(2026): SYSTEM OPTIMIZATION—100% PASS
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UPDATE 2026/2027 (Q&A)
Part 1: Foundations of Nursing Informatics & Healthcare Data (Questions 1–35)
1. What are the four components of the NI framework (McGonigle &
Mastrian)?
Data, Knowledge, Logic, Wisely
Data, Information, Knowledge, Wisdom (DIKW)
Analysis, System, Process, Output
Coding, Entry, Storage, Retrieval
Explanation: The DIKW paradigm outlines how raw values transform into
information, build structured knowledge, and form clinically sound wisdom.
2. In the DIKW paradigm, what represents a raw, uninterpreted fact such as
"140"?
Information
Data
, Knowledge
Wisdom
Explanation: Data consists of discrete, objective facts or observations
without context or interpretation.
3. Adding context to a data point (e.g., "140 beats per minute is a heart rate")
elevates it to which level of the DIKW paradigm?
Information
Database
Knowledge
Wisdom
Explanation: Information is data that has been structured, organized,
interpreted, or contextualized to give it meaning.
4. Synthesis of information across multiple patient records to form a clinical
trend represents which DIKW tier?
Data
Information
Knowledge
Wisdom
Explanation: Knowledge is the synthesis of information to identify
relationships, patterns, or clinical rules.
,5. What is the application of knowledge to manage and solve human problems
ethically and effectively?
High-level Information
Advanced Analytics
Wisdom
Artificial Logic
Explanation: Wisdom is the appropriate use of knowledge to manage and
solve human problems, focusing on clinical judgment.
6. Which organization defines nursing informatics as a specialty integrating
nursing science, computer science, and information science?
American Nurses Association (ANA)
National Institutes of Health (NIH)
Centers for Disease Control (CDC)
International Medical Informatics Association (IMIA)
Explanation: The ANA formally recognizes and defines nursing informatics
as a specialized practice within the nursing profession.
7. What is the primary focus of an Informatics Nurse Specialist (INS) compared
to a super-user?
Assisting individual staff members with password resets
Analyzing, designing, optimizing, and evaluating health IT systems across
an organization
, Performing routine bedside nursing care plans
Writing baseline programming code for open-source operating systems
Explanation: An INS has graduate-level training focusing on system
optimization, life cycle management, and broad policy integrations.
8. Which standard terminology is specifically designed to document nursing
diagnoses, interventions, and outcomes across the care continuum?
ICD-10-CM
LOINC
CCC (Clinical Care Classification) or NANDA-I/NIC/NOC
RxNorm
Explanation: The CCC system and NANDA/NIC/NOC frameworks are
recognized terminologies created to standardize nursing documentation.
9. Which terminology standardizes laboratory orders, measurements, and
clinical observations?
SNOMED-CT
LOINC (Logical Observation Identifiers Names and Codes)
RxNorm
ICD-11
Explanation: LOINC is the universal standard for identifying medical
laboratory observations and clinical test results.