Information Management [CORRECT]
D. Advanced Programming Skills
E. Evidence and Information Transformation [CORRECT]
Correct Answers: A, B, C, E
Rationale: The TIGER initiative framework consists of three pillars: (1) Basic Computer
Competencies—fundamental IT skills all nurses need; (2) Information Literacy—the
ability to recognize when information is needed and locate, evaluate, and use it
effectively; and (3) Information Management—organizing, analyzing, and using
,information to support clinical decision-making. "Evidence and Information
Transformation" represents the application of these competencies to translate evidence
into practice. Option D is incorrect because advanced programming skills are not
required for nursing informatics practice at the clinical level; nurses need to be
sophisticated users of technology, not programmers. This aligns with WGU C468
Competency 1.2: Identify core informatics competencies for nursing practice.
Q3: A hospital is transitioning from paper-based documentation to an Electronic Health
Record (EHR). Which functional requirement represents the PRIMARY purpose of an
EHR according to the Institute of Medicine's key capabilities?
A. Administrative billing and coding functions
B. Longitudinal collection of electronic health information for and about persons
[CORRECT]
C. Real-time communication between providers
D. Automated medication dispensing
Correct Answer: B
Rationale: The Institute of Medicine (now National Academy of Medicine) identified
eight core capabilities of an EHR, with the primary purpose being "longitudinal collection
of electronic health information for and about persons." This means the EHR serves as a
comprehensive, lifetime record of health information. While administrative billing (A),
, real-time communication (C), and automated dispensing (D) are important EHR
features, they are secondary to the core purpose of maintaining a complete health
record. This longitudinal approach enables continuity of care, population health
management, and research. This aligns with WGU C468 Competency 1.3: Analyze EHR
functional requirements and their impact on patient care.
Q4: Which nursing informatics pioneer developed the
"Data-Information-Knowledge-Wisdom" (DIKW) framework that guides how nurses
process and use clinical information?
A. Virginia Henderson
B. Margarethe Zielstorff [CORRECT]
C. Patricia Benner
D. Dee McGonigle and Kathleen Mastrian
Correct Answer: D (Dee McGonigle and Kathleen Mastrian)
Rationale: While the DIKW framework has roots in information science, Dee McGonigle
and Kathleen Mastrian specifically adapted and popularized this framework for nursing
informatics in their seminal textbook. The DIKW framework describes the hierarchy:
Data (raw facts) → Information (data with meaning) → Knowledge (information applied
to contexts) → Wisdom (knowledge applied with ethics and judgment). Virginia
Henderson (A) focused on nursing needs theory. Patricia Benner (C) developed the