WGU D220 EXAMINATION STUDY GUIDE
2026 COMPLETE QUESTIONS AND
ANSWERS
◉ 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.
,◉ 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
2026 COMPLETE QUESTIONS AND
ANSWERS
◉ 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.
,◉ 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
