WGU D220 OA NCLEX® & HESI-Style Scenario-Based Practice Questions 2026–2027 | Information Technology in Nursing Practice Complete Study Guide with Detailed Rationales

WGU D220 OA NCLEX® & HESI-Style Scenario-Based
Practice Questions 2026–2027 Complete Study Guide &
Exam Prep
1. Scenario: Health Information Technology (HIT) Standards o o o o o




A nurse is training staff on the importance of adhering to Health Information
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o Technology (HIT) standards. Which of the following best describes the pur- o o o o o o o o o o




pose of these standards?: Toensurethathealthinformation systemsareinteroperableandsecure.
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2. A nurse is assisting a patient during a telehealth consultation with a special-
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ist. The patient expresses concern about privacy during the video call. What is
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themost appropriate response by the nurse?: Iunderstandyourconcerns.Thetelehealth platform
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uses encryption to protect your information, and we take privacy very seriously.
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3. A nurse is educating a group of nursing students about the purposes of using
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o electronic health data in a healthcare setting. Which of the following are o o o o o o o o o o o




valid purposes for using electronic health data?: Toprovidereal-timeaccesstopatient information
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for better coordination of care.To support clinical research, identify trends, and promote public health initiatives.
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4. A nurse is discussing the importance of Electronic Data Interchange (EDI) in
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ohealthcare with a patient who is concerned about the security of their medical o o o o o o o o o o o o




oinformation. The patient asks how EDI is used in healthcare and what its o o o o o o o o o o o o




obenefits are. Which of the following responses by the nurse accurately o o o o o o o o o o




describesthepurposeandbenefits ofEDI?: EDIisasecuremethodofexchangingdatathat
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improves communication between healthcare providers, insurers, and patients.
o o o o o o o o




5. A nurse is teaching a group of new nurses about the different sources of
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electronic health data. Which of the following are common sources of elec- o o o o o o o o o o o




tronichealthdatausedinhealthcaresettings?: ElectronicHealthRecords(EHRs)andhealth
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information exchanges (HIEs).Remote patient monitoring devices and mobile health apps.Laboratory information
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systemsandradiologyreports.
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6. A nurse is reviewing a patient's medical history and recent lab results to make
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oa decision about the patient's care plan. Which of the following best describes
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o how the nurse is using data-informed decision-making in health-care?: The nurse
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analyzes the patient's electronic health record (EHR) and lab results to determine if there are any changes in the patient's
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condition that require an update to the care plan.
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7. A nurse is preparing an educational session for new staff members about
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the types of healthcare data they will work with. Which of the following are considered
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oexamples of healthcare data?: A patient's medicalhistory, medication list, and lab
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o o

,test results.
o




Financial records and insurance claims submitted by the patient.Notes from patient-doctor conversations during clinical
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visits.
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8. A nurse is reviewing a patient's electronic health record (EHR) before ad-
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ministering medications. Which of the following benefits of using electronic o o o o o o o o o




healthcare data should the nurse highlight?: EHRsprovidereal-timeaccesstopatientinfor-
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mation,improvingmedicationsafety.
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9. A nurse is accessing a patient's electronic health record (EHR) to prepare for
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oan upcoming procedure. Which type of information should the nurse
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prioritizeintheEHRtoensuresafeandeffectivepatientcare?:Thepatient'scurrent
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medications and allergies.
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10. A nurse is using a USB drive to transfer patient information to her laptop at work.
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After her shift, she takes the USB drive home to continue working. What is the most
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appropriate action the hospital should implement to prevent data breaches related to
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USB drives?: Hospitals shouldnothavedevicewith USB.
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11. A nurse is caring for a patient who requires urgent lab tests to assess kidney
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function. Where should the nurse go to order these lab tests: The hospital's electronic health
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record(EHR)system.
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12. A nurse is explaining the benefits of a patient portal to a newly admitted
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patient. Which of the following points should the nurse emphasize as a key
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feature of a patient portal?: Theabilitytocommunicatewithhealthcareprovidersandrequestmedica-tion
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refills.
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13. A nurse is educating a group of patients about the benefits of using the
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hospital's patient portal. Which of the following pieces of information can
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patients typically access through the portal?: Labresults,medicationlists,andappointment
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schedules.email doctor
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14. A nurse is educating a patient about the use of the patient portal to manage
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their care. Which feature should the nurse highlight as most helpful for
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patients managing chronic conditions?: The ability to monitor and track health trends, such as blood
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pressure andblood sugarlevels.
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o o

,15. A nurse is preparing to review a patient's lab results before administering
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omedication. Which health information system should the nurse use to access o o o o o o o o o o




the stored lab results?: ElectronicHealthRecord(EHR)system
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16. A nurse needs to clarify a specific medication order written by the physician.
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Which of the following locations is the best place for the nurse to find detailed
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information about that order?: Thehospital'selectronichealthrecord(EHR)system.
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17. ExampleElectronicHealthRecords(EHR) andwhatisit?: Epic,Meditech,Cerner,eClin- o o o o o o o o o o o




icalWorks, All scripts, Oracle Health.Digital version of a patient's paper chart comprehensive, real-time record of a patient's
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health information that can be shared across ditterent healthcare settings.
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18. A nurse is reviewing a patient's electronic medical record (EMR) for a routine
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follow-up visit. The EMR indicates that the patient has not been compliant with
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otheir diabetes management plan, and the last recorded blood glucose level
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owas significantly elevated.What is the nurse's best action based on the
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information in the EMR?: Discussthefindingswiththehealthcareteamanddeveloparevisedcareplan.
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19. A nurse is reviewing a patient's electronic medical record (EMR) before
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administering medications. The nurse notices a discrepancy between the o o o o o o o o




oprescribed medication and the patient's reported allergies.What should the o o o o o o o o




nurse do first?: Holdthemedicationandverifythepatient'sallergyinformationwiththepatientorconsultthe
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healthcare provider.
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20. EHRs are more valuable targets for cyber attackers.: They hold comprehensive and
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sensitive patient information, including medicalhistory, financial data, andpersonal identifiers.
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21. Which of the following statements is true regarding the use of Electronic
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oMedical Records (EMR) and Electronic Health Records (EHR)?: EMRreferstoapatient's medical
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history in a single practice, while EHR encompasses a more comprehensive view of patient health across multiple
o o o o o o o o o o o o o o o o o




healthcaresettings.
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22. A healthcare worker accidentally leaves a patient's file containing sensitive
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information open on their desk. This file is accessible to anyone walking by,
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which could lead to a HIPAA violation.What is the best way to prevent this type of
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HIPAA violation in the future?: Alwayslockdoorstooflceswhennotinuse,ensuringfilesare stored
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securely.
o




23. A nurse is using a health information system to review a patient's medica-tion
o o o o o o o o o o o o




ohistory. Which function of the health information system is most relevant
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o o

, toensuring patient safety in this situation?: Integratingclinicaldecisionsupporttoolsfor medication
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management.By Providing alerts for drug interactions and allergies.
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24. In which of the following situations should a nurse use a Virtual Private
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Network (VPN) to ensure secure access to patient information in a healthcare
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setting?: When working remotely and accessing electronic health records (EHR) from a personal device using a public
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Wi-Fi connection.
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25. A patient comes to a medical facility for a routine procedure. A nurse notices that
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othe patient has a temperature that fluctuates low at times and asks whether the
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opatient has experienced this before. The patient reveals that this has been
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ohappening since they were an infant. To investigate this condition further, the o o o o o o o o o o o




nurse uses EBSCO's Academic Search. Which of the following statements about
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EBSCO's Academic Search is correct?: EBSCO'sAcademicSearchallows users to access a wide range
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of databases, including journals, magazines, and other resources.
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26. A patient comes to a medical facility for a routine procedure. A nurse notices that
o o o o o o o o o o o o o o




othe patient has a temperature that fluctuates low at times and asks whether the
o o o o o o o o o o o o o




opatient has experienced this before. The patient reveals that this has been
o o o o o o o o o o o




ohappening since they were an infant. To investigate this condition further, the o o o o o o o o o o o




nurse uses EBSCO's Academic Search.: Journalsprovidecredible,peer-reviewed information that can
o o o o o o o o o o o o




assist in understanding the patient's condition.
o o o o o o




27. A patient is struggling to access their online patient portal and asks the
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nurse for help. The nurse understands that assisting with technical issues may be
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ooutside the scope of nursing practice. What is the best course of action for the
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nurse to take?: Directthepatienttothehospital'stechnicalsupportorhelpdeskforassistance.
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28. A nurse is educating a patient about the benefits of using a patient portal.
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The patient asks for an example of what a patient portal can be used for. Which of the
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following is the best example?: Schedulingappointmentswiththeprimarycarephysician.
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29. During a training session on EHR systems, a nurse learns about the im- o o o o o o o o o o o o




portance of maintaining the confidentiality of patient records. Which of o o o o o o o o o




othe following is an example of a practice that protects patient confidentiality
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o within an EHR system?: LoggingoutoftheEHRsystemwhenleavingaworkstationunattended.
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30. Where to find History and physical notes(H&P)?: Medical Records Department,Electronic
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Health Records (EHR),Patient Portals,Direct Communication:
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