D220 WGU Study Questions and Answers. WGU Study Questions and Answers.

D220 WGU Study Questions and Answers. 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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-Query based. .1. A nurse is asked to be part of a study. What should the nurse do? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-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? - ANSWER-Question nursing staff about what issues have caused this.