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WGU D220 Exam Questions with Correct Answers – Complete Study Guide for Nursing Informatics

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This is a complete exam question and answer study guide for WGU D220 Nursing Informatics, containing 328 questions with verified correct answers. The document is a comprehensive review resource covering nursing informatics concepts, electronic health records (EHR), and healthcare information technology. Topics covered include electronic medical records (EMR) and electronic health records (EHR) for planning and managing patient care such as post-operative care, blood glucose fluctuations, and COVID-19 care; the electronic medication administration record (MAR) and computerized provider order entry (CPOE); laboratory results and clinical documentation including nursing flowsheets, intake and output charts, the Kardex, and the worklist; confidentiality, privacy, and security of electronic protected health information (ePHI) including the HIPAA Privacy Rule, HIPAA violation fines, encryption, two-factor authentication, physical and technical safeguards, and role-based access; psychotherapy notes and United States Core Data for Interoperability (USC DI) standards; interoperability, health information exchange (HIE), the Continuity of Care Document (CCD) and Continuity of Care Record (CCR), Health Level Seven (HL7) standards, DICOM standards, and interface and integration; meaningful use and the Merit-Based Incentive Payment System (MIPS), the American Recovery and Reinvestment Act (ARRA) of 2009, the HITECH Act, and the 21st Century Cures Act; clinical decision support (CDS) systems, alerts, and alert fatigue; barcode medication administration (BCMA) and radio frequency identification (RFID); the Systems Development Life Cycle (SDLC), workflow analysis, process analysis, root cause analysis (RCA), and fishbone diagrams; data governance, data integrity, data mining, predictive analytics, benchmarking, and data visualization tools including bar graphs, line graphs, pie charts, and scatter plots; telehealth, teleradiology, mHealth, and biomedical device integration; nursing informatics roles including informatics nurse, informatics nurse specialist, superuser, and clinical analyst; health literacy, patient engagement, the patient portal, and teach-back methods; and government agencies and organizations including CMS, FDA, ONC, The Joint Commission, AHIMA, and Healthy People. Each question is followed by its verified answer, making this study guide useful for exam preparation, concept review, and practice with nursing informatics and healthcare technology content. Students can use it to reinforce understanding of health information systems, regulatory frameworks, quality improvement, and the role of informatics in patient care. The course (WGU D220), document type (exam questions with correct answers), and content coverage are all verified from the uploaded file. No author or edition is stated in the document, so these could not be confirmed.

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WGU D220 Exam Questions with correct
Answers

1. Which information in an electronic medical record (EMP) helps a nurse
plan & manage a patient's post-operative care after open-heart surgery -
ANSWER-Provider orders

2. Which information in a patient's electronic medical record (EMA), in
addition to the nursing flowsheets & provider orders, helps a nurse plan &
manage fluctuation in blood glucose levels - ANSWER-MAR

3. A nurse is planning the care for a patient admitted to the hospital with
COVID-19 Which list of information in the electronic medical record (EMR)
will help the nurse plan the care for this patient - ANSWER-The patient's
laboratory results over the last 72 hours

4. Which clinical note type is exempt from being shared with patients
according to the United States Core Data for Interoperability (USC DI)
standards - ANSWER- Psychotherapy notes

5. Operating room (OR) staf f are reliant upon a manual white board for
patient tracking. Recently, surgeons have complained that the turnaround
time between surgical cases has increased & blame the manual tracking
system. An informatics nurse recommends expanding use of the existing
surgical information system (SIS). Which resolution can improve this
workflow issue - ANSWER-Radio frequency identification (RFID) in patient
labels

6. An informatics nurse & an emergency nurse are conducting an analysis
of a patient admission from the ER - ANSWER-Which tool should these
nurses use for a process analysis? SWOT template

7. What is an effective way to reduce the risk of access of electronic
protected health information (ePHI) by unauthorized users - ANSWER-Make
sure all the users adhere to security & confidential policy set forth by the
facility

8. How does a healthcare policy assure access to health information by
authorized users - ANSWER-It creates a reliable method to verify the
identities of users accessing health information

9. Which statement describes the application of meaningful use -
ANSWER-Provider needs to show the use of the Electronic Health Record
(EHR) technology

,10. What is the typical role of the informatics nurse - ANSWER-Plans,
coordinates, & facilitates education for all computer applications &
software for nursing or clinical user group

11. A patients glucose blood sugar is 400. What is a one-time kind of report -
ANSWER- Ad Hoc

12. Which clinical information technology enables providers to
document patient assessments - ANSWER-Vitals signs capture

13. A patient is being transferred to another hospital, however the hospital
he is being transferred to does not have access to the Electronic Health
Record (EHR) since they use EPIC. How will they receive his Electronic
Health Record (EHR) - ANSWER- Continuity care record from AMR

14. Which statement best describes Nursing Informatics -
ANSWER-"Computer science, decision science, information science,
management science, cognitive science, & organizational theory."

15. The nurse receives report that there are new orders to review.
Where does the nurse look to verify this information - ANSWER-The
Kardex

16. What is the goal of Merit-Based Incentive Payment System (MIPS) &
Meaningful Use (MU) - ANSWER-Patient quality care

17. What is a type of phishing - ANSWER-Trojan

18. What is Data governance - ANSWER-Defines who can take what action,
upon what data, in what situations, using what methods

19. A provider at the hospital had his laptop stolen from his vehicle. What
should be on his laptop to protect it from data breach - ANSWER-Encryption

20. What is the name of the process that begins with conception &
continues through implementation - ANSWER-Systems Development Life
Cycle (SDLC)

21. What is the intent of the Clinical Decision Support (CDS) System -
ANSWER-This is an application that supports healthcare practitioners in
making patient-care decisions

22. What is the term for sharing a person's personal information with other
individuals electronically - ANSWER-Information sharing

23. When a physician arrives on the unit, a nurse is asked about the fluid
status of a patient. Where should the nurse find this information -
ANSWER-The intake & output chart

,24. Why is it important to control the number of warnings in Electronic
Health Record (EHR) - ANSWER-Alert fatigue

25. Which change theory begins with creating urgency - ANSWER-Kotter's
Models

26. Which act in 2009 did Meaningful Use (MU) originate - ANSWER-American
Recover & Reinvestment Act (ARRA) act in 2009

27. What is the primary concern driving Nursing informatic initiative -
ANSWER-Patient safety

28. What can be installed to allow one operation to access another to
enable the exchange of data - ANSWER-Integration

29. Which type of chart uses rectangle, oval & diamonds in both - ANSWER-
Flowchart

30. What is the intent of the Clinical Decision Support (CDS) System -
ANSWER- Providing clinicians with knowledge & person specific
information

31. Information may be kept secret to those with an only need to know -
ANSWER-What is this? Information privacy is the right to choose the
conditions under which information is shared, & to ensure the accuracy of
collected information.

32. Which statement defines interoperability - ANSWER-The extent to which
systems & devices can exchange data & interpret that shared data.

33. Which two statement defines healthcare informatics - ANSWER-
Standardized languages & terminologies to ensure consistent
meanings across all settings

34. What is a physical safeguard of ePHI - ANSWER-Lock on hard drive.
Facility Access Controls Workstation Use Workstation Security - Device &
Media Controls

35. What is a technical safeguard ePHI - ANSWER-Access control. Audit
controls. Authentication.

36. Which government agency recommended to use of bar code
medication administration - ANSWER-FDA

37. What describes an example of opt-in or opt-out choice regarding the
disclosure of personal health information - ANSWER-Your information be
sent to another facility

38. What is an important security consideration related to the use of email

, application to send & receive patient data - ANSWER-Emails have the
potential to go to other users

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