Nursing Informatics: Midterm Exam (Units 1-7) - Questions with
Correct Answers
100 questions
1. Nursing informatics supports the Quadruple Aim by:
A. Improving patient experience, population health, cost and clinician well-being
B. Focusing only on cost
C. Increasing clinician burnout
D. Ignoring patient experience
Correct Answer: A. Improving patient experience, population health, cost and clinician
well-being
Rationale: Well-designed systems can improve all four aims, including reducing clinician
burden. Focusing only on cost or increasing burnout contradicts the aim.
2. Lewin's force field analysis helps a project team:
A. Calculate drug doses
B. Measure network speed
C. Encrypt data
D. Identify driving forces that support change and restraining forces that resist it
Correct Answer: D. Identify driving forces that support change and restraining forces that
resist it
Rationale: Strengthening driving forces and reducing restraining forces promotes successful
change. It is not used for doses, networks or encryption.
3. Early adopters are especially valuable during system implementation because they:
A. Resist all change
B. Adopt only after everyone else
C. Are respected opinion leaders who influence peers to adopt
D. Avoid using the system
Correct Answer: C. Are respected opinion leaders who influence peers to adopt
Rationale: Early adopters are often chosen as super users or champions because colleagues
trust their opinions. Resisting change and adopting last describe laggards.
,4. Informatics nurses contribute to patient safety by:
A. Increasing documentation burden without benefit
B. Designing systems that support accurate documentation, medication safety and decision
support
C. Removing safety checks
D. Avoiding evaluation of systems
Correct Answer: B. Designing systems that support accurate documentation, medication
safety and decision support
Rationale: Well-designed technology reduces errors and supports evidence-based care. Adding
burden or removing checks undermines safety.
5. When a new technology is introduced, nurses who are skeptical and adopt only after most
colleagues have are classified in Rogers' theory as:
A. Late majority
B. Innovators
C. Early adopters
D. Change agents
Correct Answer: A. Late majority
Rationale: The late majority adopt after the average member, often due to peer pressure or
necessity. Innovators and early adopters adopt first, and change agents promote adoption.
6. A goal of nursing informatics is to make nursing care:
A. Invisible in the record
B. Recorded only on paper
C. Visible and measurable through standardized data
D. Excluded from quality measures
Correct Answer: C. Visible and measurable through standardized data
Rationale: Standardized nursing data show nursing's contributions to outcomes, supporting
research, staffing and policy. Invisible or paper-only records hide nursing's value.
,7. The Standards of Professional Performance in the ANA nursing informatics standards include
areas such as:
A. Only typing speed
B. Only hardware repair
C. Only data entry
D. Ethics, education, collaboration, leadership and quality of practice
Correct Answer: D. Ethics, education, collaboration, leadership and quality of practice
Rationale: Professional performance standards describe the broader behaviors expected of
informatics nurses. Typing speed, repairs and data entry are not standards.
8. Board certification in nursing informatics in the United States is offered by:
A. The Food and Drug Administration
B. The American Nurses Credentialing Center (ANCC)
C. The Federal Communications Commission
D. The Centers for Disease Control and Prevention
Correct Answer: B. The American Nurses Credentialing Center (ANCC)
Rationale: ANCC offers the Informatics Nursing certification (RN-BC). The FDA, FCC and CDC do
not certify nurses.
9. Nursing informatics practice settings include:
A. Only hospital basements
B. Only software companies
C. Only universities
D. Hospitals, vendors, consulting firms, public health, education and government
Correct Answer: D. Hospitals, vendors, consulting firms, public health, education and
government
Rationale: Informatics nurses work in a wide range of settings that design, implement or
evaluate technology. They are not restricted to one setting.
, 10. In Rogers' theory, the small group of nurses who eagerly try a new technology first are called:
A. Innovators
B. Laggards
C. Late majority
D. Early majority
Correct Answer: A. Innovators
Rationale: Innovators are venturesome and first to adopt, followed by early adopters, early and
late majority, and laggards, who are last to adopt.
11. The nursing informatics specialty was first recognized by the ANA in:
A. 1950
B. 1992
C. 2010
D. 2020
Correct Answer: B. 1992
Rationale: Recognition in 1992 established nursing informatics as a specialty with its own scope
and later standards. The other dates are incorrect.
12. Nursing informatics is considered a specialty because it has:
A. No formal knowledge base
B. Only informal training
C. No professional organizations
D. A defined body of knowledge, scope and standards, certification and education programs
Correct Answer: D. A defined body of knowledge, scope and standards, certification and
education programs
Rationale: These features distinguish a recognized specialty. The specialty has formal
education, standards and organizations.
Correct Answers
100 questions
1. Nursing informatics supports the Quadruple Aim by:
A. Improving patient experience, population health, cost and clinician well-being
B. Focusing only on cost
C. Increasing clinician burnout
D. Ignoring patient experience
Correct Answer: A. Improving patient experience, population health, cost and clinician
well-being
Rationale: Well-designed systems can improve all four aims, including reducing clinician
burden. Focusing only on cost or increasing burnout contradicts the aim.
2. Lewin's force field analysis helps a project team:
A. Calculate drug doses
B. Measure network speed
C. Encrypt data
D. Identify driving forces that support change and restraining forces that resist it
Correct Answer: D. Identify driving forces that support change and restraining forces that
resist it
Rationale: Strengthening driving forces and reducing restraining forces promotes successful
change. It is not used for doses, networks or encryption.
3. Early adopters are especially valuable during system implementation because they:
A. Resist all change
B. Adopt only after everyone else
C. Are respected opinion leaders who influence peers to adopt
D. Avoid using the system
Correct Answer: C. Are respected opinion leaders who influence peers to adopt
Rationale: Early adopters are often chosen as super users or champions because colleagues
trust their opinions. Resisting change and adopting last describe laggards.
,4. Informatics nurses contribute to patient safety by:
A. Increasing documentation burden without benefit
B. Designing systems that support accurate documentation, medication safety and decision
support
C. Removing safety checks
D. Avoiding evaluation of systems
Correct Answer: B. Designing systems that support accurate documentation, medication
safety and decision support
Rationale: Well-designed technology reduces errors and supports evidence-based care. Adding
burden or removing checks undermines safety.
5. When a new technology is introduced, nurses who are skeptical and adopt only after most
colleagues have are classified in Rogers' theory as:
A. Late majority
B. Innovators
C. Early adopters
D. Change agents
Correct Answer: A. Late majority
Rationale: The late majority adopt after the average member, often due to peer pressure or
necessity. Innovators and early adopters adopt first, and change agents promote adoption.
6. A goal of nursing informatics is to make nursing care:
A. Invisible in the record
B. Recorded only on paper
C. Visible and measurable through standardized data
D. Excluded from quality measures
Correct Answer: C. Visible and measurable through standardized data
Rationale: Standardized nursing data show nursing's contributions to outcomes, supporting
research, staffing and policy. Invisible or paper-only records hide nursing's value.
,7. The Standards of Professional Performance in the ANA nursing informatics standards include
areas such as:
A. Only typing speed
B. Only hardware repair
C. Only data entry
D. Ethics, education, collaboration, leadership and quality of practice
Correct Answer: D. Ethics, education, collaboration, leadership and quality of practice
Rationale: Professional performance standards describe the broader behaviors expected of
informatics nurses. Typing speed, repairs and data entry are not standards.
8. Board certification in nursing informatics in the United States is offered by:
A. The Food and Drug Administration
B. The American Nurses Credentialing Center (ANCC)
C. The Federal Communications Commission
D. The Centers for Disease Control and Prevention
Correct Answer: B. The American Nurses Credentialing Center (ANCC)
Rationale: ANCC offers the Informatics Nursing certification (RN-BC). The FDA, FCC and CDC do
not certify nurses.
9. Nursing informatics practice settings include:
A. Only hospital basements
B. Only software companies
C. Only universities
D. Hospitals, vendors, consulting firms, public health, education and government
Correct Answer: D. Hospitals, vendors, consulting firms, public health, education and
government
Rationale: Informatics nurses work in a wide range of settings that design, implement or
evaluate technology. They are not restricted to one setting.
, 10. In Rogers' theory, the small group of nurses who eagerly try a new technology first are called:
A. Innovators
B. Laggards
C. Late majority
D. Early majority
Correct Answer: A. Innovators
Rationale: Innovators are venturesome and first to adopt, followed by early adopters, early and
late majority, and laggards, who are last to adopt.
11. The nursing informatics specialty was first recognized by the ANA in:
A. 1950
B. 1992
C. 2010
D. 2020
Correct Answer: B. 1992
Rationale: Recognition in 1992 established nursing informatics as a specialty with its own scope
and later standards. The other dates are incorrect.
12. Nursing informatics is considered a specialty because it has:
A. No formal knowledge base
B. Only informal training
C. No professional organizations
D. A defined body of knowledge, scope and standards, certification and education programs
Correct Answer: D. A defined body of knowledge, scope and standards, certification and
education programs
Rationale: These features distinguish a recognized specialty. The specialty has formal
education, standards and organizations.
