WGU D220 | OBJECTIVE ASSESSMENT REVIEW
WGU D220
Objective Assessment Review
2026–2027 | Practice Questions & Answers
Information Technology in Nursing Practice
40 original multiple-choice questions • Detailed rationales • Answer key • High-yield review
Independent study resource for practice and remediation. Questions are original and are not official
WGU assessment items.
Original educational practice resource • 2026–2027
, WGU D220 | OBJECTIVE ASSESSMENT REVIEW
Candidate Instructions
• Suggested practice time: 60 minutes for 40 questions. Select the single best answer for each item.
• Try answering all questions before reading the rationales. Mark uncertain items and revisit the related
concept.
• Use clinical judgment and applicable law/policy. Exact workflows and course emphasis may vary, so
confirm expectations in the current WGU course materials.
• This resource is not an official WGU publication, does not reproduce protected assessment content,
and does not guarantee an assessment outcome.
Content Blueprint
• Foundations of nursing informatics, DIKW, and data quality
• Health information systems, EHR functions, and clinical workflow
• Interoperability, standardized terminologies, and data exchange
• Privacy, security, ethical practice, and documentation integrity
• Clinical decision support, medication safety, and evidence-based practice
• Telehealth, patient engagement, analytics, implementation, and quality improvement
Practice Questions
Question 1. Nursing informatics
A nurse uses patient data and information technology to support a safer care decision. Which description
best captures nursing informatics?
A. A specialty focused only on repairing computers
B. Integration of nursing science with information and computer sciences to manage information and
support decisions
C. A method for replacing nursing assessment with automated outputs
D. A billing process used after discharge
Correct answer: B
Detailed rationale: Nursing informatics combines nursing knowledge with information and
computer sciences to manage and communicate data, information, knowledge, and wisdom in
support of practice and decision-making.
Original educational practice resource • 2026–2027
, WGU D220 | OBJECTIVE ASSESSMENT REVIEW
Why the other options are incorrect: A describes IT support; C overstates automation and removes
clinical judgment; D is an administrative billing function.
Exam tip: Technology should support nursing judgment, not replace it.
Question 2. DIKW
A nurse sees a patient’s temperature is 39.1°C and notes chills and tachycardia. Which action best
reflects applying knowledge to the situation?
A. Record the number without interpretation
B. Recognize the pattern and assess for possible infection while following escalation protocols
C. Assume the patient has a confirmed bacterial infection
D. Delete the value because it is abnormal
Correct answer: B
Detailed rationale: Interpreting a measurement with symptoms and other findings supports clinical
reasoning and appropriate assessment/escalation. The data alone do not establish a specific
cause.
Why the other options are incorrect: A leaves data uninterpreted; C makes an unsupported
diagnosis; D removes important information.
Exam tip: Use the full clinical picture and verify unexpected measurements.
Question 3. Data quality
A dashboard reports fewer medication errors after a new workflow. What should the quality team verify
before concluding the workflow caused improvement?
A. Whether reporting definitions, denominator, and data capture remained consistent
B. Whether the dashboard uses large fonts
C. Whether all older data can be removed
D. Whether the change was popular with one staff member
Correct answer: A
Detailed rationale: Valid comparisons require consistent definitions, data completeness,
denominators, and collection methods. A change in reporting can create an apparent improvement
without changing actual safety.
Original educational practice resource • 2026–2027
WGU D220
Objective Assessment Review
2026–2027 | Practice Questions & Answers
Information Technology in Nursing Practice
40 original multiple-choice questions • Detailed rationales • Answer key • High-yield review
Independent study resource for practice and remediation. Questions are original and are not official
WGU assessment items.
Original educational practice resource • 2026–2027
, WGU D220 | OBJECTIVE ASSESSMENT REVIEW
Candidate Instructions
• Suggested practice time: 60 minutes for 40 questions. Select the single best answer for each item.
• Try answering all questions before reading the rationales. Mark uncertain items and revisit the related
concept.
• Use clinical judgment and applicable law/policy. Exact workflows and course emphasis may vary, so
confirm expectations in the current WGU course materials.
• This resource is not an official WGU publication, does not reproduce protected assessment content,
and does not guarantee an assessment outcome.
Content Blueprint
• Foundations of nursing informatics, DIKW, and data quality
• Health information systems, EHR functions, and clinical workflow
• Interoperability, standardized terminologies, and data exchange
• Privacy, security, ethical practice, and documentation integrity
• Clinical decision support, medication safety, and evidence-based practice
• Telehealth, patient engagement, analytics, implementation, and quality improvement
Practice Questions
Question 1. Nursing informatics
A nurse uses patient data and information technology to support a safer care decision. Which description
best captures nursing informatics?
A. A specialty focused only on repairing computers
B. Integration of nursing science with information and computer sciences to manage information and
support decisions
C. A method for replacing nursing assessment with automated outputs
D. A billing process used after discharge
Correct answer: B
Detailed rationale: Nursing informatics combines nursing knowledge with information and
computer sciences to manage and communicate data, information, knowledge, and wisdom in
support of practice and decision-making.
Original educational practice resource • 2026–2027
, WGU D220 | OBJECTIVE ASSESSMENT REVIEW
Why the other options are incorrect: A describes IT support; C overstates automation and removes
clinical judgment; D is an administrative billing function.
Exam tip: Technology should support nursing judgment, not replace it.
Question 2. DIKW
A nurse sees a patient’s temperature is 39.1°C and notes chills and tachycardia. Which action best
reflects applying knowledge to the situation?
A. Record the number without interpretation
B. Recognize the pattern and assess for possible infection while following escalation protocols
C. Assume the patient has a confirmed bacterial infection
D. Delete the value because it is abnormal
Correct answer: B
Detailed rationale: Interpreting a measurement with symptoms and other findings supports clinical
reasoning and appropriate assessment/escalation. The data alone do not establish a specific
cause.
Why the other options are incorrect: A leaves data uninterpreted; C makes an unsupported
diagnosis; D removes important information.
Exam tip: Use the full clinical picture and verify unexpected measurements.
Question 3. Data quality
A dashboard reports fewer medication errors after a new workflow. What should the quality team verify
before concluding the workflow caused improvement?
A. Whether reporting definitions, denominator, and data capture remained consistent
B. Whether the dashboard uses large fonts
C. Whether all older data can be removed
D. Whether the change was popular with one staff member
Correct answer: A
Detailed rationale: Valid comparisons require consistent definitions, data completeness,
denominators, and collection methods. A change in reporting can create an apparent improvement
without changing actual safety.
Original educational practice resource • 2026–2027
