NUR 116 – Nursing Informatics | Healthcare
Technology Study Guide Electronic Health Records,
Clinical Documentation, Informatics Principles, and
Comprehensive Review Questions with Detailed
Rationales | Latest 2025–2026 Update
Question 1
Which of the following BEST defines nursing informatics?
A. The use of computers in healthcare settings
B. The integration of nursing science, computer science, and information
science to manage and communicate data, information, knowledge, and
wisdom in nursing practice
C. The electronic documentation of patient care
D. The use of telehealth technology in nursing
Answer: B. The integration of nursing science, computer science, and
information science
Rationale: Nursing informatics is defined as the specialty that integrates nursing
science, computer science, and information science to manage and communicate
data, information, knowledge, and wisdom in nursing practice. It supports
decision-making and improves patient outcomes.
Question 2
What is the difference between data, information, knowledge, and wisdom in
nursing informatics?
A. Data are raw facts; information is processed data; knowledge is synthesis
of information; wisdom is appropriate application of knowledge
B. Data and information are the same
C. Knowledge is raw data
D. Wisdom is not relevant to informatics
Answer: A. Data are raw facts; information is processed data; knowledge is
synthesis of information; wisdom is appropriate application of knowledge
,Rationale: The DIKW framework is fundamental to informatics: Data (raw facts),
Information (processed data), Knowledge (synthesis of information), and Wisdom
(appropriate application of knowledge to solve problems).
Question 3
A nurse enters a patient's blood pressure reading into the electronic health record
(EHR). This action represents which component of the DIKW framework?
A. Knowledge
B. Wisdom
C. Data
D. Information
Answer: C. Data
Rationale: The blood pressure reading entered into the EHR is raw data. It is
uninterpreted and requires context to become information. The DIKW framework
starts with data as the foundation.
Question 4
A nurse interprets the patient's blood pressure of 150/95 mmHg and recognizes it
as hypertension. This represents which component of the DIKW framework?
A. Data
B. Information
C. Knowledge
D. Wisdom
Answer: B. Information
Rationale: Information is data that has been interpreted and given meaning. The
blood pressure reading (data) is interpreted as hypertension (information).
Knowledge would be understanding the pathophysiology; wisdom would be
applying this to patient care.
,Question 5
Which organization established the TIGER (Technology Informatics Guiding
Education Reform) Initiative?
A. The American Nurses Association (ANA)
B. The TIGER Initiative Foundation
C. The National League for Nursing (NLN)
D. The American Medical Informatics Association (AMIA)
Answer: B. The TIGER Initiative Foundation
Rationale: The TIGER Initiative, established by the TIGER Initiative Foundation,
promotes nursing informatics competencies and the integration of technology into
nursing education and practice. It aims to reform nursing education to include
informatics.
Question 6
What is the primary goal of the TIGER Initiative?
A. To replace nurses with technology
B. To promote informatics competencies in nursing education and practice
C. To eliminate paper-based documentation
D. To reduce healthcare costs
Answer: B. To promote informatics competencies in nursing education and
practice
Rationale: The TIGER Initiative's primary goal is to promote informatics
competencies in nursing education and practice. It emphasizes the need for nurses
to be proficient in informatics to improve patient care and outcomes.
Question 7
Which of the following is a key competency for nursing informatics?
A. Ability to use clinical decision support systems effectively
B. Ability to perform surgical procedures
C. Ability to interpret laboratory results
D. Ability to administer medications
, Answer: A. Ability to use clinical decision support systems effectively
Rationale: Key informatics competencies include using clinical decision support
systems, navigating EHRs, understanding data privacy and security, and using
technology to support evidence-based practice.
Question 8
A nurse is using an EHR to document patient care. The nurse documents a patient's
vital signs, medications administered, and nursing interventions. This demonstrates
which informatics competency?
A. Data analysis
B. Clinical documentation
C. Systems analysis
D. Research informatics
Answer: B. Clinical documentation
Rationale: Clinical documentation is the process of entering patient data,
assessments, interventions, and outcomes into the EHR. It is a core informatics
competency for all nurses.
Question 9
What is the "information management" component of nursing informatics?
A. The ability to use computers
B. The systematic collection, storage, processing, and communication of
patient information
C. The ability to diagnose conditions
D. The ability to prescribe medications
Answer: B. The systematic collection, storage, processing, and communication
of patient information
Rationale: Information management involves the systematic collection, storage,
processing, and communication of patient information. It is a core function of
nursing informatics.
Technology Study Guide Electronic Health Records,
Clinical Documentation, Informatics Principles, and
Comprehensive Review Questions with Detailed
Rationales | Latest 2025–2026 Update
Question 1
Which of the following BEST defines nursing informatics?
A. The use of computers in healthcare settings
B. The integration of nursing science, computer science, and information
science to manage and communicate data, information, knowledge, and
wisdom in nursing practice
C. The electronic documentation of patient care
D. The use of telehealth technology in nursing
Answer: B. The integration of nursing science, computer science, and
information science
Rationale: Nursing informatics is defined as the specialty that integrates nursing
science, computer science, and information science to manage and communicate
data, information, knowledge, and wisdom in nursing practice. It supports
decision-making and improves patient outcomes.
Question 2
What is the difference between data, information, knowledge, and wisdom in
nursing informatics?
A. Data are raw facts; information is processed data; knowledge is synthesis
of information; wisdom is appropriate application of knowledge
B. Data and information are the same
C. Knowledge is raw data
D. Wisdom is not relevant to informatics
Answer: A. Data are raw facts; information is processed data; knowledge is
synthesis of information; wisdom is appropriate application of knowledge
,Rationale: The DIKW framework is fundamental to informatics: Data (raw facts),
Information (processed data), Knowledge (synthesis of information), and Wisdom
(appropriate application of knowledge to solve problems).
Question 3
A nurse enters a patient's blood pressure reading into the electronic health record
(EHR). This action represents which component of the DIKW framework?
A. Knowledge
B. Wisdom
C. Data
D. Information
Answer: C. Data
Rationale: The blood pressure reading entered into the EHR is raw data. It is
uninterpreted and requires context to become information. The DIKW framework
starts with data as the foundation.
Question 4
A nurse interprets the patient's blood pressure of 150/95 mmHg and recognizes it
as hypertension. This represents which component of the DIKW framework?
A. Data
B. Information
C. Knowledge
D. Wisdom
Answer: B. Information
Rationale: Information is data that has been interpreted and given meaning. The
blood pressure reading (data) is interpreted as hypertension (information).
Knowledge would be understanding the pathophysiology; wisdom would be
applying this to patient care.
,Question 5
Which organization established the TIGER (Technology Informatics Guiding
Education Reform) Initiative?
A. The American Nurses Association (ANA)
B. The TIGER Initiative Foundation
C. The National League for Nursing (NLN)
D. The American Medical Informatics Association (AMIA)
Answer: B. The TIGER Initiative Foundation
Rationale: The TIGER Initiative, established by the TIGER Initiative Foundation,
promotes nursing informatics competencies and the integration of technology into
nursing education and practice. It aims to reform nursing education to include
informatics.
Question 6
What is the primary goal of the TIGER Initiative?
A. To replace nurses with technology
B. To promote informatics competencies in nursing education and practice
C. To eliminate paper-based documentation
D. To reduce healthcare costs
Answer: B. To promote informatics competencies in nursing education and
practice
Rationale: The TIGER Initiative's primary goal is to promote informatics
competencies in nursing education and practice. It emphasizes the need for nurses
to be proficient in informatics to improve patient care and outcomes.
Question 7
Which of the following is a key competency for nursing informatics?
A. Ability to use clinical decision support systems effectively
B. Ability to perform surgical procedures
C. Ability to interpret laboratory results
D. Ability to administer medications
, Answer: A. Ability to use clinical decision support systems effectively
Rationale: Key informatics competencies include using clinical decision support
systems, navigating EHRs, understanding data privacy and security, and using
technology to support evidence-based practice.
Question 8
A nurse is using an EHR to document patient care. The nurse documents a patient's
vital signs, medications administered, and nursing interventions. This demonstrates
which informatics competency?
A. Data analysis
B. Clinical documentation
C. Systems analysis
D. Research informatics
Answer: B. Clinical documentation
Rationale: Clinical documentation is the process of entering patient data,
assessments, interventions, and outcomes into the EHR. It is a core informatics
competency for all nurses.
Question 9
What is the "information management" component of nursing informatics?
A. The ability to use computers
B. The systematic collection, storage, processing, and communication of
patient information
C. The ability to diagnose conditions
D. The ability to prescribe medications
Answer: B. The systematic collection, storage, processing, and communication
of patient information
Rationale: Information management involves the systematic collection, storage,
processing, and communication of patient information. It is a core function of
nursing informatics.
