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WGU D220 OA Exam Study Guide 2026–2027 Complete Objective Assessment Prep, Practice Questions & Comprehensive Review

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Prepare for the WGU D220 Information Technology in Nursing Practice Objective Assessment (OA) with this comprehensive 2026–2027 study guide. This resource is designed to help students master the core concepts of nursing informatics through comprehensive study notes, practice questions, quiz and test review, and OA-focused preparation. Topics include the DIKW framework, health information technology, electronic health records (EHR), clinical decision support systems (CDSS), interoperability, healthcare data standards, HIPAA, cybersecurity, telehealth, nursing documentation, data analytics, quality improvement, patient safety, evidence-based practice, and the ethical use of health information technology. WGU describes D220 as a foundational nursing informatics course that integrates nursing science, information science, and computer science to support clinical decision-making in healthcare.

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WGU D220 OA Exam Study Guide 2026–2027 Complete Objective
Assessment Prep, Practice Questions & Verified Answers
Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-
operative care after open-heart surgery - correct answers -Provider order




Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets
& provider orders, helps a nurse plan & manage fluctuations in blood glucose levels - correct answers -
MAR




A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of
information in the electronic medical record (EMR) will help the nurse plan the care for this patient -
correct answers -The patient's laboratory results over the last 72 hours.




Which clinical note type is exempt from being shared with patients according to the United States Core
Data for Interoperability (USC DI) standards - correct answers -Psychotherapy notes




Operating room (OR) staff are reliant upon a manual whiteboard for patient tracking. Recently, surgeons
have complained that the turnaround time between surgical cases has increased & blame the manual
tracking system. An informatics nurse recommends expanding the use of the existing surgical
information system (SIS). Which resolution can improve this workflow issue? - correct answers -
Radiofrequency identification (RFID) in patient labels




What is an effective way to reduce the risk of access to electronic protected health information (ePHI)
by unauthorized users - correct answers -Make sure all the users adhere to the security & confidential
policy set forth by the facility.




A patient is being transferred to another hospital, however, the hospital he is being transferred to does
not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his
Electronic Health Record (EHR)? - correct answers -Continuity care record from AMR

,When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should
the nurse find this information? - correct answers -The intake & output chart




Which act in 2009 did Meaningful Use (MU) originate - correct answers -American Recovery &
Reinvestment Act (ARRA) act in 2009




What is the intent of the Clinical Decision Support (CDS) System - correct answers -Providing clinicians
with knowledge & person-specific information.




Which government organization oversees the meaningful use program - correct answers -CMS (Centers
for Medicare and Medicaid Services




A Nursing Innovator & a medsurg nurse want to capture how many patients were seen in a day of 24
hours, how would they best see this - correct answers -Flowsheet




Process for discovering root causes of problems & ID the solution - correct answers -Root cause analysis




What should providers have on their personal mobile devices to protect them from sharing information
when stolen? - correct answers -Authentication & encryption




Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be
completed during the shift - correct answers -Workflow




How does the health information exchange (HIE) improve interoperability within a healthcare
organization - correct answers -It allows patient information to be accessible despite where the patient
is receiving care.

,In a healthcare setting, there is resistance to using a new Electronic Health Record (EHR). The staff
insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which
method should be used to motivate staff to adopt this Electronic Health Record (EHR) - correct answers
-Involve staff in the implementation process.




Which statement defines electronic protected health information (ePHI) - correct answers -It is the
information used to specifically identify an individual.




An informatics nurse is developing a web-based application for patient care. Which statement
accurately describes the internet? - correct answers -An unregulated network of networks




What represents privacy & security risks for telehealth technology? - correct answers -Patients have the
option to use the speakerphone in the telehealth apps.




A restraint committee has been assembled to oversee the need & proper usage of restraints. Which
data element would this committee find least useful in this report? - correct answers -Patient allergy
history




What is a structured method used to analyze serious adverse events? - correct answers -A root cause
analysis (RCA)




Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched,
retrieved, combined, & reported in different ways? - correct answers -Text data




Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities - correct answers
-To prevent medication administration errors

, MRSA - correct answers -contact precautions




Which info in Electronic Medical Records will help nurses manage post-op care for appendectomy -
correct answers -Doctor's orders




The act that recognizes patients need more power in their healthcare, & access to information is key to
making that happen or What act puts patients in charge of their healthcare records? - correct answers -
21st Century Cures Act




Tapping badge - correct answers -Improves documentation time.




Action that demonstrates data mining to improve patient outcomes - correct answers -HbA1c




What to do when Clinical Decision Support (CDS) System is ignored - correct answers -Educate staff on
the importance.




Spouse requests patient's medical records - correct answers -Refer the family member to medical
records.




Comparing infection rates across the states - correct answers -bar graph




Promoting the adoption & implementation of telehealth programs - correct answers -Advocacy




Mom calls asking for the child's info that was seen at the clinic - correct answers -Clinic is unable to
provide the medical records.

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