Technology Latest 2026/2027 with Complete Solution
Nursing Informatics & Health Information Technology | Key Domains: Nursing Informatics Concepts
& Theories, Health Information Systems (EHR, CPOE, CDSS), Data Management & Standardized
Languages (NANDA, NIC, NOC), Information & Knowledge Management, Ethical & Legal Issues
(HIPAA, HITECH), Evidence-Based Practice & Research, Quality Improvement & Patient Safety, and
Technology's Role in Patient Care & Education | Expert-Aligned Structure | Comprehensive Solution
Format
Introduction
This structured guide for WGU C468 for 2026/2027 provides a complete solution set for the
Information Management and Application of Technology course. It emphasizes the role of the nurse
in managing health information, leveraging technology to improve patient outcomes, ensuring data
integrity and security, and applying informatics principles to support clinical decision-making,
evidence-based practice, and patient education.
Course Solution Structure:
• Complete Course Solution Set: (ALL ASSESSMENTS & KEY CONCEPTS)
Solution Format
All correct answers, key system functionalities, and optimal documentation practices must appear
in bold and cyan blue, accompanied by concise rationales explaining the informatics concept, the
appropriate use of health IT to support care, the relevant privacy/security regulation, the impact on
nursing workflow or patient safety, and why alternative options are incorrect or violate informatics
best practices.
1. Which nursing informatics theory describes the interaction between data, information,
knowledge, and wisdom in clinical decision-making?
A. Systems Theory
B. DIKW Model (Data-Information-Knowledge-Wisdom)
C. Change Theory
D. Nursing Process
,B. DIKW Model (Data-Information-Knowledge-Wisdom)
The DIKW model is foundational in nursing informatics. It illustrates how raw data (e.g., vital signs)
becomes information (organized data), then knowledge (interpreted in context), and ultimately
wisdom (applied ethically and effectively in practice). This framework guides EHR design and clinical
decision support.
2. A nurse documents a patient’s diagnosis as “acute pain related to surgical incision.” Which
standardized nursing language is being used?
A. NIC (Nursing Interventions Classification)
B. NOC (Nursing Outcomes Classification)
C. NANDA-I (North American Nursing Diagnosis Association)
D. SNOMED CT
C. NANDA-I (North American Nursing Diagnosis Association)
NANDA-I provides standardized diagnostic labels like “acute pain.” NIC classifies interventions (e.g.,
“pain management”), and NOC measures outcomes (e.g., “pain level decreased”). SNOMED CT is a
general clinical terminology, not nursing-specific.
3. Which feature of an Electronic Health Record (EHR) directly supports patient safety by
reducing medication errors?
A. Appointment scheduling
B. Computerized Provider Order Entry (CPOE) with clinical decision support (CDSS)
C. Patient billing module
D. Digital photo storage
B. Computerized Provider Order Entry (CPOE) with clinical decision support (CDSS)
, CPOE eliminates illegible handwriting, and CDSS provides real-time alerts for drug-allergy
interactions, incorrect dosing, or duplicate therapies—significantly reducing adverse drug events.
Scheduling (A) and billing (C) do not impact medication safety.
4. Under HIPAA, what is the appropriate action if a nurse accesses the medical record of a
patient they are not assigned to care for?
A. No action is needed if no information is shared
B. This is a potential privacy violation and must be reported
C. It is acceptable if the patient is a family member
D. Only supervisors can access unassigned records
B. This is a potential privacy violation and must be reported
HIPAA’s “minimum necessary” rule requires access only to information needed for treatment, payment,
or operations. Accessing unassigned records violates patient privacy, regardless of intent or sharing.
Such incidents trigger internal audits and potential disciplinary action.
5. A hospital implements barcode medication administration (BCMA). What is the primary
purpose of this technology?
A. To speed up medication dispensing
B. To scan the patient’s wristband and medication to ensure the right drug, dose, patient, route,
and time
C. To reduce pharmacy inventory costs
D. To automate documentation in the EHR
B. To scan the patient’s wristband and medication to ensure the right drug, dose, patient,
route, and time
BCMA is a patient safety tool that verifies the “five rights” at the bedside by matching the patient’s ID
barcode with the medication barcode. This prevents administration errors due to misidentification or
wrong drug selection.