WGU D220 OA EXAM ANSWERS
Which\information\in\an\electronic\medical\record\(EMP)\helps\a\nurse\plan\&\manage\a\
patient's\post-operative\care\after\open-heart\surgery\-\ans✔Provider\order
Which\information\in\a\patient's\electronic\medical\record\(EMA),\in\addition\to\the\nursing\
flowsheets\&\provider\orders,\helps\a\nurse\plan\&\manage\fluctuations\in\blood\glucose\
levels\-\ans✔MAR
A\nurse\is\planning\the\care\for\a\patient\admitted\to\the\hospital\with\COVID-19\Which\list\
of\information\in\the\electronic\medical\record\(EMR)\will\help\the\nurse\plan\the\care\for\
this\patient\-\ans✔The\patient's\laboratory\results\over\the\last\72\hours.
Which\clinical\note\type\is\exempt\from\being\shared\with\patients\according\to\the\United\
States\Core\Data\for\Interoperability\(USC\DI)\standards\-\ans✔Psychotherapy\notes
Operating\room\(OR)\staff\are\reliant\upon\a\manual\whiteboard\for\patient\tracking.\
Recently,\surgeons\have\complained\that\the\turnaround\time\between\surgical\cases\
has\increased\&\blame\the\manual\tracking\system.\An\informatics\nurse\recommends\
expanding\the\use\of\the\existing\surgical\information\system\(SIS).\Which\resolution\can\
improve\this\workflow\issue?\-\ans✔Radiofrequency\identification\(RFID)\in\patient\labels
What\is\an\effective\way\to\reduce\the\risk\of\access\to\electronic\protected\health\
information\(ePHI)\by\unauthorized\users\-\ans✔Make\sure\all\the\users\adhere\to\the\
security\&\confidential\policy\set\forth\by\the\facility.
A\patient\is\being\transferred\to\another\hospital,\however,\the\hospital\he\is\being\
transferred\to\does\not\have\access\to\the\Electronic\Health\Record\(EHR)\since\they\use\
EPIC.\How\will\they\receive\his\Electronic\Health\Record\(EHR)?\-\ans✔Continuity\care\
record\from\AMR
When\a\physician\arrives\on\the\unit,\a\nurse\is\asked\about\the\fluid\status\of\a\patient.\
Where\should\the\nurse\find\this\information?\-\ans✔The\intake\&\output\chart
Which\act\in\2009\did\Meaningful\Use\(MU)\originate\-\ans✔American\Recovery\&\
Reinvestment\Act\(ARRA)\act\in\2009
What\is\the\intent\of\the\Clinical\Decision\Support\(CDS)\System\-\ans✔Providing\
clinicians\with\knowledge\&\person-specific\information.
,Which\government\organization\oversees\the\meaningful\use\program\-\ans✔CMS\
(Centers\for\Medicare\and\Medicaid\Services
A\Nursing\Innovator\&\a\medsurg\nurse\want\to\capture\how\many\patients\were\seen\in\a\
day\of\24\hours,\how\would\they\best\see\this\-\ans✔Flowsheet
Process\for\discovering\root\causes\of\problems\&\ID\the\solution\-\ans✔Root\cause\
analysis
What\should\providers\have\on\their\personal\mobile\devices\to\protect\them\from\sharing\
information\when\stolen?\-\ans✔Authentication\&\encryption
Which\area\of\the\Electronic\Health\Record\(EHR)\is\used\to\guide\a\nurse\on\the\task\that\
needs\to\be\completed\during\the\shift\-\ans✔Workflow
How\does\the\health\information\exchange\(HIE)\improve\interoperability\within\a\
healthcare\organization\-\ans✔It\allows\patient\information\to\be\accessible\despite\
where\the\patient\is\receiving\care.
In\a\healthcare\setting,\there\is\resistance\to\using\a\new\Electronic\Health\Record\(EHR).\
The\staff\insists\the\prior\system\was\much\faster\than\navigating\this\new\Electronic\
Health\Record\(EHR).\Which\method\should\be\used\to\motivate\staff\to\adopt\this\
Electronic\Health\Record\(EHR)\-\ans✔Involve\staff\in\the\implementation\process.
Which\statement\defines\electronic\protected\health\information\(ePHI)\-\ans✔It\is\the\
information\used\to\specifically\identify\an\individual.
An\informatics\nurse\is\developing\a\web-based\application\for\patient\care.\Which\
statement\accurately\describes\the\internet?\-\ans✔An\unregulated\network\of\networks
What\represents\privacy\&\security\risks\for\telehealth\technology?\-\ans✔Patients\have\
the\option\to\use\the\speakerphone\in\the\telehealth\apps.
A\restraint\committee\has\been\assembled\to\oversee\the\need\&\proper\usage\of\
restraints.\Which\data\element\would\this\committee\find\least\useful\in\this\report?\-\
ans✔Patient\allergy\history
What\is\a\structured\method\used\to\analyze\serious\adverse\events?\-\ans✔A\root\cause\
analysis\(RCA)
Which\form\allows\stored\information\in\an\Electronic\Health\Record\(EHR)\to\be\instantly\
searched,\retrieved,\combined,\&\reported\in\different\ways?\-\ans✔Text\data
Why\was\Barcode\Medication\Administration\(BCMA)\adopted\by\healthcare\facilities\-\
ans✔To\prevent\medication\administration\errors
, MRSA\-\ans✔contact\precautions
Which\info\in\Electronic\Medical\Records\will\help\nurses\manage\post-op\care\for\
appendectomy\-\ans✔Doctor's\orders
The\act\that\recognizes\patients\need\more\power\in\their\healthcare,\&\access\to\
information\is\key\to\making\that\happen\or\What\act\puts\patients\in\charge\of\their\
healthcare\records?\-\ans✔21st\Century\Cures\Act
Tapping\badge\-\ans✔Improves\documentation\time.
Action\that\demonstrates\data\mining\to\improve\patient\outcomes\-\ans✔HbA1c
What\to\do\when\Clinical\Decision\Support\(CDS)\System\is\ignored\-\ans✔Educate\staff\
on\the\importance.
Spouse\requests\patient's\medical\records\-\ans✔Refer\the\family\member\to\medical\
records.
Comparing\infection\rates\across\the\states\-\ans✔bar\graph
Promoting\the\adoption\&\implementation\of\telehealth\programs\-\ans✔Advocacy
Mom\calls\asking\for\the\child's\info\that\was\seen\at\the\clinic\-\ans✔Clinic\is\unable\to\
provide\the\medical\records.
Metrics\related\to\stroke\care\&\compare\them\across\the\country\in\a\presentation\-\
ans✔Benchmarking
Confirming\data\accuracy\or\Analyzing\a\single\piece\of\data\in\multiple\ways\-\
ans✔Triangulation
What\is\included\in\meaningful\use\-\ans✔Use\of\electronic\prescribing
What\is\the\goal\of\the\Health\Information\Exchange\-\ans✔To\allow\insurance\companies\
&\providers\to\be\able\to\share\data
Groups\at\risk\for\decreased\health\literacy?\-\ans✔elderly
The\main\way\to\keep\HIPPA\compliance?\-\ans✔passwords
The\element\that\is\PHI\-\ans✔DOB
The\best\method\of\Electronic\Medical\Record\charting\for\nursing?
or
Data\Entry\fields\-\ans✔Cascading
Which\information\in\an\electronic\medical\record\(EMP)\helps\a\nurse\plan\&\manage\a\
patient's\post-operative\care\after\open-heart\surgery\-\ans✔Provider\order
Which\information\in\a\patient's\electronic\medical\record\(EMA),\in\addition\to\the\nursing\
flowsheets\&\provider\orders,\helps\a\nurse\plan\&\manage\fluctuations\in\blood\glucose\
levels\-\ans✔MAR
A\nurse\is\planning\the\care\for\a\patient\admitted\to\the\hospital\with\COVID-19\Which\list\
of\information\in\the\electronic\medical\record\(EMR)\will\help\the\nurse\plan\the\care\for\
this\patient\-\ans✔The\patient's\laboratory\results\over\the\last\72\hours.
Which\clinical\note\type\is\exempt\from\being\shared\with\patients\according\to\the\United\
States\Core\Data\for\Interoperability\(USC\DI)\standards\-\ans✔Psychotherapy\notes
Operating\room\(OR)\staff\are\reliant\upon\a\manual\whiteboard\for\patient\tracking.\
Recently,\surgeons\have\complained\that\the\turnaround\time\between\surgical\cases\
has\increased\&\blame\the\manual\tracking\system.\An\informatics\nurse\recommends\
expanding\the\use\of\the\existing\surgical\information\system\(SIS).\Which\resolution\can\
improve\this\workflow\issue?\-\ans✔Radiofrequency\identification\(RFID)\in\patient\labels
What\is\an\effective\way\to\reduce\the\risk\of\access\to\electronic\protected\health\
information\(ePHI)\by\unauthorized\users\-\ans✔Make\sure\all\the\users\adhere\to\the\
security\&\confidential\policy\set\forth\by\the\facility.
A\patient\is\being\transferred\to\another\hospital,\however,\the\hospital\he\is\being\
transferred\to\does\not\have\access\to\the\Electronic\Health\Record\(EHR)\since\they\use\
EPIC.\How\will\they\receive\his\Electronic\Health\Record\(EHR)?\-\ans✔Continuity\care\
record\from\AMR
When\a\physician\arrives\on\the\unit,\a\nurse\is\asked\about\the\fluid\status\of\a\patient.\
Where\should\the\nurse\find\this\information?\-\ans✔The\intake\&\output\chart
Which\act\in\2009\did\Meaningful\Use\(MU)\originate\-\ans✔American\Recovery\&\
Reinvestment\Act\(ARRA)\act\in\2009
What\is\the\intent\of\the\Clinical\Decision\Support\(CDS)\System\-\ans✔Providing\
clinicians\with\knowledge\&\person-specific\information.
,Which\government\organization\oversees\the\meaningful\use\program\-\ans✔CMS\
(Centers\for\Medicare\and\Medicaid\Services
A\Nursing\Innovator\&\a\medsurg\nurse\want\to\capture\how\many\patients\were\seen\in\a\
day\of\24\hours,\how\would\they\best\see\this\-\ans✔Flowsheet
Process\for\discovering\root\causes\of\problems\&\ID\the\solution\-\ans✔Root\cause\
analysis
What\should\providers\have\on\their\personal\mobile\devices\to\protect\them\from\sharing\
information\when\stolen?\-\ans✔Authentication\&\encryption
Which\area\of\the\Electronic\Health\Record\(EHR)\is\used\to\guide\a\nurse\on\the\task\that\
needs\to\be\completed\during\the\shift\-\ans✔Workflow
How\does\the\health\information\exchange\(HIE)\improve\interoperability\within\a\
healthcare\organization\-\ans✔It\allows\patient\information\to\be\accessible\despite\
where\the\patient\is\receiving\care.
In\a\healthcare\setting,\there\is\resistance\to\using\a\new\Electronic\Health\Record\(EHR).\
The\staff\insists\the\prior\system\was\much\faster\than\navigating\this\new\Electronic\
Health\Record\(EHR).\Which\method\should\be\used\to\motivate\staff\to\adopt\this\
Electronic\Health\Record\(EHR)\-\ans✔Involve\staff\in\the\implementation\process.
Which\statement\defines\electronic\protected\health\information\(ePHI)\-\ans✔It\is\the\
information\used\to\specifically\identify\an\individual.
An\informatics\nurse\is\developing\a\web-based\application\for\patient\care.\Which\
statement\accurately\describes\the\internet?\-\ans✔An\unregulated\network\of\networks
What\represents\privacy\&\security\risks\for\telehealth\technology?\-\ans✔Patients\have\
the\option\to\use\the\speakerphone\in\the\telehealth\apps.
A\restraint\committee\has\been\assembled\to\oversee\the\need\&\proper\usage\of\
restraints.\Which\data\element\would\this\committee\find\least\useful\in\this\report?\-\
ans✔Patient\allergy\history
What\is\a\structured\method\used\to\analyze\serious\adverse\events?\-\ans✔A\root\cause\
analysis\(RCA)
Which\form\allows\stored\information\in\an\Electronic\Health\Record\(EHR)\to\be\instantly\
searched,\retrieved,\combined,\&\reported\in\different\ways?\-\ans✔Text\data
Why\was\Barcode\Medication\Administration\(BCMA)\adopted\by\healthcare\facilities\-\
ans✔To\prevent\medication\administration\errors
, MRSA\-\ans✔contact\precautions
Which\info\in\Electronic\Medical\Records\will\help\nurses\manage\post-op\care\for\
appendectomy\-\ans✔Doctor's\orders
The\act\that\recognizes\patients\need\more\power\in\their\healthcare,\&\access\to\
information\is\key\to\making\that\happen\or\What\act\puts\patients\in\charge\of\their\
healthcare\records?\-\ans✔21st\Century\Cures\Act
Tapping\badge\-\ans✔Improves\documentation\time.
Action\that\demonstrates\data\mining\to\improve\patient\outcomes\-\ans✔HbA1c
What\to\do\when\Clinical\Decision\Support\(CDS)\System\is\ignored\-\ans✔Educate\staff\
on\the\importance.
Spouse\requests\patient's\medical\records\-\ans✔Refer\the\family\member\to\medical\
records.
Comparing\infection\rates\across\the\states\-\ans✔bar\graph
Promoting\the\adoption\&\implementation\of\telehealth\programs\-\ans✔Advocacy
Mom\calls\asking\for\the\child's\info\that\was\seen\at\the\clinic\-\ans✔Clinic\is\unable\to\
provide\the\medical\records.
Metrics\related\to\stroke\care\&\compare\them\across\the\country\in\a\presentation\-\
ans✔Benchmarking
Confirming\data\accuracy\or\Analyzing\a\single\piece\of\data\in\multiple\ways\-\
ans✔Triangulation
What\is\included\in\meaningful\use\-\ans✔Use\of\electronic\prescribing
What\is\the\goal\of\the\Health\Information\Exchange\-\ans✔To\allow\insurance\companies\
&\providers\to\be\able\to\share\data
Groups\at\risk\for\decreased\health\literacy?\-\ans✔elderly
The\main\way\to\keep\HIPPA\compliance?\-\ans✔passwords
The\element\that\is\PHI\-\ans✔DOB
The\best\method\of\Electronic\Medical\Record\charting\for\nursing?
or
Data\Entry\fields\-\ans✔Cascading
