WGU D220 INFORMATICS FINAL EXAM QUESTIONS & ANSWERS GRADED A+ 2024

1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-operative care after open-heart surgery Provider orders 2. Which information in a patient's electronic medical record (EMA), in addition to the nursing flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels MAR 3. 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 The patient's laboratory results over the last 72 hours Nurse is planning care for a patient with lab results showing pending Covid results, what would she initiate ? Initiate airborne precautions 4. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USC DI) standards Psychotherapy notes 5. 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 Radio frequency identification (RFID) in patient labels 6. An informatics nurse & an emergency nurse are conducting an analysis of a patient admission from the ER. Which tool should these nurses use for a process analysis? SWOT template 7. What is an effective way to reduce the risk of access of electronic protected health information (ePHI) by unauthorized users Make sure all the users adhere to security & confidential policy set forth by the facility 8. How does a healthcare policy assure access to health information by authorized users It creates a reliable method to verify the identities of users accessing health information 9. Which statement describes the application of meaningful use Provider needs to show the use of the Electronic Health Record (EHR) technology 10. What is the typical role of the informatics nurse Plans, coordinates, & facilitates education for all computer applications & software for nursing or clinical user group 11. A patients glucose blood sugar is 400. What is a one-time kind of report Ad Hoc 12. Which clinical information technology enables providers to document patient assessments Vitals signs capture 13. 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) Continuity care record from AMR 14. Which statement best describes Nursing Informatics "Computer science, decision science, information science, management science, cognitive science, & organizational theory." 15. The nurse receives report that there are new orders to review. Where does the nurse look to verify this information The Kardex 16. What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use (MU) Patient quality care 17. What is a type of phishing Trojan 18. What is Data governance Defines who can take what action, upon what data, in what situations, using what methods 19. A provider at the hospital had his laptop stolen from his vehicle. What should be on his laptop to protect it from data breach Encryption 20. What is the name of the process that begins with conception & continues through implementation Systems Development Life Cycle (SDLC) 21. What is the intent of the Clinical Decision Support (CDS) System This is an application that supports healthcare practitioners in making patient-care decisions 22. What is the term for sharing a person's personal information with other individuals electronically Information sharing 23. 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 The intake & output chart 24. Why is it important to control the number of warnings in Electronic Health Record (EHR) Alert fatigue Why is it important for healthcare providers to not ignore alerts? To prevent medication errors 25. Which change theory begins with creating urgency Kotter's Models 26. Which act in 2009 did Meaningful Use (MU) originate American Recover & Reinvestment Act (ARRA) act in 2009 27. What is the primary concern driving Nursing informatic initiative Patient safety 28. What can be installed to allow one operation to access another to enable the exchange of data Integration 29. Which type of chart uses rectangle, oval & diamonds in both Flowchart 30. What is the intent of the Clinical Decision Support (CDS) System Providing clinicians with knowledge & person specific information 31. Information may be kept secret to those with an only need to know. What is this? Information privacy - is the right to choose the conditions under which information is shared, & to ensure the accuracy of collected information. 32. Which statement defines interoperability The extent to which systems & devices can exchange data & interpret that shared data. 33. Which two statement defines healthcare informatics Standardized languages & terminologies to ensure consistent meanings across all settings 34. What is a physical safeguard of ePHI Lock on hard drive. Facility Access Controls Workstation Use Workstation Security - Device & Media Controls 35. What is a technical safeguard ePHI Access control. Audit controls. Authentication. 36. Which government agency recommended to use of bar code medication administration FDA 37. What describes an example of opt-in or opt-out choice regarding the disclosure of personal health information Your information be sent to another facility 38. What is an important security consideration related to the use of email application to send & receive patient data Emails have the potential to go to other users 39. What are the maximum penalties for refraining from full participation in the Merit-Based Incentive Payment System (MIPS) in years 2017 through 2024 penalty for failing to comply is a 3-8% fine 40. Which government organization oversees the meaningful use program CMS 41. Where are POLST (advanced care directives) found on the computer Media tab 42. What Meaningful use stage can you generate & transmit Rx electronically Stage 3 43. 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 Use the 5 rights of medication administration 44. What item describes a basic network code that determines the roles used to create & route packets of data between network devices Interface 45. 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 Short time report 46. 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 Flowsheet 47. What is the first thing patients should do to access their health records Ask for access to their documents 48. Process for discovering root causes of problems & ID the solution Root cause analysis 49. Where do you document a patient's allergy History & physical 50. What facility first used the Barcode Medication Administration (BCMA) Veterans hospital of Topeka, Kansas 51. If your patient's barcode bracelet is not working & you needed to pass meds what would you do Check the armband for damage, change the band if necessary 52. Which is a physician's clinical informatics assessment Vital signs 53. What are the ICD ICD10 international classification of diseases LOINC & SNOMED 54. Provider wants you to change an order what tab would you look under Order summary tab 55. There are different systems for L&D & the hospital, how would you check for orders & medications Log out of L&D system & log into the Hospital system 56. What should providers have on their personal mobile devices to protect it from sharing information when stolen Authentication & encryption 57. Which government agency recommended the use of the barcode medication administration ONCHIT 58. What are two barriers of adopting the Clinical Decision Support (CDS) in an Electronic Health Record (EHR) Limited resources & Communication information exchange 59. Which stage of the Systems Development Life Cycle (SDLC) would data be collected from the systems users regarding their analysis Needs 60. Where is the continuity of care documented Electronic Health Record (EHR) 61. Which phase of the system life cycle involves using needs assessment to identify the exportation of the system Needs/Design 62. 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 Solid clinical trials 63. Which Merit-Based Incentive Payment System (MIPS) merit-based incentive payment system performance replaces Meaningful Use (MU) for physicians HITCECH act 64. 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 Workflow 65. When developing new clinical workflow, what is one of the first steps that should be taken Review old progress & old documents 66. You are contacted by a confused user because their legend changes on each screen they go into, would you tell them The screen symbols change on each screen depending on the activities done 67. Which feature will allow a user to navigate between authorized applications & resources within a single organization Interface 68. A nurse is entering a verbal medication order & encounters a warning the entry is a duplicate. Which action does the nurse take Call MD & verify order & MD enter order remotely 69. What are three common reasons for HIPPA violation citations 1. Lost or stolen unencrypted devices, 2. Social media postings, 3. Taking a patient photo with a personal phone 70. Which item enhances interoperability between organizations when exchanging patient data electronically Continuity of Care Document (CDD) or Continuity of Care Record (CCR) via direct messaging 71. What plays a primary role in the usability of an Electronic Health Record (EHR) Clinical workflow & efficiency 72. Stored information in the Electronic Health Record (EHR) can be instantly searched, retrieved, combined, & reported in different ways. What is this describing Data integrity 73. What is nursing informatics a combination of differentiating it from other nursing disciplines Nursing, information, & analytical sciences 74. Which two statements define healthcare informatics (HI) A tool to improve practice & patient care. A field that involves the secure sharing of information 75. Which Electronic Health Record (EHR) challenge can a nurse informaticist help support & change Analyzing & redesigning workflows 76. Which task is representative of the role of the nurse informaticist Acting as a superuser 77. 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 Electronic Health Record (EHR) charting data 78. What should an informatics nurse do to support the entry of standardized data into an electronic health record (Electronic Health Record (EHR)) Use terminologies approved by the ANA 79. 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 Workflow design 80. When deciding on a technology tool for the delivery of EBP information, which information should the nurse informaticist seek Information that is accurate, timely, complete, concise, & relevant 81. EBP is essential for clinical decision making. Which model supports EBP Problem, intervention, comparison, outcome, time (PICOT) 82. What did meaningful use promote Increased interoperability 83. Which statement describes the application of meaningful use Patient satisfaction is improved, which results in better patient satisfaction scores 84. What describes the goal of Electronic Health Record (EHR) incentive programs, such as meaningful use To promote the achievement of quality, safety, & efficiency measures 85. 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 Interoperability 86. The use of standardized data sets is critical for Electronic Health Record (EHR). Which 2 standards support the interoperability of healthcare data DICOM standards. Health Level 7 standards. 87. What is the responsibility of a superuser To support the system in a given unit & assist users with functionality & procedural issues 88. 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 The goals facilitate an environment where technology, information, & understanding directs nurses' judgment 89. What is the role of the informatics nurse working with Electronic Health Record (EHR) To improve patient safety 90. What is a reason to have standardized terminology within a healthcare setting It provides the effective exchange of information between providers 91. What is the harmonization of terminologies It fosters interoperability in health information systems 92. Which item describes a basic network code that determines the rules used to create & route packet of data between network devices Transmission control protocol/internet protocol (TCP/IP) 93. What can be installed to allow a device to connect to the Electronic Health Record (EHR) to enable the exchange of data An application program interface 94. How does the health information exchange (HIE) improve interoperability within a healthcare organization It allows patient information to be accessible despite where the patient is receiving care 95. What are connectivity systems They support the integration of data across different organizations 96. A patient goes to a clinic's office complaining of a cough. The physician orders a chest X-ray & sends the patient to the radiology department. The clinic's admitting department & the radiology office use different information systems. What is used to locate the record in each of these different systems Master patient index 97. Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability Data blocking. Interface cost. 98. What is considered to be clinical decision support (Clinical Decision Support) within the Electronic Health Record (EHR) The condition or disease-specific order sets. 99. Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion Randomly run Electronic Health Record (EHR) reports & list noncompliant nurses. 100. Which area of the Electronic Health Record (EHR) is used to guide a nurse on the tasks that need to be completed during the shift The worklist 101. On admission, a patient reports several allergies. Where does the nurse confirm the documentation of this information In the patient summary tab or history & physical 102. A nurse has a new order to begin antiarrhythmic medication via IV drip. What needs to be done electronically before this medication can be safely administered Scan the patient's armband & the medication 103. What is the primary purpose of a clinical decision support (CDS) system It provides clinicians with suggested care information 104. How is clinical decision support (CDS) system represented in an Electronic Health Record (EHR) Through alerts & reminders 105. In a healthcare setting, there is resistance towards using a new Electronic Health Record (EHR). The staff insists the prior system was much faster than navigating this new Electronic Health Record (EHR). Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) Involve staff in the implementation process 106. Which tool highlights the areas in which information technology can improve efficiency & support an interdisciplinary healthcare team A workflow analysis 107. Which statement defines electronic protected health information (ePHI) It is information used to specifically identify an individual 108. An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet An unregulated network of networks 109. What is role-based access an example of Authenticity 110. Which term refers to ensuring confidentiality when sharing a patient's electronic personal health information Security 111. What advice should be taken to avoid a security breach of protected health information Open emails only from trusted sources, change passwords as stipulated by the organization, & do no leave ePHI visible in an unsecure area 112. What is the first thing patients should do to access their health records Use the patient portal email from the healthcare organization to create an account. 113. What represents privacy & security risks for telehealth technology Patients have the option to use speakerphone in the telehealth apps 114. What are 3 common reasons for HIPPA violation citations Lost or stolen unencrypted devices. Social media postings. Taking a patient photo with a personal phone. 115. An informatics nurse is on a task force planning committee to ensure data storage measures are safe & accessible. Besides the provider & the client, which group's needs are important to consider The Joint Commission 116. A restraint committee has been assembled to oversee the need & proper usage of restraints. Which data element would this committee find least useful in this report Patient allergy history 117. What us a structured method used to analyze serious adverse events A root cause analysis (RCA) 118. Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways Text data 119. What are 3 purposes of using bar code medication administration (BCMA) It alerts the nurse to drug-drug-interactions. It reduces errors of administration. It supports the 5 rights of medication administration 120. Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities To prevent medication administration errors 121. What describes the role of decision support within the Electronic Health Record (EHR) It is designed to assist with timely clinical decision making 122. Which merit-based incentive payment system (MIPS) performance category replaces meaningful use for physicians Quality of care 123. What do the goals of meaningful use & merit-based incentive programs have in common Improving quality of care 124. Which government organization oversees the meaningful use program The centers for Medicare & Medicaid services (CMS) 125. What were 2 objectives of meaningful use as defined by the American reinvestment & recovery act (ARRA) Document patient collected data directly into the HER. Submit electronic data to health information exchanges (HIEs) 126. A healthcare provider had a hospital laptop stolen from its vehicle. What should be on the laptop to protect it from a data breach Two-factor authentication 127. What should healthcare staff who use mobile devices to access electronic protected information (ePHI) do to protect devices before they are lost or stolen Turn off file sharing 130. What 3 tasks in the design phase during the systems development life cycle (SDLC) Plan the project, define the scope, & conduct the SWOT analysis 128. What is the name of the process that begins with conception & continues through implementation Systems development life cycle (SDLC) 129. During which phase of the systems development life cycle should a system be activated to effectively be used by end users Implementation 131. The initiating phase involves analyzing the project goals & needs. What is the term to describe unanticipated growth of a project Scope creep 132. A healthcare facility is changing to a new health information system. Information from the old system needs to be input into the new system. What will the IT department do to complete this task Migrate the data 133. Reported falls on the med surg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med- surg unit The radiology reports of patients with a reported fall on the med-surg unit 134. Which data in a medical record informs the management of the patient's condition following a surgical procedure Nursing assessment from the prior shift & the doctor's orders 135. Patient comes to the ED with a bump on the arm that is painful, edematous, & oozing sanguineous fluid. Which data in the patient's medical record would tell a nurse to implement infection control precautions The nursing flow sheet states the wound has increased in edema, redness, & drainage over the last 12 hours 136. MRSA requires what kind of precaution contact precautions 137. Suspected dehydration & patient reports dizziness & decreased u/o Lab Report 140. Patient discharge, information planning History & physical notes about the reason the patient is admitted 138. Patient with scabies Crusted rash, CDC says that the diagnosis of scabies is by physical examination of skin 139. Which info in Electronic Medical Record will help nurse manage post op care for appendectomy Providers orders 141. Pts come in complaining of the same S/S patient demographics 142. COPD patient planning care complete health history 144. Critical step in HCI Usability 143. High patient volume Nursing flow sheets 145. Act that recognizes patients need more power in their healthcare, & access to information is key to making that happen 21st Century Cures Act 146. Tapping badge Improves documentation time 147. Data entry fields Cascading - drop down charting 149. Which patient are most able to engage in their care Whose pain is under control or good night rest 148. Patient engagement benefits Costs decrease, lower readmission rate, improved patient recovery times, increase patient empowerment 151. Hospital employee falls. Their manager calls & wants an update Nurse should not provide info 150. Nurse is giving patient education over new medication Ask patient to repeat info, teach backs 153. Action that demonstrates data mining to improve patient outcomes HbA1c 152. HIS system for patient to manage their own stuff The app 229. Monitor patient glucose level you need nurse flow sheets 154. Electronically capture patient VS without manually entering Biomedical device integration 155. What to do when Clinical Decision Support (CDS) System is ignored Educate staff on the importance 156. Spouse requests patients medical records refer family member to medical records 157. Comparing infection rates across state bar graph 158. Promoting adoption & implementation of telehealth programs Advocacy 160. Metrics related to stroke care & compare them across the country in a presentation Benchmarking 159. Mom calls asking for child's info that was seen at the clinic Clinic unable to provide the medical records 230. Alt enzymes liver Tell about liver damage 161. Hiker information given to newspaper Hospital violates HIPAA because they did not follow their guidelines 162. Patient records moved from notes to checkboxes They reduce clinical documentation time 163. Gap analysis Transition to a new Electronic Health Record (EHR) 164. Natural disasters Production software remains in working condition 165. Focus group Gathering uses to discuss 167. Peripheral biometric device High BP 166. Confirming data accuracy Triangulation 170. What is an effective use of a barcode administration system Combine it with computerized provider order entry, a pharmacy system, & eMAR 231. What is barrier to use biometrics Financial 168. What is included in meaningful use Use of electronic prescribing 169. What is the goal of Health Information Exchange To allow insurance companies & providers to be able to share data 171. Which information would be useful when planning quality care for the next shift Available critical care beds 232. Computerized Provider Order Entry (CPOE) provider enters orders 172. Barcoding scanning. How it affects inventory with pharmacy alters ordering & information data 174. Groups at risk for decreased health literacy elderly 173. What act puts patients in charge of their healthcare records The 21st Century Cures Act 233. Patient with influenza B. How do you know to start respiratory precautions Lab 175. How would an informatics nurse best evaluate other nurses' opinions on technology survey 176. What is it when a nurse tries to get a patient more involved in the electronic system autonomy 177. Nurse's role in a power outage software running 178. Element that is PHI DOB 180. Best method of Electronic Medical Record charting for nursing Cascading 179. Main way to keep HIPPA compliance passwords 234. Community facility the doctor had been saying the mom was calling the office to get a copy of the records of Daughter, moms calls to find out info about medical record Don't say anything 182. When can you get notes from provider quickly Health Information Exchange, Query based transfer 181. Physical taking care of a patient whose established care is somewhere else talking about Health Information Exchange query-based