D220 WGU Study Questions With
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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? - ANS 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? - ANS Physician orders
A
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.
R
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? - ANS The radiology report impression
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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
LA
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? - ANS
Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - ANS Graphical trending
C
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? - ANS Nursing flowsheet and
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intake and output record
1. Which data set in the electronic health record (EHR) will assist in evaluating the number of
D
positive influenza tests at a facility within the past year? - ANS Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - ANS 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? - ANS An
elderly person
, 1. What is true about improving health literacy? - ANS 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? - ANS
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? - ANS List
A
credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
R
appointments? - ANS 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
U
for the medication administration documentation. What is a consequence of this action? - ANS
Pharmacy cannot determine if there is a problem with a medication batch.
LA
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 nurse is working in a medical-surgical unit assigned care for five patients. The nurse has
C
many tasks to accomplish during a shift. Which informatics solution assists in ensuring these
tasks are accomplished? - ANS Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - ANS
O
Financial
1. A project team is moving a hospital from using paper charting to using an electronic health
D
record for documentation. How should the project team roll out the software to reduce the
impact on the hospital? - ANS 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? - ANS 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
Complete Solutions
A
R
U
LA
C
O
D
,1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - ANS 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? - ANS Physician orders
A
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.
R
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? - ANS The radiology report impression
U
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
LA
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? - ANS
Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - ANS Graphical trending
C
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? - ANS Nursing flowsheet and
O
intake and output record
1. Which data set in the electronic health record (EHR) will assist in evaluating the number of
D
positive influenza tests at a facility within the past year? - ANS Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - ANS 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? - ANS An
elderly person
, 1. What is true about improving health literacy? - ANS 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? - ANS
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? - ANS List
A
credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
R
appointments? - ANS 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
U
for the medication administration documentation. What is a consequence of this action? - ANS
Pharmacy cannot determine if there is a problem with a medication batch.
LA
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 nurse is working in a medical-surgical unit assigned care for five patients. The nurse has
C
many tasks to accomplish during a shift. Which informatics solution assists in ensuring these
tasks are accomplished? - ANS Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - ANS
O
Financial
1. A project team is moving a hospital from using paper charting to using an electronic health
D
record for documentation. How should the project team roll out the software to reduce the
impact on the hospital? - ANS 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? - ANS 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
