PROGRAM: NURSING INFORMATICS STANDARD: WGU D220 2026/2027
E X A M 1 C O M P R E H E N S I V E S T U D Y G U I D E
WGU D220
INFORMATION TECHNOLOGY IN
NURSING PRACTICE
QUESTIONS AND ANSWERS | 100% CORRECT!!
UNIVERSITY COURSE FOCUS EDITION
Western Governors D220 IT in EHR, CDSS, HIPAA, 2026/2027
University (WGU) Nursing Practice Data Analytics & AI
40 4 100 85%
TOTAL QUESTIONS CONTENT SECTIONS TOTAL POINTS PASS THRESHOLD
SEC 1: INFORMATICS & EHR SEC 2: CDSS & TELEHEALTH SEC 3: HIPAA & SECURITY SEC 4: ANALYTICS & 2026
2026 UPDATE | 100% CORRECT | ALREADY PASSED
WESTERN GOVERNORS UNIVERSITY 2026/2027 EDITION D220 OBJECTIVE ASSESSMENT
, Table of Contents
Grading Rubric and Solution Key 2
Section 1: Foundations of Nursing Informatics, EHRs, & Data Standards (Q1-Q10) 4
Section 2: Clinical Decision Support, Telehealth, & Patient Portals (Q11-Q20) 7
Section 3: Information Security, Privacy, HIPAA, & Ethical IT Use (Q21-Q30) 9
Section 4: Data Analytics, Quality Improvement, & 2026 Updates (Q31-Q40) 12
, WGU D220 Information Technology in Nursing Practice | 2026/2027
Grading Rubric and Solution Key
This study guide consists of 40 questions distributed across four major content areas aligned with the Western
Governors University D220 Information Technology in Nursing Practice objective assessment, 2026/2027 academic
standards, and the seamless integration of nursing science with information management and analytical sciences
required for WGU competency-based education. Each question is worth 2.5 points for a total of 100 points. The
following rubric defines scoring criteria, mastery thresholds, and partial credit policies consistent with WGU D220
proficiency standards.
Point Allocation
Each multiple-choice question (Q1-Q40) is valued at 2.5 points. Partial credit of 1.25 points may be awarded for
complex application-level scenarios (e.g., identifying the appropriate standardized terminology for a nursing
diagnosis, selecting the best CDSS feature to prevent a medication error, analyzing a HIPAA violation in a digital
workflow, or interpreting a QI dashboard for a quality improvement initiative) if the candidate correctly identifies the
primary informatics principle but selects a slightly misaligned EHR application or analytical step. No partial credit is
available for recall-level questions testing definitions of informatics concepts, DIKW levels, security protocols, or
technology acronyms.
Mastery Thresholds
Grade A (Target / 100% Correct): 85-100 points (85%+). This score meets the WGU D220 proficiency threshold for
the objective assessment, demonstrating consistent ability to apply nursing informatics principles, navigate EHR
systems effectively, implement clinical decision support, maintain HIPAA compliance, and utilize data analytics for
quality improvement. The candidate is certified as competent in information technology in nursing practice.
Approaching Competency: 70-84 points (70-84%). The candidate demonstrates adequate foundational informatics
knowledge but exhibits inconsistencies in differentiating standardized terminologies, selecting appropriate CDSS
interventions, applying HIPAA Security Rule provisions, or interpreting QI data from clinical dashboards. Focused
review of EHR navigation, data integrity practices, and workflow optimization is recommended.
Below Competency: Below 70 points (<70%). This score indicates significant knowledge gaps requiring
comprehensive remediation of nursing informatics fundamentals, HIPAA regulations, EHR utilization, information
security practices, and data analytics principles before retaking the D220 objective assessment.
Partial Credit Framework
For application and analysis-level questions involving multi-step informatics reasoning, partial credit (1.25 points) is
awarded when the candidate correctly identifies the primary informatics concept (e.g., correctly identifies a HIPAA
violation but selects the wrong reporting timeline, or correctly identifies the need for CDSS but selects alerts instead
of order sets for the scenario). Full credit (2.5 points) requires both accurate concept identification and precise
application aligned with 2026/2027 WGU D220 objectives, ONC interoperability standards, and current HIPAA
regulations.
Cognitive Level Distribution
Recall (30%, 12 questions): Tests fundamental knowledge of the ANA definition of nursing informatics, DIKW
continuum levels, EHR architecture components, HIPAA Privacy and Security Rules, cybersecurity threat types, and
data analytics terminology. Application (50%, 20 questions): Requires selecting standardized terminologies for
specific documentation tasks, choosing CDSS features to prevent clinical errors, applying telehealth workflows to
patient scenarios, implementing security measures for PHI, and using EHR data for quality improvement. Analysis
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