Nursing Informatics: Practice Test 1 (Units 1-7) - Questions
with Correct Answers
100 questions
1. The Standards of Practice for nursing informatics follow a process similar to:
A. A recipe
B. A sports playbook
C. The nursing process, including assessment, identification of issues, planning, implementation
and evaluation
D. A legal trial
Correct Answer: C. The nursing process, including assessment, identification of issues,
planning, implementation and evaluation
Rationale: Informatics nurses apply a systematic, nursing process-based approach to problems
and projects. The other analogies are not the standards.
2. The informatics nurse's role in policy includes:
A. Advocating for policies that support safe, effective use of health IT and nursing data
B. Avoiding involvement in regulations
C. Writing policies that exclude nurses
D. Focusing only on vendor profits
Correct Answer: A. Advocating for policies that support safe, effective use of health IT and
nursing data
Rationale: Informatics nurses contribute expertise to institutional and national policy. Avoiding
involvement or excluding nurses weakens policy.
,3. A chief nursing informatics officer (CNIO) primarily:
A. Repairs printers
B. Performs all bedside care
C. Leads strategy for clinical information systems to support nursing practice and patient
outcomes
D. Approves only financial budgets
Correct Answer: C. Leads strategy for clinical information systems to support nursing practice
and patient outcomes
Rationale: CNIOs bridge nursing and technology leadership, guiding system design, optimization
and governance. Hardware repair, bedside care and budgets alone are not the role.
4. Rogers' diffusion of innovation theory describes:
A. How drugs diffuse across cell membranes
B. How infection spreads
C. How new ideas or technologies spread through a social system over time
D. How data are encrypted
Correct Answer: C. How new ideas or technologies spread through a social system over time
Rationale: Rogers explained adoption through categories such as innovators, early adopters
and laggards, which helps plan technology implementation. It is not about pharmacology,
infection or encryption.
5. Health informatics as a broad field includes subspecialties such as:
A. Only medical billing
B. Only radiology
C. Nursing, medical, public health and consumer health informatics
D. Only pharmacy compounding
Correct Answer: C. Nursing, medical, public health and consumer health informatics
Rationale: Informatics spans clinical disciplines and populations. It is not limited to billing,
radiology or pharmacy.
,6. Florence Nightingale is considered an early contributor to informatics because she:
A. Collected and displayed health data graphically to drive improvements in care
B. Invented the computer
C. Wrote the first software program
D. Created the internet
Correct Answer: A. Collected and displayed health data graphically to drive improvements in
care
Rationale: Her statistical charts on soldiers' deaths demonstrated how data could change
practice. She did not invent computers, software or the internet.
7. An informatics nurse uses evidence-based practice when:
A. Choosing designs based only on personal preference
B. Copying another hospital's screens without evaluation
C. Ignoring published guidelines
D. Basing system design decisions on research, best practices and outcome data
Correct Answer: D. Basing system design decisions on research, best practices and outcome
data
Rationale: Evidence improves the likelihood that technology supports safe, effective care.
Personal preference or uncritical copying can introduce risks.
8. A change agent in a technology implementation is a person who:
A. Resists all change
B. Facilitates and guides the change process
C. Has no role in the project
D. Only signs contracts
Correct Answer: B. Facilitates and guides the change process
Rationale: Change agents, often informatics nurses, plan, communicate and support adoption.
They do not resist change or remain uninvolved.
, 9. General systems theory, applied to health information systems, views the system as:
A. A single isolated computer
B. Interrelated parts with inputs, processes, outputs and feedback that interact with the
environment
C. A collection of unrelated parts
D. A static object that never changes
Correct Answer: B. Interrelated parts with inputs, processes, outputs and feedback that
interact with the environment
Rationale: Systems theory helps nurses understand how changes in one part affect others.
Systems are interconnected and dynamic.
10. Informatics nurse roles commonly include:
A. Only switchboard operator
B. Project manager, educator, analyst, consultant and researcher
C. Only security guard
D. Only pharmacist
Correct Answer: B. Project manager, educator, analyst, consultant and researcher
Rationale: The specialty includes many functional roles that span design, implementation,
education and evaluation. The other options are not informatics roles.
11. Benner's novice-to-expert model is used in informatics to:
A. Design databases
B. Guide training and competency development as nurses progress in skill with systems
C. Encrypt data
D. Measure bandwidth
Correct Answer: B. Guide training and competency development as nurses progress in skill
with systems
Rationale: Training approaches differ for novice and expert users, and the model helps tailor
education. It is not a technical design tool.
with Correct Answers
100 questions
1. The Standards of Practice for nursing informatics follow a process similar to:
A. A recipe
B. A sports playbook
C. The nursing process, including assessment, identification of issues, planning, implementation
and evaluation
D. A legal trial
Correct Answer: C. The nursing process, including assessment, identification of issues,
planning, implementation and evaluation
Rationale: Informatics nurses apply a systematic, nursing process-based approach to problems
and projects. The other analogies are not the standards.
2. The informatics nurse's role in policy includes:
A. Advocating for policies that support safe, effective use of health IT and nursing data
B. Avoiding involvement in regulations
C. Writing policies that exclude nurses
D. Focusing only on vendor profits
Correct Answer: A. Advocating for policies that support safe, effective use of health IT and
nursing data
Rationale: Informatics nurses contribute expertise to institutional and national policy. Avoiding
involvement or excluding nurses weakens policy.
,3. A chief nursing informatics officer (CNIO) primarily:
A. Repairs printers
B. Performs all bedside care
C. Leads strategy for clinical information systems to support nursing practice and patient
outcomes
D. Approves only financial budgets
Correct Answer: C. Leads strategy for clinical information systems to support nursing practice
and patient outcomes
Rationale: CNIOs bridge nursing and technology leadership, guiding system design, optimization
and governance. Hardware repair, bedside care and budgets alone are not the role.
4. Rogers' diffusion of innovation theory describes:
A. How drugs diffuse across cell membranes
B. How infection spreads
C. How new ideas or technologies spread through a social system over time
D. How data are encrypted
Correct Answer: C. How new ideas or technologies spread through a social system over time
Rationale: Rogers explained adoption through categories such as innovators, early adopters
and laggards, which helps plan technology implementation. It is not about pharmacology,
infection or encryption.
5. Health informatics as a broad field includes subspecialties such as:
A. Only medical billing
B. Only radiology
C. Nursing, medical, public health and consumer health informatics
D. Only pharmacy compounding
Correct Answer: C. Nursing, medical, public health and consumer health informatics
Rationale: Informatics spans clinical disciplines and populations. It is not limited to billing,
radiology or pharmacy.
,6. Florence Nightingale is considered an early contributor to informatics because she:
A. Collected and displayed health data graphically to drive improvements in care
B. Invented the computer
C. Wrote the first software program
D. Created the internet
Correct Answer: A. Collected and displayed health data graphically to drive improvements in
care
Rationale: Her statistical charts on soldiers' deaths demonstrated how data could change
practice. She did not invent computers, software or the internet.
7. An informatics nurse uses evidence-based practice when:
A. Choosing designs based only on personal preference
B. Copying another hospital's screens without evaluation
C. Ignoring published guidelines
D. Basing system design decisions on research, best practices and outcome data
Correct Answer: D. Basing system design decisions on research, best practices and outcome
data
Rationale: Evidence improves the likelihood that technology supports safe, effective care.
Personal preference or uncritical copying can introduce risks.
8. A change agent in a technology implementation is a person who:
A. Resists all change
B. Facilitates and guides the change process
C. Has no role in the project
D. Only signs contracts
Correct Answer: B. Facilitates and guides the change process
Rationale: Change agents, often informatics nurses, plan, communicate and support adoption.
They do not resist change or remain uninvolved.
, 9. General systems theory, applied to health information systems, views the system as:
A. A single isolated computer
B. Interrelated parts with inputs, processes, outputs and feedback that interact with the
environment
C. A collection of unrelated parts
D. A static object that never changes
Correct Answer: B. Interrelated parts with inputs, processes, outputs and feedback that
interact with the environment
Rationale: Systems theory helps nurses understand how changes in one part affect others.
Systems are interconnected and dynamic.
10. Informatics nurse roles commonly include:
A. Only switchboard operator
B. Project manager, educator, analyst, consultant and researcher
C. Only security guard
D. Only pharmacist
Correct Answer: B. Project manager, educator, analyst, consultant and researcher
Rationale: The specialty includes many functional roles that span design, implementation,
education and evaluation. The other options are not informatics roles.
11. Benner's novice-to-expert model is used in informatics to:
A. Design databases
B. Guide training and competency development as nurses progress in skill with systems
C. Encrypt data
D. Measure bandwidth
Correct Answer: B. Guide training and competency development as nurses progress in skill
with systems
Rationale: Training approaches differ for novice and expert users, and the model helps tailor
education. It is not a technical design tool.
