NR 599 Final Exam / NR599 Final Exam (LATEST,
2021): Chamberlain College Of Nursing (Updated
Complete Solutions, Download to Score A)
1. Which of the following best defines nursing informatics?
A. The exclusive use of computers for billing and coding
B. The specialty that integrates nursing science with information and analytical sciences to
manage and communicate data, information, knowledge, and wisdom in nursing care
C. Only the installation and maintenance of electronic health records
D. A field limited to information technology support staff
Correct Answer: B
Rationale: Nursing informatics combines nursing science, computer science, and
information science to support data-driven clinical care, decision-making, and knowledge
generation across the care continuum. It is not limited to billing, hardware, or IT support.
2. According to the DIKW framework, which sequence correctly represents the progression
from raw facts to applied judgment?
A. Wisdom → Knowledge → Information → Data
B. Data → Information → Knowledge → Wisdom
C. Information → Data → Wisdom → Knowledge
D. Knowledge → Data → Information → Wisdom
Correct Answer: B
Rationale: The standard DIKW continuum moves from raw data (facts without context) to
information (organized/contextualized data), to knowledge (applied information/synthesized
patterns), to wisdom (appropriate use of knowledge with ethical judgment for human benefit).
3. In the DIKW framework, which level represents raw, unprocessed facts that lack context or
meaning?
A. Information
B. Knowledge
,C. Data
D. Wisdom
Correct Answer: C
Rationale: Data are raw, discrete facts without context or meaning (e.g., "HR 110").
Information adds meaning through organization, knowledge identifies patterns and
relationships, and wisdom applies ethical judgment for action.
4. A nurse reviews a flowsheet showing "HR 110, BP 142/88, RR 24, SpO₂ 91% on room air" for
a postoperative patient and recognizes this pattern indicates potential respiratory
compromise. This represents which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: C
Rationale: Knowledge involves synthesizing contextualized information to identify patterns
and relationships. The nurse recognizes that the cluster of vital signs indicates a clinical pattern
(respiratory compromise), which goes beyond simply recording data or organizing it into
information.
5. A nurse manager uses unit-level data on fall rates, staffing levels, and floor types to develop
a targeted intervention protocol that balances patient safety with resource allocation. This
best exemplifies which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: D
Rationale: Wisdom applies knowledge with ethical judgment, contextual awareness, and
appropriate action. The manager integrates multiple data sources and organizational priorities
to make a balanced decision that transcends simple knowledge application.
,6. A nursing student charts, "Patient ambulated 50 feet with assistance, tolerated well, denies
dyspnea, heart rate increased from 78 to 92." This represents which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: B
Rationale: Information is data that has been given context and meaning—raw
measurements transformed into a meaningful clinical statement. The nurse has organized
individual data points (distance, heart rate, symptoms) into a coherent clinical narrative.
7. Which statement best distinguishes the difference between information literacy and
computer literacy?
A. Information literacy is the foundation of the EHR, whereas computer literacy helps the nurse
to access data
B. A nurse can extrapolate data with computer literacy and not information skills
C. Information literacy forms the basis for ongoing learning, whereas computer literacy refers to
a familiarity with the use of personal computers
D. Information literacy is unnecessary in health care, whereas computer literacy provides the
basis for computer order entry
Correct Answer: C
Rationale: Information literacy involves recognizing when information is needed and having
the ability to locate, evaluate, and effectively use that information. Computer literacy refers to
familiarity with computer hardware and software. Information literacy is the broader
intellectual framework; computer literacy is a tool proficiency.
8. Which statement by a nurse verifies that the nurse is "information literate"?
A. "I can use software applications such as word processing, spreadsheets, and presentations."
B. "I utilize databases in the health care setting to input client information such as skin
condition."
, C. "I use email over the Internet to correspond with clients and provide information."
D. "I understand how to search for a website and evaluate its usefulness for health care needs."
Correct Answer: D
Rationale: Information literacy involves accessing, evaluating, and using information
effectively. Merely inputting data (B) or using email (C) are computer literacy skills. Evaluating a
website's usefulness for healthcare needs demonstrates critical appraisal of information
sources.
9. Which action indicates the nurse is functioning as a knowledge worker?
A. The nurse obtains the client's vital signs, totals up intake and output, and records these data
in the electronic medical record
B. The nurse auscultates hypoactive bowel sounds while doing a client assessment and
documents the assessment in the electronic medical record
C. The nurse auscultates diminished breath sounds in a postoperative client and encourages the
client to turn, cough, and deep breathe every hour instead of every two hours
D. The nurse administers four units of regular insulin per sliding scale orders and documents it
on the electronic medication administration record
Correct Answer: C
Rationale: A knowledge worker uses information to make clinical decisions and take action.
Recognizing diminished breath sounds and modifying the plan of care (increasing turning,
coughing, deep breathing frequency) demonstrates using assessment data to generate
knowledge and intervene, beyond merely collecting or documenting data.
10. Which organization has defined core competencies for nursing informatics that guide
education and professional development?
A. Only the American Medical Association
B. The American Nurses Association (ANA) and related informatics specialty groups
C. Only hardware manufacturers
D. Only state boards of nursing without national input
Correct Answer: B
2021): Chamberlain College Of Nursing (Updated
Complete Solutions, Download to Score A)
1. Which of the following best defines nursing informatics?
A. The exclusive use of computers for billing and coding
B. The specialty that integrates nursing science with information and analytical sciences to
manage and communicate data, information, knowledge, and wisdom in nursing care
C. Only the installation and maintenance of electronic health records
D. A field limited to information technology support staff
Correct Answer: B
Rationale: Nursing informatics combines nursing science, computer science, and
information science to support data-driven clinical care, decision-making, and knowledge
generation across the care continuum. It is not limited to billing, hardware, or IT support.
2. According to the DIKW framework, which sequence correctly represents the progression
from raw facts to applied judgment?
A. Wisdom → Knowledge → Information → Data
B. Data → Information → Knowledge → Wisdom
C. Information → Data → Wisdom → Knowledge
D. Knowledge → Data → Information → Wisdom
Correct Answer: B
Rationale: The standard DIKW continuum moves from raw data (facts without context) to
information (organized/contextualized data), to knowledge (applied information/synthesized
patterns), to wisdom (appropriate use of knowledge with ethical judgment for human benefit).
3. In the DIKW framework, which level represents raw, unprocessed facts that lack context or
meaning?
A. Information
B. Knowledge
,C. Data
D. Wisdom
Correct Answer: C
Rationale: Data are raw, discrete facts without context or meaning (e.g., "HR 110").
Information adds meaning through organization, knowledge identifies patterns and
relationships, and wisdom applies ethical judgment for action.
4. A nurse reviews a flowsheet showing "HR 110, BP 142/88, RR 24, SpO₂ 91% on room air" for
a postoperative patient and recognizes this pattern indicates potential respiratory
compromise. This represents which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: C
Rationale: Knowledge involves synthesizing contextualized information to identify patterns
and relationships. The nurse recognizes that the cluster of vital signs indicates a clinical pattern
(respiratory compromise), which goes beyond simply recording data or organizing it into
information.
5. A nurse manager uses unit-level data on fall rates, staffing levels, and floor types to develop
a targeted intervention protocol that balances patient safety with resource allocation. This
best exemplifies which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: D
Rationale: Wisdom applies knowledge with ethical judgment, contextual awareness, and
appropriate action. The manager integrates multiple data sources and organizational priorities
to make a balanced decision that transcends simple knowledge application.
,6. A nursing student charts, "Patient ambulated 50 feet with assistance, tolerated well, denies
dyspnea, heart rate increased from 78 to 92." This represents which DIKW level?
A. Data
B. Information
C. Knowledge
D. Wisdom
Correct Answer: B
Rationale: Information is data that has been given context and meaning—raw
measurements transformed into a meaningful clinical statement. The nurse has organized
individual data points (distance, heart rate, symptoms) into a coherent clinical narrative.
7. Which statement best distinguishes the difference between information literacy and
computer literacy?
A. Information literacy is the foundation of the EHR, whereas computer literacy helps the nurse
to access data
B. A nurse can extrapolate data with computer literacy and not information skills
C. Information literacy forms the basis for ongoing learning, whereas computer literacy refers to
a familiarity with the use of personal computers
D. Information literacy is unnecessary in health care, whereas computer literacy provides the
basis for computer order entry
Correct Answer: C
Rationale: Information literacy involves recognizing when information is needed and having
the ability to locate, evaluate, and effectively use that information. Computer literacy refers to
familiarity with computer hardware and software. Information literacy is the broader
intellectual framework; computer literacy is a tool proficiency.
8. Which statement by a nurse verifies that the nurse is "information literate"?
A. "I can use software applications such as word processing, spreadsheets, and presentations."
B. "I utilize databases in the health care setting to input client information such as skin
condition."
, C. "I use email over the Internet to correspond with clients and provide information."
D. "I understand how to search for a website and evaluate its usefulness for health care needs."
Correct Answer: D
Rationale: Information literacy involves accessing, evaluating, and using information
effectively. Merely inputting data (B) or using email (C) are computer literacy skills. Evaluating a
website's usefulness for healthcare needs demonstrates critical appraisal of information
sources.
9. Which action indicates the nurse is functioning as a knowledge worker?
A. The nurse obtains the client's vital signs, totals up intake and output, and records these data
in the electronic medical record
B. The nurse auscultates hypoactive bowel sounds while doing a client assessment and
documents the assessment in the electronic medical record
C. The nurse auscultates diminished breath sounds in a postoperative client and encourages the
client to turn, cough, and deep breathe every hour instead of every two hours
D. The nurse administers four units of regular insulin per sliding scale orders and documents it
on the electronic medication administration record
Correct Answer: C
Rationale: A knowledge worker uses information to make clinical decisions and take action.
Recognizing diminished breath sounds and modifying the plan of care (increasing turning,
coughing, deep breathing frequency) demonstrates using assessment data to generate
knowledge and intervene, beyond merely collecting or documenting data.
10. Which organization has defined core competencies for nursing informatics that guide
education and professional development?
A. Only the American Medical Association
B. The American Nurses Association (ANA) and related informatics specialty groups
C. Only hardware manufacturers
D. Only state boards of nursing without national input
Correct Answer: B
