D220 WGU Study Questions and CORRECT
ANSWERS GRADED A+
- A charge nurse uses the department's smartphone to send a text message containing
the patient's last name, room number, and most recent vital signs to the attending physician. Which federal act does this violate? - Ans Health Insurance Portability and Accountability Act (HIPAA)
- A clinic employee left a message at home for a patient that included details of both a
medical condition and treatment plan. The patient requested any contact regarding medical conditions be done through the patient's work phone number. What should the clinic's next steps be? - Ans Train employees to provide only the minimum necessary information in messages.
- A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse
recommends computer-assisted coding (CAC) as a solution. What is the financial benefit of CAC? - Ans CAC improves coding accuracy.
- A facility recently implemented a new EHR. End nurses are now suggesting changes
to improve the HR and workflow processes. Which phase in the SDLC does this describe? - Ans Maintenance
- A healthcare organization has determined which outcomes it wants to improve over
the next year and what changes will be implemented to help the organization achieve its goals. The organization builds an interactive reminder tool in the electronic health record (EHR) for staff. Data can be collected from this tool to determine if the changes are implemented. Which type of data collection is this? - Ans Checklist
- A heparin medication error and a subsequent failure mode effects analysis (FMEA)
results in the purchase of smart pumps. How do smart pumps reduce the potential for medication errors? - Ans Dosing limits and alerts are provided.
- A high number of data-entry fields in the EHR can be overwhelming for staff and
make it difficult to find where information should be documented. Which informatics solution could solve this problem? - Ans Cascading documentation
- A hospital has a surgical department that uses a different EHR from the main EHR
(integrated). When a physician inputs an order in the surgical department, how would you ensure that it is in the main EHR? - Ans Chart in one and it will go into the EHR.
- A hospital notes a decreased use of barcoded medication administration (BCMA)
along with an increase in medication errors. What should be the next course of action? - Ans Monitor BCMA usage reports for trends.
- A mother brings her child to the emergency department after noticing the child had
trouble breathing, refused breastfeeding, and no urine in the diaper within the last eight 1 / 3
hours. The provider suspects respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record inform the decision to select appropriate infection-control precautions? - Ans The data will identify the pathogen causing the patient's symptoms.
- A nurse admits an infant with a severe, hacking cough who is vomiting and who has
had a fever for the past two weeks. Which data in the electronic health record (EHR) informs the decision to implement infection-control precautions? - Ans The nasopharyngeal swab culture results indicate the patient is positive for Bordetella pertussis.
- A nurse assists with implementing a new remote patient monitoring (RPM) system for
collecting patient data, which improves patient outcomes. Which task is a high priority for an informatics clinician when implementing a new technology for patient data collection? - Ans Identify and define the goal of the technology.
- A nurse in a primary care provider's office needs to review results from a patient's
cardiology consultation. Using health information exchange (HIE) technology, the nurse requests this information from the cardiologist's office. Which type of exchange is described? - Ans Query based.
- A nurse is asked to be part of a study. What should the nurse do? - Ans Provide de-
identified data.
- A nurse is documenting the electronic record of a patient while in a common area.
The nurse is called away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the other area? - Ans Close the record and log out of the account.
- A nurse is planning the care for a patient admitted to the hospital with COVID. Which
list of information in the EMR will help the nurse plan the care for this patient? - Ans The patient's laboratory results over the last 72 hours.
- A nurse is teaching a patient-centered health education course at a hospital. As an
informatics nurse leveraging technology to help improve patient understanding, which learner would be more likely to have a low health literacy and require more focus? - Ans An elderly person
- A nurse is working in a medical-surgical unit assigned care for five patients. The
nurse has many tasks to accomplish during a shift. Which informatics solution assists in ensuring these tasks are accomplished? - Ans Electronic checklist
- A nurse manager is informed that bedside nurses have begun using a workaround for
scanning a patient's armband prior to medication administration. The nurse manager finds that several patients are missing armbands and that their armbands are connected to their bed frames. What is the nurse manager's first course of action for this 2 / 3
workaround to bedside-scanning technology? - Ans Question nursing staff about what issues have caused this.
- A nurse performing patient discharge from a facility provides a continuity of care
document (CCD) to a patient and explains the document and contents at discharge.What is a benefit provided by the CCD? - Ans It provides a summary of care to patients and clinicians.
- A nurse scans the barcode of a medication prior to administering it to a patient.
Which metric is reduced when a healthcare system implements a policy which promotes barcode scanning of medications? - Ans Medication Errors
- A nurse supporting a new employee within a patient care setting witnesses the new
employee incorrectly explaining their patient's procedure to other employees in the cafeteria. Which action should the nurse perform? - Ans Remind the group of the privacy requirements.
- A nurse thinks the electronic health record (EHR) has too many documentation fields,
making it difficult to know where to document some items. As a result, the nurse uses the notes instead or in addition to documenting in a specific field in the health record.What is the least significant impact of this action? - Ans Duplicate documentation appears multiple times in the chart.
- A patient completes the course of treatment for tuberculosis and is ready to be
discharged home. Which instructions should be included in the patient's discharge education? - Ans Importance of completing the medication prescribed.
- A patient is admitted to the hospital with a painful rash on the left side of the face.
- Ans The skin culture results indicate the presence of the varicella-zoster virus.
The provider orders the patient to be placed on contact precautions. Which data in the electronic health record (EHR) informed the decision to implement contact precautions?
- A project team is moving a hospital from using paper charting to using an electronic
health record for documentation. How should the project team roll out the software to reduce the impact on the hospital? - Ans A large stand-alone department should go live first.
- A provider receives a request from a third-party for details of a patients encounter.
When must the provider obtain consent from the patient before releasing this information? - Ans When it is provided to be a life insurer for coverage purposes (do not release life health records to life insurance unless allowed by patient)
- A researcher wants patient's data for a journal, what do you need to provide? - Ans
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Patient consent and de-identified information/data