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WGU D220 Exam Questions – Nursing Informatics Answers & Study Guide

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Latest WGU D220 practice questions and answers (Graded A+), covering nursing informatics, EHR, HIPAA, CDSS, and healthcare technology for exam preparation.

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Wgu D220
Course
Wgu d220

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D220 WGU STUDY QUESTIONS AND
ANSWERS GRADED A+ LATEST 2026-
2027


1. A charge nurse uses the department's smartphone to
send a text message containing the patient's last name,
room number, and most recent vital signs to the
attending physician. Which federal act does this violate?
- correct answer - Health Insurance Portability and
Accountability Act (HIPAA)


1. A clinic employee left a message at home for a patient
that included details of both a medical condition and
treatment plan. The patient requested any contact
regarding medical conditions be done through the
patient's work phone number. What should the clinic's
next steps be? - correct answer - Train employees to
provide only the minimum necessary information in
messages.


1. A facility has noted a decrease in revenue related to
inaccuracies in coding. A nurse recommends computer-
assisted coding (CAC) as a solution. What is the financial
benefit of CAC? - correct answer - CAC improves coding
accuracy.

,1. A facility recently implemented a new EHR. End nurses
are now suggesting changes to improve the HR and
workflow processes. Which phase in the SDLC does this
describe? - correct answer - Maintenance


1. A healthcare organization has determined which
outcomes it wants to improve over the next year and
what changes will be implemented to help the
organization achieve its goals. The organization builds an
interactive reminder tool in the electronic health record
(EHR) for staff. Data can be collected from this tool to
determine if the changes are implemented. Which type of
data collection is this? - correct answer - Checklist


1. A heparin medication error and a subsequent failure
mode effects analysis (FMEA) results in the purchase of
smart pumps. How do smart pumps reduce the potential
for medication errors? - correct answer - Dosing limits
and alerts are provided.


1. A high number of data-entry fields in the EHR can be
overwhelming for staff and make it difficult to find where
information should be documented. Which informatics
solution could solve this problem? - correct answer -
Cascading documentation

,1. A hospital has a surgical department that uses a
different EHR from the main EHR (integrated). When a
physician inputs an order in the surgical department, how
would you ensure that it is in the main EHR? - correct
answer - Chart in one and it will go into the EHR.


1. A hospital notes a decreased use of barcoded
medication administration (BCMA) along with an increase
in medication errors. What should be the next course of
action? - correct answer - Monitor BCMA usage reports
for trends.


1. A mother brings her child to the emergency
department after noticing the child had trouble breathing,
refused breastfeeding, and no urine in the diaper within
the last eight hours. The provider suspects respiratory
syncytial virus and admits the infant to the hospital. How
will data in the medical record inform the decision to
select appropriate infection-control precautions? -
correct answer - The data will identify the pathogen
causing the patient's symptoms.


1. A nurse admits an infant with a severe, hacking cough
who is vomiting and who has had a fever for the past two
weeks. Which data in the electronic health record (EHR)
informs the decision to implement infection-control
precautions? - correct answer - The nasopharyngeal

, swab culture results indicate the patient is positive for
Bordetella pertussis.


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? - correct answer - Identify and define the
goal of the technology.


1. A nurse in a primary care provider's office needs to
review results from a patient's cardiology consultation.
Using health information exchange (HIE) technology, the
nurse requests this information from the cardiologist's
office. Which type of exchange is described? - correct
answer - Query based.


1. A nurse is asked to be part of a study. What should the
nurse do? - correct answer - Provide de-identified data.


1. A nurse is documenting the electronic record of a
patient while in a common area. The nurse is called away
to briefly assist nearby. Which action is correct for the
nurse to complete prior to assisting in the other area? -
correct answer - Close the record and log out of the
account.

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