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NURSING INFORMATICS FOR THE ADVANCED PRACTICE NURSE
(MCBRIDE, 2ND EDITION) EXAM 2026 QUESTIONS LATEST VERSION
QUESTIONS AND ANSWERS 2026 EDITION
NURSING INFORMATICS FOR THE ADVANCED PRACTICE NURSE (MCBRIDE,
2ND EDITION) – 250 QUESTIONS WITH RATIONALES
SECTION 1: INTRODUCTION TO HEALTH INFORMATION TECHNOLOGY
(Questions 1-35)
1. A nursing student is reviewing information about early computerized clinical
information systems. Which of the following would the student identify as
characteristic?
A) Ability to share information among several departments
B) Implementation to perform two or three functions
C) Creation of different software systems for different areas
D) Entry of data occurring only once
Correct Answer: C
Rationale: Early computerized clinical information systems were process-oriented,
implemented to computerize a single process such as billing or lab reports. Subsequently,
different software programs had to be created for different departments that could not share
data, creating a need for clinicians to enter data more than once. Sharing data was difficult
and sometimes impossible .
2. When describing the benefits of informatics to a group of agency staff, which of the
following would the presenter identify as one of the primary benefits?
A) Promote cost-saving
B) Promote time-saving
C) Increase usability of data
D) Allow identification of patterns
Correct Answer: C
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Rationale: Although informatics saves time and money and allows patterns to be identified
from data, one of the primary benefits of informatics is that data that were previously buried
in inaccessible records become usable .
3. After teaching a group of students about the benefits of informatics to the nursing
profession, the instructor determines that the students need additional teaching when
they identify which of the following as a benefit?
A) Improvement in documentation
B) Use of data for quality control
C) Increase in time needed for documentation
D) Building of evidence-based knowledge
Correct Answer: C
Rationale: Documentation can be improved using informatics, and when done properly, the
time needed for documentation would decrease. In addition, nursing informatics will not only
enhance practice but will also allow information to be available to researchers for building
evidence-based nursing knowledge .
4. A nurse involved in informatics identifies the need for information and demonstrates
ability to locate, evaluate, and effectively use it. The nurse is demonstrating which of the
following?
A) Information literacy
B) Computer literacy
C) Computer fluency
D) Information management
Correct Answer: A
Rationale: Information literacy is the ability to know when one needs information and how
to locate, evaluate, and effectively use it. Computer literacy refers to the ability to perform
various tasks with a computer. Computer fluency, an extension of computer literacy, refers to
a lifelong commitment for acquiring new skills for being more effective in work and personal
life .
5. An informatics nurse specialist would describe information literacy as essential for
which of the following?
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A) Critical thinking
B) Problem solving
C) Evidence-based practice
D) Data evaluation
Correct Answer: C
Rationale: Information literacy is an important part of the foundation for evidence-based
practice and provides nurses with the ability to be intelligent information consumers in
today's electronic environment .
6. When preparing for a class on healthcare informatics and information technology,
the instructor would emphasize which of the following as the focus?
A) Information
B) Computer
C) Access
D) Data storage
Correct Answer: A
Rationale: The focus of healthcare informatics is managing information in healthcare; thus,
the focus is on the information (subject), not the computer (tool) .
7. Which of the following would a nurse identify as the current focus of today's practice
informatics?
A) Capturing data at the point of care
B) Performing secondary data analysis
C) Using aggregated data
D) Making decisions based on data
Correct Answer: A
Rationale: The focus of much of today's practice informatics is on capturing data at the point
of care and presenting it in a manner that facilitates care of an individual patient .
8. When comparing and contrasting DOS with current operating systems, which of the
following would the instructor include?
A) Transferring information between programs in DOS was tedious
B) DOS allows multiple programs to be used at the same time
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C) Creating nontext documents was easier than text documents
D) Only a small number of point-and-click options were available with DOS
Correct Answer: A
Rationale: DOS was text-based and users had to remember a set of commands such as
delete, run, copy, and rename. Unlike today's operating systems, DOS allowed only one
program at a time to be operational. Transferring information between programs was difficult
and time-consuming .
9. Which of the following legislative acts stipulate that clients be allowed to see and
make corrections to their health care records?
A) Affordable Care Act (ACA)
B) Health Insurance Portability and Accountability Act (HIPAA)
C) HITECH Act
D) Medicare Access and CHIP Reauthorization Act (MACRA)
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) includes
provisions that allow clients to see and make corrections to their healthcare records . The
HITECH Act expanded privacy and security provisions, but HIPAA established the original
right of access.
10. The Centers for Medicare and Medicaid Services electronically reports specific
quality outcomes measures based on data collected from hospitals. These data allow the
public to compare hospitals that:
A) Have the highest patient satisfaction scores
B) Have the lowest readmission rates
C) Have a higher percentage of hospital-acquired infections
D) Use the most advanced technology
Correct Answer: C
Rationale: CMS electronically reports specific quality outcomes measures based on data
collected from hospitals. These data allow the public to compare hospitals that have a higher
percentage of hospital-acquired infections .
NURSING INFORMATICS FOR THE ADVANCED PRACTICE NURSE
(MCBRIDE, 2ND EDITION) EXAM 2026 QUESTIONS LATEST VERSION
QUESTIONS AND ANSWERS 2026 EDITION
NURSING INFORMATICS FOR THE ADVANCED PRACTICE NURSE (MCBRIDE,
2ND EDITION) – 250 QUESTIONS WITH RATIONALES
SECTION 1: INTRODUCTION TO HEALTH INFORMATION TECHNOLOGY
(Questions 1-35)
1. A nursing student is reviewing information about early computerized clinical
information systems. Which of the following would the student identify as
characteristic?
A) Ability to share information among several departments
B) Implementation to perform two or three functions
C) Creation of different software systems for different areas
D) Entry of data occurring only once
Correct Answer: C
Rationale: Early computerized clinical information systems were process-oriented,
implemented to computerize a single process such as billing or lab reports. Subsequently,
different software programs had to be created for different departments that could not share
data, creating a need for clinicians to enter data more than once. Sharing data was difficult
and sometimes impossible .
2. When describing the benefits of informatics to a group of agency staff, which of the
following would the presenter identify as one of the primary benefits?
A) Promote cost-saving
B) Promote time-saving
C) Increase usability of data
D) Allow identification of patterns
Correct Answer: C
, Page 2 of 71
Rationale: Although informatics saves time and money and allows patterns to be identified
from data, one of the primary benefits of informatics is that data that were previously buried
in inaccessible records become usable .
3. After teaching a group of students about the benefits of informatics to the nursing
profession, the instructor determines that the students need additional teaching when
they identify which of the following as a benefit?
A) Improvement in documentation
B) Use of data for quality control
C) Increase in time needed for documentation
D) Building of evidence-based knowledge
Correct Answer: C
Rationale: Documentation can be improved using informatics, and when done properly, the
time needed for documentation would decrease. In addition, nursing informatics will not only
enhance practice but will also allow information to be available to researchers for building
evidence-based nursing knowledge .
4. A nurse involved in informatics identifies the need for information and demonstrates
ability to locate, evaluate, and effectively use it. The nurse is demonstrating which of the
following?
A) Information literacy
B) Computer literacy
C) Computer fluency
D) Information management
Correct Answer: A
Rationale: Information literacy is the ability to know when one needs information and how
to locate, evaluate, and effectively use it. Computer literacy refers to the ability to perform
various tasks with a computer. Computer fluency, an extension of computer literacy, refers to
a lifelong commitment for acquiring new skills for being more effective in work and personal
life .
5. An informatics nurse specialist would describe information literacy as essential for
which of the following?
, Page 3 of 71
A) Critical thinking
B) Problem solving
C) Evidence-based practice
D) Data evaluation
Correct Answer: C
Rationale: Information literacy is an important part of the foundation for evidence-based
practice and provides nurses with the ability to be intelligent information consumers in
today's electronic environment .
6. When preparing for a class on healthcare informatics and information technology,
the instructor would emphasize which of the following as the focus?
A) Information
B) Computer
C) Access
D) Data storage
Correct Answer: A
Rationale: The focus of healthcare informatics is managing information in healthcare; thus,
the focus is on the information (subject), not the computer (tool) .
7. Which of the following would a nurse identify as the current focus of today's practice
informatics?
A) Capturing data at the point of care
B) Performing secondary data analysis
C) Using aggregated data
D) Making decisions based on data
Correct Answer: A
Rationale: The focus of much of today's practice informatics is on capturing data at the point
of care and presenting it in a manner that facilitates care of an individual patient .
8. When comparing and contrasting DOS with current operating systems, which of the
following would the instructor include?
A) Transferring information between programs in DOS was tedious
B) DOS allows multiple programs to be used at the same time
, Page 4 of 71
C) Creating nontext documents was easier than text documents
D) Only a small number of point-and-click options were available with DOS
Correct Answer: A
Rationale: DOS was text-based and users had to remember a set of commands such as
delete, run, copy, and rename. Unlike today's operating systems, DOS allowed only one
program at a time to be operational. Transferring information between programs was difficult
and time-consuming .
9. Which of the following legislative acts stipulate that clients be allowed to see and
make corrections to their health care records?
A) Affordable Care Act (ACA)
B) Health Insurance Portability and Accountability Act (HIPAA)
C) HITECH Act
D) Medicare Access and CHIP Reauthorization Act (MACRA)
Correct Answer: B
Rationale: The Health Insurance Portability and Accountability Act (HIPAA) includes
provisions that allow clients to see and make corrections to their healthcare records . The
HITECH Act expanded privacy and security provisions, but HIPAA established the original
right of access.
10. The Centers for Medicare and Medicaid Services electronically reports specific
quality outcomes measures based on data collected from hospitals. These data allow the
public to compare hospitals that:
A) Have the highest patient satisfaction scores
B) Have the lowest readmission rates
C) Have a higher percentage of hospital-acquired infections
D) Use the most advanced technology
Correct Answer: C
Rationale: CMS electronically reports specific quality outcomes measures based on data
collected from hospitals. These data allow the public to compare hospitals that have a higher
percentage of hospital-acquired infections .
