NRS 450 Exam 2 V1 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale
(NRS450 Exam 2) | Grand Canyon
University
1. The TIGER (Technology Informatics Guiding Education Reform) initiative identified three
primary pillars of informatics competencies for all nurses. Which of the following are
included? (Select all that apply)
A. Basic computer competencies
B. Information literacy
C. Information management
D. Advanced software programming
E. Database administration
Correct Answer: A, B, C
Rationale: The TIGER initiative was established to bridge the gap between clinical practice
and information technology. It emphasizes that every nurse must possess basic computer
skills, the ability to find and evaluate information, and the capacity to manage data to
improve patient safety. Advanced programming and database administration are
specialized roles rather than basic nursing competencies.
,2. Which of the following best defines Nursing Informatics as recognized by the American
Nurses Association (ANA)?
A. The use of computers to schedule nursing shifts and manage payroll.
B. The automated delivery of medications through smart pumps to ensure dosage accuracy.
C. The process of digitizing paper records to save space in the medical records department.
D. A specialty that integrates nursing science with multiple information and analytical
sciences to identify, define, manage, and communicate data, information, knowledge, and
wisdom in nursing practice.
Correct Answer: D
Rationale: Nursing Informatics is a formal nursing specialty that focuses on the integration
of data, information, and knowledge to support clinical decision-making. It aims to improve
the health of populations, communities, families, and individuals by optimizing information
management. This definition highlights the transformation of data into wisdom, which is
central to the DIKW framework.
3. A nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA)
Security Rule. Which of the following are considered administrative safeguards? (Select all
that apply)
A. Workforce training and management
B. Security management process
C. Automatic log-offs on computers
, D. Encryption of data at rest
E. Evaluation of security policies
Correct Answer: A, B, E
Rationale: Administrative safeguards refer to the policies and procedures designed to
manage the selection, development, implementation, and maintenance of security
measures. Workforce training is essential to ensure staff understand privacy protocols,
while the security management process involves risk analysis. Automatic log-offs and
encryption are classified as technical safeguards, not administrative.
4. Which act was passed to promote the adoption and meaningful use of health information
technology, offering financial incentives for providers who demonstrate the use of certified
EHRs?
A. The Affordable Care Act (ACA)
B. The Health Information Technology for Economic and Clinical Health (HITECH) Act
C. The Social Security Act
D. The Patient Safety and Quality Improvement Act
Correct Answer: B
Rationale: The HITECH Act, part of the American Recovery and Reinvestment Act of 2009,
was specifically designed to accelerate the adoption of electronic health records. It
introduced the ‘Meaningful Use’ program, providing financial incentives to hospitals and
Informatics | Actual Q&A with Rationale
(NRS450 Exam 2) | Grand Canyon
University
1. The TIGER (Technology Informatics Guiding Education Reform) initiative identified three
primary pillars of informatics competencies for all nurses. Which of the following are
included? (Select all that apply)
A. Basic computer competencies
B. Information literacy
C. Information management
D. Advanced software programming
E. Database administration
Correct Answer: A, B, C
Rationale: The TIGER initiative was established to bridge the gap between clinical practice
and information technology. It emphasizes that every nurse must possess basic computer
skills, the ability to find and evaluate information, and the capacity to manage data to
improve patient safety. Advanced programming and database administration are
specialized roles rather than basic nursing competencies.
,2. Which of the following best defines Nursing Informatics as recognized by the American
Nurses Association (ANA)?
A. The use of computers to schedule nursing shifts and manage payroll.
B. The automated delivery of medications through smart pumps to ensure dosage accuracy.
C. The process of digitizing paper records to save space in the medical records department.
D. A specialty that integrates nursing science with multiple information and analytical
sciences to identify, define, manage, and communicate data, information, knowledge, and
wisdom in nursing practice.
Correct Answer: D
Rationale: Nursing Informatics is a formal nursing specialty that focuses on the integration
of data, information, and knowledge to support clinical decision-making. It aims to improve
the health of populations, communities, families, and individuals by optimizing information
management. This definition highlights the transformation of data into wisdom, which is
central to the DIKW framework.
3. A nurse is reviewing the Health Insurance Portability and Accountability Act (HIPAA)
Security Rule. Which of the following are considered administrative safeguards? (Select all
that apply)
A. Workforce training and management
B. Security management process
C. Automatic log-offs on computers
, D. Encryption of data at rest
E. Evaluation of security policies
Correct Answer: A, B, E
Rationale: Administrative safeguards refer to the policies and procedures designed to
manage the selection, development, implementation, and maintenance of security
measures. Workforce training is essential to ensure staff understand privacy protocols,
while the security management process involves risk analysis. Automatic log-offs and
encryption are classified as technical safeguards, not administrative.
4. Which act was passed to promote the adoption and meaningful use of health information
technology, offering financial incentives for providers who demonstrate the use of certified
EHRs?
A. The Affordable Care Act (ACA)
B. The Health Information Technology for Economic and Clinical Health (HITECH) Act
C. The Social Security Act
D. The Patient Safety and Quality Improvement Act
Correct Answer: B
Rationale: The HITECH Act, part of the American Recovery and Reinvestment Act of 2009,
was specifically designed to accelerate the adoption of electronic health records. It
introduced the ‘Meaningful Use’ program, providing financial incentives to hospitals and
