D220 WGU Study Questions with correct answers

D220 WGU Study Questions with correct
answers

1. |Which |data |in |a |medical |record |would |inform |the |nurse |that |a |PRN |pain |medication |can |be |
administered |to |the |patient? |- |VERIFIED |ANSWER✔✔-The |medication |administration |record |and |the |
nursing |assessment |notes |from |the |last |shift |indicate |the |patient's |level |of |comfort.

1. |Which |information |in |a |patient's |medical |record |will |help |a |nurse |plan |and |manage |the |patient's |
pain? |- |VERIFIED |ANSWER✔✔-Physician |orders

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? |- |VERIFIED |ANSWER✔✔-
Importance |of |completing |the |medication |prescribed.

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? |- |VERIFIED |ANSWER✔✔-The |radiology |report |impression |
indicates |pulmonary |infiltrates |and |the |nursing |assessment |indicates |a |decrease |in |respirations.

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? |- |VERIFIED |
ANSWER✔✔-Patient |demographic |records

1. |Which |view |in |the |electronic |health |record |(EHR) |confirms |a |patient's |blood |pressure |is |stabilizing?
|- |VERIFIED |ANSWER✔✔-Graphical |trending



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? |- |VERIFIED |ANSWER✔✔-Nursing |flowsheet |and |
intake |and |output |record

1. |Which |data |set |in |the |electronic |health |record |(EHR) |will |assist |in |evaluating |the |number |of |
positive |influenza |tests |at |a |facility |within |the |past |year? |- |VERIFIED |ANSWER✔✔-Laboratory |records

1. |Which |patients |are |ideally |positioned |to |fully |engage |in |their |care? |- |VERIFIED |ANSWER✔✔-
Patients |that |are |recovering |well |after |a |full |night |of |sleep.

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? |- |VERIFIED |ANSWER✔✔-An |elderly |
person

1. |What |is |true |about |improving |health |literacy? |- |VERIFIED |ANSWER✔✔-Improving |health |literacy |
leads |to |better |patient |outcomes.

,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? |- |VERIFIED |ANSWER✔✔-
Identify |and |define |the |goal |of |the |technology.

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? |- |VERIFIED |ANSWER✔✔-List |
credible |education |resources |for |the |patient's |research.

1. |What |does |the |informatics |nurse |recommend |to |increase |attendance |to |follow-up |appointments? |-
|VERIFIED |ANSWER✔✔-Automated |text |or |email |reminders



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 |administration |documentation. |What |is |a |consequence |of |this |action? |- |VERIFIED |
ANSWER✔✔-Pharmacy |cannot |determine |if |there |is |a |problem |with |a |medication |batch.

1. |A |nurse |thinks |the |electronic |health |record |(EHR) |has |too |many |documentation |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? |- |VERIFIED |ANSWER✔✔-Duplicate |documentation |appears |multiple |times |in |the |chart.



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? |- |VERIFIED |ANSWER✔✔-Electronic |checklist

1. |Which |barrier |to |healthcare |informatics |use |does |the |HITECH |Act |aim |to |reduce? |- |VERIFIED |
ANSWER✔✔-Financial

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? |- |VERIFIED |ANSWER✔✔-A |large |stand-alone |department |should |go |live |first.

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? |- |VERIFIED |ANSWER✔✔-Electronic |health |record |(EHR)

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. |Which |health |information |system |(HIS) |should |the |nurse |manager |review |for |this |data?
|- |VERIFIED |ANSWER✔✔-Laboratory |information |systems |(LIS)



1. |What |is |a |patient |safety |benefit |of |a |pharmacy |information |system |(PIS)? |- |VERIFIED |ANSWER✔✔-
Alerts |regarding |allergies |and |interactions

1. |Standardized |terminology |was |implemented |to |promote |interoperability |across |electronic |health |
records |(EHRs). |Which |terminology |is |specific |to |laboratory |tests, |orders, |and |results? |- |VERIFIED |
ANSWER✔✔-LOINC

, 1. |A |nurse |performing |patient |discharge |from |a |facility |provides |a |continuity |of |care |document |(CCD) |
to |a |patient |and |explains |the |document |and |contents |at |discharge. |What |is |a |benefit |provided |by |the |
CCD? |- |VERIFIED |ANSWER✔✔-It |provides |a |summary |of |care |to |patients |and |clinicians.

1. |What |are |patient |portals? |- |VERIFIED |ANSWER✔✔-Patient |portals |are |facility-owned |and |associated
|with |an |electronic |health |record.



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? |- |VERIFIED |ANSWER✔✔-
Monitor |BCMA |usage |reports |for |trends.

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? |- |
VERIFIED |ANSWER✔✔-Dosing |limits |and |alerts |are |provided.

1. |Mobile |health |(mHealth) |apps |have |demonstrated |benefits |to |patients |by |increasing |engagement |
and |participation |in |care. |What |is |a |benefit |for |clinicians? |- |VERIFIED |ANSWER✔✔-Integrates |with |
electronic |health |records |(EHRs)

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? |- |VERIFIED |
ANSWER✔✔-CAC |improves |coding |accuracy.

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? |- |VERIFIED |
ANSWER✔✔-Question |nursing |staff |about |what |issues |have |caused |this.

1. |Currently, |a |facility |uses |phones |and |pagers |for |clinician |communication. |This |technology |is |due |for
|replacement. |A |nurse |recommends |replacing |with |all-in-one |mobile |devices. |What |is |the |benefit |of |

all-in-one |mobile |technology |over |the |current |devices? |- |VERIFIED |ANSWER✔✔-It |integrates |
functionality |within |the |EHR.

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? |- |VERIFIED |ANSWER✔✔-Query |

based.

1. |An |informatics |nurse |is |working |on |genomics |data |to |facilitate |disease |identification |and |develop |
individualized |treatment |plans |for |patients |in |a |complex |medical |facility. |What |is |considered |a |
fundamental |requirement |for |valid |interpretation |of |genomics |data? |- |VERIFIED |ANSWER✔✔-High |
throughput |computing |system

1. |Which |medical |device |is |useful |in |establishing |an |effective |monitoring |system |for |a |patient |with |
acute |brain |injury? |- |VERIFIED |ANSWER✔✔-Temperature |probe