, NR 599 NuRsiNg iNfoRmatics – academic YeaR 2026/2027 –
midteRm compReheNsive examiNatioN with veRified QuestioNs
aNd coRRect aNsweR RatioNales | | just Released .
DOMAIN I: FOUNDATIONS OF NURSING INFORMATICS (Questions 1–12)
Question 1
Which of the following best defines nursing informatics as established by the American Nurses
Association (ANA)?
A. The use of computers in nursing practice to document patient care
B. The specialty that integrates nursing science, computer science, and information science to
manage and communicate data, information, knowledge, and wisdom in nursing practice
C. The implementation of electronic health records in healthcare settings
D. The study of information systems in healthcare administration
aNsweR: B. The specialty that integrates nursing science, computer science, and
information science to manage and communicate data, information, knowledge, and
wisdom in nursing practice
RatioNale: The ANA defines nursing informatics as the specialty that integrates nursing
science, computer science, and information science to manage and communicate data,
information, knowledge, and wisdom in nursing practice. This definition emphasizes the
integration of multiple sciences, not just the use of computers (A). The implementation of EHRs
(C) is one aspect of informatics but does not define the full scope of the specialty. Healthcare
administration systems (D) are part of health informatics but not specific to nursing informatics.
Question 2
The TIGER Initiative (Technology Informatics Guiding Education Reform) was established to:
A. Replace all paper-based documentation systems
B. Integrate informatics competencies into nursing education and practice
C. Eliminate the need for nursing informatics specialists
D. Standardize all nursing terminology
aNsweR: B. Integrate informatics competencies into nursing education and practice
RatioNale: The TIGER Initiative was established to transform nursing education and practice
through the integration of informatics competencies. It aims to prepare nurses to use informatics
in their practice, improve patient care, and advance the nursing profession. The initiative does
not focus on replacing paper systems alone (A), eliminating informatics specialists (C), or
standardizing terminology (D) as its primary goal.
, Question 3
According to the ANA Scope and Standards of Practice for Nursing Informatics, which of the
following is a key role of the nursing informatics specialist?
A. Direct patient care and physical assessment
B. Analysis, design, implementation, and evaluation of information systems
C. Development of new pharmaceutical treatments
D. Administration of healthcare facility budgets
aNsweR: B. Analysis, design, implementation, and evaluation of information systems
RatioNale: The ANA Scope and Standards of Practice for Nursing Informatics identifies the
analysis, design, implementation, and evaluation of information systems as key roles of the
nursing informatics specialist. These roles focus on improving information management and
patient care through technology. Direct patient care (A) is the role of clinical nurses.
Pharmaceutical treatment development (C) is outside the scope of nursing informatics. Budget
administration (D) is a management function.
Question 4
Which of the following is a recognized professional organization for nursing informatics?
A. American Nurses Association (ANA)
B. Healthcare Information and Management Systems Society (HIMSS)
C. American Medical Informatics Association (AMIA)
D. All of the above
aNsweR: D. All of the above
RatioNale: All three organizations are involved in nursing informatics. The ANA establishes
the scope and standards of practice for nursing informatics. HIMSS is a global organization
focused on health information technology and includes a nursing informatics community. AMIA
is a professional organization for informatics professionals, including those in nursing. All of
these organizations support the advancement of nursing informatics.
Question 5
Which of the following is a core competency for nursing informatics at the beginner level?
A. Basic computer literacy and use of electronic health records
B. System design and software development
C. Database administration
D. Network security management
aNsweR: A. Basic computer literacy and use of electronic health records
RatioNale: At the beginner level, nursing informatics competencies include basic computer
literacy, use of electronic health records, and documentation in electronic systems. System
midteRm compReheNsive examiNatioN with veRified QuestioNs
aNd coRRect aNsweR RatioNales | | just Released .
DOMAIN I: FOUNDATIONS OF NURSING INFORMATICS (Questions 1–12)
Question 1
Which of the following best defines nursing informatics as established by the American Nurses
Association (ANA)?
A. The use of computers in nursing practice to document patient care
B. The specialty that integrates nursing science, computer science, and information science to
manage and communicate data, information, knowledge, and wisdom in nursing practice
C. The implementation of electronic health records in healthcare settings
D. The study of information systems in healthcare administration
aNsweR: B. The specialty that integrates nursing science, computer science, and
information science to manage and communicate data, information, knowledge, and
wisdom in nursing practice
RatioNale: The ANA defines nursing informatics as the specialty that integrates nursing
science, computer science, and information science to manage and communicate data,
information, knowledge, and wisdom in nursing practice. This definition emphasizes the
integration of multiple sciences, not just the use of computers (A). The implementation of EHRs
(C) is one aspect of informatics but does not define the full scope of the specialty. Healthcare
administration systems (D) are part of health informatics but not specific to nursing informatics.
Question 2
The TIGER Initiative (Technology Informatics Guiding Education Reform) was established to:
A. Replace all paper-based documentation systems
B. Integrate informatics competencies into nursing education and practice
C. Eliminate the need for nursing informatics specialists
D. Standardize all nursing terminology
aNsweR: B. Integrate informatics competencies into nursing education and practice
RatioNale: The TIGER Initiative was established to transform nursing education and practice
through the integration of informatics competencies. It aims to prepare nurses to use informatics
in their practice, improve patient care, and advance the nursing profession. The initiative does
not focus on replacing paper systems alone (A), eliminating informatics specialists (C), or
standardizing terminology (D) as its primary goal.
, Question 3
According to the ANA Scope and Standards of Practice for Nursing Informatics, which of the
following is a key role of the nursing informatics specialist?
A. Direct patient care and physical assessment
B. Analysis, design, implementation, and evaluation of information systems
C. Development of new pharmaceutical treatments
D. Administration of healthcare facility budgets
aNsweR: B. Analysis, design, implementation, and evaluation of information systems
RatioNale: The ANA Scope and Standards of Practice for Nursing Informatics identifies the
analysis, design, implementation, and evaluation of information systems as key roles of the
nursing informatics specialist. These roles focus on improving information management and
patient care through technology. Direct patient care (A) is the role of clinical nurses.
Pharmaceutical treatment development (C) is outside the scope of nursing informatics. Budget
administration (D) is a management function.
Question 4
Which of the following is a recognized professional organization for nursing informatics?
A. American Nurses Association (ANA)
B. Healthcare Information and Management Systems Society (HIMSS)
C. American Medical Informatics Association (AMIA)
D. All of the above
aNsweR: D. All of the above
RatioNale: All three organizations are involved in nursing informatics. The ANA establishes
the scope and standards of practice for nursing informatics. HIMSS is a global organization
focused on health information technology and includes a nursing informatics community. AMIA
is a professional organization for informatics professionals, including those in nursing. All of
these organizations support the advancement of nursing informatics.
Question 5
Which of the following is a core competency for nursing informatics at the beginner level?
A. Basic computer literacy and use of electronic health records
B. System design and software development
C. Database administration
D. Network security management
aNsweR: A. Basic computer literacy and use of electronic health records
RatioNale: At the beginner level, nursing informatics competencies include basic computer
literacy, use of electronic health records, and documentation in electronic systems. System
