D220 PRE-ASSESSMENT EXAM WITH ALL CORRECT &
VERIFIED ANSWERS/ALREADY GRADED A+
Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? Correct answer-The medication administration record and the nursing
assessment notes from the last shift indicate the patient's level of comfort.
Which information in a patient's medical record will help a nurse plan and manage the patient's
pain? Correct answer-Physician orders
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 answer-
Importance of completing the medication prescribed
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? Correct answer-The
data will identify the pathogen causing the patient's symptoms
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? Correct answer-The nasopharyngeal swab culture results
indicate the patient is positive for Bordetella pertussis.
A patient is admitted to the hospital with a painful rash on the left side of the face. The provider
orders the patient to be placed on contact precautions. Which data in the electronic health record
(EHR) informed the decision to implement contact precautions? Correct answer-The skin culture
results indicate the presence of the varicella-zoster virus.
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 answer-The complete health history and allergy list
indicate a history of asthma and seasonal allergies.
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 answer-Patient
demographic records
Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing?
Correct answer-Graphical trending
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 answer-Nursing flowsheet and intake and
output record
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 answer-Laboratory records
, During the evening shift, a nurse notices a significant change in a patient's blood pressure as
compared to the morning shift. Which 24-hour trend information in the electronic health record
(EHR) will help the nurse further evaluate and manage the patient's blood pressure? Correct
answer-The intake and output record
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 answer-
Pharmacy cannot determine if there is a problem with a medication batch.
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 answer-Duplicate documentation appears multiple times in the chart.
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 answer-Electronic checklist
Which barrier to healthcare informatics use does the HITECH Act aim to reduce? Correct answer-
Financial
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 answer-A large stand-alone department should go live first.
Which patients are ideally positioned to fully engage in their care? Correct answer-Patients that
are recovering well after a full night of sleep.
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 answer-An elderly person
What is true about improving health literacy? Correct answer-Improving health literacy leads to
better patient outcomes.
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 answer-Identify
and define the goal of the technology
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 answer-List
credible education resources for the patient's research.
What does the informatics nurse recommend to increase attendance to follow-up appointments?
Correct answer-Automated text or email reminders
VERIFIED ANSWERS/ALREADY GRADED A+
Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? Correct answer-The medication administration record and the nursing
assessment notes from the last shift indicate the patient's level of comfort.
Which information in a patient's medical record will help a nurse plan and manage the patient's
pain? Correct answer-Physician orders
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 answer-
Importance of completing the medication prescribed
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? Correct answer-The
data will identify the pathogen causing the patient's symptoms
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? Correct answer-The nasopharyngeal swab culture results
indicate the patient is positive for Bordetella pertussis.
A patient is admitted to the hospital with a painful rash on the left side of the face. The provider
orders the patient to be placed on contact precautions. Which data in the electronic health record
(EHR) informed the decision to implement contact precautions? Correct answer-The skin culture
results indicate the presence of the varicella-zoster virus.
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 answer-The complete health history and allergy list
indicate a history of asthma and seasonal allergies.
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 answer-Patient
demographic records
Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing?
Correct answer-Graphical trending
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 answer-Nursing flowsheet and intake and
output record
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 answer-Laboratory records
, During the evening shift, a nurse notices a significant change in a patient's blood pressure as
compared to the morning shift. Which 24-hour trend information in the electronic health record
(EHR) will help the nurse further evaluate and manage the patient's blood pressure? Correct
answer-The intake and output record
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 answer-
Pharmacy cannot determine if there is a problem with a medication batch.
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 answer-Duplicate documentation appears multiple times in the chart.
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 answer-Electronic checklist
Which barrier to healthcare informatics use does the HITECH Act aim to reduce? Correct answer-
Financial
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 answer-A large stand-alone department should go live first.
Which patients are ideally positioned to fully engage in their care? Correct answer-Patients that
are recovering well after a full night of sleep.
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 answer-An elderly person
What is true about improving health literacy? Correct answer-Improving health literacy leads to
better patient outcomes.
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 answer-Identify
and define the goal of the technology
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 answer-List
credible education resources for the patient's research.
What does the informatics nurse recommend to increase attendance to follow-up appointments?
Correct answer-Automated text or email reminders
