D220 WGU STUDY QUESTIONS AND ANSWERS 2025
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - (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?
- (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? - (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? - (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? - (ANSWER)Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? -
(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? - (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? - (ANSWER)Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - (ANSWER)Patients that are
recovering well after a full night of sleep.
,D220 WGU STUDY QUESTIONS AND ANSWERS 2025
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? - (ANSWER)An elderly person
1. What is true about improving health literacy? - (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? - (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? - (ANSWER)List credible
education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up appointments? -
(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? - (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? - (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? - (ANSWER)Electronic checklist
, D220 WGU STUDY QUESTIONS AND ANSWERS 2025
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - (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? - (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? -
(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? -
(ANSWER)Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - (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? - (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? -
(ANSWER)It provides a summary of care to patients and clinicians.
1. What are patient portals? - (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? - (ANSWER)Monitor BCMA
usage reports for trends.
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - (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?
- (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? - (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? - (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? - (ANSWER)Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? -
(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? - (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? - (ANSWER)Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - (ANSWER)Patients that are
recovering well after a full night of sleep.
,D220 WGU STUDY QUESTIONS AND ANSWERS 2025
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? - (ANSWER)An elderly person
1. What is true about improving health literacy? - (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? - (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? - (ANSWER)List credible
education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up appointments? -
(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? - (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? - (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? - (ANSWER)Electronic checklist
, D220 WGU STUDY QUESTIONS AND ANSWERS 2025
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - (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? - (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? -
(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? -
(ANSWER)Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - (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? - (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? -
(ANSWER)It provides a summary of care to patients and clinicians.
1. What are patient portals? - (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? - (ANSWER)Monitor BCMA
usage reports for trends.
