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WGU D220 Information Technology in Nursing Practice Study Guide 2026–2027 | Complete Objective Assessment (OA) Exam Prep, Practice Questions & Detailed Answer Explanations

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Prepare for success in WGU D220: Information Technology in Nursing Practice with this comprehensive 2026–2027 study guide. Designed for the Objective Assessment (OA), this resource covers essential nursing informatics concepts, the DIKW framework, electronic health records (EHR), clinical decision support systems (CDSS), healthcare data management, interoperability, HIPAA, cybersecurity, telehealth, evidence-based practice, patient safety, quality improvement, nursing documentation, and healthcare technologies. Includes comprehensive review notes, practice questions, and detailed answer explanations to help reinforce key concepts and build confidence for exam day. WGU describes D220 as a foundational course in nursing informatics that integrates nursing, information, and computer science to support clinical decision-

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WGU D220 Information Technology in Nursing Practice Study Guide
2026–2027 Complete Exam Review, Practice Questions & Key
Concepts
1. Define healthcare data: any data relating to the health of an individual patient or
x x x x x x x x x x x x x




collective population
x x




2. Describe the purpose of healthcare data related to nursing: Theinformationgiven can x x x x x x x x x x x x




create a thorough plan that helps patient outcomes, decrease cost and develop
x x x x x x x x x x x x




abetterplanofcare
x x x x




3. Whatarethreeexamplesofwayshealthcaredatahasinfluencedthepatient care
x x x x x x x x x x x x




provided by nurses: 1.) notice trends in V/S, collaborate & treat accordingly
x x x x x x x x x x x




2.) helppredictanalytics,IDpatientsatriskforcertaindiseaseprocesses
x x x x x x x x x x




3.) evaluate
x EBPprotocols
x




4. Define data framework: Datainformation,knowledge x x x x x




wisdom(DIKW) framework refers to the way data becomes a product that can be usedto x x x x x x x x x x x x x x




positivelyattectpatientcare
x x x x




5. What are the components of the DIKW framework: Data,Information,
x x x x x x x x x




Knowledge, Wisdom x




6. How does each component depend on the previous component: D to I to K to W:
x x x x x x x x x x x x x x x




Data describes the patients disease state, health environment,
x x x x x x x x




information is x




datawithmeaning,
x x




knowledgeisinformationthatisprocessedandorganized so x x x x x x x x




thatitrelatesandinter-actionsareidentified,
x x x x x x x




wisdom is the application of knowledge to solve problems
x x x x x x x x




7. Define Informatics: the science and art of turning data into information
x x x x x x x x x x




8. What fields does health informatics include: Bioinformatics, clinical research
x x x x x x x x




informatics, public health informatics x x x




9. Define foundational skills: the min req/skills needed for an information driven culture
x x x x x x x x x x x





x x

,10. Define Informatics Culture: A broad term related to the application of new information technology that
x x x x x x x x x x x x x x




impact human culture
x x x




11. DefineethicaluseofdataandinformationusingtheAHIMACodeofEthics- x x x x x x x x x x x x




: Consistent with professional standards of practice and essential to safe eflcient
x x x x x x x x x x x




healthcare delivery. x




12. Whatisthenurse'sprimaryroleintheethicaluseofdataandinformation?-
x x x x x x x x x x x x x




: Maintaining privacy r/t PHI from public or individuals not providing direct patient care.
x x x x x x x x x x x x x




13. Define learning healthcare system: health system in which x x x x x x x




internal data and experience systematically integrated with external evidence, and
x x x x x x x x x




xknowledge is put into practice x x x x




14. What is essential to a learning healthcare system?: strongleadership,ettectiveuseof
x x x x x x x x x x x x




data in the clinical setting, and both a culture and workforce committed to continuous learning and improvement.
x x x x x x x x x x x x x x x x




15. Define knowledge worker: Previous knowledge and experience are applied to take action or inter-vene in
x x x x x x x x x x x x x x




some way
x x




16. Whatchangesinthehealthcaresystemincreasedthedemandforknowl-edge
x x x x x x x x x x




workers?: Demands for safe accessible quality care x x x x x x




17. Define standardized languages and terminologies: Structured and controlled lan-
x x x x x x x x




guagesdevelopedaccordingtoterminology
x x x x




development guidelines and approved by an authoritative body. x x x x x x x




Ensures that a concept had the same meaning in all settings
x x x x x x x x x x




18. What arethebenefits oftheuse ofdatastandardization: facilitatecollecting sorting
x x x x x x x x x x x x




retrieval selection and aggregation of data
x x x x x x




19. What are the consequences if data standardization is not used?: Alackofdata
x x x x x x x x x x x x x




standardization jeopardizes opportunities for learning because important data may
x x x x x x x x x




notbeavailableforanalysis
x x x x




20. Define Evidence-based practice: Using current best evidence for patient care decisions in order to
x x x x x x x x x x x x x




improve patient outcomes
x x x




21. How can you identify reliable sources of data?: Ifinformationhas.gov,.edu,or.org
x x x x x x x x x x x x x x




22. Define Big Data: A collection of large data which cannot be analyzed without the use of information
x x x x x x x x x x x x x x x x




technology


x x

, 23. How does big data relate to Meaningful Use?: Providesinsightsintoareaswherequality can be
x x x x x x x x x x x x x x x




improved
x




24. How does Big Data differ from Business intelligence: Bigdatareferstolargedatasets that exist
x x x x x x x x x x x x x x x x




typically within organizations where business intelligence refers to the utilization of this data for analytical purposes from
x x x x x x x x x x x x x x x x x




which actionable information can be derived to make more informed business decisions.
x x x x x x x x x x x x




25. Define data analytics: The science of analyzing raw data to make
x x x x x x x x x x




conclusions about information x x




26. How does data analytics support bedside care: Helpsorganizationsevaluateand detect
x x x x x x x x x x x




anomalies in scans and predict outbreaks in illness
x x x x x x x x




27. Whatarethedifferencesbetweentheconceptofinformationmanagement and
x x x x x x x x x x




knowledge management: Information management focused on data and
x x x x x x x x




IT(collecting,storingandaccessinginformation,whileknowledgemanagementisfocusedonpeopleandprocesses (is
x x x x x x x x x x x x x x x




creating, sharing, using, and managing
x x x x x




knowledge)
28. Define correlates: either two things so related that one directly implies or is complementary to the other, EX:
x x x x x x x x x x x x x x x x x




husbandandwife/ brainsizeasitcorrelates withintelligence
x x x x x x x x x x




29. Give three examples of health correlates: poor nutrition(obesity) , lack of physical activity
x x x x x x x x x x x x




(diabetes)and smoking (increases risk for cancer)
x x x x x x




30. Define Conditions: A restricting, limiting, or modifying circumstance
x x x x x x x




31. Explain the two ways that health conditions are measured: physical measurementsx x x x x x x x x x




andmetric measurements
x x




32. Define Care: watchful or protective attention, caution, concern, prudence, or
x x x x x x x x x




regardusuallytowardsanactionofsituation.Howhealthcareisdeliveredtothe
x x x x x x x x x x x x x




community
x




33. Define Cost: measures the economic and societal costs of healthcare and poor health
x x x x x x x x x x x x




34. Give an example of value-based care: aformof
x x x x x x x x




reimbursement that ties payments for care delivery to the quality of care provided and rewards providers for both eflciency and
x x x x x x x x x x x x x x x x x x x




ettectiveness
x




35. Define insider threat: a threat to an x x x x x x




organization that comes from negligent or malicious insiders, such as employees, former employees, contractors, third-
x x x x x x x x x x x x x x




party vendors, or business partners, who have inside information about cybersecurity practices, sensitive data, and computer
x x x x x x x x x x x x x x x




systems
x





x x

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