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Exam (elaborations)

WGU D220 EXAM 2025 WITH CORRECT QUESTIONS AND ANSWERS

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1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? CORRECT -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? - CORRECT -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? - CORRECT -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? - CORRECT -The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.

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March 18, 2025
Number of pages
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Written in
2024/2025
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WGU D220 EXAM 2025 WITH CORRECT QUESTIONS AND
ANSWERS



1. Which data in a medical record would inform the nurse that a PRN
pain medication can be administered to the patient? -
CORRECT -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? - CORRECT -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? - CORRECT -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? - CORRECT -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? -
CORRECT -Patient demographic records


1. Which view in the electronic health record (EHR) confirms a patient's
blood pressure is stabilizing? - CORRECT -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? - CORRECT -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? - CORRECT -Laboratory records


1. Which patients are ideally positioned to fully engage in their care? -
CORRECT -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? - CORRECT -An
elderly person


1. What is true about improving health literacy? - CORRECT
-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? -
CORRECT -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? - CORRECT -
List credible education resources for the patient's research.


1. What does the informatics nurse recommend to increase attendance to
follow-up appointments? - CORRECT -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? -
CORRECT -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? - CORRECT -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? -
CORRECT -Electronic checklist


1. Which barrier to healthcare informatics use does the HITECH Act aim
to reduce? - CORRECT -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? -
CORRECT -A large stand-alone department should go live
first.

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