NURSING INFORMATICS
CERTIFICATION EXAM, ANCC
INFORMATICS, ANCC NURSING
INFORMATICS CERTIFICATION
REVIEW QUESTIONS AND CORRECT
ANSWERS VERIFIED 2025/2026.
Metastructure of NI - ANS The ability of the nurse to utilize data, information, and knowledge
to make wise clinical decisions.
Definition of Nursing Informatics - ANS A speciality that integrates nursing science with
multiple information and analytical sciences to identify, define, manage and communicate data,
information, knowledge and wisdom in nursing practice.
Meaningful Use - ANS Using certified electronic health record technology to:
- improve quality, safety, efficiency, and reduce
health disparities
- engage patients and families
- improve care coordination, population and
public health
Total Quality Management (TQM) - ANS Used to depect Quality Management measures.
Examples include:
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - ANS Goal is to tackle the task of preparing
nurses to enhance "the quality and safety of the healthcare systems in which they work" Used
in Nursing Education and focuses on six competencies:
• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA) - ANS A systematic, proactive approach for
evaluating a process to identify where and how it might fail and to assess the relative impact of
different failures.
Ishikawa Diagram (Fishbone) - ANS Used for brainstorming and to help identify root causes
for performance improvement by visualizing causes and effects. The effect is the "head" and the
causes are the
"bones"
Root Cause Analysis - ANS Structured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective approach)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,FOCUS Model and PDCA - ANS An preformance improvement model
F- find a process to improve
0- organize an effort
C- clarify current knowledge
U- understand process variation/capability
S- select a strategy for continious improvement
PDCA: repetitive process during FOCUS stages
Plan - Do - Check - Act
Turley's Model of Nursing Informatics - ANS Nursing Informatics is is the center of computer,
cognitive, and informations sciences under the umbrella of Nursing Science
Lewin's Theory of Change - ANS Used infacilitating change, the concepts of this theory
include: Unfreezing - Movement - Refreezing
Driving and restraining forces
Deals with disconfirmation
Cogintive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - ANS Focus on removing wasteful practices and making processes smoother
and more efficient
Six Sigma - ANS Used for process improvement. Project increase quality and yield while
reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group - ANS Triggers giant leaps in the safety, quality, and affordability of healthcare
by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - ANS -Joint Commission
-Centers for Medicare and Medicaid Services
(CMS)
-Meaningful Use
-HITECH (health information technology for
economic and clinical health)
-Affordable Care Act
-ADA regulations (Americans with Disabilities Act)
Models Supporting Practice - ANS Data: 1st step of database design; conceptual
design
Workflow: Swimlane models, Lean Six Sigma, value
stream mapping
Predictive: (Analytics) used to predict future
outcomes
Ludwig Von Bertalanffy Systems theory - ANS The Nursing Informatics specialist must
understand the fundamentals of systems and how systems affect the decision-making process;
closed versus open systems
Shannon-Weaver Model of Communication Theory - ANS Sender - Message - Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
CERTIFICATION EXAM, ANCC
INFORMATICS, ANCC NURSING
INFORMATICS CERTIFICATION
REVIEW QUESTIONS AND CORRECT
ANSWERS VERIFIED 2025/2026.
Metastructure of NI - ANS The ability of the nurse to utilize data, information, and knowledge
to make wise clinical decisions.
Definition of Nursing Informatics - ANS A speciality that integrates nursing science with
multiple information and analytical sciences to identify, define, manage and communicate data,
information, knowledge and wisdom in nursing practice.
Meaningful Use - ANS Using certified electronic health record technology to:
- improve quality, safety, efficiency, and reduce
health disparities
- engage patients and families
- improve care coordination, population and
public health
Total Quality Management (TQM) - ANS Used to depect Quality Management measures.
Examples include:
1 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - ANS Goal is to tackle the task of preparing
nurses to enhance "the quality and safety of the healthcare systems in which they work" Used
in Nursing Education and focuses on six competencies:
• Patient-centered care
• Teamwork and collaboration
• Evidence-based practice
• Quality improvement
• Safety
• Informatics
Failure mode and Effects Analysis (FMEA) - ANS A systematic, proactive approach for
evaluating a process to identify where and how it might fail and to assess the relative impact of
different failures.
Ishikawa Diagram (Fishbone) - ANS Used for brainstorming and to help identify root causes
for performance improvement by visualizing causes and effects. The effect is the "head" and the
causes are the
"bones"
Root Cause Analysis - ANS Structured method to analyze serious adverse events.
Identifies underlying problems that increase the likelyhood of errors (retrospective approach)
2 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
,FOCUS Model and PDCA - ANS An preformance improvement model
F- find a process to improve
0- organize an effort
C- clarify current knowledge
U- understand process variation/capability
S- select a strategy for continious improvement
PDCA: repetitive process during FOCUS stages
Plan - Do - Check - Act
Turley's Model of Nursing Informatics - ANS Nursing Informatics is is the center of computer,
cognitive, and informations sciences under the umbrella of Nursing Science
Lewin's Theory of Change - ANS Used infacilitating change, the concepts of this theory
include: Unfreezing - Movement - Refreezing
Driving and restraining forces
Deals with disconfirmation
Cogintive redefinition
Creation of psychological safety or overcoming learning anxiety
Lean Six Sigma - ANS Focus on removing wasteful practices and making processes smoother
and more efficient
Six Sigma - ANS Used for process improvement. Project increase quality and yield while
reducing defects and variations.
Define, Measure, Analyze, Improve, Control
Leapfrog Group - ANS Triggers giant leaps in the safety, quality, and affordability of healthcare
by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through
3 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
, incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - ANS -Joint Commission
-Centers for Medicare and Medicaid Services
(CMS)
-Meaningful Use
-HITECH (health information technology for
economic and clinical health)
-Affordable Care Act
-ADA regulations (Americans with Disabilities Act)
Models Supporting Practice - ANS Data: 1st step of database design; conceptual
design
Workflow: Swimlane models, Lean Six Sigma, value
stream mapping
Predictive: (Analytics) used to predict future
outcomes
Ludwig Von Bertalanffy Systems theory - ANS The Nursing Informatics specialist must
understand the fundamentals of systems and how systems affect the decision-making process;
closed versus open systems
Shannon-Weaver Model of Communication Theory - ANS Sender - Message - Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
4 @COPYRIGHT 2025/2026 ALLRIGHTS RESERVED.
