ANALYZED D220 WGU EXAM QUESTIONS WITH COMPLETE SOLUTIONS
ANALYZED D220 WGU EXAM QUESTIONS WITH COMPLETE SOLUTIONS 1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? - CORRECT ANSWER -The medication administration record and the nursing assessment notes from the last shift indicate the patient's level of comfort. 1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain? - CORRECT 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? - CORRECT ANSWER Importance of completing the medication prescribed. 1. After a patient's assessment, a nurse observes a decrease 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? - CORRECT ANSWER -The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations. 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 record (EHR) will provide a cross-reference to the impacted patient population? - CORRECT ANSWER -Patient demographic records 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - CORRECT 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? - CORRECT ANSWER -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? - CORRECT ANSWER -Laboratory records 1. Which patients are ideally positioned to fully engage in their care? - CORRECT 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? - CORRECT ANSWER -An elderly person 1. What is true about improving health literacy? - CORRECT ANSWER -Improving health literacy leads to better patient 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? - CORRECT 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? - CORRECT ANSWER -List credible education resources for the patient's research. 1. What does the informatics nurse recommend to increase attendance to follow-up appointments? - CORRECT 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
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