WGU D220 QUESTIONS WITH CORRECT

WGU D220 QUESTIONS WITH CORRECT

ANSWERS ALL 228 Q&A (Actual Exam Questions) (Latest Update 2023)

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

medication can be administered to the patient? - 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? - 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? - 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? - ANSWER The radiology report impression indicates 1 / 4

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? - ANSWER Patient demographic records

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

pressure is stabilizing? - 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? - 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? - ANSWER Laboratory records 2 / 4

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

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? - ANSWER An elderly person

• What is true about improving health literacy? - 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? - ANSWER Identify and define the goal of the technology. 3 / 4

• 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? - ANSWER List credible education resources for the patient's research.

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

up appointments? - 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? - 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? - ANSWER Duplicate documentation appears multiple times in the chart.

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