Western Governors University
AFT2 – Task 4
Healthcare Informatics Performance Assessment
Data Analytics, Dashboard Creation, EHR Implementation,
Quality Improvement, and Informatics Ethics
25 Multiple-Choice Questions
Section 1: Healthcare Data Analytics and Dashboard Creation (7 Q)
Section 2: EHR Implementation and Workflow (6 Q)
Section 3: Quality Improvement and Patient Safety Metrics (6 Q)
Section 4: Informatics Ethics, Privacy, and EBP (6 Q)
Aligned with WGU AFT2 Task 4 Rubric (2026)
Cognitive Levels: 30% Recall | 50% Application | 20% Analysis
June 2026
, WGU AFT2 Task 4 — Healthcare Informatics Performance Assessment
Abstract
This performance assessment examination is designed for nursing and healthcare informatics
students enrolled in Western Governors University (WGU) course AFT2, specifically aligned
with Task 4 requirements for 2026. The assessment comprises 25 multiple-choice questions
distributed across four domains: healthcare data analytics and dashboard creation (7 questions),
electronic health record implementation and workflow optimization (6 questions), quality
improvement and patient safety metrics (6 questions), and informatics ethics, privacy, and
evidence-based practice (6 questions). Cognitive levels are calibrated at 30% recall, 50%
application, and 20% analysis to reflect the competency expectations of the WGU AFT2 rubric,
with particular emphasis on data dashboard justification, clinical relevance, EHR workflow
optimization, alert fatigue scenarios, and the integration of nursing informatics standards from
ANA and HIMSS into quality improvement practice.
Keywords: Healthcare Informatics, Data Dashboard, EHR Implementation, Quality Improvement, Patient Safety
Metrics, HIPAA, Evidence-Based Practice, WGU AFT2
Assessment Instructions
This examination contains 25 multiple-choice questions organized into four sections. Each question presents
four answer options (A through D) with exactly one correct answer. Select the best answer for each question
based on current evidence, nursing informatics standards (ANA, HIMSS), and regulatory guidelines
(HIPAA, Joint Commission, NHSN). Scenario-based questions require clinical judgment and application of
informatics principles to realistic healthcare situations. Each question is followed by the correct answer and
a detailed rationale explaining the reasoning.
Section 1: Healthcare Data Analytics and Dashboard Creation
Q1.
A nurse informaticist is designing a clinical dashboard for a medical-surgical unit to monitor
hospital-acquired pressure injuries (HAPIs). Which data element is MOST essential to include as a primary
quality indicator on this dashboard?
A. Total number of patient admissions per month
B. HAPI incidence rate per 1,000 patient-days [CORRECT]
C. Average length of stay for all discharged patients
D. Annual nursing staff turnover percentage
Correct Answer: B
Rationale: The HAPI incidence rate per 1,000 patient-days is the most clinically relevant and actionable metric
because it standardizes for volume and enables trending over time. Admissions, length of stay, and turnover, while
important operationally, do not directly measure the quality outcome of pressure injury prevention.
Q2.
When constructing a data visualization for executive leadership, a nursing informatics specialist selects a run
chart to display monthly catheter-associated urinary tract infection (CAUTI) rates over 24 months. What is
the PRIMARY justification for choosing a run chart over a pie chart in this context?
A. Run charts display categorical data more clearly than pie charts
Page 2
AFT2 – Task 4
Healthcare Informatics Performance Assessment
Data Analytics, Dashboard Creation, EHR Implementation,
Quality Improvement, and Informatics Ethics
25 Multiple-Choice Questions
Section 1: Healthcare Data Analytics and Dashboard Creation (7 Q)
Section 2: EHR Implementation and Workflow (6 Q)
Section 3: Quality Improvement and Patient Safety Metrics (6 Q)
Section 4: Informatics Ethics, Privacy, and EBP (6 Q)
Aligned with WGU AFT2 Task 4 Rubric (2026)
Cognitive Levels: 30% Recall | 50% Application | 20% Analysis
June 2026
, WGU AFT2 Task 4 — Healthcare Informatics Performance Assessment
Abstract
This performance assessment examination is designed for nursing and healthcare informatics
students enrolled in Western Governors University (WGU) course AFT2, specifically aligned
with Task 4 requirements for 2026. The assessment comprises 25 multiple-choice questions
distributed across four domains: healthcare data analytics and dashboard creation (7 questions),
electronic health record implementation and workflow optimization (6 questions), quality
improvement and patient safety metrics (6 questions), and informatics ethics, privacy, and
evidence-based practice (6 questions). Cognitive levels are calibrated at 30% recall, 50%
application, and 20% analysis to reflect the competency expectations of the WGU AFT2 rubric,
with particular emphasis on data dashboard justification, clinical relevance, EHR workflow
optimization, alert fatigue scenarios, and the integration of nursing informatics standards from
ANA and HIMSS into quality improvement practice.
Keywords: Healthcare Informatics, Data Dashboard, EHR Implementation, Quality Improvement, Patient Safety
Metrics, HIPAA, Evidence-Based Practice, WGU AFT2
Assessment Instructions
This examination contains 25 multiple-choice questions organized into four sections. Each question presents
four answer options (A through D) with exactly one correct answer. Select the best answer for each question
based on current evidence, nursing informatics standards (ANA, HIMSS), and regulatory guidelines
(HIPAA, Joint Commission, NHSN). Scenario-based questions require clinical judgment and application of
informatics principles to realistic healthcare situations. Each question is followed by the correct answer and
a detailed rationale explaining the reasoning.
Section 1: Healthcare Data Analytics and Dashboard Creation
Q1.
A nurse informaticist is designing a clinical dashboard for a medical-surgical unit to monitor
hospital-acquired pressure injuries (HAPIs). Which data element is MOST essential to include as a primary
quality indicator on this dashboard?
A. Total number of patient admissions per month
B. HAPI incidence rate per 1,000 patient-days [CORRECT]
C. Average length of stay for all discharged patients
D. Annual nursing staff turnover percentage
Correct Answer: B
Rationale: The HAPI incidence rate per 1,000 patient-days is the most clinically relevant and actionable metric
because it standardizes for volume and enables trending over time. Admissions, length of stay, and turnover, while
important operationally, do not directly measure the quality outcome of pressure injury prevention.
Q2.
When constructing a data visualization for executive leadership, a nursing informatics specialist selects a run
chart to display monthly catheter-associated urinary tract infection (CAUTI) rates over 24 months. What is
the PRIMARY justification for choosing a run chart over a pie chart in this context?
A. Run charts display categorical data more clearly than pie charts
Page 2
