WGU D220 COMPREHENSIVE ALL QUESTIONS AND
ANSWERS SET A+
✔✔1. During the evening shift, a nurse notices a significant change in a patient's blood
pressure as compared to the morning shift. Which 24-hour trend information in the
electronic health record (EHR) will help the nurse further evaluate and manage the
patient's blood pressure? - ✔✔The intake and output record
✔✔1. We have the date on how much each of our patients paid over the last year,
covering thousands of transactions. Which graph would be best to display this data? -
✔✔Histogram
✔✔1. Looking at a survey of your facilities patients, you see that 917 patients found
your company using an online search, 425 by word of mouth and 217 by seeing your
ads on TV. Which graph would be best to display this data? - ✔✔Bar Graph
✔✔1. Which two care settings would benefit the most from employing a nurse
informatics? - ✔✔A correctional facility with a clinic; A healthcare organization planning
a physical expansion.
✔✔1. Which two practice environments employ informatics nurses? - ✔✔A medical
device manufacturer and clinical system vendor
✔✔1. Which information in an electronic medical record (EMR) helps a nurse plan and
manage a patient's post-operative care after an open-heart surgery? - ✔✔Providers
Orders
✔✔1. Which information in a patient's electronic medical record (EMR), in addition to
the nursing flowsheets and provider orders, helps a nurse plan and manage fluctuations
in blood glucose levels? - ✔✔MAR
,✔✔1. 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? -
✔✔The patient's laboratory results over the last 72 hours.
✔✔1. Which clinical note type is exempt from being shared with patients according to
the United States Core Data for Interoperability (USCDI) standards? -
✔✔Psychotherapy notes
✔✔1. OR staff are reliant on a manual whiteboard for patient tracking. Recently,
surgeons have complained that the turnaround time between surgical cases has
increased and blame the manual system. An informatics nurse recommends expanding
the use of the existing surgical information system (SIS). Which resolution can improve
this workflow issue? - ✔✔Radiofrequency identification (RFID) in patient labels
✔✔1. An ER doctor needs patients' data from a different state. Does the doctor need
patient permission to get it? - ✔✔No
✔✔1. Two nurses are in the cafeteria talking about lab reports and they commit HIPAA
violations. What is the action? - ✔✔$100-50,000 Fines
✔✔1. Medication alert pop ups and what system is alerting? - ✔✔Clinical Decision
Support (CDS) System
✔✔1. Patient Discharge Teaching things to consider: - ✔✔Teach back, 5th grade level,
starts on admission, time of day (especially for diabetics), increase font size or ask the
patient what works best for them.
✔✔1. The hospital announced its integration engine has stopped functioning. What
does this mean for system interoperability throughout the organization? - ✔✔Manually
chart the VS
✔✔1. What is a barrier and benefit to using biometrics? - ✔✔Barrier - Financial; Benefit
- Security
✔✔1. During which phase of the systems development life cycle should a system be
activated to effectively be used by end users - ✔✔Implementation
✔✔1. RN needs to override a medication, which one would she NOT override? -
✔✔Comfort Care patient with 2 new orders
✔✔1. Nurse sends message to doctor, "Mr. Smith, BP 84/74. 54" - ✔✔Not enough
information for the doctor to prescribe treatment.
, ✔✔1. 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? - ✔✔Chart in one and it will go into the
EHR.
✔✔1. Statewide HIE responsible for implementing interoperability standards. What is
the name of the state level HIE and what is the mission off it? - ✔✔Health Level 7
(HL7); To provide a comprehensive framework and related standards for the exchange,
integration, sharing, and retrieval of EHI; enhance interoperability.
✔✔1. Which informatics solution assists in ensuring tasks are accomplished? -
✔✔Electronic checklists
✔✔1. To monitor a patient's blood glucose level, you will need: - ✔✔A nurse flow sheet
✔✔1. Workflow analysis: - ✔✔Also known as the process analysis, involves identifying,
prioritizing and ordering tasks and information needed to achieve the intended results of
a clinical or business process. Workflow analysis mitigates these rights and increases
the chances for success in an IT implementation.
✔✔1. Treatment of patient related to BP measures or fluctuation blood glucose levels: -
✔✔Medication administration and MAR
✔✔1. The ER is trying to improve quality of care and decrease the waste time. Nurse
recognizes a problem and thinks of which solution: - ✔✔Planning phase when the nurse
recognizes a problem and solution.
✔✔1. To create an informatics culture, you should: - ✔✔Assess current state to
determine gaps.
✔✔1. A rural hospital is planning to implement teleradiology in its busy ER department.
What is a security consideration in teleradiology implementations? - ✔✔Access to
patient images
✔✔1. 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? - ✔✔Cascading documentation
✔✔1. How can informatics be used to assess a person's health literacy? -
✔✔Informatics can evaluate current state and determine the resources needed to
determine a patient's level of understanding.
ANSWERS SET A+
✔✔1. During the evening shift, a nurse notices a significant change in a patient's blood
pressure as compared to the morning shift. Which 24-hour trend information in the
electronic health record (EHR) will help the nurse further evaluate and manage the
patient's blood pressure? - ✔✔The intake and output record
✔✔1. We have the date on how much each of our patients paid over the last year,
covering thousands of transactions. Which graph would be best to display this data? -
✔✔Histogram
✔✔1. Looking at a survey of your facilities patients, you see that 917 patients found
your company using an online search, 425 by word of mouth and 217 by seeing your
ads on TV. Which graph would be best to display this data? - ✔✔Bar Graph
✔✔1. Which two care settings would benefit the most from employing a nurse
informatics? - ✔✔A correctional facility with a clinic; A healthcare organization planning
a physical expansion.
✔✔1. Which two practice environments employ informatics nurses? - ✔✔A medical
device manufacturer and clinical system vendor
✔✔1. Which information in an electronic medical record (EMR) helps a nurse plan and
manage a patient's post-operative care after an open-heart surgery? - ✔✔Providers
Orders
✔✔1. Which information in a patient's electronic medical record (EMR), in addition to
the nursing flowsheets and provider orders, helps a nurse plan and manage fluctuations
in blood glucose levels? - ✔✔MAR
,✔✔1. 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? -
✔✔The patient's laboratory results over the last 72 hours.
✔✔1. Which clinical note type is exempt from being shared with patients according to
the United States Core Data for Interoperability (USCDI) standards? -
✔✔Psychotherapy notes
✔✔1. OR staff are reliant on a manual whiteboard for patient tracking. Recently,
surgeons have complained that the turnaround time between surgical cases has
increased and blame the manual system. An informatics nurse recommends expanding
the use of the existing surgical information system (SIS). Which resolution can improve
this workflow issue? - ✔✔Radiofrequency identification (RFID) in patient labels
✔✔1. An ER doctor needs patients' data from a different state. Does the doctor need
patient permission to get it? - ✔✔No
✔✔1. Two nurses are in the cafeteria talking about lab reports and they commit HIPAA
violations. What is the action? - ✔✔$100-50,000 Fines
✔✔1. Medication alert pop ups and what system is alerting? - ✔✔Clinical Decision
Support (CDS) System
✔✔1. Patient Discharge Teaching things to consider: - ✔✔Teach back, 5th grade level,
starts on admission, time of day (especially for diabetics), increase font size or ask the
patient what works best for them.
✔✔1. The hospital announced its integration engine has stopped functioning. What
does this mean for system interoperability throughout the organization? - ✔✔Manually
chart the VS
✔✔1. What is a barrier and benefit to using biometrics? - ✔✔Barrier - Financial; Benefit
- Security
✔✔1. During which phase of the systems development life cycle should a system be
activated to effectively be used by end users - ✔✔Implementation
✔✔1. RN needs to override a medication, which one would she NOT override? -
✔✔Comfort Care patient with 2 new orders
✔✔1. Nurse sends message to doctor, "Mr. Smith, BP 84/74. 54" - ✔✔Not enough
information for the doctor to prescribe treatment.
, ✔✔1. 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? - ✔✔Chart in one and it will go into the
EHR.
✔✔1. Statewide HIE responsible for implementing interoperability standards. What is
the name of the state level HIE and what is the mission off it? - ✔✔Health Level 7
(HL7); To provide a comprehensive framework and related standards for the exchange,
integration, sharing, and retrieval of EHI; enhance interoperability.
✔✔1. Which informatics solution assists in ensuring tasks are accomplished? -
✔✔Electronic checklists
✔✔1. To monitor a patient's blood glucose level, you will need: - ✔✔A nurse flow sheet
✔✔1. Workflow analysis: - ✔✔Also known as the process analysis, involves identifying,
prioritizing and ordering tasks and information needed to achieve the intended results of
a clinical or business process. Workflow analysis mitigates these rights and increases
the chances for success in an IT implementation.
✔✔1. Treatment of patient related to BP measures or fluctuation blood glucose levels: -
✔✔Medication administration and MAR
✔✔1. The ER is trying to improve quality of care and decrease the waste time. Nurse
recognizes a problem and thinks of which solution: - ✔✔Planning phase when the nurse
recognizes a problem and solution.
✔✔1. To create an informatics culture, you should: - ✔✔Assess current state to
determine gaps.
✔✔1. A rural hospital is planning to implement teleradiology in its busy ER department.
What is a security consideration in teleradiology implementations? - ✔✔Access to
patient images
✔✔1. 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? - ✔✔Cascading documentation
✔✔1. How can informatics be used to assess a person's health literacy? -
✔✔Informatics can evaluate current state and determine the resources needed to
determine a patient's level of understanding.
