Nursing Informatics
Certification Updated Exam
With Official Questions and
Answers 2025/2026
Metastructure of NI - Correct Answers-The ability of the nurse to utilize data,
information, and knowledge to make wise clinical decisions.
Definition of Nursing Informatics - Correct Answers-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 - Correct Answers-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) - Correct Answers-Used to depect Quality
Management measures. Examples include:
- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - Correct Answers-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) - Correct Answers-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) - Correct Answers-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 - Correct Answers-Structured method to analyze serious
adverse events.
Identifies underlying problems that increase the likelyhood of errors
(retrospective approach)
FOCUS Model and PDCA - Correct Answers-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 - Correct Answers-Nursing Informatics
is is the center of computer, cognitive, and informations sciences under the
umbrella of Nursing Science
Lewin's Theory of Change - Correct Answers-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 - Correct Answers-Focus on removing wasteful practices and
making processes smoother and more efficient
Six Sigma - Correct Answers-Used for process improvement. Project increase
quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
, Leapfrog Group - Correct Answers-Triggers giant leaps in the safety, quality,
and affordability of healthcare by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through
incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - Correct Answers--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 - Correct Answers-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 - Correct Answers-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 - Correct Answers-Sender -
Message - Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs - Correct Answers-Depicted as a pyramid, needs
listed from the base of the pyramid to the top. Based on importance to
survival.
Physiological needs
Safety
Social
Self-Esteem
Self-actualization
Certification Updated Exam
With Official Questions and
Answers 2025/2026
Metastructure of NI - Correct Answers-The ability of the nurse to utilize data,
information, and knowledge to make wise clinical decisions.
Definition of Nursing Informatics - Correct Answers-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 - Correct Answers-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) - Correct Answers-Used to depect Quality
Management measures. Examples include:
- cause and effect diagrams
- flowcharts
- histograms
- Pareto charts
- Run charts
- Control charts
- scatter diagrams
Quality and Safey Education for Nurses (QSEN) - Correct Answers-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) - Correct Answers-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) - Correct Answers-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 - Correct Answers-Structured method to analyze serious
adverse events.
Identifies underlying problems that increase the likelyhood of errors
(retrospective approach)
FOCUS Model and PDCA - Correct Answers-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 - Correct Answers-Nursing Informatics
is is the center of computer, cognitive, and informations sciences under the
umbrella of Nursing Science
Lewin's Theory of Change - Correct Answers-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 - Correct Answers-Focus on removing wasteful practices and
making processes smoother and more efficient
Six Sigma - Correct Answers-Used for process improvement. Project increase
quality and yield while reducing defects and variations.
Define, Measure, Analyze, Improve, Control
, Leapfrog Group - Correct Answers-Triggers giant leaps in the safety, quality,
and affordability of healthcare by:
- supporting informed healthcare decisiona
- promoting high-value healthcare through
incentives and rewards
Good Leapfrog scores - more patients
Regulatory and Accreditation Requirements - Correct Answers--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 - Correct Answers-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 - Correct Answers-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 - Correct Answers-Sender -
Message - Receiver
Obstacles to effective communication:
- Interference (noise)
- Facilitation
- Block (body language, assumptions)
Communication is a continuous loop
Maslow's Hierarchy of Needs - Correct Answers-Depicted as a pyramid, needs
listed from the base of the pyramid to the top. Based on importance to
survival.
Physiological needs
Safety
Social
Self-Esteem
Self-actualization
