ACTUAL EXAM WITH COMPLETE QUESTIONS
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A nurse educator is discussing barriers to the implementation of telehealth
services. Which factor is considered the key impediment to telehealth?
Correct Answer:
Licensure
Expert Rationale:
Licensure remains one of the greatest barriers to telehealth because healthcare providers
must comply with state-specific regulations regarding professional practice. Providers may
be restricted from delivering care across state or national boundaries without appropriate
licensure. These legal and regulatory limitations can delay implementation and reduce
access to telehealth services, despite advancements in technology.
Why other options are incorrect:
• Technology availability: technology continues to improve and is not the primary barrier.
• Patient education: can be addressed through training and support.
• Internet access: although important, licensure restrictions remain the major legal
challenge.
DIF: Analysis
REF: Nursing Informatics
OBJ: Identify barriers affecting telehealth implementation
TOP: Informatics / Clinical Applications
A nurse manager is reviewing the importance of standardized nursing
terminologies. Which benefits are associated with nursing terminologies?
Correct Answer:
Increased visibility, improved communication, enhanced patient care, improved data
collection, and adherence to standards
,Expert Rationale:
Standardized nursing terminologies improve the consistency and clarity of nursing
documentation. They promote communication among healthcare providers, improve
visibility of nursing contributions, support evidence-based care, enhance patient outcomes,
and facilitate data collection for research and quality improvement.
Why other options are incorrect:
• Reduced nursing responsibilities: nursing terminologies do not decrease professional
accountability.
• Replacement of clinical judgment: terminology systems support but do not replace
nursing judgment.
• Limiting interdisciplinary collaboration: standardized terminology actually improves
collaboration.
DIF: Analysis
REF: Nursing Informatics
OBJ: Explain the benefits of standardized nursing terminologies
TOP: Informatics / Clinical Applications
Which systems are recognized examples of standardized nursing
terminologies?
Correct Answer:
NANDA, NIC, NOC, CCC, PNDS, and NMDS
Expert Rationale:
NANDA, NIC, NOC, CCC, PNDS, and NMDS are standardized nursing language systems used
to classify nursing diagnoses, interventions, outcomes, and minimum data sets. These
systems support consistent documentation, communication, and data analysis in nursing
practice.
Why other options are incorrect:
• ICD-10: primarily used for medical diagnoses and billing.
• DSM-5: used for psychiatric diagnoses.
• HL7: a communication standard rather than a nursing terminology.
DIF: Analysis
REF: Nursing Informatics
OBJ: Identify examples of nursing terminologies
TOP: Informatics / Clinical Applications
,Research that generates knowledge for nursing practice is referred to as what
type of practice?
Correct Answer:
Evidence-based practice
Expert Rationale:
Evidence-based practice integrates the best current research evidence with clinical
expertise and patient preferences to improve healthcare outcomes. It promotes safe,
effective, and high-quality nursing care.
Why other options are incorrect:
• Traditional practice: based mainly on routine rather than evidence.
• Independent practice: refers to autonomous care delivery.
• Experimental practice: involves research testing rather than applying evidence.
DIF: Analysis
REF: Nursing Informatics
OBJ: Define evidence-based practice
TOP: Informatics / Clinical Applications
Which three sciences are integrated within the definition of nursing
informatics?
Correct Answer:
Nursing science, computer science, and information science
Expert Rationale:
Nursing informatics combines nursing science with computer and information sciences to
manage and communicate healthcare data, information, knowledge, and wisdom in nursing
practice.
Why other options are incorrect:
• Biology, chemistry, and physics: foundational sciences but not the core sciences of
informatics.
• Psychology, sociology, and anatomy: support healthcare but are not primary informatics
sciences.
• Mathematics, engineering, and economics: valuable disciplines but not the defined core
sciences.
DIF: Analysis
REF: Nursing Informatics
OBJ: Describe the sciences used in nursing informatics
, TOP: Informatics / Clinical Applications
A nurse informaticist explains that nursing informatics focuses on four major
concepts. Which concepts are included?
Correct Answer:
Data, information, knowledge, and wisdom
Expert Rationale:
The DIKW framework forms the foundation of nursing informatics. Data are raw facts,
information is processed data, knowledge is synthesized information used in practice, and
wisdom is the appropriate application of knowledge in clinical decision-making.
Why other options are incorrect:
• Research, analysis, theory, and planning: important nursing processes but not the DIKW
framework.
• Assessment, diagnosis, planning, and evaluation: components of the nursing process.
• Technology, management, policy, and leadership: related concepts but not the core
framework.
DIF: Analysis
REF: Nursing Informatics
OBJ: Identify the four concepts of nursing informatics
TOP: Informatics / Clinical Applications
What term is used to describe raw facts that lack meaning?
Correct Answer:
Data
Expert Rationale:
Data are unprocessed facts and figures without interpretation or context. Once organized
and interpreted, data become information that can support clinical decisions.
Why other options are incorrect:
• Information: processed and meaningful data.
• Knowledge: understanding gained from information.
• Wisdom: appropriate application of knowledge.
DIF: Analysis
REF: Nursing Informatics
OBJ: Differentiate data from information and knowledge