WGU D220 STUDY 238 QUESTIONS WITH VERIFIED
ANSWERS 2025/2026
The medication administration record and the nursing assessment notes from the
last shift indicate the patient's level of comfort. - CORRECT ANSWER 1. Which data
in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient?
Physician orders - CORRECT ANSWER 1. Which information in a patient's medical
record will help a nurse plan and manage the patient's pain?
Importance of completing the medication prescribed. - CORRECT ANSWER 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?
The radiology report impression indicates pulmonary infiltrates and the nursing
assessment indicates a decrease in respirations. - CORRECT ANSWER 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?
Patient demographic records - CORRECT ANSWER 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?
,Graphical trending - CORRECT ANSWER 1. Which view in the electronic health
record (EHR) confirms a patient's blood pressure is stabilizing?
Nursing flowsheet and intake and output record - CORRECT ANSWER 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?
Laboratory records - CORRECT ANSWER 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?
Patients that are recovering well after a full night of sleep. - CORRECT ANSWER 1.
Which patients are ideally positioned to fully engage in their care?
An elderly person - CORRECT ANSWER 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?
Improving health literacy leads to better patient outcomes. - CORRECT ANSWER 1.
What is true about improving health literacy?
Identify and define the goal of the technology. - CORRECT ANSWER 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?
,List credible education resources for the patient's research. - CORRECT ANSWER 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?
Automated text or email reminders - CORRECT ANSWER 1. What does the
informatics nurse recommend to increase attendance to follow-up appointments?
Pharmacy cannot determine if there is a problem with a medication batch. -
CORRECT ANSWER 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?
Duplicate documentation appears multiple times in the chart. - CORRECT ANSWER
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?
Electronic checklist - CORRECT ANSWER 1. A nurse is working in a medical-surgical
unit assigned care for five patients. The nurse has many tasks to accomplish
during a shift. Which informatics solution assists in ensuring these tasks are
accomplished?
, Financial - CORRECT ANSWER 1. Which barrier to healthcare informatics use does
the HITECH Act aim to reduce?
A large stand-alone department should go live first. - CORRECT ANSWER 1. A
project team is moving a hospital from using paper charting to using an electronic
health record for documentation. How should the project team roll out the
software to reduce the impact on the hospital?
Electronic health record (EHR) - CORRECT ANSWER 1. While reviewing electronic
nursing documentation, a nurse identifies that a patient's vital signs have declined
since the previous shift. Which health information system assisted in this
identification?
Laboratory information systems (LIS) - CORRECT ANSWER 1. The nurse manager of
an outpatient laboratory clinic is investigating decreased patient satisfaction
scores and cited delays in receiving lab results. The first step is to review testing
turnaround times for the clinic. Which health information system (HIS) should the
nurse manager review for this data?
Alerts regarding allergies and interactions - CORRECT ANSWER 1. What is a patient
safety benefit of a pharmacy information system (PIS)?
LOINC - CORRECT ANSWER 1. Standardized terminology was implemented to
promote interoperability across electronic health records (EHRs). Which
terminology is specific to laboratory tests, orders, and results?
It provides a summary of care to patients and clinicians. - CORRECT ANSWER 1. A
nurse performing patient discharge from a facility provides a continuity of care
ANSWERS 2025/2026
The medication administration record and the nursing assessment notes from the
last shift indicate the patient's level of comfort. - CORRECT ANSWER 1. Which data
in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient?
Physician orders - CORRECT ANSWER 1. Which information in a patient's medical
record will help a nurse plan and manage the patient's pain?
Importance of completing the medication prescribed. - CORRECT ANSWER 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?
The radiology report impression indicates pulmonary infiltrates and the nursing
assessment indicates a decrease in respirations. - CORRECT ANSWER 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?
Patient demographic records - CORRECT ANSWER 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?
,Graphical trending - CORRECT ANSWER 1. Which view in the electronic health
record (EHR) confirms a patient's blood pressure is stabilizing?
Nursing flowsheet and intake and output record - CORRECT ANSWER 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?
Laboratory records - CORRECT ANSWER 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?
Patients that are recovering well after a full night of sleep. - CORRECT ANSWER 1.
Which patients are ideally positioned to fully engage in their care?
An elderly person - CORRECT ANSWER 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?
Improving health literacy leads to better patient outcomes. - CORRECT ANSWER 1.
What is true about improving health literacy?
Identify and define the goal of the technology. - CORRECT ANSWER 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?
,List credible education resources for the patient's research. - CORRECT ANSWER 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?
Automated text or email reminders - CORRECT ANSWER 1. What does the
informatics nurse recommend to increase attendance to follow-up appointments?
Pharmacy cannot determine if there is a problem with a medication batch. -
CORRECT ANSWER 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?
Duplicate documentation appears multiple times in the chart. - CORRECT ANSWER
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?
Electronic checklist - CORRECT ANSWER 1. A nurse is working in a medical-surgical
unit assigned care for five patients. The nurse has many tasks to accomplish
during a shift. Which informatics solution assists in ensuring these tasks are
accomplished?
, Financial - CORRECT ANSWER 1. Which barrier to healthcare informatics use does
the HITECH Act aim to reduce?
A large stand-alone department should go live first. - CORRECT ANSWER 1. A
project team is moving a hospital from using paper charting to using an electronic
health record for documentation. How should the project team roll out the
software to reduce the impact on the hospital?
Electronic health record (EHR) - CORRECT ANSWER 1. While reviewing electronic
nursing documentation, a nurse identifies that a patient's vital signs have declined
since the previous shift. Which health information system assisted in this
identification?
Laboratory information systems (LIS) - CORRECT ANSWER 1. The nurse manager of
an outpatient laboratory clinic is investigating decreased patient satisfaction
scores and cited delays in receiving lab results. The first step is to review testing
turnaround times for the clinic. Which health information system (HIS) should the
nurse manager review for this data?
Alerts regarding allergies and interactions - CORRECT ANSWER 1. What is a patient
safety benefit of a pharmacy information system (PIS)?
LOINC - CORRECT ANSWER 1. Standardized terminology was implemented to
promote interoperability across electronic health records (EHRs). Which
terminology is specific to laboratory tests, orders, and results?
It provides a summary of care to patients and clinicians. - CORRECT ANSWER 1. A
nurse performing patient discharge from a facility provides a continuity of care
