NR 599 35 QUESTIONS WITH CORRECT
ANSWERS LATEST UPDATE 2024 A+
GUARANTEED
SECTION I: Foundations & Definitions of Nursing Informatics (Questions 1–20)
1. The ANA (2026) defines nursing informatics as a specialty that integrates nursing science
with which of the following to manage and communicate data, information, knowledge, and
wisdom?
A. Computer science and biomedical engineering
B. Multiple information and analytical sciences
C. Health administration and business management
D. Clinical medicine and pharmacology
Rationale: The ANA defines nursing informatics as integrating nursing science with multiple
information and analytical sciences to identify, define, manage, and communicate data,
information, knowledge, and wisdom in nursing practice . It is broader than just computer
science or administration and does not replace clinical judgment.
2. 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
Rationale: Information literacy involves the ability to recognize when information is needed,
locate it, evaluate it, and use it effectively — forming the basis for lifelong learning. Computer
literacy is simply a familiarity with the use of personal computers and basic software
applications . These are distinct but complementary competencies.
,3. A nurse locates a systematic review on pressure injury prevention in a clinical database and
appraises the evidence before proposing a protocol change to the unit council. Which QSEN
informatics competency does this illustrate?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Locating, appraising, and applying research evidence from databases exemplifies
the QSEN informatics competency of demonstrating information literacy for evidence-based
practice . The other options describe different informatics competencies not reflected in this
scenario.
4. A registered nurse with a BSN is employed by a hospital to train staff on a new electronic
medication administration record system, analyze workflow data, and serve as a liaison
between clinical staff and the IT department. This nurse is best described as a(n):
A. Nurse Informaticist
B. Clinical analyst with no nursing background
C. Informatics Nurse
D. Health informatics technician
Rationale: An Informatics Nurse is an RN who works in informatics roles, often with BSN
preparation, focusing on training, workflow analysis, and liaison activities. A Nurse Informaticist
typically requires graduate education and advanced certification .
5. Which statement by the nurse verifies that the nurse is "information literate"?
A. "I can use software applications such as word processing, spreadsheets, and presentations."
B. "I use email over the Internet to correspond with clients and provide information."
C. "I understand how to search for a website and evaluate its usefulness for health care needs."
D. "I utilize databases in the health care setting to input client information such as skin
condition."
Rationale: Information literacy involves recognizing when information is needed and having
the ability to locate, evaluate, and effectively use that information . Searching for and evaluating
the usefulness of health-related websites demonstrates critical evaluation, a core component of
information literacy. The other options describe computer literacy skills.
6. The scientific underpinnings of nursing informatics practice include which of the following?
,A. Only computer science
B. Nursing science, information science, and computer science
C. Biology and chemistry exclusively
D. Health administration and finance
Rationale: The scientific underpinnings of nursing informatics include nursing science,
information science, and computer science . Cognitive science is also often included as a
foundational discipline that studies how the human mind processes information.
7. A nurse is reviewing quarterly pressure ulcer rates on her unit using the hospital's quality
dashboard to identify trends and compare outcomes against national benchmarks. Which
QSEN informatics competency is she demonstrating?
A. Using information management tools to monitor outcomes of care processes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Reviewing outcome data via a dashboard to monitor care processes directly
aligns with the QSEN informatics competency of using information management tools to
monitor outcomes .
8. Which statement regarding pressures that drive the health care delivery system today is
NOT accurate?
A. Evidence-based practice is supported with technology that enables the health care provider
to utilize up-to-date research findings
B. Managed care may utilize disease management to identify clients with chronic conditions and
treat them effectively to minimize complications and cost
C. The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting
D. Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE)
Rationale: Technology enhancements cannot eliminate the nursing shortage; they may help
mitigate some workload burdens but are not a solution to the complex workforce shortage . The
other statements are accurate drivers of health care delivery system change.
9. Which action indicates the nurse is functioning as a knowledge worker?
A. The nurse obtains the client's vital signs and records these data in the electronic medical
record
, B. 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
C. The nurse administers four units of regular insulin per physician's sliding scale orders
D. The nurse documents intake and output totals in the electronic medical record
Rationale: A knowledge worker collects data, turns it into information, and creates
knowledge and wisdom to guide action . Recognizing diminished breath sounds and
independently modifying the turning schedule demonstrates synthesis of assessment data into
clinical action — the hallmark of knowledge work. Simple documentation or following orders
represents data entry, not knowledge work.
10. A nursing student is creating a concept map using electronic care planning software to
organize patient assessments, nursing diagnoses, and interventions for a clinical assignment.
Which QSEN informatics competency does this represent?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Electronic care planning and documentation align with the QSEN competency
focused on documenting and planning patient care using information technology .
11. Which statement best describes the concept of "knowledge work" in nursing?
A. Memorizing facts and clinical guidelines
B. Collecting data, turning it into information, and creating knowledge/wisdom
C. Performing technical skills efficiently
D. Following physician orders without question
Rationale: Knowledge work involves collecting data, processing it into meaningful
information, and synthesizing that information into knowledge and wisdom that guides clinical
decision-making . Nurses are knowledge workers because they continuously transform patient
data into actionable clinical knowledge.
12. According to the Foundation of Knowledge Model, which four key elements describe how
knowledge is used to meet the needs of the healthcare delivery system?
A. Data entry, data storage, data retrieval, data deletion
B. Knowledge acquisition, knowledge processing, knowledge generation, knowledge
dissemination
ANSWERS LATEST UPDATE 2024 A+
GUARANTEED
SECTION I: Foundations & Definitions of Nursing Informatics (Questions 1–20)
1. The ANA (2026) defines nursing informatics as a specialty that integrates nursing science
with which of the following to manage and communicate data, information, knowledge, and
wisdom?
A. Computer science and biomedical engineering
B. Multiple information and analytical sciences
C. Health administration and business management
D. Clinical medicine and pharmacology
Rationale: The ANA defines nursing informatics as integrating nursing science with multiple
information and analytical sciences to identify, define, manage, and communicate data,
information, knowledge, and wisdom in nursing practice . It is broader than just computer
science or administration and does not replace clinical judgment.
2. 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
Rationale: Information literacy involves the ability to recognize when information is needed,
locate it, evaluate it, and use it effectively — forming the basis for lifelong learning. Computer
literacy is simply a familiarity with the use of personal computers and basic software
applications . These are distinct but complementary competencies.
,3. A nurse locates a systematic review on pressure injury prevention in a clinical database and
appraises the evidence before proposing a protocol change to the unit council. Which QSEN
informatics competency does this illustrate?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Locating, appraising, and applying research evidence from databases exemplifies
the QSEN informatics competency of demonstrating information literacy for evidence-based
practice . The other options describe different informatics competencies not reflected in this
scenario.
4. A registered nurse with a BSN is employed by a hospital to train staff on a new electronic
medication administration record system, analyze workflow data, and serve as a liaison
between clinical staff and the IT department. This nurse is best described as a(n):
A. Nurse Informaticist
B. Clinical analyst with no nursing background
C. Informatics Nurse
D. Health informatics technician
Rationale: An Informatics Nurse is an RN who works in informatics roles, often with BSN
preparation, focusing on training, workflow analysis, and liaison activities. A Nurse Informaticist
typically requires graduate education and advanced certification .
5. Which statement by the nurse verifies that the nurse is "information literate"?
A. "I can use software applications such as word processing, spreadsheets, and presentations."
B. "I use email over the Internet to correspond with clients and provide information."
C. "I understand how to search for a website and evaluate its usefulness for health care needs."
D. "I utilize databases in the health care setting to input client information such as skin
condition."
Rationale: Information literacy involves recognizing when information is needed and having
the ability to locate, evaluate, and effectively use that information . Searching for and evaluating
the usefulness of health-related websites demonstrates critical evaluation, a core component of
information literacy. The other options describe computer literacy skills.
6. The scientific underpinnings of nursing informatics practice include which of the following?
,A. Only computer science
B. Nursing science, information science, and computer science
C. Biology and chemistry exclusively
D. Health administration and finance
Rationale: The scientific underpinnings of nursing informatics include nursing science,
information science, and computer science . Cognitive science is also often included as a
foundational discipline that studies how the human mind processes information.
7. A nurse is reviewing quarterly pressure ulcer rates on her unit using the hospital's quality
dashboard to identify trends and compare outcomes against national benchmarks. Which
QSEN informatics competency is she demonstrating?
A. Using information management tools to monitor outcomes of care processes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Reviewing outcome data via a dashboard to monitor care processes directly
aligns with the QSEN informatics competency of using information management tools to
monitor outcomes .
8. Which statement regarding pressures that drive the health care delivery system today is
NOT accurate?
A. Evidence-based practice is supported with technology that enables the health care provider
to utilize up-to-date research findings
B. Managed care may utilize disease management to identify clients with chronic conditions and
treat them effectively to minimize complications and cost
C. The current and projected nursing shortage may be eliminated by instituting technology
enhancements in the acute care setting
D. Medication errors and adverse events may be reduced with the implementation of
computerized physician order entry (CPOE)
Rationale: Technology enhancements cannot eliminate the nursing shortage; they may help
mitigate some workload burdens but are not a solution to the complex workforce shortage . The
other statements are accurate drivers of health care delivery system change.
9. Which action indicates the nurse is functioning as a knowledge worker?
A. The nurse obtains the client's vital signs and records these data in the electronic medical
record
, B. 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
C. The nurse administers four units of regular insulin per physician's sliding scale orders
D. The nurse documents intake and output totals in the electronic medical record
Rationale: A knowledge worker collects data, turns it into information, and creates
knowledge and wisdom to guide action . Recognizing diminished breath sounds and
independently modifying the turning schedule demonstrates synthesis of assessment data into
clinical action — the hallmark of knowledge work. Simple documentation or following orders
represents data entry, not knowledge work.
10. A nursing student is creating a concept map using electronic care planning software to
organize patient assessments, nursing diagnoses, and interventions for a clinical assignment.
Which QSEN informatics competency does this represent?
A. Using information management tools to monitor outcomes
B. Documenting and planning patient care using information technology
C. Communicating clinical information to reduce error
D. Demonstrating information literacy for evidence-based practice
Rationale: Electronic care planning and documentation align with the QSEN competency
focused on documenting and planning patient care using information technology .
11. Which statement best describes the concept of "knowledge work" in nursing?
A. Memorizing facts and clinical guidelines
B. Collecting data, turning it into information, and creating knowledge/wisdom
C. Performing technical skills efficiently
D. Following physician orders without question
Rationale: Knowledge work involves collecting data, processing it into meaningful
information, and synthesizing that information into knowledge and wisdom that guides clinical
decision-making . Nurses are knowledge workers because they continuously transform patient
data into actionable clinical knowledge.
12. According to the Foundation of Knowledge Model, which four key elements describe how
knowledge is used to meet the needs of the healthcare delivery system?
A. Data entry, data storage, data retrieval, data deletion
B. Knowledge acquisition, knowledge processing, knowledge generation, knowledge
dissemination
