Page 1 of 147 1 WGU D220 (NURSING INFORMATICS) EXAM LATEST 2024 -2025 VERSION A, B & C ALL 500 QUESTIONS AND CORRECT ANSWERS BEST GRADED EXCELLENT TOOL TO STUDY D220(NURSING INFORMATICS) EXAM WGU D220(NURSING INFORMATICS) EXAM A 1. A charge nurse uses the department 's smartphone to send a text message containing the patient's last 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. A nu rse scans the barcode of a medication prior to administering it to a patient. Which metric is reduced when a healthcare system implements a policy which promotes barcode scanning of medications? - ANSWER -Medication Errors 1. Which entity is required by Th e Health Insurance Portability and Accountability Act of 1996 (HIPAA) to remove identifying information before sharing information publicly? - ANSWER -
Billing Company 1. A clinic employee left a message at home for a patient that included details of both a medical condition and treatment plan. The patient requested any contact regarding medical conditions be done through the patient's work phone number. What should the clinic's next steps be? - ANSWER -Train employees to provide only the minimum necessary in formation in messages. Page 2 of 147 2 1. Pharmacies are required to maintain logbooks regarding pseudoephedrine purchases. A pharmacy kept their logbooks open on the counter where patients approach to pick up prescription medications. Which statement is true regarding t he pharmacy's logbook? - ANSWER -HIPAA was violated as the logbooks contain protected health information. 1. After a patient leaves an appointment with a healthcare provider, a nurse notices that the patient's printed visit information was left in a public location. Which action adheres to the ethical and legal requirements for the disposal of this material? - ANSWER -The nurse disposes of the printed document in the appropriate document shredder. 1. A nurse supporting a new employee within a patient care setting witnesses the new employee incorrectly explaining their patient's procedure to other employees in t he cafeteria. Which action should the nurse perform? - ANSWER -Remind the group of the privacy requirements. 1. What are the requirements for data collection and tracking in clinical healthcare research? - ANSWER -Include all data whether or not it aligns w ith the expected outcome. 1. A nurse is documenting the electronic record of a patient while in a common area. The nurse is called away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the other area? - ANSWER -Close the record and log out of the account. Page 3 of 147 3 1. Which information should a nurse consider as protected health information (PHI) while evaluating a patient's records? - ANSWER -The patient's gender and date of birth 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 information 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 hours. The provider suspects respiratory syncytial virus and admits the infant to th e 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 precautions? - ANSWER -The nasopharyngeal swab culture results indicate the patient is posit ive for Bordetella pertussis. 1. A patient is admitted to the hospital with a painful rash on the left side of the face. The provider orders the patient to be placed on contact precautions. Which data in the electronic health record (EHR) informed the dec ision to implement contact precautions? - ANSWER -The skin culture results indicate the presence of the varicella -zoster virus. Page 4 of 147 4 1. During the evening shift, a nurse notices a significant change in a patient's blood pressure as compared to the morning shift . Which 24 -hour trend information in the electronic health record (EHR) will help the nurse further evaluate and manage the patient's blood pressure? - ANSWER -The intake and output record 1. We have the date on how much each of our patients paid over the last year, covering thousands of transactions. Which graph would be best to display this data? - ANSWER -
Histogram 1. Looking at a survey of your facilities patients, you see that 917 patients found your company using an online search, 425 by word of mouth and 217 by seeing your ads on TV. Which graph would be best to display this data? - ANSWER -Bar Graph 1. Which two care settings would benefit the most from employing a nurse informatics? - ANSWER -A correctional facility with a clinic; A healthcare organi zation planning a physical expansion. 1. Which two practice environments employ informatics nurses? - ANSWER -A medical device manufacturer and clinical system vendor 1. Which information in an electronic medical record (EMR) helps a nurse plan and manage a patient's post -operative care after an open -heart surgery? - ANSWER -Providers Orders
Billing Company 1. A clinic employee left a message at home for a patient that included details of both a medical condition and treatment plan. The patient requested any contact regarding medical conditions be done through the patient's work phone number. What should the clinic's next steps be? - ANSWER -Train employees to provide only the minimum necessary in formation in messages. Page 2 of 147 2 1. Pharmacies are required to maintain logbooks regarding pseudoephedrine purchases. A pharmacy kept their logbooks open on the counter where patients approach to pick up prescription medications. Which statement is true regarding t he pharmacy's logbook? - ANSWER -HIPAA was violated as the logbooks contain protected health information. 1. After a patient leaves an appointment with a healthcare provider, a nurse notices that the patient's printed visit information was left in a public location. Which action adheres to the ethical and legal requirements for the disposal of this material? - ANSWER -The nurse disposes of the printed document in the appropriate document shredder. 1. A nurse supporting a new employee within a patient care setting witnesses the new employee incorrectly explaining their patient's procedure to other employees in t he cafeteria. Which action should the nurse perform? - ANSWER -Remind the group of the privacy requirements. 1. What are the requirements for data collection and tracking in clinical healthcare research? - ANSWER -Include all data whether or not it aligns w ith the expected outcome. 1. A nurse is documenting the electronic record of a patient while in a common area. The nurse is called away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the other area? - ANSWER -Close the record and log out of the account. Page 3 of 147 3 1. Which information should a nurse consider as protected health information (PHI) while evaluating a patient's records? - ANSWER -The patient's gender and date of birth 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 information 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 hours. The provider suspects respiratory syncytial virus and admits the infant to th e 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 precautions? - ANSWER -The nasopharyngeal swab culture results indicate the patient is posit ive for Bordetella pertussis. 1. A patient is admitted to the hospital with a painful rash on the left side of the face. The provider orders the patient to be placed on contact precautions. Which data in the electronic health record (EHR) informed the dec ision to implement contact precautions? - ANSWER -The skin culture results indicate the presence of the varicella -zoster virus. Page 4 of 147 4 1. During the evening shift, a nurse notices a significant change in a patient's blood pressure as compared to the morning shift . Which 24 -hour trend information in the electronic health record (EHR) will help the nurse further evaluate and manage the patient's blood pressure? - ANSWER -The intake and output record 1. We have the date on how much each of our patients paid over the last year, covering thousands of transactions. Which graph would be best to display this data? - ANSWER -
Histogram 1. Looking at a survey of your facilities patients, you see that 917 patients found your company using an online search, 425 by word of mouth and 217 by seeing your ads on TV. Which graph would be best to display this data? - ANSWER -Bar Graph 1. Which two care settings would benefit the most from employing a nurse informatics? - ANSWER -A correctional facility with a clinic; A healthcare organi zation planning a physical expansion. 1. Which two practice environments employ informatics nurses? - ANSWER -A medical device manufacturer and clinical system vendor 1. Which information in an electronic medical record (EMR) helps a nurse plan and manage a patient's post -operative care after an open -heart surgery? - ANSWER -Providers Orders
