WGU C468 OA OBJECTIVE ASSESSMENT PRACTICE EXAM
2026/2027 | Information Management and the Application of
Technology | Complete Solutions with Verified Answers |
Pass Guaranteed - A+ Graded
Domain 1: Nursing Informatics Foundations (15 Questions | 21% of OA)
Q1
A nurse informaticist is leading a team to implement a new electronic health record
(EHR) system. The team is analyzing workflow patterns to identify opportunities for
technology integration. Which competency from the TIGER Initiative best describes the
ability to use information and technology to communicate, manage knowledge, mitigate
error, and support decision-making?
A. Information Literacy
B. Information Management
C. Informatics Competencies
D. Computer Literacy
,Correct Answer: C [CORRECT]
Rationale: The TIGER Initiative (Technology Informatics Guiding Education Reform)
identifies three core competency areas: Basic Computer Competencies, Information
Literacy, and Informatics Competencies. Informatics Competencies specifically
encompass the ability to use information and technology to communicate, manage
knowledge, mitigate error, and support decision-making at the point of care. This aligns
with OA Blueprint Domain 1 (Nursing Informatics Foundations) and reflects the
application-level cognitive requirement (50% of exam).
Distractor Analysis:
● A. Information Literacy is incorrect because it focuses on recognizing
information needs and effectively searching, evaluating, and using
information—not the comprehensive application of technology in clinical
workflows described in the scenario.
● B. Information Management is incorrect because while related, this is not one of
the three TIGER competency categories; it describes a function rather than the
specific competency framework.
● D. Computer Literacy is incorrect because it represents the foundational tier of
TIGER competencies (basic computer skills) rather than the advanced
application of informatics in clinical decision-making and error mitigation.
Clinical Application: In practice, informatics competencies enable nurses to leverage
clinical decision support systems, recognize alerts for potential medication errors, and
utilize data analytics to improve patient outcomes—essential skills for safe
technology-enabled care delivery.
Q2
,Which of the following best defines nursing informatics according to the American
Nurses Association (ANA) Scope and Standards of Practice?
A. The use of computers and technology to document patient care activities
B. The specialty that integrates nursing science with multiple information and analytical
sciences to identify, define, manage, and communicate data, information, knowledge,
and wisdom in nursing practice
C. The management of healthcare information systems by IT professionals
D. The process of converting paper records to electronic formats
Correct Answer: B [CORRECT]
Rationale: The ANA defines nursing informatics as "the specialty that integrates nursing
science with multiple information and analytical sciences to identify, define, manage,
and communicate data, information, knowledge, and wisdom in nursing practice." This
definition emphasizes the DIKW hierarchy (Data-Information-Knowledge-Wisdom), a
core concept in Domain 1. The definition specifically includes "multiple information and
analytical sciences," recognizing the interdisciplinary nature of informatics.
Distractor Analysis:
● A is incorrect because it describes only documentation, which is a narrow
technical function rather than the comprehensive specialty definition.
● C is incorrect because nursing informatics is practiced by nurses, not IT
professionals, and focuses on clinical applications rather than general system
management.
, ● D is incorrect because it describes a conversion process
(scanning/paper-to-electronic), not the specialty practice of nursing informatics.
OA Blueprint Alignment: This question tests comprehension (12% of exam) of
foundational definitions that underpin all subsequent informatics applications.
Q3
A hospital is transitioning from paper-based documentation to an EHR system. During
the implementation phase, nurses report that the new system slows down their
workflow and creates frustration. According to change management principles and
informatics implementation frameworks, what is the priority nursing informaticist
action?
A. Mandate immediate full compliance with the new system and eliminate paper
backups
B. Provide additional technical training on system features and functionality
C. Conduct a workflow analysis to identify system-versus-process issues and involve
staff in iterative improvements
D. Return to paper documentation until the system is fully optimized
Correct Answer: C [CORRECT]
2026/2027 | Information Management and the Application of
Technology | Complete Solutions with Verified Answers |
Pass Guaranteed - A+ Graded
Domain 1: Nursing Informatics Foundations (15 Questions | 21% of OA)
Q1
A nurse informaticist is leading a team to implement a new electronic health record
(EHR) system. The team is analyzing workflow patterns to identify opportunities for
technology integration. Which competency from the TIGER Initiative best describes the
ability to use information and technology to communicate, manage knowledge, mitigate
error, and support decision-making?
A. Information Literacy
B. Information Management
C. Informatics Competencies
D. Computer Literacy
,Correct Answer: C [CORRECT]
Rationale: The TIGER Initiative (Technology Informatics Guiding Education Reform)
identifies three core competency areas: Basic Computer Competencies, Information
Literacy, and Informatics Competencies. Informatics Competencies specifically
encompass the ability to use information and technology to communicate, manage
knowledge, mitigate error, and support decision-making at the point of care. This aligns
with OA Blueprint Domain 1 (Nursing Informatics Foundations) and reflects the
application-level cognitive requirement (50% of exam).
Distractor Analysis:
● A. Information Literacy is incorrect because it focuses on recognizing
information needs and effectively searching, evaluating, and using
information—not the comprehensive application of technology in clinical
workflows described in the scenario.
● B. Information Management is incorrect because while related, this is not one of
the three TIGER competency categories; it describes a function rather than the
specific competency framework.
● D. Computer Literacy is incorrect because it represents the foundational tier of
TIGER competencies (basic computer skills) rather than the advanced
application of informatics in clinical decision-making and error mitigation.
Clinical Application: In practice, informatics competencies enable nurses to leverage
clinical decision support systems, recognize alerts for potential medication errors, and
utilize data analytics to improve patient outcomes—essential skills for safe
technology-enabled care delivery.
Q2
,Which of the following best defines nursing informatics according to the American
Nurses Association (ANA) Scope and Standards of Practice?
A. The use of computers and technology to document patient care activities
B. The specialty that integrates nursing science with multiple information and analytical
sciences to identify, define, manage, and communicate data, information, knowledge,
and wisdom in nursing practice
C. The management of healthcare information systems by IT professionals
D. The process of converting paper records to electronic formats
Correct Answer: B [CORRECT]
Rationale: The ANA defines nursing informatics as "the specialty that integrates nursing
science with multiple information and analytical sciences to identify, define, manage,
and communicate data, information, knowledge, and wisdom in nursing practice." This
definition emphasizes the DIKW hierarchy (Data-Information-Knowledge-Wisdom), a
core concept in Domain 1. The definition specifically includes "multiple information and
analytical sciences," recognizing the interdisciplinary nature of informatics.
Distractor Analysis:
● A is incorrect because it describes only documentation, which is a narrow
technical function rather than the comprehensive specialty definition.
● C is incorrect because nursing informatics is practiced by nurses, not IT
professionals, and focuses on clinical applications rather than general system
management.
, ● D is incorrect because it describes a conversion process
(scanning/paper-to-electronic), not the specialty practice of nursing informatics.
OA Blueprint Alignment: This question tests comprehension (12% of exam) of
foundational definitions that underpin all subsequent informatics applications.
Q3
A hospital is transitioning from paper-based documentation to an EHR system. During
the implementation phase, nurses report that the new system slows down their
workflow and creates frustration. According to change management principles and
informatics implementation frameworks, what is the priority nursing informaticist
action?
A. Mandate immediate full compliance with the new system and eliminate paper
backups
B. Provide additional technical training on system features and functionality
C. Conduct a workflow analysis to identify system-versus-process issues and involve
staff in iterative improvements
D. Return to paper documentation until the system is fully optimized
Correct Answer: C [CORRECT]
