WGU D220 OA EXAM ANSWERS
A blood pressure cuff or peripheral device linked to the computer or health system is what kind of
technology? - ANS-Biomedical device integration
A clinical informatics nurse specialist wants to optimize the electronic health record (HER) software in
order to decrease documentation time. Which method of data collection should this clinical informatics
nurse specialist use to prioritize the areas improvement?
a. organizational leadership interviews
b. interviews with affected users
c. data analytics tools that quantity usage
d. usability tools that describe the user experience - ANS-interviews with affected users
A clinical transformation group at a healthcare facility uses a flowchart to map the process of admitting a
patient from the emergency department to an inpatient bed. the group's goal is to decrease the time
from admission order to bed placement. How does the flowchart help the group accomplish this goal?
a. Using the flowchart, the group can identify unnecessary steps in the admission process.
b. Using the flowchart, the group can reduce the number of admissions.
c. Using the flowchart, the group can recommend a committee to approach to match admission to a bed.
d. Using the flowchart, the group can suggest nurse-initiated admission orders. - ANS-Using the
flowchart, the group can identify unnecessary steps in the admission process.
A discharge nurse recognizes patients are often disengaged in discharge education because they are
distracted and impatiently waiting to return home. Which strategy should the nurse recommend to
increase patient engagement toward discharge education ?
a. change education to paper instructions for patients to review at home
b. implement a discharge readiness checklist to review throughout the hospital stay
c. perform discharge education with family members instead
,d. clearly communicate expectations of participation in discharge education - ANS-implement a
discharge readiness checklist to review throughout the hospital stay
A doctor receives a urgent phone call from a nurse caring for a patient while the doctor is at a coffee
shop ordering breakfast. How should the doctor proceed in order to prevnt a possible violation of Health
Insurance Portability and Accountability Act (HIPAA)?
a. The doctor should enter orders into the patient's chart using his phone as a hotspot from a location in
the coffee shop with the least amount of nearby customers.
b. The doctor should connect to Wi-Fi at the coffee shop to enter orders for the patient as soon as
possible into the electronic health record (HER)
c. The doctor should ask questions about the patient and provide the nurse verbal orders over the phone
while waiting for breakfast.
d. The doctor should ask the nurse to text him rather than calling as the doctor is in a public location and
unable to speak with the nurse on the phone at this time - ANS-The doctor should ask the nurse to text
him rather than calling as the doctor is in a public location and unable to speak with the nurse on the
phone at this time
A facility has recently implemented dictation at the point of care and clinicians have voiced satisfaction
with new technology.What is the expected evaluation outcome of implementing this feature?
a. Documentation being able to be rapidly sent to transcript for review
b. Improved legibility of documentation without additional equipment
c. Reduced documentation errorsand increased spelling accuracy
d. Clinicians being able to immediately edit and save documentation - ANS-Clinicians being able to
immediately edit and save documentation
A high number of data entry fields in electronic health records (EHRs) can be overwhelming for staff and
can make it difficult to find where information should be documented. Which informatics solution would
solve this problem?
a. A single screen for documentation
b. Documentation pop-up reminders
,c. Documentation using drop-down menus.
d. Documentation displayed by diagnosis - ANS-Documentation using drop-down menu
A high number of data-entry fields in electronic health records can be overwhelming for staff & make it
difficult to find where information should be documented. Which informatics solution could solve this
problem? - ANS-Cascading documentation
A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL
for the month of July to provide to the corporate office. Which type of report should the nurse
informaticists create using information stored in the electronic health record for this one-time request? -
ANS-Short time report
A medication alert pops up. What system is alerting - ANS-Clinical Decision Support (CDS) System
A nurse educator is asked to work with the nurses in the command center of a tele-intensive care unit
(tele-ICU)to address their hesitancy in using this new technology. Which benefit of tele-ICU monitoring
should be emphasized to address this hesitancy?
a. It reduces operational costs
b. It monitors for adverse medical events (ADEs)
c. It increases operational efficiency.
d. It provides consistent support and expertise. - ANS-It provides consistent support and expertise.
A nurse has been asked to set up a secure data capture and collection process for evaluation of a
practice process improvement project? Which approach should the nurse use to help ensure data
security?
a. Collect data on secure access servers.
b. Collect data using electronic format.
c. Collect data within the hospital setting.
d. Collect data with patient permission. - ANS-Collect data on secure access servers.
, 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 -
ANS-The patient's laboratory results over the last 72 hours.
a nurse is planning the care for a patient admitted to the hospital with COVID-19. Which information in
the electronic health record (EHR) would help the nurse plan the care for this patient?
a. The patient's laboratory results over the last 72 hours.
b. The patient's transfer location history since being admitted.
c. The hospital services covered by the patient's health insurance carrier.
d. The nurses who provided care to the patient in the emergency room - ANS-The patient's laboratory
results over the last 72 hours.
A nurse is preparing to teach a patient with diabetes how to best monitor blood sugar levels. Which
factor would most likely affect this patient's ability to understand the educational information in the
patient portal once the patient has returned home?
a. Learning preferences
b. Visual aids
c. Patient locations
d. Time of day - ANS-Learning preferences
A nurse is receiving the report of a patient who will be transferred to the patient care unit from the
emergency department. The patient is experiencing shortness of breath, severe muscle pain and a fever.
Which additional data in this patient's electronic health record would inform the decision to implement
airborne isolation precautions on admission.
a. the nasal swab culture results indicate a pending result for covid-19.
b. the nasal swab culture results indicate the patient is positive for streptococcus (group A)
c. The urinary culture results indicate the patient is positive for Escherichia coli (E. coli)
d. The urinary culture results indicate the result is inconclusive for Escherichia coli (E.coli) - ANS-the nasal
swab culture results indicate a pending result for COVID-19.
A blood pressure cuff or peripheral device linked to the computer or health system is what kind of
technology? - ANS-Biomedical device integration
A clinical informatics nurse specialist wants to optimize the electronic health record (HER) software in
order to decrease documentation time. Which method of data collection should this clinical informatics
nurse specialist use to prioritize the areas improvement?
a. organizational leadership interviews
b. interviews with affected users
c. data analytics tools that quantity usage
d. usability tools that describe the user experience - ANS-interviews with affected users
A clinical transformation group at a healthcare facility uses a flowchart to map the process of admitting a
patient from the emergency department to an inpatient bed. the group's goal is to decrease the time
from admission order to bed placement. How does the flowchart help the group accomplish this goal?
a. Using the flowchart, the group can identify unnecessary steps in the admission process.
b. Using the flowchart, the group can reduce the number of admissions.
c. Using the flowchart, the group can recommend a committee to approach to match admission to a bed.
d. Using the flowchart, the group can suggest nurse-initiated admission orders. - ANS-Using the
flowchart, the group can identify unnecessary steps in the admission process.
A discharge nurse recognizes patients are often disengaged in discharge education because they are
distracted and impatiently waiting to return home. Which strategy should the nurse recommend to
increase patient engagement toward discharge education ?
a. change education to paper instructions for patients to review at home
b. implement a discharge readiness checklist to review throughout the hospital stay
c. perform discharge education with family members instead
,d. clearly communicate expectations of participation in discharge education - ANS-implement a
discharge readiness checklist to review throughout the hospital stay
A doctor receives a urgent phone call from a nurse caring for a patient while the doctor is at a coffee
shop ordering breakfast. How should the doctor proceed in order to prevnt a possible violation of Health
Insurance Portability and Accountability Act (HIPAA)?
a. The doctor should enter orders into the patient's chart using his phone as a hotspot from a location in
the coffee shop with the least amount of nearby customers.
b. The doctor should connect to Wi-Fi at the coffee shop to enter orders for the patient as soon as
possible into the electronic health record (HER)
c. The doctor should ask questions about the patient and provide the nurse verbal orders over the phone
while waiting for breakfast.
d. The doctor should ask the nurse to text him rather than calling as the doctor is in a public location and
unable to speak with the nurse on the phone at this time - ANS-The doctor should ask the nurse to text
him rather than calling as the doctor is in a public location and unable to speak with the nurse on the
phone at this time
A facility has recently implemented dictation at the point of care and clinicians have voiced satisfaction
with new technology.What is the expected evaluation outcome of implementing this feature?
a. Documentation being able to be rapidly sent to transcript for review
b. Improved legibility of documentation without additional equipment
c. Reduced documentation errorsand increased spelling accuracy
d. Clinicians being able to immediately edit and save documentation - ANS-Clinicians being able to
immediately edit and save documentation
A high number of data entry fields in electronic health records (EHRs) can be overwhelming for staff and
can make it difficult to find where information should be documented. Which informatics solution would
solve this problem?
a. A single screen for documentation
b. Documentation pop-up reminders
,c. Documentation using drop-down menus.
d. Documentation displayed by diagnosis - ANS-Documentation using drop-down menu
A high number of data-entry fields in electronic health records can be overwhelming for staff & make it
difficult to find where information should be documented. Which informatics solution could solve this
problem? - ANS-Cascading documentation
A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL
for the month of July to provide to the corporate office. Which type of report should the nurse
informaticists create using information stored in the electronic health record for this one-time request? -
ANS-Short time report
A medication alert pops up. What system is alerting - ANS-Clinical Decision Support (CDS) System
A nurse educator is asked to work with the nurses in the command center of a tele-intensive care unit
(tele-ICU)to address their hesitancy in using this new technology. Which benefit of tele-ICU monitoring
should be emphasized to address this hesitancy?
a. It reduces operational costs
b. It monitors for adverse medical events (ADEs)
c. It increases operational efficiency.
d. It provides consistent support and expertise. - ANS-It provides consistent support and expertise.
A nurse has been asked to set up a secure data capture and collection process for evaluation of a
practice process improvement project? Which approach should the nurse use to help ensure data
security?
a. Collect data on secure access servers.
b. Collect data using electronic format.
c. Collect data within the hospital setting.
d. Collect data with patient permission. - ANS-Collect data on secure access servers.
, 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 -
ANS-The patient's laboratory results over the last 72 hours.
a nurse is planning the care for a patient admitted to the hospital with COVID-19. Which information in
the electronic health record (EHR) would help the nurse plan the care for this patient?
a. The patient's laboratory results over the last 72 hours.
b. The patient's transfer location history since being admitted.
c. The hospital services covered by the patient's health insurance carrier.
d. The nurses who provided care to the patient in the emergency room - ANS-The patient's laboratory
results over the last 72 hours.
A nurse is preparing to teach a patient with diabetes how to best monitor blood sugar levels. Which
factor would most likely affect this patient's ability to understand the educational information in the
patient portal once the patient has returned home?
a. Learning preferences
b. Visual aids
c. Patient locations
d. Time of day - ANS-Learning preferences
A nurse is receiving the report of a patient who will be transferred to the patient care unit from the
emergency department. The patient is experiencing shortness of breath, severe muscle pain and a fever.
Which additional data in this patient's electronic health record would inform the decision to implement
airborne isolation precautions on admission.
a. the nasal swab culture results indicate a pending result for covid-19.
b. the nasal swab culture results indicate the patient is positive for streptococcus (group A)
c. The urinary culture results indicate the patient is positive for Escherichia coli (E. coli)
d. The urinary culture results indicate the result is inconclusive for Escherichia coli (E.coli) - ANS-the nasal
swab culture results indicate a pending result for COVID-19.
