WGU EXAM +t
Exam Solution +t
D220 WGU Study Questions 2026 A+ GRADE ASSURED C
+t +t +t +t +t +t +t +t
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (71DAC +t +t +t +t +t
)
QUESTION 1 +t
1. Which data in a medical record would inform the nurse that a PRN pain medication ca
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
n be administered to the patient?
+t +t +t +t +t
ANSWER
The medication administration record and the nursing assessment notes from the last shift indicate the
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
patient's level of comfort. +t +t +t
QUESTION 2 +t
1. Which information in a patient's medical record will help a nurse plan and manage th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e patient's pain?
+t +t
ANSWER
Physician orders +t
QUESTION 3 +t
1. A patient completes the course of treatment for tuberculosis and is ready to be discha
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
rged home. Which instructions should be included in the patient's discharge education?
+t +t +t +t +t +t +t +t +t +t +t
ANSWER
Importance of completing the medication prescribed.
+t +t +t +t +t
QUESTION 4 +t
1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
on auscultation. Which data set in the medical record informs the decision to implement
+t +t +t +t +t +t +t +t +t +t +t +t +t +
the ineffective airway clearance nursing care plan?
t +t +t +t +t +t +t
,ANSWER
The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a
+t +t +t +t +t +t +t +t +t +t +t +t +t
decrease in respirations. +t +t
QUESTION 5 +t
1. The health administrator at a clinic observes an increase in the number of patients wi
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
th a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the elec
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
tronic health record (EHR) will provide a cross-
+t +t +t +t +t +t +t
reference to the impacted patient population? +t +t +t +t +t
ANSWER
Patient demographic records+t +t
QUESTION 6 +t
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure i
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
s stabilizing?
+t
ANSWER
Graphical trending +t
QUESTION 7 +t
1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral cr
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
ackles, and persistent cough. Which data set in the medical record from the last shift inf
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
orms the decision to implement the fluid volume overload care plan?
+t +t +t +t +t +t +t +t +t +t
ANSWER
Nursing flowsheet and intake and output record
+t +t +t +t +t +t
QUESTION 8 +t
1. Which data set in the electronic health record (EHR) will assist in evaluating the num
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ber of positive influenza tests at a facility within the past year?
+t +t +t +t +t +t +t +t +t +t +t
ANSWER
Laboratory records +t
QUESTION 9 +t
1. Which patients are ideally positioned to fully engage in their care?
+t +t +t +t +t +t +t +t +t +t +t
,ANSWER
Patients that are recovering well after a full night of sleep.
+t +t +t +t +t +t +t +t +t +t
QUESTION 10 +t
1. A nurse is teaching a patient-
+t +t +t +t +t +t
centered health education course at a hospital. As an informatics nurse leveraging techn
+t +t +t +t +t +t +t +t +t +t +t +t
ology to help improve patient understanding, which learner would be more likely to hav
+t +t +t +t +t +t +t +t +t +t +t +t +t
e a low health literacy and require more focus?
+t +t +t +t +t +t +t +t
ANSWER
An elderly person
+t +t
QUESTION 11 +t
1. What is true about improving health literacy?
+t +t +t +t +t +t +t
ANSWER
Improving health literacy leads to better patient outcomes.
+t +t +t +t +t +t +t
QUESTION 12 +t
1. A nurse assists with implementing a new remote patient monitoring (RPM) system for
+t +t +t +t +t +t +t +t +t +t +t +t +t
collecting patient data, which improves patient outcomes. Which task is a high priority f
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
or an informatics clinician when implementing a new technology for patient data collecti
+t +t +t +t +t +t +t +t +t +t +t +t
on?
ANSWER
Identify and define the goal of the technology.
+t +t +t +t +t +t +t
QUESTION 13 +t
1. Patient use of technology has increased dramatically. While patients are more active i
+t +t +t +t +t +t +t +t +t +t +t +t +t
n their care, a nurse notes they are often misinformed or obtain information that is inac
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
curate. Which recommendation should the nurse give to ensure education is accurate?
+t +t +t +t +t +t +t +t +t +t +t
ANSWER
List credible education resources for the patient's research.
+t +t +t +t +t +t +t
QUESTION 14 +t
, 1. What does the informatics nurse recommend to increase attendance to follow-
+t +t +t +t +t +t +t +t +t +t +t
up appointments?
+t
ANSWER
Automated text or email reminders +t +t +t +t
QUESTION 15 +t
1. Pharmacy adds a field into the medication administration record to document the lot
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
number when a chemo medication is administered but fails to communicate this to the n
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
urse responsible for the medication administration documentation. What is a consequen
+t +t +t +t +t +t +t +t +t +t
ce of this action?
+t +t +t
ANSWER
Pharmacy cannot determine if there is a problem with a medication batch.
+t +t +t +t +t +t +t +t +t +t +t
QUESTION 16 +t
1. A nurse thinks the electronic health record (EHR) has too many documentation fields,
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
making it difficult to know where to document some items. As a result, the nurse uses th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e notes instead or in addition to documenting in a specific field in the health record. Wh
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
at is the least significant impact of this action?
+t +t +t +t +t +t +t +t
ANSWER
Duplicate documentation appears multiple times in the chart.
+t +t +t +t +t +t +t
QUESTION 17 +t
1. A nurse is working in a medical-
+t +t +t +t +t +t +t
surgical unit assigned care for five patients. The nurse has many tasks to accomplish dur
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
ing a shift. Which informatics solution assists in ensuring these tasks are accomplished?
+t +t +t +t +t +t +t +t +t +t +t +t
ANSWER
Electronic checklist +t
QUESTION 18 +t
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
+t +t +t +t +t +t +t +t +t +t +t +t +t
ANSWER
Financial
Exam Solution +t
D220 WGU Study Questions 2026 A+ GRADE ASSURED C
+t +t +t +t +t +t +t +t
OMPLETE SOLUTIONS AND VERIFIED ANSWERS (71DAC +t +t +t +t +t
)
QUESTION 1 +t
1. Which data in a medical record would inform the nurse that a PRN pain medication ca
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
n be administered to the patient?
+t +t +t +t +t
ANSWER
The medication administration record and the nursing assessment notes from the last shift indicate the
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
patient's level of comfort. +t +t +t
QUESTION 2 +t
1. Which information in a patient's medical record will help a nurse plan and manage th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e patient's pain?
+t +t
ANSWER
Physician orders +t
QUESTION 3 +t
1. A patient completes the course of treatment for tuberculosis and is ready to be discha
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
rged home. Which instructions should be included in the patient's discharge education?
+t +t +t +t +t +t +t +t +t +t +t
ANSWER
Importance of completing the medication prescribed.
+t +t +t +t +t
QUESTION 4 +t
1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
on auscultation. Which data set in the medical record informs the decision to implement
+t +t +t +t +t +t +t +t +t +t +t +t +t +
the ineffective airway clearance nursing care plan?
t +t +t +t +t +t +t
,ANSWER
The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a
+t +t +t +t +t +t +t +t +t +t +t +t +t
decrease in respirations. +t +t
QUESTION 5 +t
1. The health administrator at a clinic observes an increase in the number of patients wi
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
th a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the elec
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
tronic health record (EHR) will provide a cross-
+t +t +t +t +t +t +t
reference to the impacted patient population? +t +t +t +t +t
ANSWER
Patient demographic records+t +t
QUESTION 6 +t
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure i
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
s stabilizing?
+t
ANSWER
Graphical trending +t
QUESTION 7 +t
1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral cr
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
ackles, and persistent cough. Which data set in the medical record from the last shift inf
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
orms the decision to implement the fluid volume overload care plan?
+t +t +t +t +t +t +t +t +t +t
ANSWER
Nursing flowsheet and intake and output record
+t +t +t +t +t +t
QUESTION 8 +t
1. Which data set in the electronic health record (EHR) will assist in evaluating the num
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
ber of positive influenza tests at a facility within the past year?
+t +t +t +t +t +t +t +t +t +t +t
ANSWER
Laboratory records +t
QUESTION 9 +t
1. Which patients are ideally positioned to fully engage in their care?
+t +t +t +t +t +t +t +t +t +t +t
,ANSWER
Patients that are recovering well after a full night of sleep.
+t +t +t +t +t +t +t +t +t +t
QUESTION 10 +t
1. A nurse is teaching a patient-
+t +t +t +t +t +t
centered health education course at a hospital. As an informatics nurse leveraging techn
+t +t +t +t +t +t +t +t +t +t +t +t
ology to help improve patient understanding, which learner would be more likely to hav
+t +t +t +t +t +t +t +t +t +t +t +t +t
e a low health literacy and require more focus?
+t +t +t +t +t +t +t +t
ANSWER
An elderly person
+t +t
QUESTION 11 +t
1. What is true about improving health literacy?
+t +t +t +t +t +t +t
ANSWER
Improving health literacy leads to better patient outcomes.
+t +t +t +t +t +t +t
QUESTION 12 +t
1. A nurse assists with implementing a new remote patient monitoring (RPM) system for
+t +t +t +t +t +t +t +t +t +t +t +t +t
collecting patient data, which improves patient outcomes. Which task is a high priority f
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
or an informatics clinician when implementing a new technology for patient data collecti
+t +t +t +t +t +t +t +t +t +t +t +t
on?
ANSWER
Identify and define the goal of the technology.
+t +t +t +t +t +t +t
QUESTION 13 +t
1. Patient use of technology has increased dramatically. While patients are more active i
+t +t +t +t +t +t +t +t +t +t +t +t +t
n their care, a nurse notes they are often misinformed or obtain information that is inac
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
curate. Which recommendation should the nurse give to ensure education is accurate?
+t +t +t +t +t +t +t +t +t +t +t
ANSWER
List credible education resources for the patient's research.
+t +t +t +t +t +t +t
QUESTION 14 +t
, 1. What does the informatics nurse recommend to increase attendance to follow-
+t +t +t +t +t +t +t +t +t +t +t
up appointments?
+t
ANSWER
Automated text or email reminders +t +t +t +t
QUESTION 15 +t
1. Pharmacy adds a field into the medication administration record to document the lot
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
number when a chemo medication is administered but fails to communicate this to the n
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
urse responsible for the medication administration documentation. What is a consequen
+t +t +t +t +t +t +t +t +t +t
ce of this action?
+t +t +t
ANSWER
Pharmacy cannot determine if there is a problem with a medication batch.
+t +t +t +t +t +t +t +t +t +t +t
QUESTION 16 +t
1. A nurse thinks the electronic health record (EHR) has too many documentation fields,
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
making it difficult to know where to document some items. As a result, the nurse uses th
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
e notes instead or in addition to documenting in a specific field in the health record. Wh
+t +t +t +t +t +t +t +t +t +t +t +t +t +t +t +t
at is the least significant impact of this action?
+t +t +t +t +t +t +t +t
ANSWER
Duplicate documentation appears multiple times in the chart.
+t +t +t +t +t +t +t
QUESTION 17 +t
1. A nurse is working in a medical-
+t +t +t +t +t +t +t
surgical unit assigned care for five patients. The nurse has many tasks to accomplish dur
+t +t +t +t +t +t +t +t +t +t +t +t +t +t
ing a shift. Which informatics solution assists in ensuring these tasks are accomplished?
+t +t +t +t +t +t +t +t +t +t +t +t
ANSWER
Electronic checklist +t
QUESTION 18 +t
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
+t +t +t +t +t +t +t +t +t +t +t +t +t
ANSWER
Financial