WGU D320 BUNDLED EXAMS VERIFIED
QUESTIONS AND ANSWERS FULL SOLUTION
PACKAGE
◉ 1. Which data in a medical record would inform the nurse that a
PRN pain medication can be administered to the patient? Answer: The
medication administration record and the nursing assessment notes
from the last shift indicate the patient's level of comfort.
◉ 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
QUESTIONS AND ANSWERS FULL SOLUTION
PACKAGE
◉ 1. Which data in a medical record would inform the nurse that a
PRN pain medication can be administered to the patient? Answer: The
medication administration record and the nursing assessment notes
from the last shift indicate the patient's level of comfort.
◉ 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
