NRS 450 Exam 2 V2 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale
(NRS450 Exam 2) | Grand Canyon
University
1. Which of the following components are integrated within the DIKW framework used in
nursing informatics? (Select all that apply)
A. Data
B. Information
C. Strategy
D. Knowledge
E. Wisdom
F. Intelligence
Correct Answer: A, B, D, E
Rationale: The DIKW framework stands for Data, Information, Knowledge, and Wisdom,
representing the progression of information processing in nursing. Data refers to raw facts,
while information provides context to those facts. Knowledge involves applying
information to identify patterns, and wisdom is the appropriate use of knowledge to solve
human problems and improve patient care.
,2. A nurse informatics specialist is explaining the ‘Meaningful Use’ criteria. What is the
primary objective of this federal incentive program?
A. To mandate the use of paper-based documentation for legal security
B. To promote the adoption and effective use of electronic health records to improve
patient care
C. To decrease the number of nursing staff required in acute care settings
D. To allow insurance companies direct access to patient genomic data
Correct Answer: B
Rationale: Meaningful Use was established to ensure that health information technology is
used to improve quality, safety, and efficiency. It involves using certified EHR technology to
achieve health and efficiency goals rather than simply digitizing records. The program
eventually transitioned into the Promoting Interoperability programs under CMS.
3. Which standardized nursing terminology is specifically recognized by the American Nurses
Association (ANA) for documenting nursing diagnoses, interventions, and outcomes?
A. LOINC
B. ICNP
C. CPT
D. ICD-10
Correct Answer: B
,Rationale: The International Classification for Nursing Practice (ICNP) is a unified nursing
language system that supports the capture of nursing data. It allows for the comparison of
nursing data across different settings and geographic locations. By using standardized
languages like ICNP, nurses can demonstrate the impact of their care on patient outcomes.
4. When evaluating a Clinical Decision Support (CDS) system, which feature is considered a
potential risk for ‘alert fatigue’ among clinicians?
A. Excessive and non-specific pop-up notifications
B. High specificity of alerts
C. Integrated evidence-based guidelines
D. Silent background drug-drug interaction checks
Correct Answer: A
Rationale: Alert fatigue occurs when clinicians are overwhelmed by a high volume of
alerts, many of which may be clinically insignificant. This can lead to important warnings
being ignored or bypassed, compromising patient safety. Effective informatics design aims
to reduce noise by ensuring alerts are timely, relevant, and actionable.
5. In the context of health information exchange (HIE), which model allows for the automatic
sharing of patient data between authorized providers at the point of care? (Select all that
apply)
A. Directed Exchange
B. Query-based Exchange
, C. Consumer-mediated Exchange
D. Manual Fax Exchange
E. Peer-to-Peer Physical Transfer
Correct Answer: A, B, C
Rationale: Directed exchange involves sending health information securely between
providers to support coordinated care. Query-based exchange allows providers to find and
request information on a patient from other providers. Consumer-mediated exchange
provides patients with access to their health information, allowing them to manage and
share it with providers.
6. Which ethical principle is most directly challenged when a nurse accesses the electronic
health record of a neighbor without a clinical ‘need to know’?
A. Beneficence
B. Justice
C. Fidelity
D. Confidentiality
Correct Answer: D
Rationale: Confidentiality involves the duty of healthcare providers to protect patient
information from unauthorized access. Accessing a record without a legitimate clinical
Informatics | Actual Q&A with Rationale
(NRS450 Exam 2) | Grand Canyon
University
1. Which of the following components are integrated within the DIKW framework used in
nursing informatics? (Select all that apply)
A. Data
B. Information
C. Strategy
D. Knowledge
E. Wisdom
F. Intelligence
Correct Answer: A, B, D, E
Rationale: The DIKW framework stands for Data, Information, Knowledge, and Wisdom,
representing the progression of information processing in nursing. Data refers to raw facts,
while information provides context to those facts. Knowledge involves applying
information to identify patterns, and wisdom is the appropriate use of knowledge to solve
human problems and improve patient care.
,2. A nurse informatics specialist is explaining the ‘Meaningful Use’ criteria. What is the
primary objective of this federal incentive program?
A. To mandate the use of paper-based documentation for legal security
B. To promote the adoption and effective use of electronic health records to improve
patient care
C. To decrease the number of nursing staff required in acute care settings
D. To allow insurance companies direct access to patient genomic data
Correct Answer: B
Rationale: Meaningful Use was established to ensure that health information technology is
used to improve quality, safety, and efficiency. It involves using certified EHR technology to
achieve health and efficiency goals rather than simply digitizing records. The program
eventually transitioned into the Promoting Interoperability programs under CMS.
3. Which standardized nursing terminology is specifically recognized by the American Nurses
Association (ANA) for documenting nursing diagnoses, interventions, and outcomes?
A. LOINC
B. ICNP
C. CPT
D. ICD-10
Correct Answer: B
,Rationale: The International Classification for Nursing Practice (ICNP) is a unified nursing
language system that supports the capture of nursing data. It allows for the comparison of
nursing data across different settings and geographic locations. By using standardized
languages like ICNP, nurses can demonstrate the impact of their care on patient outcomes.
4. When evaluating a Clinical Decision Support (CDS) system, which feature is considered a
potential risk for ‘alert fatigue’ among clinicians?
A. Excessive and non-specific pop-up notifications
B. High specificity of alerts
C. Integrated evidence-based guidelines
D. Silent background drug-drug interaction checks
Correct Answer: A
Rationale: Alert fatigue occurs when clinicians are overwhelmed by a high volume of
alerts, many of which may be clinically insignificant. This can lead to important warnings
being ignored or bypassed, compromising patient safety. Effective informatics design aims
to reduce noise by ensuring alerts are timely, relevant, and actionable.
5. In the context of health information exchange (HIE), which model allows for the automatic
sharing of patient data between authorized providers at the point of care? (Select all that
apply)
A. Directed Exchange
B. Query-based Exchange
, C. Consumer-mediated Exchange
D. Manual Fax Exchange
E. Peer-to-Peer Physical Transfer
Correct Answer: A, B, C
Rationale: Directed exchange involves sending health information securely between
providers to support coordinated care. Query-based exchange allows providers to find and
request information on a patient from other providers. Consumer-mediated exchange
provides patients with access to their health information, allowing them to manage and
share it with providers.
6. Which ethical principle is most directly challenged when a nurse accesses the electronic
health record of a neighbor without a clinical ‘need to know’?
A. Beneficence
B. Justice
C. Fidelity
D. Confidentiality
Correct Answer: D
Rationale: Confidentiality involves the duty of healthcare providers to protect patient
information from unauthorized access. Accessing a record without a legitimate clinical
