WGU D220 Objective Assessment –
NCLEX & HESI Scenario-Based
Practice Questions
Scenario: Health Information Technology To ensure that health information systems are interoperable
(HIT) Standards and secure.
A nurse is training staff on the importance
of adhering to Health Information
Technology (HIT) standards. Which of the
following best describes the purpose of
these standards?
A nurse is assisting a patient during a I understand your concerns. The telehealth platform uses
telehealth consultation with a specialist. The encryption to protect your information, and we take privacy
patient expresses concern about privacy very seriously.
during the video call. What is the most
appropriate response by the nurse?
A nurse is educating a group of nursing To provide real-time access to patient information for better
students about the purposes of using coordination of care.To support clinical research, identify
electronic health data in a healthcare trends, and promote public health initiatives.
setting. Which of the following are valid
2 multiple choice options
purposes for using electronic health data?
,A nurse is discussing the importance of EDI is a secure method of exchanging data that improves
Electronic Data Interchange (EDI) in communication between healthcare providers, insurers,
healthcare with a patient who is concerned and patients.
about the security of their medical
information. The patient asks how EDI is
used in healthcare and what its benefits are.
Which of the following responses by the
nurse accurately describes the purpose and
benefits of EDI?
A nurse is teaching a group of new nurses Electronic Health Records (EHRs) and health information
about the different sources of electronic exchanges (HIEs).Remote patient monitoring devices and
health data. Which of the following are mobile health apps.Laboratory information systems and
common sources of electronic health data radiology reports.
used in healthcare settings?
A nurse is reviewing a patient's medical The nurse analyzes the patient's electronic health record
history and recent lab results to make (EHR) and lab results to determine if there are any changes in
a decision about the patient's care the patient's condition that require an update to the care plan.
plan. Which of the following best
describes how the nurse is using data-
informed decision-making in
healthcare?
A nurse is preparing an educational session A patient's medical history, medication list, and lab test results.
for new staff members about the types Financial records and insurance claims submitted by
of the patient.Notes from patient-doctor conversations
healthcare data they will work with. Which of during clinical visits.
the following are considered examples of
healthcare data?
A nurse is reviewing a patient's electronic EHRs provide real-time access to patient information,
health record (EHR) before administering improving medication safety.
medications. Which of the following benefits
of using electronic healthcare data
should the nurse highlight?
A nurse is accessing a patient's electronic The patient's current medications and allergies.
health record (EHR) to prepare for an
upcoming procedure. Which type of
information should the nurse prioritize in the
EHR to ensure safe and effective patient
care?
A nurse is using a USB drive to transfer Hospitals should not have device with USB.
patient information to her laptop at work.
After her shift, she takes the USB drive home
to continue working. What is the most
appropriate action the hospital should
implement to prevent data breaches related
to USB drives?
,A nurse is caring for a patient who requires The hospital's electronic health record (EHR) system.
urgent lab tests to assess kidney function.
Where should the nurse go to order these
lab tests
A nurse is explaining the benefits of a The ability to communicate with healthcare providers and
patient portal to a newly admitted patient. request medication refills.
Which of the following points should the
nurse emphasize as a key feature of a
patient portal?
A nurse is educating a group of patients Lab results, medication lists, and appointment schedules.email
about the benefits of using the hospital's doctor
patient portal. Which of the following pieces
of information can patients typically
access through the portal?
A nurse is educating a patient about the The ability to monitor and track health trends, such as blood
use of the patient portal to manage their pressure and blood sugar levels.
care. Which feature should the nurse
highlight as most helpful for patients
managing chronic conditions?
A nurse is preparing to review a patient's lab Electronic Health Record (EHR) system
results before administering medication.
Which health information system should
the nurse use to access the stored lab
results?
A nurse needs to clarify a specific The hospital's electronic health record (EHR) system.
medication order written by the physician.
Which of the following locations is the best
place for the nurse to find detailed
information about that order?
Example Electronic Health Records (EHR) Epic, Meditech, Cerner,eClinicalWorks, All scripts, Oracle
and what is it? Health.Digital version of a patient's paper chart
comprehensive, real-time record of a patient’s health
information that can be shared across different healthcare
settings.
A nurse is reviewing a patient's Discuss the findings with the healthcare team and develop a
electronic medical record (EMR) for a revised care plan.
routine follow-up visit. The EMR indicates
that the patient has not been compliant
with their diabetes management plan,
and the last recorded blood glucose
level was significantly
elevated.What is the nurse's best action
based on the information in the EMR?
, A nurse is reviewing a patient's Hold the medication and verify the patient's allergy
electronic medical record (EMR) before information with the patient or consult the healthcare
administering medications. The nurse provider.
notices a
discrepancy between the prescribed
medication and the patient's reported
allergies.What should the nurse do first?
EHRs are more valuable targets for cyber They hold comprehensive and sensitive patient
attackers. information, including medical history, financial data, and
personal
identifiers.
Which of the following statements is true EMR refers to a patient's medical history in a single practice,
regarding the use of Electronic Medical while EHR encompasses a more comprehensive view of
Records (EMR) and Electronic Health patient health across multiple healthcare settings.
Records (EHR)?
A healthcare worker accidentally leaves a Always lock doors to offices when not in use, ensuring files
patient's file containing sensitive information are stored securely.
open on their desk. This file is accessible to
anyone walking by, which could lead to a
HIPAA violation.What is the best way to
prevent this type of HIPAA violation in the
future?
A nurse is using a health information system Integrating clinical decision support tools for medication
to review a patient's medication history. management.By Providing alerts for drug interactions and
Which function of the health allergies.
information system is most relevant to
ensuring patient safety in this situation?
In which of the following situations should a When working remotely and accessing electronic health
nurse use a Virtual Private Network (VPN) to records (EHR) from a personal device using a public Wi-Fi
ensure secure access to patient information connection.
in a healthcare setting?
A patient comes to a medical facility for EBSCO's Academic Search allows users to access a wide
a routine procedure. A nurse notices that range of databases, including journals, magazines, and
the patient has a temperature that other resources.
fluctuates low at times and asks whether
the patient has
experienced this before. The patient reveals
that this has been happening since they
were an infant. To investigate this condition
further, the nurse uses EBSCO's Academic
Search. Which of the following statements
about EBSCO's Academic Search is correct?
WGU D220 Objective Assessment –
NCLEX & HESI Scenario-Based
Practice Questions
Scenario: Health Information Technology To ensure that health information systems are interoperable
(HIT) Standards and secure.
A nurse is training staff on the importance
of adhering to Health Information
Technology (HIT) standards. Which of the
following best describes the purpose of
these standards?
A nurse is assisting a patient during a I understand your concerns. The telehealth platform uses
telehealth consultation with a specialist. The encryption to protect your information, and we take privacy
patient expresses concern about privacy very seriously.
during the video call. What is the most
appropriate response by the nurse?
A nurse is educating a group of nursing To provide real-time access to patient information for better
students about the purposes of using coordination of care.To support clinical research, identify
electronic health data in a healthcare trends, and promote public health initiatives.
setting. Which of the following are valid
2 multiple choice options
purposes for using electronic health data?
,A nurse is discussing the importance of EDI is a secure method of exchanging data that improves
Electronic Data Interchange (EDI) in communication between healthcare providers, insurers,
healthcare with a patient who is concerned and patients.
about the security of their medical
information. The patient asks how EDI is
used in healthcare and what its benefits are.
Which of the following responses by the
nurse accurately describes the purpose and
benefits of EDI?
A nurse is teaching a group of new nurses Electronic Health Records (EHRs) and health information
about the different sources of electronic exchanges (HIEs).Remote patient monitoring devices and
health data. Which of the following are mobile health apps.Laboratory information systems and
common sources of electronic health data radiology reports.
used in healthcare settings?
A nurse is reviewing a patient's medical The nurse analyzes the patient's electronic health record
history and recent lab results to make (EHR) and lab results to determine if there are any changes in
a decision about the patient's care the patient's condition that require an update to the care plan.
plan. Which of the following best
describes how the nurse is using data-
informed decision-making in
healthcare?
A nurse is preparing an educational session A patient's medical history, medication list, and lab test results.
for new staff members about the types Financial records and insurance claims submitted by
of the patient.Notes from patient-doctor conversations
healthcare data they will work with. Which of during clinical visits.
the following are considered examples of
healthcare data?
A nurse is reviewing a patient's electronic EHRs provide real-time access to patient information,
health record (EHR) before administering improving medication safety.
medications. Which of the following benefits
of using electronic healthcare data
should the nurse highlight?
A nurse is accessing a patient's electronic The patient's current medications and allergies.
health record (EHR) to prepare for an
upcoming procedure. Which type of
information should the nurse prioritize in the
EHR to ensure safe and effective patient
care?
A nurse is using a USB drive to transfer Hospitals should not have device with USB.
patient information to her laptop at work.
After her shift, she takes the USB drive home
to continue working. What is the most
appropriate action the hospital should
implement to prevent data breaches related
to USB drives?
,A nurse is caring for a patient who requires The hospital's electronic health record (EHR) system.
urgent lab tests to assess kidney function.
Where should the nurse go to order these
lab tests
A nurse is explaining the benefits of a The ability to communicate with healthcare providers and
patient portal to a newly admitted patient. request medication refills.
Which of the following points should the
nurse emphasize as a key feature of a
patient portal?
A nurse is educating a group of patients Lab results, medication lists, and appointment schedules.email
about the benefits of using the hospital's doctor
patient portal. Which of the following pieces
of information can patients typically
access through the portal?
A nurse is educating a patient about the The ability to monitor and track health trends, such as blood
use of the patient portal to manage their pressure and blood sugar levels.
care. Which feature should the nurse
highlight as most helpful for patients
managing chronic conditions?
A nurse is preparing to review a patient's lab Electronic Health Record (EHR) system
results before administering medication.
Which health information system should
the nurse use to access the stored lab
results?
A nurse needs to clarify a specific The hospital's electronic health record (EHR) system.
medication order written by the physician.
Which of the following locations is the best
place for the nurse to find detailed
information about that order?
Example Electronic Health Records (EHR) Epic, Meditech, Cerner,eClinicalWorks, All scripts, Oracle
and what is it? Health.Digital version of a patient's paper chart
comprehensive, real-time record of a patient’s health
information that can be shared across different healthcare
settings.
A nurse is reviewing a patient's Discuss the findings with the healthcare team and develop a
electronic medical record (EMR) for a revised care plan.
routine follow-up visit. The EMR indicates
that the patient has not been compliant
with their diabetes management plan,
and the last recorded blood glucose
level was significantly
elevated.What is the nurse's best action
based on the information in the EMR?
, A nurse is reviewing a patient's Hold the medication and verify the patient's allergy
electronic medical record (EMR) before information with the patient or consult the healthcare
administering medications. The nurse provider.
notices a
discrepancy between the prescribed
medication and the patient's reported
allergies.What should the nurse do first?
EHRs are more valuable targets for cyber They hold comprehensive and sensitive patient
attackers. information, including medical history, financial data, and
personal
identifiers.
Which of the following statements is true EMR refers to a patient's medical history in a single practice,
regarding the use of Electronic Medical while EHR encompasses a more comprehensive view of
Records (EMR) and Electronic Health patient health across multiple healthcare settings.
Records (EHR)?
A healthcare worker accidentally leaves a Always lock doors to offices when not in use, ensuring files
patient's file containing sensitive information are stored securely.
open on their desk. This file is accessible to
anyone walking by, which could lead to a
HIPAA violation.What is the best way to
prevent this type of HIPAA violation in the
future?
A nurse is using a health information system Integrating clinical decision support tools for medication
to review a patient's medication history. management.By Providing alerts for drug interactions and
Which function of the health allergies.
information system is most relevant to
ensuring patient safety in this situation?
In which of the following situations should a When working remotely and accessing electronic health
nurse use a Virtual Private Network (VPN) to records (EHR) from a personal device using a public Wi-Fi
ensure secure access to patient information connection.
in a healthcare setting?
A patient comes to a medical facility for EBSCO's Academic Search allows users to access a wide
a routine procedure. A nurse notices that range of databases, including journals, magazines, and
the patient has a temperature that other resources.
fluctuates low at times and asks whether
the patient has
experienced this before. The patient reveals
that this has been happening since they
were an infant. To investigate this condition
further, the nurse uses EBSCO's Academic
Search. Which of the following statements
about EBSCO's Academic Search is correct?
