WGU D220 Exam Questions and answers
2025
1. 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 orders
2. 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
3. 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
4. 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
5. Operating room (OR) staff are reliant upon a manual white board 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 use of the existing surgical
information system (SIS). Which resolution can improve this workflow issue -
CORRECT ANSWER-Radio frequency identification (RFID) in patient labels
6. An informatics nurse & an emergency nurse are conducting an analysis of a
patient admission from the ER - CORRECT ANSWER-Which tool should these
nurses use for a process analysis? SWOT template
7. What is an effective way to reduce the risk of access of electronic protected
health information (ePHI) by unauthorized users - CORRECT ANSWER-Make
sure all the users adhere to security & confidential policy set forth by the
facility
8. How does a healthcare policy assure access to health information by
authorized users - CORRECT ANSWER-It creates a reliable method to verify the
identities of users accessing health information
,9. Which statement describes the application of meaningful use - CORRECT
ANSWER-Provider needs to show the use of the Electronic Health Record
(EHR) technology
10. What is the typical role of the informatics nurse - CORRECT ANSWER-
Plans, coordinates, & facilitates education for all computer applications &
software for nursing or clinical user group
11. A patients glucose blood sugar is 400. What is a one-time kind of report -
CORRECT ANSWER-Ad Hoc
12. Which clinical information technology enables providers to document
patient assessments - CORRECT ANSWER-Vitals signs capture
13. 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
14. Which statement best describes Nursing Informatics - CORRECT ANSWER-
"Computer science, decision science, information science, management
science, cognitive science, & organizational theory."
15. The nurse receives report that there are new orders to review. Where does
the nurse look to verify this information - CORRECT ANSWER-The Kardex
16. What is the goal of Merit-Based Incentive Payment System (MIPS) &
Meaningful Use (MU) - CORRECT ANSWER-Patient quality care
17. What is a type of phishing - CORRECT ANSWER-Trojan
18. What is Data governance - CORRECT ANSWER-Defines who can take what
action, upon what data, in what situations, using what methods
19. A provider at the hospital had his laptop stolen from his vehicle. What
should be on his laptop to protect it from data breach - CORRECT ANSWER-
Encryption
20. What is the name of the process that begins with conception & continues
through implementation - CORRECT ANSWER-Systems Development Life Cycle
(SDLC)
21. What is the intent of the Clinical Decision Support (CDS) System -
CORRECT ANSWER-This is an application that supports healthcare
practitioners in making patient-care decisions
22. What is the term for sharing a person's personal information with other
individuals electronically - CORRECT ANSWER-Information sharing
,23. 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
24. Why is it important to control the number of warnings in Electronic Health
Record (EHR) - CORRECT ANSWER-Alert fatigue
25. Which change theory begins with creating urgency - CORRECT ANSWER-
Kotter's Models
26. Which act in 2009 did Meaningful Use (MU) originate - CORRECT ANSWER-
American Recover & Reinvestment Act (ARRA) act in 2009
27. What is the primary concern driving Nursing informatic initiative -
CORRECT ANSWER-Patient safety
28. What can be installed to allow one operation to access another to enable
the exchange of data - CORRECT ANSWER-Integration
29. Which type of chart uses rectangle, oval & diamonds in both - CORRECT
ANSWER-Flowchart
30. What is the intent of the Clinical Decision Support (CDS) System -
CORRECT ANSWER-Providing clinicians with knowledge & person specific
information
31. Information may be kept secret to those with an only need to know -
CORRECT ANSWER-What is this? Information privacy is the right to choose
the conditions under which information is shared, & to ensure the accuracy of
collected information.
32. Which statement defines interoperability - CORRECT ANSWER-The extent to
which systems & devices can exchange data & interpret that shared data.
33. Which two statement defines healthcare informatics - CORRECT ANSWER-
Standardized languages & terminologies to ensure consistent meanings across
all settings
34. What is a physical safeguard of ePHI - CORRECT ANSWER-Lock on hard
drive. Facility Access Controls Workstation Use Workstation Security - Device
& Media Controls
35. What is a technical safeguard ePHI - CORRECT ANSWER-Access control.
Audit controls. Authentication.
36. Which government agency recommended to use of bar code medication
administration - CORRECT ANSWER-FDA
, 37. What describes an example of opt-in or opt-out choice regarding the
disclosure of personal health information - CORRECT ANSWER-Your
information be sent to another facility
38. What is an important security consideration related to the use of email
application to send & receive patient data - CORRECT ANSWER-Emails have
the potential to go to other users
39. What are the maximum penalties for refraining from full participation in the
Merit-Based Incentive Payment System (MIPS) in years 2017 through 2024 -
CORRECT ANSWER-Merit-Based Incentive Payment System (MIPS) penalty for
failing to comply? 3-8%
40. Which government organization oversees the meaningful use program -
CORRECT ANSWER-CMS
41. Where are POLST (advanced care directives) found on the computer -
CORRECT ANSWER-Media tab
42. What Meaningful use stage can you generate & transmit Rx electronically -
CORRECT ANSWER-Stage 3
43. A nurse has a new order for an anti-arrhythmic drug via IV drip. What
needs to be done before this medication can be safely administered -
CORRECT ANSWER-Use the 5 rights of medication administration
44. What item describes a basic network code that determines the roles used to
create & route packets of data between network devices - CORRECT ANSWER-
Interface
45. A laboratory manager requested a report of all patients that had a blood
glucose greater than 400 mg/dL for the month of July to provide to the
corporate office. Which type of report should the nurse informaticists create
using information stored in the electronic health record for this one-time
request - CORRECT ANSWER-Short time report
46. A Nursing Innovator & 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
47. What is the first thing patients should do to access their health records -
CORRECT ANSWER-Ask for access to their documents
48. Process for discovering root causes of problems & ID the solution -
CORRECT ANSWER-Root cause analysis
49. Where do you document a patient's allergy - CORRECT ANSWER-History &
physical
2025
1. 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 orders
2. 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
3. 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
4. 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
5. Operating room (OR) staff are reliant upon a manual white board 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 use of the existing surgical
information system (SIS). Which resolution can improve this workflow issue -
CORRECT ANSWER-Radio frequency identification (RFID) in patient labels
6. An informatics nurse & an emergency nurse are conducting an analysis of a
patient admission from the ER - CORRECT ANSWER-Which tool should these
nurses use for a process analysis? SWOT template
7. What is an effective way to reduce the risk of access of electronic protected
health information (ePHI) by unauthorized users - CORRECT ANSWER-Make
sure all the users adhere to security & confidential policy set forth by the
facility
8. How does a healthcare policy assure access to health information by
authorized users - CORRECT ANSWER-It creates a reliable method to verify the
identities of users accessing health information
,9. Which statement describes the application of meaningful use - CORRECT
ANSWER-Provider needs to show the use of the Electronic Health Record
(EHR) technology
10. What is the typical role of the informatics nurse - CORRECT ANSWER-
Plans, coordinates, & facilitates education for all computer applications &
software for nursing or clinical user group
11. A patients glucose blood sugar is 400. What is a one-time kind of report -
CORRECT ANSWER-Ad Hoc
12. Which clinical information technology enables providers to document
patient assessments - CORRECT ANSWER-Vitals signs capture
13. 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
14. Which statement best describes Nursing Informatics - CORRECT ANSWER-
"Computer science, decision science, information science, management
science, cognitive science, & organizational theory."
15. The nurse receives report that there are new orders to review. Where does
the nurse look to verify this information - CORRECT ANSWER-The Kardex
16. What is the goal of Merit-Based Incentive Payment System (MIPS) &
Meaningful Use (MU) - CORRECT ANSWER-Patient quality care
17. What is a type of phishing - CORRECT ANSWER-Trojan
18. What is Data governance - CORRECT ANSWER-Defines who can take what
action, upon what data, in what situations, using what methods
19. A provider at the hospital had his laptop stolen from his vehicle. What
should be on his laptop to protect it from data breach - CORRECT ANSWER-
Encryption
20. What is the name of the process that begins with conception & continues
through implementation - CORRECT ANSWER-Systems Development Life Cycle
(SDLC)
21. What is the intent of the Clinical Decision Support (CDS) System -
CORRECT ANSWER-This is an application that supports healthcare
practitioners in making patient-care decisions
22. What is the term for sharing a person's personal information with other
individuals electronically - CORRECT ANSWER-Information sharing
,23. 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
24. Why is it important to control the number of warnings in Electronic Health
Record (EHR) - CORRECT ANSWER-Alert fatigue
25. Which change theory begins with creating urgency - CORRECT ANSWER-
Kotter's Models
26. Which act in 2009 did Meaningful Use (MU) originate - CORRECT ANSWER-
American Recover & Reinvestment Act (ARRA) act in 2009
27. What is the primary concern driving Nursing informatic initiative -
CORRECT ANSWER-Patient safety
28. What can be installed to allow one operation to access another to enable
the exchange of data - CORRECT ANSWER-Integration
29. Which type of chart uses rectangle, oval & diamonds in both - CORRECT
ANSWER-Flowchart
30. What is the intent of the Clinical Decision Support (CDS) System -
CORRECT ANSWER-Providing clinicians with knowledge & person specific
information
31. Information may be kept secret to those with an only need to know -
CORRECT ANSWER-What is this? Information privacy is the right to choose
the conditions under which information is shared, & to ensure the accuracy of
collected information.
32. Which statement defines interoperability - CORRECT ANSWER-The extent to
which systems & devices can exchange data & interpret that shared data.
33. Which two statement defines healthcare informatics - CORRECT ANSWER-
Standardized languages & terminologies to ensure consistent meanings across
all settings
34. What is a physical safeguard of ePHI - CORRECT ANSWER-Lock on hard
drive. Facility Access Controls Workstation Use Workstation Security - Device
& Media Controls
35. What is a technical safeguard ePHI - CORRECT ANSWER-Access control.
Audit controls. Authentication.
36. Which government agency recommended to use of bar code medication
administration - CORRECT ANSWER-FDA
, 37. What describes an example of opt-in or opt-out choice regarding the
disclosure of personal health information - CORRECT ANSWER-Your
information be sent to another facility
38. What is an important security consideration related to the use of email
application to send & receive patient data - CORRECT ANSWER-Emails have
the potential to go to other users
39. What are the maximum penalties for refraining from full participation in the
Merit-Based Incentive Payment System (MIPS) in years 2017 through 2024 -
CORRECT ANSWER-Merit-Based Incentive Payment System (MIPS) penalty for
failing to comply? 3-8%
40. Which government organization oversees the meaningful use program -
CORRECT ANSWER-CMS
41. Where are POLST (advanced care directives) found on the computer -
CORRECT ANSWER-Media tab
42. What Meaningful use stage can you generate & transmit Rx electronically -
CORRECT ANSWER-Stage 3
43. A nurse has a new order for an anti-arrhythmic drug via IV drip. What
needs to be done before this medication can be safely administered -
CORRECT ANSWER-Use the 5 rights of medication administration
44. What item describes a basic network code that determines the roles used to
create & route packets of data between network devices - CORRECT ANSWER-
Interface
45. A laboratory manager requested a report of all patients that had a blood
glucose greater than 400 mg/dL for the month of July to provide to the
corporate office. Which type of report should the nurse informaticists create
using information stored in the electronic health record for this one-time
request - CORRECT ANSWER-Short time report
46. A Nursing Innovator & 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
47. What is the first thing patients should do to access their health records -
CORRECT ANSWER-Ask for access to their documents
48. Process for discovering root causes of problems & ID the solution -
CORRECT ANSWER-Root cause analysis
49. Where do you document a patient's allergy - CORRECT ANSWER-History &
physical
