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WGU D220 OA EXAM ANSWERS with verified questions A+ Grade|Western Governors University (WGU) – D220 Objective Assessment (OA) Exam

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This document contains the full set of verified questions and answers for the D220 Objective Assessment (OA) Exam for the 2026/2027 academic year. It covers all core course topics, competency-based objectives, and essential concepts tested in the OA exam. The material is structured to support effective exam preparation, reinforce understanding, and help students achieve an A+ grade.

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WGU D220 OA
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WGU D220 OA

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WGU D220 OA EXAM ANSWERS with verified
questions 2026\2027 A+ Grade

Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's post-
operative care after open-heart surgery -
correct answer 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 -
correct answer 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 -
correct answer 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 -
correct answer 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? -
correct answer 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 -
correct answer 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)? -
correct answer 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? -
correct answer The intake & output chart



Which act in 2009 did Meaningful Use (MU) originate -
correct answer American Recovery & Reinvestment Act (ARRA) act in 2009



What is the intent of the Clinical Decision Support (CDS) System -
correct answer Providing clinicians with knowledge & person-specific information.



Which government organization oversees the meaningful use program -
correct answer 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 -
correct answer Flowsheet



Process for discovering root causes of problems & ID the solution -
correct answer Root cause analysis



What should providers have on their personal mobile devices to protect them from sharing information
when stolen? -
correct answer 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 -
correct answer Workflow

,How does the health information exchange (HIE) improve interoperability within a healthcare
organization -
correct answer 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) -
correct answer Involve staff in the implementation process.



Which statement defines electronic protected health information (ePHI) -
correct answer 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? -
correct answer An unregulated network of networks



What represents privacy & security risks for telehealth technology? -
correct answer 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? -
correct answer Patient allergy history



What is a structured method used to analyze serious adverse events? -
correct answer 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? -
correct answer Text data



Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities -
correct answer To prevent medication administration errors

, MRSA -
correct answer contact precautions



Which info in Electronic Medical Records will help nurses manage post-op care for appendectomy -
correct answer 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? -
correct answer 21st Century Cures Act



Tapping badge -
correct answer Improves documentation time.



Action that demonstrates data mining to improve patient outcomes -
correct answer HbA1c



What to do when Clinical Decision Support (CDS) System is ignored -
correct answer Educate staff on the importance.



Spouse requests patient's medical records -
correct answer Refer the family member to medical records.



Comparing infection rates across the states -
correct answer bar graph



Promoting the adoption & implementation of telehealth programs -
correct answer Advocacy



Mom calls asking for the child's info that was seen at the clinic -
correct answer Clinic is unable to provide the medical records.



Metrics related to stroke care & compare them across the country in a presentation -
correct answer Benchmarking

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