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D220 Healthcare Informatics – 150+ Exam Questions & Answers on EHR, HIPAA, CDSS, Telehealth – Western Governors University

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This document is a comprehensive exam preparation resource for the D220 Healthcare Informatics course, featuring over 150 detailed multiple-choice questions and answers designed to reinforce key learning objectives and improve test readiness. It focuses on real-world applications and exam-aligned content, making it an essential tool for mastering healthcare informatics. Topics covered include Electronic Health Records (EHR), Clinical Decision Support Systems (CDSS), HIPAA compliance, health information exchanges (HIE), remote patient monitoring (RPM), telehealth solutions, workflow optimization, data governance, smart medical technologies, and informatics terminology. Each question is paired with an accurate, concise answer to help students grasp complex concepts quickly and effectively. This document is especially useful for: WGU students taking D220 Healthcare Informatics Nursing and BSN/MSN students Health Information Management (HIM) students Students in healthcare administration or IT-related healthcare programs Professionals preparing for healthcare informatics certifications or clinical system roles It supports both academic success and practical knowledge in the field of healthcare technology and informatics, making it a valuable addition to any student's study toolkit. Keywords: healthcare informatics, clinical decision support, HIPAA, EHR, telehealth, remote patient monitoring, informatics nurse, barcode medication administration, workflow analysis, patient safety, data governance, health literacy, system development life cycle, computer-assisted coding, nursing documentation, health information exchange, smart pumps, health IT, data privacy, HITECH

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D220 WGU Study Questions 2025/2026
Exam All Answers and Illustrations
Given



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 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 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? - 🧠 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? - 🧠 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? - 🧠 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? - 🧠 ANSWER ✔✔Laboratory records


1. Which patients are 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 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? - 🧠 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


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, 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

administration 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 multiple times in the chart.

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