D220 WGU Study Questions
1. 1. Which data in a medical record would inform the nurse that a PRN
pain medication can be administered to the patient?: The medication
administration record and the nursing assessment notes from the last
shift indicate the patient's level of comfort.
2. 1. Which information in a patient's medical record will help a nurse plan
and manage the patient's pain?: Physician orders
3. 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?: Importance of completing the medication
prescribed.
4. 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?-
: The radiology report impression indicates pulmonary infiltrates and
the nursing assessment indicates a decrease in respirations.
5. 1. 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?: Patient demographic
records
6. 1. Which view in the electronic health record (EHR) confirms a
patient's blood pressure is stabilizing?: Graphical trending
7. 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?: Nursing flowsheet and intake and
output record
8. 1. Which data set in the electronic health record (EHR) will assist in
eval- uating the number of positive influenza tests at a facility within the
past year?: Laboratory records
9. 1. Which patients are ideally positioned to fully engage in their care?:
Pa- tients that are recovering well after a full night of sleep.
10. 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?: An elderly person
11. 1. What is true about improving health literacy?: Improving health
, D220 WGU Study Questions
literacy leads to better patient outcomes.
12. 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
, D220 WGU Study Questions
new technology for patient data collection?: Identify and define the goal
of the technology.
13. 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?: List credible education
resources for the pa- tient's research.
14. 1. What does the informatics nurse recommend to increase attendance
to follow-up appointments?: Automated text or email reminders
15. 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 for the medication
administra- tion documentation. What is a consequence of this action?:
Pharmacy cannot determine if there is a problem with a medication
batch.
16. 1. A nurse thinks the electronic health record (EHR) has too many docu-
mentation 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?: Duplicate documentation appears multiple times in the
chart.
17. 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
infor- matics solution assists in ensuring these tasks are accomplished?:
Electronic checklist
18. 1. Which barrier to healthcare informatics use does the HITECH Act aim
to reduce?: Financial
19. 1. 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?: A large
stand-alone department should go live first.
20. 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?: Electronic health
record (EHR)
21. 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 turnaround times for the clinic.
, D220 WGU Study Questions
Which health information system (HIS) should the nurse manager review for
this data?: Laboratory information systems (LIS)
1. 1. Which data in a medical record would inform the nurse that a PRN
pain medication can be administered to the patient?: The medication
administration record and the nursing assessment notes from the last
shift indicate the patient's level of comfort.
2. 1. Which information in a patient's medical record will help a nurse plan
and manage the patient's pain?: Physician orders
3. 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?: Importance of completing the medication
prescribed.
4. 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?-
: The radiology report impression indicates pulmonary infiltrates and
the nursing assessment indicates a decrease in respirations.
5. 1. 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?: Patient demographic
records
6. 1. Which view in the electronic health record (EHR) confirms a
patient's blood pressure is stabilizing?: Graphical trending
7. 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?: Nursing flowsheet and intake and
output record
8. 1. Which data set in the electronic health record (EHR) will assist in
eval- uating the number of positive influenza tests at a facility within the
past year?: Laboratory records
9. 1. Which patients are ideally positioned to fully engage in their care?:
Pa- tients that are recovering well after a full night of sleep.
10. 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?: An elderly person
11. 1. What is true about improving health literacy?: Improving health
, D220 WGU Study Questions
literacy leads to better patient outcomes.
12. 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
, D220 WGU Study Questions
new technology for patient data collection?: Identify and define the goal
of the technology.
13. 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?: List credible education
resources for the pa- tient's research.
14. 1. What does the informatics nurse recommend to increase attendance
to follow-up appointments?: Automated text or email reminders
15. 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 for the medication
administra- tion documentation. What is a consequence of this action?:
Pharmacy cannot determine if there is a problem with a medication
batch.
16. 1. A nurse thinks the electronic health record (EHR) has too many docu-
mentation 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?: Duplicate documentation appears multiple times in the
chart.
17. 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
infor- matics solution assists in ensuring these tasks are accomplished?:
Electronic checklist
18. 1. Which barrier to healthcare informatics use does the HITECH Act aim
to reduce?: Financial
19. 1. 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?: A large
stand-alone department should go live first.
20. 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?: Electronic health
record (EHR)
21. 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 turnaround times for the clinic.
, D220 WGU Study Questions
Which health information system (HIS) should the nurse manager review for
this data?: Laboratory information systems (LIS)
