ANCC IQ DOMAINS 1 TO 5 LEARNING
WORKBOOK 2026 CLINICAL PRACTICE
LEADERSHIP AND QUALITY IMPROVEMENT
◉ There is no examples of wisdom in nursing practice, as it is merely
a theoretical concept.
True
False.
Answer: FALSE.
Rationale: wisdom is defined as understanding, applying and
applying with compassion. An example is selecting a protocol to
caring for a patient based on patient preferences.
◉ What kind of information might be included in a clinical practice
guideline?
a. typically written as narrative
b. background material an evidence
c. ranking of strength of evidence
d. All of the above..
Answer: D. All of the above: Rationale: a CPG is typically written as a
narrative text providing background material and evidence. The
strength of that evidence is ranked.
,◉ Which of the following use a knowledge base and set of rules to
analyze data and provide recommendations?
a. knowledge generator
b. decision support systems
c. wisdom wizards
d. benchmarkers.
Answer: Decision Support Systems (DSS)
Rationale a DSS uses a knowledge base and a set of rules to analyze
data and provide recommendations.
◉ Benchmarking is:
a. drawing a line in a doorway at the organization to monitor
organizational growth
b. a way of finding best practices
c. comparing one organization to another
d. both B & C.
Answer: D. Both B & C. Benchmarking is defined as a way of finding
best practices and then comparing ones organization against
another.
◉ CDSS stands for:
a. corporate decision support silos
,b. clinical decision support systems
c. client decision support systems
c. customer service support systems.
Answer: b. clinical decision support systems
◉ Wisdom is :
a. information that is used to identify relationships
b. the recognition of patterns in data
c. the use of knowledge to solve problems
c. the use of decision support systems.
Answer: b. the recognition of patterns in data
◉ The next step in complexity above information is:
a. knowledge
b. wisdom
c. data
d. compliance.
Answer: a. knowledge
◉ These come together in decision support systems:
a. data and information
b. information and knowledge
, c. knowledge and wisdom
d. data and knowledge.
Answer: B. information and knowledge
◉ The major difference between Decision support systems (DSS)
and Expert systems (ES) is:
a. a DSS uses rules and ES uses queries
b. that they are synonymous
c. DSS is a step up or more complex than ES
d. That a DSS leaves the ultimate decision to the decision maker and
the ES selects the best solution..
Answer: d. That a DSS leaves the ultimate decision to the decision
maker and the ES selects the best solution.
◉ What are three clinical decision systems areas in which decision
assistance can be found?
A. Test solutions, monitoring actions, change in condition
B. Optimizing process flow and workflow, monitoring actions, intake
and output
C. Intake and output, change in condition, choice of
treatmen___Incorrect
D. Choice of treatment, test solutions, monitoring actions.
Answer: A. maybe????
WORKBOOK 2026 CLINICAL PRACTICE
LEADERSHIP AND QUALITY IMPROVEMENT
◉ There is no examples of wisdom in nursing practice, as it is merely
a theoretical concept.
True
False.
Answer: FALSE.
Rationale: wisdom is defined as understanding, applying and
applying with compassion. An example is selecting a protocol to
caring for a patient based on patient preferences.
◉ What kind of information might be included in a clinical practice
guideline?
a. typically written as narrative
b. background material an evidence
c. ranking of strength of evidence
d. All of the above..
Answer: D. All of the above: Rationale: a CPG is typically written as a
narrative text providing background material and evidence. The
strength of that evidence is ranked.
,◉ Which of the following use a knowledge base and set of rules to
analyze data and provide recommendations?
a. knowledge generator
b. decision support systems
c. wisdom wizards
d. benchmarkers.
Answer: Decision Support Systems (DSS)
Rationale a DSS uses a knowledge base and a set of rules to analyze
data and provide recommendations.
◉ Benchmarking is:
a. drawing a line in a doorway at the organization to monitor
organizational growth
b. a way of finding best practices
c. comparing one organization to another
d. both B & C.
Answer: D. Both B & C. Benchmarking is defined as a way of finding
best practices and then comparing ones organization against
another.
◉ CDSS stands for:
a. corporate decision support silos
,b. clinical decision support systems
c. client decision support systems
c. customer service support systems.
Answer: b. clinical decision support systems
◉ Wisdom is :
a. information that is used to identify relationships
b. the recognition of patterns in data
c. the use of knowledge to solve problems
c. the use of decision support systems.
Answer: b. the recognition of patterns in data
◉ The next step in complexity above information is:
a. knowledge
b. wisdom
c. data
d. compliance.
Answer: a. knowledge
◉ These come together in decision support systems:
a. data and information
b. information and knowledge
, c. knowledge and wisdom
d. data and knowledge.
Answer: B. information and knowledge
◉ The major difference between Decision support systems (DSS)
and Expert systems (ES) is:
a. a DSS uses rules and ES uses queries
b. that they are synonymous
c. DSS is a step up or more complex than ES
d. That a DSS leaves the ultimate decision to the decision maker and
the ES selects the best solution..
Answer: d. That a DSS leaves the ultimate decision to the decision
maker and the ES selects the best solution.
◉ What are three clinical decision systems areas in which decision
assistance can be found?
A. Test solutions, monitoring actions, change in condition
B. Optimizing process flow and workflow, monitoring actions, intake
and output
C. Intake and output, change in condition, choice of
treatmen___Incorrect
D. Choice of treatment, test solutions, monitoring actions.
Answer: A. maybe????
