D220 WGU Study Questions and answers
Updated 100% PASS RATED A+
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
administered to the patient? - Correct Answers The medication administration record and the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
nursing assessment notes from the last shift indicate the patient's level of comfort.
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. Which information in a patient's medical record will help a nurse plan and manage the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! patient's pain? - Correct Answers Physician orders
II! II! II! II! II! II! II! II! II! II!
II! 1. A patient completes the course of treatment for tuberculosis and is ready to be discharged
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! home. Which instructions should be included in the patient's discharge education? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Importance of completing the medication prescribed.
II! II! II! II! II! II! II! II! II!
II! 1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! auscultation. Which data set in the medical record informs the decision to implement the
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! ineffective airway clearance nursing care plan? - Correct Answers The radiology report
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in
II! II! II! II! II! II! II! II! II! II! II!
II! respirations.
II! 1. The health administrator at a clinic observes an increase in the number of patients with a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! record (EHR) will provide a cross-reference to the impacted patient population? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Patient demographic records II! II! II! II! II! II!
II! 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! stabilizing? - Correct Answers Graphical trending II! II! II! II! II! II! II! II! II!
II! 1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles,
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! and persistent cough. Which data set in the medical record from the last shift informs the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
,II! decision to implement the fluid volume overload care plan? - Correct Answers Nursing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! flowsheet and intake and output record II! II! II! II! II!
II! 1. Which data set in the electronic health record (EHR) will assist in evaluating the number of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! positive influenza tests at a facility within the past year? - Correct Answers Laboratory records
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. Which patients are ideally positioned to fully engage in their care? - Correct Answers Patients
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! that are recovering well after a full night of sleep.
II! II! II! II! II! II! II! II! II!
II! 1. A nurse is teaching a patient-centered health education course at a hospital. As an informatics
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! nurse leveraging technology to help improve patient understanding, which learner would be
II! II! II! II! II! II! II! II! II! II! II!
II! more likely to have a low health literacy and require more focus? - Correct Answers An elderly
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! person
II! 1. What is true about improving health literacy? - Correct Answers Improving health literacy
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! leads to better patient outcomes.
II! II! II! II!
II! 1. A nurse assists with implementing a new remote patient monitoring (RPM) system for
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! collecting patient data, which improves patient outcomes. Which task is a high priority for an
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! informatics clinician when implementing a new technology for patient data collection? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Identify and define the goal of the technology.
II! II! II! II! II! II! II! II! II! II! II!
II! 1. Patient use of technology has increased dramatically. While patients are more active in their
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! recommendation should the nurse give to ensure education is accurate? - Correct Answers List II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! credible education resources for the patient's research.
II! II! II! II! II! II!
II! 1. What does the informatics nurse recommend to increase attendance to follow-up
II! II! II! II! II! II! II! II! II! II! II!
II! appointments? - Correct Answers Automated text or email reminders II! II! II! II! II! II! II! II! II! II! II! II!
, II! 1. Pharmacy adds a field into the medication administration record to document the lot number
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! when a chemo medication is administered but fails to communicate this to the nurse responsible
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! for the medication administration documentation. What is a consequence of this action? -
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Correct Answers Pharmacy cannot determine if there is a problem with a medication batch.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making it
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! difficult to know where to document some items. As a result, the nurse uses the notes instead or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! in addition to documenting in a specific field in the health record. What is the least significant
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! impact of this action? - Correct Answers Duplicate documentation appears multiple times in the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! chart.
II! 1. A nurse is working in a medical-surgical unit assigned care for five patients. The nurse has many
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! tasks to accomplish during a shift. Which informatics solution assists in ensuring these tasks are
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! accomplished? - Correct Answers Electronic checklist II! II! II! II! II! II! II! II! II!
II! 1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Financial II! II! II! II!
II! 1. A project team is moving a hospital from using paper charting to using an electronic health
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! record for documentation. How should the project team roll out the software to reduce the
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! impact on the hospital? - Correct Answers A large stand-alone department should go live first.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. While reviewing electronic nursing documentation, a nurse identifies that a patient's vital signs
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! have declined since the previous shift. Which health information system assisted in this
II! II! II! II! II! II! II! II! II! II! II! II!
II! identification? - Correct Answers Electronic health record (EHR) II! II! II! II! II! II! II! II! II! II! II!
II! 1. The nurse manager of an outpatient laboratory clinic is investigating decreased patient
II! II! II! II! II! II! II! II! II! II! II! II!
II! satisfaction scores and cited delays in receiving lab results. The first step is to review testing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! turnaround times for the clinic. Which health information system (HIS) should the nurse manager
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! review for this data? - Correct Answers Laboratory information systems (LIS)
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
Updated 100% PASS RATED A+
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
administered to the patient? - Correct Answers The medication administration record and the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
nursing assessment notes from the last shift indicate the patient's level of comfort.
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. Which information in a patient's medical record will help a nurse plan and manage the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! patient's pain? - Correct Answers Physician orders
II! II! II! II! II! II! II! II! II! II!
II! 1. A patient completes the course of treatment for tuberculosis and is ready to be discharged
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! home. Which instructions should be included in the patient's discharge education? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Importance of completing the medication prescribed.
II! II! II! II! II! II! II! II! II!
II! 1. After a patient's assessment, a nurse observes a decrease in respiration and wheezing on
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! auscultation. Which data set in the medical record informs the decision to implement the
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! ineffective airway clearance nursing care plan? - Correct Answers The radiology report
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! impression indicates pulmonary infiltrates and the nursing assessment indicates a decrease in
II! II! II! II! II! II! II! II! II! II! II!
II! respirations.
II! 1. The health administrator at a clinic observes an increase in the number of patients with a
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! complaint of difficulty breathing, fatigue, and loss of appetite. Which data in the electronic health
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! record (EHR) will provide a cross-reference to the impacted patient population? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Patient demographic records II! II! II! II! II! II!
II! 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! stabilizing? - Correct Answers Graphical trending II! II! II! II! II! II! II! II! II!
II! 1. After a patient's initial assessment, a nurse observes an increase in edema, bilateral crackles,
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! and persistent cough. Which data set in the medical record from the last shift informs the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
,II! decision to implement the fluid volume overload care plan? - Correct Answers Nursing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! flowsheet and intake and output record II! II! II! II! II!
II! 1. Which data set in the electronic health record (EHR) will assist in evaluating the number of
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! positive influenza tests at a facility within the past year? - Correct Answers Laboratory records
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. Which patients are ideally positioned to fully engage in their care? - Correct Answers Patients
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! that are recovering well after a full night of sleep.
II! II! II! II! II! II! II! II! II!
II! 1. A nurse is teaching a patient-centered health education course at a hospital. As an informatics
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! nurse leveraging technology to help improve patient understanding, which learner would be
II! II! II! II! II! II! II! II! II! II! II!
II! more likely to have a low health literacy and require more focus? - Correct Answers An elderly
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! person
II! 1. What is true about improving health literacy? - Correct Answers Improving health literacy
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! leads to better patient outcomes.
II! II! II! II!
II! 1. A nurse assists with implementing a new remote patient monitoring (RPM) system for
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! collecting patient data, which improves patient outcomes. Which task is a high priority for an
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! informatics clinician when implementing a new technology for patient data collection? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Identify and define the goal of the technology.
II! II! II! II! II! II! II! II! II! II! II!
II! 1. Patient use of technology has increased dramatically. While patients are more active in their
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! care, a nurse notes they are often misinformed or obtain information that is inaccurate. Which
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! recommendation should the nurse give to ensure education is accurate? - Correct Answers List II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! credible education resources for the patient's research.
II! II! II! II! II! II!
II! 1. What does the informatics nurse recommend to increase attendance to follow-up
II! II! II! II! II! II! II! II! II! II! II!
II! appointments? - Correct Answers Automated text or email reminders II! II! II! II! II! II! II! II! II! II! II! II!
, II! 1. Pharmacy adds a field into the medication administration record to document the lot number
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! when a chemo medication is administered but fails to communicate this to the nurse responsible
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! for the medication administration documentation. What is a consequence of this action? -
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Correct Answers Pharmacy cannot determine if there is a problem with a medication batch.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. A nurse thinks the electronic health record (EHR) has too many documentation fields, making it
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! difficult to know where to document some items. As a result, the nurse uses the notes instead or
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! in addition to documenting in a specific field in the health record. What is the least significant
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! impact of this action? - Correct Answers Duplicate documentation appears multiple times in the
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! chart.
II! 1. A nurse is working in a medical-surgical unit assigned care for five patients. The nurse has many
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! tasks to accomplish during a shift. Which informatics solution assists in ensuring these tasks are
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! accomplished? - Correct Answers Electronic checklist II! II! II! II! II! II! II! II! II!
II! 1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - Correct
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! Answers Financial II! II! II! II!
II! 1. A project team is moving a hospital from using paper charting to using an electronic health
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! record for documentation. How should the project team roll out the software to reduce the
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! impact on the hospital? - Correct Answers A large stand-alone department should go live first.
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! 1. While reviewing electronic nursing documentation, a nurse identifies that a patient's vital signs
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! have declined since the previous shift. Which health information system assisted in this
II! II! II! II! II! II! II! II! II! II! II! II!
II! identification? - Correct Answers Electronic health record (EHR) II! II! II! II! II! II! II! II! II! II! II!
II! 1. The nurse manager of an outpatient laboratory clinic is investigating decreased patient
II! II! II! II! II! II! II! II! II! II! II! II!
II! satisfaction scores and cited delays in receiving lab results. The first step is to review testing
II! II! II! II! II! II! II! II! II! II! II! II! II! II! II!
II! turnaround times for the clinic. Which health information system (HIS) should the nurse manager
II! II! II! II! II! II! II! II! II! II! II! II! II!
II! review for this data? - Correct Answers Laboratory information systems (LIS)
II! II! II! II! II! II! II! II! II! II! II! II! II! II!
