WGU D220 Exam Questions with correct Answers. Latest 2024/2025update.

WGU D220 Exam Questions with correct Answers. Latest 2024/2025update. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery -Correct Answer: Provider orders Which information in a patient's electronic medical record (EMA), in addition to the nursing flow sheets & provider orders, helps a nurse plan & manage fluctuation in blood glucose levels -Correct Answer: MAR 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 -Correct Answer: The patient's laboratory results over the last 72 hours Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards -Correct Answer: Psychotherapy notes Operating room (OR) staff are reliant upon a manual white board for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased & blame the manual tracking system. An informatics nurse recommends expanding use of the existing surgical information system (SIS). Which resolution can improve this workflow issue -Correct Answer: Radio frequency identification (RFID) in patient labels An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER -Correct Answer: Which tool should these nurses use for a process analysis? SWOT template What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users -Correct Answer: Make sure all the users adhere to security & confidential policy set forth by the facility How does a healthcare policy assure access to health information by authorized users -Correct Answer: It creates a reliable method to verify the identities of users accessing health information Which statement describes the application of meaningful use -Correct Answer: Provider needs to show the use of the Electronic Health Record (EHR) technology What is the typical role of the informatics nurse -Correct Answer: Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group A patients glucose blood sugar is 400. What is a one-time kind of report -Correct Answer: Ad Hoc Which clinical information technology enables providers to document patient assessments -Correct Answer: Vitals signs capture A patient is being transferred to another hospital, however the hospital he is being transferred to does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they receive his Electronic Health Record (EHR) -Correct Answer: Continuity care record from AMR Which statement best describes Nursing Informatics -Correct Answer: "Computer science, decision science, information science, management science, cognitive science, & organizational theory." The nurse receives report that there are new orders to review. Where does the nurse look to verify this information -Correct Answer: The Kardex What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use (MU) -Correct Answer: Patient quality care What is a type of phishing -Correct Answer: Trojan What is Data governance -Correct Answer: Defines who can take what action, upon what data, in what situations, using what methods A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach -Correct Answer: Encryption What is the name of the process that begins with conception & continues through implementation -Correct Answer: Systems Development Life Cycle (SDLC) What is the intent of the Clinical Decision Support (CDS) System -Correct Answer: This is an application that supports healthcare practitioners in making patient-care decisions What is the term for sharing a person's personal information with other individuals electronically -Correct Answer: Information sharing When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where should the nurse find this information -Correct Answer: The intake & output chart Why is it important to control the number of warnings in Electronic Health Record (EHR) -Correct Answer: Alert fatigue Which change theory begins with creating urgency -Correct Answer: Kotter's Models Which act in 2009 did Meaningful Use (MU) originate -Correct Answer: American Recover & Reinvestment Act (ARRA) act in 2009 What is the primary concern driving Nursing informatic initiative -Correct Answer: Patient safety What can be installed to allow one operation to access another to enable the exchange of data -Correct Answer: Integration Which type of chart uses rectangle, oval & diamonds in both -Correct Answer: Flowchart What is the intent of the Clinical Decision Support (CDS) System -Correct Answer: Providing clinicians with knowledge & person specific information Information may be kept secret to those with an only need to know -Correct Answer: What is this? Information privacy is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information. Which statement defines interoperability -Correct Answer: The extent to which systems & devices can exchange data & interpret that shared data. Which two statement defines healthcare informatics -Correct Answer: Standardized languages & terminologies to ensure consistent meanings across all settings What is a physical safeguard of ePHI -Correct Answer: Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls What is a technical safeguard ePHI -Correct Answer: Access control. Audit controls. Authentication. Which government agency recommended to use of bar code medication administration -Correct Answer: FDA What describes an example of opt-in or opt-out choice regarding the disclosure of personal health information -Correct Answer: Your information be sent to another facility What is an important security consideration related to the use of email application to send & receive patient data -Correct Answer: Emails have the potential to go to other users What are the maximum penalties for refraining from full participation in the Merit- Based Incentive Payment System (MIPS) in years 2017 through 2024 -Correct Answer: Merit- Based Incentive Payment System (MIPS) penalty for failing to comply? 3-8% Which government organization oversees the meaningful use program -Correct Answer: CMS Where are POLST (advanced care directives) found on the computer -Correct Answer: Media tab What Meaningful use stage can you generate & transmit Rx electronically -Correct Answer: Stage 3 A nurse has a new order for an anti-arrhythmic drug via IV drip. What needs to be done before this medication can be safely administered -Correct Answer: Use the 5 rights of medication administration What item describes a basic network code that determines the roles used to create & route packets of data between network devices -Correct Answer: Interface 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 -Correct Answer: Short time report A Nursing Innovator & medsurg nurse want to capture how many patients were seen in a day of 24 hours, how would they best see this -Correct Answer: Flowsheet What is the first thing patients should do to access their health records -Correct Answer: Ask for access to their documents Process for discovering root causes of problems & ID the solution -Correct Answer: Root cause analysis Where do you document a patient's allergy -Correct Answer: History & physical What facility first used the Barcode Medication Administration (BCMA) -Correct Answer: Veterans hospital of Topeka, Kansas If your patient's barcode bracelet is not working & you needed to pass meds what would you do -Correct Answer: Check the armband for damage, change the band if necessary Which is a physician's clinical informatics assessment -Correct Answer: Vital signs What are the ICD ICD10 international classification of diseases -Correct Answer: LOINC & SNOMED Provider wants you to change an order what tab would you look under -Correct Answer: Order summary tab There are different systems for L&D & the hospital, how would you check for orders & medications -Correct Answer: Log out of L&D system & log into the Hospital system What should providers have on their personal mobile devices to protect it from sharing information when stolen -Correct Answer: Authentication & encryption Which government agency recommended the use of the barcode medication administration -Correct Answer: ONCHIT What are two barriers of adopting the Clinical Decision Support (CDS) in an Electronic Health Record (EHR) -Correct Answer: Limited resources & Communication information exchange Which stage of the Systems Development Life Cycle (SDLC) would data be collected from the systems users regarding their analysis -Correct Answer: Needs Where is the continuity of care documented -Correct Answer: Electronic Health Record (EHR) Which phase of the system life cycle involves using needs assessment to identify the exportation of the system -Correct Answer: Needs/Design A physician's group would like to change the current EBP protocol for treating asthma. How should the IN determine validity of the new EBP protocol -Correct Answer: Solid clinical trials Which Merit-Based Incentive Payment System (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians -Correct Answer: HITCECH act Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to be completed during the shift -Correct Answer: Workflow When developing new clinical workflow, what is one of the first steps that should be taken -Correct Answer: Review old progress & old documents You are contacted by a confused user because their legend changes on each screen they go into, would you tell them -Correct Answer: The screen symbols change on each screen depending on the activities done Which feature will allow a user to navigate between authorized applications & resources within a single organization -Correct Answer: Interface A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take -Correct Answer: Call MD & verify order & MD enter order remotely What are three common reasons for HIPPA violation citations -Correct Answer: 1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone Which item enhances interoperability between organizations when exchanging patient data electronically -Correct Answer: Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging What plays a primary role in the usability of an Electronic Health Record (EHR) -Correct Answer: Clinical workflow & efficiency Stored information in the Electronic Health Record (EHR) can be instantly searched, retrieved, combined, & reported in different ways. What is this describing -Correct Answer: Data integrity What is nursing informatics a combination of differentiating it from other nursing disciplines -Correct Answer: Nursing, information, & analytical sciences Which two statements define healthcare informatics (HI) -Correct Answer: A tool to improve practice & patient care. A field that involves the secure sharing of information Which Electronic Health Record (EHR) challenge can a nurse informaticist help support & change -Correct Answer: Analyzing & redesigning workflows Which task is representative of the role of the nurse informaticist -Correct Answer: Acting as a superuser At a nursing facility, the recent quality report details only 30% of patients received the influenza vaccine in the prior flu season. Nurses within the medical unit state the result is too low. Which area should an informatics nurse review to understand the quality report results -Correct Answer: Electronic Health Record (EHR) charting data What should an informatics nurse do to support the entry of standardized data into an electronic health record (Electronic Health Record (EHR)) -Correct Answer: Use terminologies approved by the ANA A new computerized provider order entry is being implemented in the hospital. The nurse informaticist plays a role in all areas of this implementation. Which measure is crucial for a successful implantation -Correct Answer: Workflow design When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek -Correct Answer: Information that is accurate, timely, complete, concise, & relevant EBP is essential for clinical decision making. Which model supports EBP -Correct Answer: Problem, intervention, comparison, outcome, time (PICOT) What did meaningful use promote -Correct Answer: Increased interoperability Which statement describes the application of meaningful use -Correct Answer: Patient satisfaction is improved, which results in better patient satisfaction scores What describes the goal of Electronic Health Record (EHR) incentive programs, such as meaningful use -Correct Answer: To promote the achievement of quality, safety, & efficiency measures In conducting & providing a quality audit, it was noted the provider was free texting data instead of selecting the proper codes to capture & bill for their services. When educating this provider on properly selecting codes & decreasing free texting what is a rationale for why this is important -Correct Answer: Interoperability The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data -Correct Answer: DICOM standards. Health Level 7 standards. What is the responsibility of a superuser -Correct Answer: To support the system in a given unit & assist users with functionality & procedural issues A nursing clinical analyst is being interviewed by a nursing student who is requesting a detailed explanation of the role of a nursing informaticist. Which nursing informaticist goals would this clinical analyst offer in response -Correct Answer: The goals facilitate an environment where technology, information, & understanding directs nurses' judgment What is the role of the informatics nurse working with Electronic Health Record (EHR) -Correct Answer: To improve patient safety What is a reason to have standardized terminology within a healthcare setting -Correct Answer: It provides the effective exchange of information between providers What is the harmonization of terminologies -Correct Answer: It fosters interoperability in health information systems Which item describes a basic network code that determines the rules used to create & route packet of data between network devices -Correct Answer: Transmission control protocol/internet protocol (TCP/IP)