WGU D220 ACTUAL EXAM PAPER 2026
QUESTIONS WITH ANSWERS GRADED A+
◉ 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 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.
◉ 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?
Answer: Electronic checklist
◉ 1. Which barrier to healthcare informatics use does the HITECH Act
aim to reduce? Answer: Financial
◉ 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?
Answer: A large stand-alone department should go live first.
◉ 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?
Answer: Electronic health record (EHR)
◉ 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
QUESTIONS WITH ANSWERS GRADED A+
◉ 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 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.
◉ 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?
Answer: Electronic checklist
◉ 1. Which barrier to healthcare informatics use does the HITECH Act
aim to reduce? Answer: Financial
◉ 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?
Answer: A large stand-alone department should go live first.
◉ 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?
Answer: Electronic health record (EHR)
◉ 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
