D220 WGU Study Questions with Verified Answers
1. Which data in a medical record would inform the implement the fluid volume overload care plan? -
nurse that a PRN pain medication can be ANSWER -Nursing flowsheet and intake and
administered to the patient? - ANSWER -The output record
medication administration record and the nursing
assessment notes from the last shift indicate the
patient's level of comfort. 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? -
1. Which information in a patient's medical record ANSWER -Laboratory records
will help a nurse plan and manage the patient's pain?
- ANSWER -Physician orders
1. Which patients are ideally positioned to fully
engage in their care? - ANSWER -Patients that
1. A patient completes the course of treatment for are recovering well after a full night of sleep.
tuberculosis and is ready to be discharged home.
Which instructions should be included in the
patient's discharge education? - ANSWER - 1. A nurse is teaching a patient-centered health
Importance of completing the medication education course at a hospital. As an informatics
prescribed. nurse leveraging technology to help improve patient
understanding, which learner would be more likely to
have a low health literacy and require more focus? -
1. After a patient's assessment, a nurse observes a ANSWER -An elderly person
decrease in respiration and wheezing on
auscultation. Which data set in the medical record
informs the decision to implement the ineffective 1. What is true about improving health literacy? -
airway clearance nursing care plan? - ANSWER -Improving health literacy leads to
ANSWER -The radiology report impression better patient outcomes.
indicates pulmonary infiltrates and the nursing
assessment indicates a decrease in respirations.
1. A nurse assists with implementing a new remote
patient monitoring (RPM) system for collecting
1. The health administrator at a clinic observes an patient data, which improves patient outcomes.
increase in the number of patients with a complaint Which task is a high priority for an informatics
of difficulty breathing, fatigue, and loss of appetite. clinician when implementing a new technology for
Which data in the electronic health record (EHR) will patient data collection? - ANSWER -Identify
provide a cross-reference to the impacted patient and define the goal of the technology.
population? - ANSWER -Patient demographic
records
1. Patient use of technology has increased
dramatically. While patients are more active in their
1. Which view in the electronic health record (EHR) care, a nurse notes they are often misinformed or
confirms a patient's blood pressure is stabilizing? - obtain information that is inaccurate. Which
ANSWER -Graphical trending recommendation should the nurse give to ensure
education is accurate? - ANSWER -List credible
education resources for the patient's research.
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 1. What does the informatics nurse recommend to
record from the last shift informs the decision to increase attendance to follow-up appointments? -
, D220 WGU Study Questions with Verified Answers
ANSWER -Automated text or email reminders record (EHR)
1. Pharmacy adds a field into the medication 1. The nurse manager of an outpatient laboratory
administration record to document the lot number clinic is investigating decreased patient satisfaction
when a chemo medication is administered but fails scores and cited delays in receiving lab results. The
to communicate this to the nurse responsible for the first step is to review testing turnaround times for the
medication administration documentation. What is a clinic. Which health information system (HIS) should
consequence of this action? - ANSWER - the nurse manager review for this data? -
Pharmacy cannot determine if there is a problem ANSWER -Laboratory information systems (LIS)
with a medication batch.
1. What is a patient safety benefit of a pharmacy
1. A nurse thinks the electronic health record (EHR) information system (PIS)? - ANSWER -Alerts
has too many documentation fields, making it regarding allergies and interactions
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 1. Standardized terminology was implemented to
health record. What is the least significant impact of promote interoperability across electronic health
this action? - ANSWER -Duplicate records (EHRs). Which terminology is specific to
documentation appears multiple times in the chart. laboratory tests, orders, and results? -
ANSWER -LOINC
1. A nurse is working in a medical-surgical unit
assigned care for five patients. The nurse has many 1. A nurse performing patient discharge from a facility
tasks to accomplish during a shift. Which informatics provides a continuity of care document (CCD) to a
solution assists in ensuring these tasks are patient and explains the document and contents at
accomplished? - ANSWER -Electronic discharge. What is a benefit provided by the CCD? -
checklist ANSWER -It provides a summary of care to
patients and clinicians.
1. Which barrier to healthcare informatics use does
the HITECH Act aim to reduce? - ANSWER - 1. What are patient portals? - ANSWER -Patient
Financial portals are facility-owned and associated with an
electronic health record.
1. A project team is moving a hospital from using
paper charting to using an electronic health record 1. A hospital notes a decreased use of barcoded
for documentation. How should the project team roll medication administration (BCMA) along with an
out the software to reduce the impact on the increase in medication errors. What should be the
hospital? - ANSWER -A large stand-alone next course of action? - ANSWER -Monitor
department should go live first. BCMA usage reports for trends.
1. While reviewing electronic nursing 1. A heparin medication error and a subsequent
documentation, a nurse identifies that a patient's failure mode effects analysis (FMEA) results in the
vital signs have declined since the previous shift. purchase of smart pumps. How do smart pumps
Which health information system assisted in this reduce the potential for medication errors? -
identification? - ANSWER -Electronic health ANSWER -Dosing limits and alerts are provided.
1. Which data in a medical record would inform the implement the fluid volume overload care plan? -
nurse that a PRN pain medication can be ANSWER -Nursing flowsheet and intake and
administered to the patient? - ANSWER -The output record
medication administration record and the nursing
assessment notes from the last shift indicate the
patient's level of comfort. 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? -
1. Which information in a patient's medical record ANSWER -Laboratory records
will help a nurse plan and manage the patient's pain?
- ANSWER -Physician orders
1. Which patients are ideally positioned to fully
engage in their care? - ANSWER -Patients that
1. A patient completes the course of treatment for are recovering well after a full night of sleep.
tuberculosis and is ready to be discharged home.
Which instructions should be included in the
patient's discharge education? - ANSWER - 1. A nurse is teaching a patient-centered health
Importance of completing the medication education course at a hospital. As an informatics
prescribed. nurse leveraging technology to help improve patient
understanding, which learner would be more likely to
have a low health literacy and require more focus? -
1. After a patient's assessment, a nurse observes a ANSWER -An elderly person
decrease in respiration and wheezing on
auscultation. Which data set in the medical record
informs the decision to implement the ineffective 1. What is true about improving health literacy? -
airway clearance nursing care plan? - ANSWER -Improving health literacy leads to
ANSWER -The radiology report impression better patient outcomes.
indicates pulmonary infiltrates and the nursing
assessment indicates a decrease in respirations.
1. A nurse assists with implementing a new remote
patient monitoring (RPM) system for collecting
1. The health administrator at a clinic observes an patient data, which improves patient outcomes.
increase in the number of patients with a complaint Which task is a high priority for an informatics
of difficulty breathing, fatigue, and loss of appetite. clinician when implementing a new technology for
Which data in the electronic health record (EHR) will patient data collection? - ANSWER -Identify
provide a cross-reference to the impacted patient and define the goal of the technology.
population? - ANSWER -Patient demographic
records
1. Patient use of technology has increased
dramatically. While patients are more active in their
1. Which view in the electronic health record (EHR) care, a nurse notes they are often misinformed or
confirms a patient's blood pressure is stabilizing? - obtain information that is inaccurate. Which
ANSWER -Graphical trending recommendation should the nurse give to ensure
education is accurate? - ANSWER -List credible
education resources for the patient's research.
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 1. What does the informatics nurse recommend to
record from the last shift informs the decision to increase attendance to follow-up appointments? -
, D220 WGU Study Questions with Verified Answers
ANSWER -Automated text or email reminders record (EHR)
1. Pharmacy adds a field into the medication 1. The nurse manager of an outpatient laboratory
administration record to document the lot number clinic is investigating decreased patient satisfaction
when a chemo medication is administered but fails scores and cited delays in receiving lab results. The
to communicate this to the nurse responsible for the first step is to review testing turnaround times for the
medication administration documentation. What is a clinic. Which health information system (HIS) should
consequence of this action? - ANSWER - the nurse manager review for this data? -
Pharmacy cannot determine if there is a problem ANSWER -Laboratory information systems (LIS)
with a medication batch.
1. What is a patient safety benefit of a pharmacy
1. A nurse thinks the electronic health record (EHR) information system (PIS)? - ANSWER -Alerts
has too many documentation fields, making it regarding allergies and interactions
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 1. Standardized terminology was implemented to
health record. What is the least significant impact of promote interoperability across electronic health
this action? - ANSWER -Duplicate records (EHRs). Which terminology is specific to
documentation appears multiple times in the chart. laboratory tests, orders, and results? -
ANSWER -LOINC
1. A nurse is working in a medical-surgical unit
assigned care for five patients. The nurse has many 1. A nurse performing patient discharge from a facility
tasks to accomplish during a shift. Which informatics provides a continuity of care document (CCD) to a
solution assists in ensuring these tasks are patient and explains the document and contents at
accomplished? - ANSWER -Electronic discharge. What is a benefit provided by the CCD? -
checklist ANSWER -It provides a summary of care to
patients and clinicians.
1. Which barrier to healthcare informatics use does
the HITECH Act aim to reduce? - ANSWER - 1. What are patient portals? - ANSWER -Patient
Financial portals are facility-owned and associated with an
electronic health record.
1. A project team is moving a hospital from using
paper charting to using an electronic health record 1. A hospital notes a decreased use of barcoded
for documentation. How should the project team roll medication administration (BCMA) along with an
out the software to reduce the impact on the increase in medication errors. What should be the
hospital? - ANSWER -A large stand-alone next course of action? - ANSWER -Monitor
department should go live first. BCMA usage reports for trends.
1. While reviewing electronic nursing 1. A heparin medication error and a subsequent
documentation, a nurse identifies that a patient's failure mode effects analysis (FMEA) results in the
vital signs have declined since the previous shift. purchase of smart pumps. How do smart pumps
Which health information system assisted in this reduce the potential for medication errors? -
identification? - ANSWER -Electronic health ANSWER -Dosing limits and alerts are provided.
