NR 599:Nursing Informatics Final
Exam(Latest Updated)-Chamberlain
1. According to the ANA (2022), nursing informatics is best defined as a specialty that
integrates nursing science with multiple information and analytical sciences to:
A. Manage hospital IT budgets and vendor contracts
B. Identify, define, manage, and communicate data, information, knowledge, and wisdom in
nursing practice
C. Provide technical support for EHR software errors
D. Replace clinical judgment with automated algorithms
Rationale: The ANA definition explicitly states nursing informatics integrates nursing science
with information and analytical sciences to manage and communicate data, information,
knowledge, and wisdom. This is the foundational definition tested frequently.
2. Which three sciences form the foundational triad of nursing informatics?
A. Biology, chemistry, physics
B. Nursing science, computer science, information science
C. Psychology, sociology, anthropology
D. Medicine, pharmacology, physiology
Rationale: The ANA identifies nursing science, computer science, and information science as
the core disciplines integrated by nursing informatics. Cognitive science is also cited in some
models as a fourth building block.
3. The TIGER initiative was launched primarily to:
A. Replace traditional nursing roles with automated systems
B. Develop a nursing workforce capable of using information technology to improve patient
care
C. Decrease the cost of electronic health records
D. Increase the number of informatics specialists in leadership roles
Rationale: TIGER (Technology Informatics Guiding Education Reform) aims to make
informatics competencies part of every nurse's skill set, ensuring the workforce can leverage
technology for safer care.
,4. Which legislation significantly increased EHR adoption by providing financial incentives for
"Meaningful Use"?
A. HIPAA
B. The HITECH Act
C. The Affordable Care Act
D. The Nurse Practice Act
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act of 2009 promoted adoption and meaningful use of health information technology through
incentive payments.
5. The study of the nature and origin of knowledge—what it means to know—is called:
A. Ontology
B. Epistemology
C. Axiology
D. Phenomenology
Rationale: Epistemology is the study of knowledge and how we know what we know. Three
sources of knowledge have been identified: instinct, reason, and intuition.
6. Which of the following best describes "knowledge workers" in nursing?
A. Nurses who only perform physical assessments
B. Nurses who work with information and generate information and knowledge as a product
C. Nurses who exclusively manage bed assignments
D. Nurses who avoid technology in practice
Rationale: Knowledge workers engage in non-routine cognitive tasks requiring advanced
education and analytical skills. Nurses transform data and information into actionable
knowledge for patient care.
7. The Foundation of Knowledge Model proposes that humans are:
A. Passive recipients of information
B. Organic information systems constantly acquiring, processing, generating, and
disseminating knowledge
C. Inorganic information systems requiring external programming
D. Static repositories of stored data
, Rationale: This model serves as the organizing framework for nursing informatics,
describing how nurses continuously acquire, process, generate, and disseminate knowledge in
professional and personal lives.
8. Which of the following is NOT one of the four functional areas of nursing informatics
according to ANA?
A. Administration, leadership, and management
B. Analysis
C. Pharmaceutical compounding
D. Consultation
Rationale: The ANA functional areas include administration/leadership/management,
analysis, compliance/integrity management, consultation, coordination/facilitation/integration,
development, education, policy development, and research.
9. The Informatics Nurse Specialist (INS) typically holds:
A. A diploma in nursing
B. An associate degree in nursing
C. An advanced degree or post-master's certificate
D. Only on-the-job training
Rationale: The INS requires advanced education (master's or doctoral level) and is prepared
to assume roles requiring this advanced knowledge, including project management, consulting,
and research.
10. Which of the following is a primary benefit of standardized nursing languages (SNLs)?
A. Increased documentation time
B. Better communication among nurses and other healthcare providers
C. Reduced need for nursing judgment
D. Elimination of electronic health records
Rationale: SNLs allow healthcare systems to capture, codify, retrieve, and analyze nursing
care impact on outcomes. Benefits include improved communication, visibility of interventions,
enhanced data collection, and greater adherence to standards.
11. The TIGER initiative stands for:
A. Technology Integration for Greater Electronic Records
B. Technology Informatics Guiding Education Reform
, C. Technological Innovations for Geriatric Emergency Response
D. Training Initiative for General Electronic Resources
Rationale: TIGER was launched to develop a nursing workforce capable of using information
technology to improve patient care and make informatics competencies part of every nurse's
skill set.
12. Which of the following best describes "computer fluency" for nurses?
A. Advanced programming skills
B. Basic computer operating systems, software, and using computers to find information
rapidly and efficiently
C. Only the ability to send emails
D. Database administration certification
Rationale: Computer fluency includes basic operating systems, software proficiency, and
efficient computer use. This differs from information literacy (finding and assessing information)
and informatics literacy (integrating health information with systems).
13. Information literacy involves:
A. Repairing hardware failures
B. Knowledge and skills in finding and assessing information, including search techniques
and evaluating credibility
C. Only reading patient charts
D. Programming clinical algorithms
Rationale: Information literacy focuses on the KSA (knowledge, skills, abilities) to find and
assess information, including basic and advanced search techniques and evaluating source
credibility.
14. Informatics literacy is best defined as:
A. Typing speed and accuracy
B. Integrating health information with computerized systems to retrieve and manage
information to increase patient safety
C. Only using social media
D. Avoiding technology in clinical practice
Rationale: Informatics literacy specifically involves integrating health information with
computerized systems to retrieve and manage information, ultimately supporting patient safety.
15. The ANA Nursing Informatics: Scope and Standards of Practice (3rd ed.) was published in:
Exam(Latest Updated)-Chamberlain
1. According to the ANA (2022), nursing informatics is best defined as a specialty that
integrates nursing science with multiple information and analytical sciences to:
A. Manage hospital IT budgets and vendor contracts
B. Identify, define, manage, and communicate data, information, knowledge, and wisdom in
nursing practice
C. Provide technical support for EHR software errors
D. Replace clinical judgment with automated algorithms
Rationale: The ANA definition explicitly states nursing informatics integrates nursing science
with information and analytical sciences to manage and communicate data, information,
knowledge, and wisdom. This is the foundational definition tested frequently.
2. Which three sciences form the foundational triad of nursing informatics?
A. Biology, chemistry, physics
B. Nursing science, computer science, information science
C. Psychology, sociology, anthropology
D. Medicine, pharmacology, physiology
Rationale: The ANA identifies nursing science, computer science, and information science as
the core disciplines integrated by nursing informatics. Cognitive science is also cited in some
models as a fourth building block.
3. The TIGER initiative was launched primarily to:
A. Replace traditional nursing roles with automated systems
B. Develop a nursing workforce capable of using information technology to improve patient
care
C. Decrease the cost of electronic health records
D. Increase the number of informatics specialists in leadership roles
Rationale: TIGER (Technology Informatics Guiding Education Reform) aims to make
informatics competencies part of every nurse's skill set, ensuring the workforce can leverage
technology for safer care.
,4. Which legislation significantly increased EHR adoption by providing financial incentives for
"Meaningful Use"?
A. HIPAA
B. The HITECH Act
C. The Affordable Care Act
D. The Nurse Practice Act
Rationale: The Health Information Technology for Economic and Clinical Health (HITECH)
Act of 2009 promoted adoption and meaningful use of health information technology through
incentive payments.
5. The study of the nature and origin of knowledge—what it means to know—is called:
A. Ontology
B. Epistemology
C. Axiology
D. Phenomenology
Rationale: Epistemology is the study of knowledge and how we know what we know. Three
sources of knowledge have been identified: instinct, reason, and intuition.
6. Which of the following best describes "knowledge workers" in nursing?
A. Nurses who only perform physical assessments
B. Nurses who work with information and generate information and knowledge as a product
C. Nurses who exclusively manage bed assignments
D. Nurses who avoid technology in practice
Rationale: Knowledge workers engage in non-routine cognitive tasks requiring advanced
education and analytical skills. Nurses transform data and information into actionable
knowledge for patient care.
7. The Foundation of Knowledge Model proposes that humans are:
A. Passive recipients of information
B. Organic information systems constantly acquiring, processing, generating, and
disseminating knowledge
C. Inorganic information systems requiring external programming
D. Static repositories of stored data
, Rationale: This model serves as the organizing framework for nursing informatics,
describing how nurses continuously acquire, process, generate, and disseminate knowledge in
professional and personal lives.
8. Which of the following is NOT one of the four functional areas of nursing informatics
according to ANA?
A. Administration, leadership, and management
B. Analysis
C. Pharmaceutical compounding
D. Consultation
Rationale: The ANA functional areas include administration/leadership/management,
analysis, compliance/integrity management, consultation, coordination/facilitation/integration,
development, education, policy development, and research.
9. The Informatics Nurse Specialist (INS) typically holds:
A. A diploma in nursing
B. An associate degree in nursing
C. An advanced degree or post-master's certificate
D. Only on-the-job training
Rationale: The INS requires advanced education (master's or doctoral level) and is prepared
to assume roles requiring this advanced knowledge, including project management, consulting,
and research.
10. Which of the following is a primary benefit of standardized nursing languages (SNLs)?
A. Increased documentation time
B. Better communication among nurses and other healthcare providers
C. Reduced need for nursing judgment
D. Elimination of electronic health records
Rationale: SNLs allow healthcare systems to capture, codify, retrieve, and analyze nursing
care impact on outcomes. Benefits include improved communication, visibility of interventions,
enhanced data collection, and greater adherence to standards.
11. The TIGER initiative stands for:
A. Technology Integration for Greater Electronic Records
B. Technology Informatics Guiding Education Reform
, C. Technological Innovations for Geriatric Emergency Response
D. Training Initiative for General Electronic Resources
Rationale: TIGER was launched to develop a nursing workforce capable of using information
technology to improve patient care and make informatics competencies part of every nurse's
skill set.
12. Which of the following best describes "computer fluency" for nurses?
A. Advanced programming skills
B. Basic computer operating systems, software, and using computers to find information
rapidly and efficiently
C. Only the ability to send emails
D. Database administration certification
Rationale: Computer fluency includes basic operating systems, software proficiency, and
efficient computer use. This differs from information literacy (finding and assessing information)
and informatics literacy (integrating health information with systems).
13. Information literacy involves:
A. Repairing hardware failures
B. Knowledge and skills in finding and assessing information, including search techniques
and evaluating credibility
C. Only reading patient charts
D. Programming clinical algorithms
Rationale: Information literacy focuses on the KSA (knowledge, skills, abilities) to find and
assess information, including basic and advanced search techniques and evaluating source
credibility.
14. Informatics literacy is best defined as:
A. Typing speed and accuracy
B. Integrating health information with computerized systems to retrieve and manage
information to increase patient safety
C. Only using social media
D. Avoiding technology in clinical practice
Rationale: Informatics literacy specifically involves integrating health information with
computerized systems to retrieve and manage information, ultimately supporting patient safety.
15. The ANA Nursing Informatics: Scope and Standards of Practice (3rd ed.) was published in:
