NRS 450 Final Exam V2 | NRS 450 Nursing
Informatics | Actual Q&A with Rationale (NRS450
Final Exam) | Grand Canyon University
1. The Health Information Technology for Economic and Clinical Health (HITECH) Act
established incentives for the ‘Meaningful Use’ of Electronic Health Records. Which of the
following are primary goals of this initiative? Select all that apply.
A. Improve quality, safety, and efficiency of care.
B. Engage patients and families in their health care.
C. Improve care coordination across different settings.
D. Maintain privacy and security of patient health information.
E. Decrease the number of nursing staff required for bedside care.
F. Improve population and public health outcomes.
Correct Answer: A, B, C, D, F
Explanation: Meaningful Use was developed to provide financial incentives for the
integration of EHR technology into clinical practice to achieve specific health outcomes. The
primary goals focus on clinical quality, patient engagement, and systemic efficiency
through better data utilization. The initiative does not aim to decrease nursing staff levels,
as informatics is intended to support rather than replace the nursing workforce.
,2. A nurse reviews a patient’s temperature of 102.4 degrees Fahrenheit and realizes this
indicates a fever. According to the DIKW hierarchy, which level does the recognition of the
fever represent?
A. Data
B. Knowledge
C. Information
D. Wisdom
Correct Answer: C
Explanation: Data consists of raw facts like the number 102.4. Information is data that has
been processed and given meaning within a context, such as identifying a temperature as a
fever. Knowledge involves the synthesis of information to identify patterns or apply clinical
rules.
3. Which standardized nursing terminology is specifically designed to document nursing
interventions?
A. NANDA-I
B. NIC
C. NOC
D. SNOMED CT
Correct Answer: B
,Explanation: The Nursing Interventions Classification (NIC) is a comprehensive, research-
based, standardized classification of interventions that nurses perform. While NANDA-I
focuses on nursing diagnoses and NOC focuses on patient outcomes, NIC provides the
language for the actions taken. Using standardized terminology is essential for
interoperability and the inclusion of nursing data in large-scale health databases.
4. When planning the implementation of a new Electronic Health Record (EHR) system, which
phase of the Strategic Planning process involves identifying the gap between current and
future states?
A. Assessment
B. Implementation
C. Evaluation
D. Analysis
Correct Answer: D
Explanation: The analysis phase involves a detailed review of current workflows and the
identification of requirements for the new system. This gap analysis is critical to ensure the
software meets clinical needs and organizational goals. Assessment usually occurs prior to
this to define the broad scope and vision of the project.
5. A nurse receives an alert from the Clinical Decision Support System (CDSS) regarding a
potential drug-drug interaction. What is the primary purpose of this technology?
A. To provide clinicians with patient-specific information to enhance decision-making.
, B. To replace the nurse’s clinical judgment.
C. To automate the medication administration process entirely.
D. To track nurse productivity and speed of task completion.
Correct Answer: A
Explanation: Clinical Decision Support Systems (CDSS) are designed to assist clinicians by
providing relevant knowledge and patient-specific information at the point of care. These
systems aim to improve patient safety by reducing errors and ensuring evidence-based
practice is followed. They are intended to augment, not replace, the professional judgment
of healthcare providers.
6. The TIGER (Technology Informatics Guiding Education Reform) initiative identified three
primary pillars for nursing informatics competencies. Which of the following are included?
Select all that apply.
A. Basic Computer Competencies
B. Information Literacy
C. Information Management
D. Software Development Skills
E. Hardware Maintenance
Correct Answer: A, B, C
Informatics | Actual Q&A with Rationale (NRS450
Final Exam) | Grand Canyon University
1. The Health Information Technology for Economic and Clinical Health (HITECH) Act
established incentives for the ‘Meaningful Use’ of Electronic Health Records. Which of the
following are primary goals of this initiative? Select all that apply.
A. Improve quality, safety, and efficiency of care.
B. Engage patients and families in their health care.
C. Improve care coordination across different settings.
D. Maintain privacy and security of patient health information.
E. Decrease the number of nursing staff required for bedside care.
F. Improve population and public health outcomes.
Correct Answer: A, B, C, D, F
Explanation: Meaningful Use was developed to provide financial incentives for the
integration of EHR technology into clinical practice to achieve specific health outcomes. The
primary goals focus on clinical quality, patient engagement, and systemic efficiency
through better data utilization. The initiative does not aim to decrease nursing staff levels,
as informatics is intended to support rather than replace the nursing workforce.
,2. A nurse reviews a patient’s temperature of 102.4 degrees Fahrenheit and realizes this
indicates a fever. According to the DIKW hierarchy, which level does the recognition of the
fever represent?
A. Data
B. Knowledge
C. Information
D. Wisdom
Correct Answer: C
Explanation: Data consists of raw facts like the number 102.4. Information is data that has
been processed and given meaning within a context, such as identifying a temperature as a
fever. Knowledge involves the synthesis of information to identify patterns or apply clinical
rules.
3. Which standardized nursing terminology is specifically designed to document nursing
interventions?
A. NANDA-I
B. NIC
C. NOC
D. SNOMED CT
Correct Answer: B
,Explanation: The Nursing Interventions Classification (NIC) is a comprehensive, research-
based, standardized classification of interventions that nurses perform. While NANDA-I
focuses on nursing diagnoses and NOC focuses on patient outcomes, NIC provides the
language for the actions taken. Using standardized terminology is essential for
interoperability and the inclusion of nursing data in large-scale health databases.
4. When planning the implementation of a new Electronic Health Record (EHR) system, which
phase of the Strategic Planning process involves identifying the gap between current and
future states?
A. Assessment
B. Implementation
C. Evaluation
D. Analysis
Correct Answer: D
Explanation: The analysis phase involves a detailed review of current workflows and the
identification of requirements for the new system. This gap analysis is critical to ensure the
software meets clinical needs and organizational goals. Assessment usually occurs prior to
this to define the broad scope and vision of the project.
5. A nurse receives an alert from the Clinical Decision Support System (CDSS) regarding a
potential drug-drug interaction. What is the primary purpose of this technology?
A. To provide clinicians with patient-specific information to enhance decision-making.
, B. To replace the nurse’s clinical judgment.
C. To automate the medication administration process entirely.
D. To track nurse productivity and speed of task completion.
Correct Answer: A
Explanation: Clinical Decision Support Systems (CDSS) are designed to assist clinicians by
providing relevant knowledge and patient-specific information at the point of care. These
systems aim to improve patient safety by reducing errors and ensuring evidence-based
practice is followed. They are intended to augment, not replace, the professional judgment
of healthcare providers.
6. The TIGER (Technology Informatics Guiding Education Reform) initiative identified three
primary pillars for nursing informatics competencies. Which of the following are included?
Select all that apply.
A. Basic Computer Competencies
B. Information Literacy
C. Information Management
D. Software Development Skills
E. Hardware Maintenance
Correct Answer: A, B, C
