D220 WGU Study Questions
1. A charge nurse uses the department's smartphone to send a text message containing the patient's last
name, room number, and most recent vital signs to the attending physician. Which federal act does this
violate? - ANS-Health Insurance Portability and Accountability Act (HIPAA)
1. A clinic employee left a message at home for a patient that included details of both a medical
condition and treatment plan. The patient requested any contact regarding medical conditions be done
through the patient's work phone number. What should the clinic's next steps be? - ANS-Train employees
to provide only the minimum necessary information in messages.
1. A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse recommends
computer-assisted coding (CAC) as a solution. What is the financial benefit of CAC? - ANS-CAC improves
coding accuracy.
1. A facility recently implemented a new EHR. End nurses are now suggesting changes to improve the HR
and workflow processes. Which phase in the SDLC does this describe? - ANS-Maintenance
1. A healthcare organization has determined which outcomes it wants to improve over the next year and
what changes will be implemented to help the organization achieve its goals. The organization builds an
interactive reminder tool in the electronic health record (EHR) for staff. Data can be collected from this
tool to determine if the changes are implemented. Which type of data collection is this? - ANS-Checklist
1. A heparin medication error and a subsequent failure mode effects analysis (FMEA) results in the
purchase of smart pumps. How do smart pumps reduce the potential for medication errors? - ANS-
Dosing limits and alerts are provided.
1. A high number of data-entry fields in the EHR can be overwhelming for staff and make it difficult to
find where information should be documented. Which informatics solution could solve this problem? -
ANS-Cascading documentation
1. A hospital has a surgical department that uses a different EHR from the main EHR (integrated). When a
physician inputs an order in the surgical department, how would you ensure that it is in the main EHR? -
ANS-Chart in one and it will go into the EHR.
,1. A hospital notes a decreased use of barcoded medication administration (BCMA) along with an
increase in medication errors. What should be the next course of action? - ANS-Monitor BCMA usage
reports for trends.
1. A mother brings her child to the emergency department after noticing the child had trouble breathing,
refused breastfeeding, and no urine in the diaper within the last eight hours. The provider suspects
respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record
inform the decision to select appropriate infection-control precautions? - ANS-The data will identify the
pathogen causing the patient's symptoms.
1. A nurse admits an infant with a severe, hacking cough who is vomiting and who has had a fever for the
past two weeks. Which data in the electronic health record (EHR) informs the decision to implement
infection-control precautions? - ANS-The nasopharyngeal swab culture results indicate the patient is
positive for Bordetella pertussis.
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? - ANS-Identify and define the goal of
the technology.
1. A nurse in a primary care provider's office needs to review results from a patient's cardiology
consultation. Using health information exchange (HIE) technology, the nurse requests this information
from the cardiologist's office. Which type of exchange is described? - ANS-Query based.
1. A nurse is asked to be part of a study. What should the nurse do? - ANS-Provide de-identified data.
1. A nurse is documenting the electronic record of a patient while in a common area. The nurse is called
away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the
other area? - ANS-Close the record and log out of the account.
1. A nurse is planning the care for a patient admitted to the hospital with COVID. Which list of
information in the EMR will help the nurse plan the care for this patient? - ANS-The patient's laboratory
results over the last 72 hours.
, 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? - ANS-An elderly person
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? - ANS-Electronic checklist
1. A nurse manager is informed that bedside nurses have begun using a workaround for scanning a
patient's armband prior to medication administration. The nurse manager finds that several patients are
missing armbands and that their armbands are connected to their bed frames. What is the nurse
manager's first course of action for this workaround to bedside-scanning technology? - ANS-Question
nursing staff about what issues have caused this.
1. A nurse performing patient discharge from a facility provides a continuity of care document (CCD) to a
patient and explains the document and contents at discharge. What is a benefit provided by the CCD? -
ANS-It provides a summary of care to patients and clinicians.
1. A nurse scans the barcode of a medication prior to administering it to a patient. Which metric is
reduced when a healthcare system implements a policy which promotes barcode scanning of
medications? - ANS-Medication Errors
1. A nurse supporting a new employee within a patient care setting witnesses the new employee
incorrectly explaining their patient's procedure to other employees in the cafeteria. Which action should
the nurse perform? - ANS-Remind the group of the privacy requirements.
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? - ANS-Duplicate documentation appears multiple times in the chart.
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? - ANS-Importance of
completing the medication prescribed.
1. A charge nurse uses the department's smartphone to send a text message containing the patient's last
name, room number, and most recent vital signs to the attending physician. Which federal act does this
violate? - ANS-Health Insurance Portability and Accountability Act (HIPAA)
1. A clinic employee left a message at home for a patient that included details of both a medical
condition and treatment plan. The patient requested any contact regarding medical conditions be done
through the patient's work phone number. What should the clinic's next steps be? - ANS-Train employees
to provide only the minimum necessary information in messages.
1. A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse recommends
computer-assisted coding (CAC) as a solution. What is the financial benefit of CAC? - ANS-CAC improves
coding accuracy.
1. A facility recently implemented a new EHR. End nurses are now suggesting changes to improve the HR
and workflow processes. Which phase in the SDLC does this describe? - ANS-Maintenance
1. A healthcare organization has determined which outcomes it wants to improve over the next year and
what changes will be implemented to help the organization achieve its goals. The organization builds an
interactive reminder tool in the electronic health record (EHR) for staff. Data can be collected from this
tool to determine if the changes are implemented. Which type of data collection is this? - ANS-Checklist
1. A heparin medication error and a subsequent failure mode effects analysis (FMEA) results in the
purchase of smart pumps. How do smart pumps reduce the potential for medication errors? - ANS-
Dosing limits and alerts are provided.
1. A high number of data-entry fields in the EHR can be overwhelming for staff and make it difficult to
find where information should be documented. Which informatics solution could solve this problem? -
ANS-Cascading documentation
1. A hospital has a surgical department that uses a different EHR from the main EHR (integrated). When a
physician inputs an order in the surgical department, how would you ensure that it is in the main EHR? -
ANS-Chart in one and it will go into the EHR.
,1. A hospital notes a decreased use of barcoded medication administration (BCMA) along with an
increase in medication errors. What should be the next course of action? - ANS-Monitor BCMA usage
reports for trends.
1. A mother brings her child to the emergency department after noticing the child had trouble breathing,
refused breastfeeding, and no urine in the diaper within the last eight hours. The provider suspects
respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record
inform the decision to select appropriate infection-control precautions? - ANS-The data will identify the
pathogen causing the patient's symptoms.
1. A nurse admits an infant with a severe, hacking cough who is vomiting and who has had a fever for the
past two weeks. Which data in the electronic health record (EHR) informs the decision to implement
infection-control precautions? - ANS-The nasopharyngeal swab culture results indicate the patient is
positive for Bordetella pertussis.
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? - ANS-Identify and define the goal of
the technology.
1. A nurse in a primary care provider's office needs to review results from a patient's cardiology
consultation. Using health information exchange (HIE) technology, the nurse requests this information
from the cardiologist's office. Which type of exchange is described? - ANS-Query based.
1. A nurse is asked to be part of a study. What should the nurse do? - ANS-Provide de-identified data.
1. A nurse is documenting the electronic record of a patient while in a common area. The nurse is called
away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the
other area? - ANS-Close the record and log out of the account.
1. A nurse is planning the care for a patient admitted to the hospital with COVID. Which list of
information in the EMR will help the nurse plan the care for this patient? - ANS-The patient's laboratory
results over the last 72 hours.
, 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? - ANS-An elderly person
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? - ANS-Electronic checklist
1. A nurse manager is informed that bedside nurses have begun using a workaround for scanning a
patient's armband prior to medication administration. The nurse manager finds that several patients are
missing armbands and that their armbands are connected to their bed frames. What is the nurse
manager's first course of action for this workaround to bedside-scanning technology? - ANS-Question
nursing staff about what issues have caused this.
1. A nurse performing patient discharge from a facility provides a continuity of care document (CCD) to a
patient and explains the document and contents at discharge. What is a benefit provided by the CCD? -
ANS-It provides a summary of care to patients and clinicians.
1. A nurse scans the barcode of a medication prior to administering it to a patient. Which metric is
reduced when a healthcare system implements a policy which promotes barcode scanning of
medications? - ANS-Medication Errors
1. A nurse supporting a new employee within a patient care setting witnesses the new employee
incorrectly explaining their patient's procedure to other employees in the cafeteria. Which action should
the nurse perform? - ANS-Remind the group of the privacy requirements.
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? - ANS-Duplicate documentation appears multiple times in the chart.
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? - ANS-Importance of
completing the medication prescribed.
