NURS 328 COMPREHENSIVE
INFORMATICS NURSING EXAM
QUESTIONS AND ANSWERS
1. According to the DIKW framework, which of the following best describes the ‘Knowledge’
level?
A. A discrete collection of facts or numbers without context.
B. Data that has been processed to answer ‘who’, ‘what’, ‘where’, or ‘when’.
C. The ability to use data and information to make complex decisions.
D. Recognizing patterns and relationships between pieces of information to explain the
‘how’ or ‘why’.
Answer: D
Conceptual Explanation: In the DIKW hierarchy, knowledge is defined as the synthesis of
information to identify relationships and patterns, providing a basis for clinical reasoning.
2. Which level of interoperability refers to the ability of two systems to exchange data so that
the meaning of the information is preserved and can be automatically interpreted?
A. Technical Interoperability
B. Semantic Interoperability
,C. Structural Interoperability
D. Process Interoperability
Answer: B
Conceptual Explanation: Semantic interoperability ensures that the content of the data
exchange is understood by both the sender and receiver through the use of standardized
terminologies.
3. A nurse is reviewing a clinical decision support (CDS) alert that flags a potential drug-drug
interaction. This is an example of which type of CDS?
A. Passive CDS
B. Active CDS
C. Retrospective CDS
D. Administrative CDS
Answer: B
Conceptual Explanation: Active CDS provides real-time alerts or reminders during the
clinical workflow to influence decision-making at the point of care.
4. The TIGER (Technology Informatics Guiding Education Reform) initiative was primarily
established to:
A. Prepare the nursing workforce to use technology and informatics to improve patient
care.
, B. Mandate the use of specific EHR vendors.
C. Develop a national database for nursing errors.
D. Replace traditional nursing judgment with algorithmic systems.
Answer: A
Conceptual Explanation: The TIGER initiative focuses on integrating informatics into
nursing education and practice to ensure nurses are competent in using technology.
5. When evaluating the ‘usability’ of a new electronic charting system, which metric refers to
the ease with which a user can navigate the system for the first time?
A. Learnability
B. Efficiency
C. Memorability
D. Error Prevention
Answer: A
Conceptual Explanation: Learnability is a usability attribute that measures how easily a
user can accomplish basic tasks the first time they encounter the design.
6. Which legislation provided financial incentives for the ‘Meaningful Use’ of Electronic
Health Records?
A. HIPAA
B. COBRA
INFORMATICS NURSING EXAM
QUESTIONS AND ANSWERS
1. According to the DIKW framework, which of the following best describes the ‘Knowledge’
level?
A. A discrete collection of facts or numbers without context.
B. Data that has been processed to answer ‘who’, ‘what’, ‘where’, or ‘when’.
C. The ability to use data and information to make complex decisions.
D. Recognizing patterns and relationships between pieces of information to explain the
‘how’ or ‘why’.
Answer: D
Conceptual Explanation: In the DIKW hierarchy, knowledge is defined as the synthesis of
information to identify relationships and patterns, providing a basis for clinical reasoning.
2. Which level of interoperability refers to the ability of two systems to exchange data so that
the meaning of the information is preserved and can be automatically interpreted?
A. Technical Interoperability
B. Semantic Interoperability
,C. Structural Interoperability
D. Process Interoperability
Answer: B
Conceptual Explanation: Semantic interoperability ensures that the content of the data
exchange is understood by both the sender and receiver through the use of standardized
terminologies.
3. A nurse is reviewing a clinical decision support (CDS) alert that flags a potential drug-drug
interaction. This is an example of which type of CDS?
A. Passive CDS
B. Active CDS
C. Retrospective CDS
D. Administrative CDS
Answer: B
Conceptual Explanation: Active CDS provides real-time alerts or reminders during the
clinical workflow to influence decision-making at the point of care.
4. The TIGER (Technology Informatics Guiding Education Reform) initiative was primarily
established to:
A. Prepare the nursing workforce to use technology and informatics to improve patient
care.
, B. Mandate the use of specific EHR vendors.
C. Develop a national database for nursing errors.
D. Replace traditional nursing judgment with algorithmic systems.
Answer: A
Conceptual Explanation: The TIGER initiative focuses on integrating informatics into
nursing education and practice to ensure nurses are competent in using technology.
5. When evaluating the ‘usability’ of a new electronic charting system, which metric refers to
the ease with which a user can navigate the system for the first time?
A. Learnability
B. Efficiency
C. Memorability
D. Error Prevention
Answer: A
Conceptual Explanation: Learnability is a usability attribute that measures how easily a
user can accomplish basic tasks the first time they encounter the design.
6. Which legislation provided financial incentives for the ‘Meaningful Use’ of Electronic
Health Records?
A. HIPAA
B. COBRA
