D220 WGU Study Questions and

D220 WGU Study Questions and Answers 2023

• Which data in a medical record would inform the nurse that a PRN pain medication

can be administered to the patient? - Correct Answer The medication administration record and the nursing assessment notes from the last shift indicate the patient's level of comfort.

• Which information in a patient's medical record will help a nurse plan and manage the

patient's pain? - Correct Answer Physician orders

• 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? - Correct Answer Importance of completing the medication prescribed.

• After a patient's assessment, a nurse observes a decrease in respiration and

wheezing on auscultation. Which data set in the medical record informs the decision to implement the ineffective airway clearance nursing care plan? - Correct Answer The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.

• The health administrator at a clinic observes an increase in the number of patients

with a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health record (EHR) will provide a cross-reference to the impacted patient population? - Correct Answer Patient demographic records

• Which view in the electronic health record (EHR) confirms a patient's blood pressure

is stabilizing? - Correct Answer Graphical trending

• After a patient's initial assessment, a nurse observes an increase in edema, bilateral

crackles, and persistent cough. Which data set in the medical record from the last shift informs the decision to implement the fluid volume overload care plan? - Correct Answer Nursing flowsheet and intake and output record

• Which data set in the electronic health record (EHR) will assist in evaluating the

number of positive influenza tests at a facility within the past year? - Correct Answer Laboratory records

• Which patients are ideally positioned to fully engage in their care? - Correct Answer

Patients that are recovering well after a full night of sleep.

• 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? - Correct Answer An elderly person 1 / 3

• What is true about improving health literacy? - Correct Answer Improving health

literacy leads to better patient outcomes.

• 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? - Correct Answer Identify and define the goal of the technology.

• Patient use of technology has increased dramatically. While patients are more active

in their care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which recommendation should the nurse give to ensure education is accurate? - Correct Answer List credible education resources for the patient's research.

• What does the informatics nurse recommend to increase attendance to follow-up

appointments? - Correct Answer Automated text or email reminders

• Pharmacy adds a field into the medication administration record to document the lot

number when a chemo medication is administered but fails to communicate this to the nurse responsible for the medication administration documentation. What is a consequence of this action? - Correct Answer Pharmacy cannot determine if there is a problem with a medication batch.

• 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? - Correct Answer Duplicate documentation appears multiple times in the chart.

• 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? - Correct Answer Electronic checklist

• Which barrier to healthcare informatics use does the HITECH Act aim to reduce? -

Correct Answer Financial

• 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? - Correct Answer A large stand-alone department should go live first.

• While reviewing electronic nursing documentation, a nurse identifies that a patient's

vital signs have declined since the previous shift. Which health information system assisted in this identification? - Correct Answer Electronic health record (EHR) 2 / 3

• The nurse manager of an outpatient laboratory clinic is investigating decreased

patient satisfaction scores and cited delays in receiving lab results. The first step is to review testing turnaround times for the clinic. Which health information system (HIS) should the nurse manager review for this data? - Correct Answer Laboratory information systems (LIS)

• What is a patient safety benefit of a pharmacy information system (PIS)? - Correct

Answer Alerts regarding allergies and interactions

• Standardized terminology was implemented to promote interoperability across

electronic health records (EHRs). Which terminology is specific to laboratory tests, orders, and results? - Correct Answer LOINC

• 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? - Correct Answer It provides a summary of care to patients and clinicians.

• What are patient portals? - Correct Answer Patient portals are facility-owned and

associated with an electronic health record.

• 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? - Correct Answer Monitor BCMA usage reports for trends.

• 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? - Correct Answer Dosing limits and alerts are provided.

• Mobile health (mHealth) apps have demonstrated benefits to patients by increasing

engagement and participation in care. What is a benefit for clinicians? - Correct Answer Integrates with electronic health records (EHRs)

• 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? - Correct Answer CAC improves coding accuracy.

• 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 workaround to bedside-scanning technology? - Correct Answer Question nursing staff about what issues have caused this.

• Currently, a facility uses phones and pagers for clinician communication. This

technology is due for replacement. A nurse recommends replacing with all-in-one

• / 3