WGU D220 (NURSING INFORMATICS ) 2023 -2024 REAL LATEST EXAM WITH 250 QUESTIONS & CORRECT ANSWERS (VERIFIED ANSWERS) WGU D220 LATEST EXAM/ AGRADE (NEW!!) 1. A charge nurse uses the department's smartphone to send a text message containing the patient's la st name, room number, and most recent vital signs to the attending physician. Which federal act does this violate? - ANSWER -Health Insurance Portability and Accountability Act (HIPAA) 1. An adult asks a nurse to look up lab results for their adult family member. How should the nurse respond to this request? - ANSWER -Explain to the family member that lab results are protected health informati on and can only be released to the patient or an authorized representative. 1. A mother brings her child to the emergency department after noticing the child had trouble breathing, refused breastfeeding, and no urine in the diaper within the last eight ho urs. The provider suspects respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record inform the decision to select appropriate infection -control precautions? - ANSWER -The data will identify the pathogen causing the patient's symptoms. 1. A nurse admits an infant with a severe, hacking cough who is vomiting and who has had a fever for the past two weeks. Which data in the electronic health record (EHR) informs the decision to implement infection -control precautio ns? - ANSWER -The nasopharyngeal swab culture results indicate the patient is positive for Bordetella pertussis. 1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? - ANSWER -The medication administration record and the nursing assessment notes from the last shift indicate the patient's level of comfort. 1. Which healthcare data set would allow identification of perfo rmance gaps and establishment of realistic targets for improvement? - ANSWER -Healthcare Effectiveness Data and Information Set (HEDIS) 1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain? - ANSWER -Physician orders 1. A patient completes the course of treatment for tuberculosis and is ready to be discharged home. Which instructions should be included in the patient's discharge education? - ANSWER -Importance of completing the medication prescribed. 1. After a patient's assessment, a nurse observes a de crease in respiration and wheezing on auscultation. Which data set in the medical record informs the decision to implement the ineffective airway clearance nursing care plan? - ANSWER -The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations. 1. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USCDI) st andards? - ANSWER -
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 r ecommends expanding the use of the existing surgical information system (SIS). Which resolution can improve this workflow issue? - ANSWER -Radiofrequency identification (RFID) in patient labels 1. The health administrator at a clinic observes an increase in the number of patients with a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health re cord (EHR) will provide a cross -reference to the impacted patient population? - ANSWER -Patient demographic records 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - ANSWER -Graphical trending 1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles, and persistent cough. Which data set in the medical record from the last shift informs the decision to implement the fluid volume overload care plan? - ANSW ER-Nursing flowsheet and intake and output record 1. Which data set in the electronic health record (EHR) will assist in evaluating the number of positive influenza tests at a facility within the past year? - ANSWER -
Laboratory records 1. Which patients a re ideally positioned to fully engage in their care? - ANSWER -
Patients that are recovering well after a full night of sleep. 1. A nurse is teaching a patient -centered health education course at a hospital. As an informatics nurse leveraging technology to help improve patient understanding, which learner would be more likely to have a low health literacy and require more focus? - ANSWER -An elderly person 1. What is true about improving health literacy? - ANSWER -Improving health literacy leads to better pat ient outcomes. 1. A nurse assists with implementing a new remote patient monitoring (RPM) system for collecting patient data, which improves patient outcomes. Which task is a high priority for an informatics clinician when implementing a new technology for patient data collection? - ANSWER -Identify and define the goal of the technology. 1. Patient use of technology has increased dramatically. While patients are more active in their care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which recommendation should the nurse give to ensure education is accurate? - ANSWER -List credible education resources for the patient's research. 1. What does the informatics nurse recommend to increase attendance to follow -up appointments ? - ANSWER -Automated text or email reminders 1. Pharmacy adds a field into the medication administration record to document the lot number when a chemo medication is administered but fails to communicate this to the nurse responsible for the medication ad ministration documentation. What is a consequence of this action? - ANSWER -Pharmacy cannot determine if there is a problem with a medication batch. 1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making it difficult to know where to document some items. As a result, the nurse uses the notes instead or in addition to documenting in a specific field in the health record. What is the least significant impact of this action? - ANSWER -
Duplicate documentation appears multi ple times in the chart.
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 r ecommends expanding the use of the existing surgical information system (SIS). Which resolution can improve this workflow issue? - ANSWER -Radiofrequency identification (RFID) in patient labels 1. The health administrator at a clinic observes an increase in the number of patients with a complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health re cord (EHR) will provide a cross -reference to the impacted patient population? - ANSWER -Patient demographic records 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - ANSWER -Graphical trending 1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles, and persistent cough. Which data set in the medical record from the last shift informs the decision to implement the fluid volume overload care plan? - ANSW ER-Nursing flowsheet and intake and output record 1. Which data set in the electronic health record (EHR) will assist in evaluating the number of positive influenza tests at a facility within the past year? - ANSWER -
Laboratory records 1. Which patients a re ideally positioned to fully engage in their care? - ANSWER -
Patients that are recovering well after a full night of sleep. 1. A nurse is teaching a patient -centered health education course at a hospital. As an informatics nurse leveraging technology to help improve patient understanding, which learner would be more likely to have a low health literacy and require more focus? - ANSWER -An elderly person 1. What is true about improving health literacy? - ANSWER -Improving health literacy leads to better pat ient outcomes. 1. A nurse assists with implementing a new remote patient monitoring (RPM) system for collecting patient data, which improves patient outcomes. Which task is a high priority for an informatics clinician when implementing a new technology for patient data collection? - ANSWER -Identify and define the goal of the technology. 1. Patient use of technology has increased dramatically. While patients are more active in their care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which recommendation should the nurse give to ensure education is accurate? - ANSWER -List credible education resources for the patient's research. 1. What does the informatics nurse recommend to increase attendance to follow -up appointments ? - ANSWER -Automated text or email reminders 1. Pharmacy adds a field into the medication administration record to document the lot number when a chemo medication is administered but fails to communicate this to the nurse responsible for the medication ad ministration documentation. What is a consequence of this action? - ANSWER -Pharmacy cannot determine if there is a problem with a medication batch. 1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making it difficult to know where to document some items. As a result, the nurse uses the notes instead or in addition to documenting in a specific field in the health record. What is the least significant impact of this action? - ANSWER -
Duplicate documentation appears multi ple times in the chart.
