WGU D220 STUDY QUESTIONS AND ANSWERS TEST
BANK (NEW UPDATE) VERIFIED ANSWERS GRADED
• Which data in a medical record would inform the nurse that a PRN pain
medicationcan be administered to the patient?
• The medication administration record and the nursing assessment notes from
thelast shift indicate the patient's level of comfort.
• Which information in a patient's medical record will help a nurse plan and manage
thepatient's pain?
• Physician orders
• 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
dischargeeducation?
• Importance of completing the medication prescribed.
• 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
toimplement the ineffective airway clearance nursing care plan?
• The radiology report impression indicates pulmonary infiltrates and the
nursingassessment indicates a decrease in respirations.
• 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?
• Patient demographic records
• Which view in the electronic health record (EHR) confirms a patient's blood
pressureis stabilizing?
• Graphical trending
• 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 shiftinforms the decision to implement the fluid volume overload care plan?
• 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?
• Laboratory records
1. Which patients are ideally positioned to fully engage in their care?
• 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?
• An elderly
person
1. What is true about improving health literacy?
• Improving health literacy leads to better patient
outcomes.
1. A nurse assists with implementing a new remote patient monitoring (RPM) system
forcollecting
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?
• Identify and define the goal of the
technology.
1. Patient use of technology has increased dramatically. While patients are more
activein 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?
• List credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-
upappointments?
• 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?
• Pharmacy cannot determine if there is a problem with a medication batch.
• 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?
• Duplicate documentation appears multiple times in the chart.
• 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 inensuring these tasks are accomplished?
• Electronic checklist
• Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
• Financial
• A project team is moving a hospital from using paper charting to using an
electronichealth record for documentation. How should the project team roll out the
software to reduce the impact on the hospital?
• A large stand-alone department should go live first.
• While reviewing electronic nursing documentation, a nurse identifies that a
patient'svital signs have declined since the previous shift. Which health information
system assisted in this identification?
• Electronic health record (EHR)
• The nurse manager of an outpatient laboratory clinic is investigating decreased
patient satisfaction scores and cited delays in receiving lab results. The first step is
toreview testing turnaround times for the clinic. Which health information system
(HIS) should the nurse manager review for this data?
• Laboratory information systems (LIS)
• What is a patient safety benefit of a pharmacy information system (PIS)?
• Alerts regarding allergies and interactions
BANK (NEW UPDATE) VERIFIED ANSWERS GRADED
• Which data in a medical record would inform the nurse that a PRN pain
medicationcan be administered to the patient?
• The medication administration record and the nursing assessment notes from
thelast shift indicate the patient's level of comfort.
• Which information in a patient's medical record will help a nurse plan and manage
thepatient's pain?
• Physician orders
• 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
dischargeeducation?
• Importance of completing the medication prescribed.
• 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
toimplement the ineffective airway clearance nursing care plan?
• The radiology report impression indicates pulmonary infiltrates and the
nursingassessment indicates a decrease in respirations.
• 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?
• Patient demographic records
• Which view in the electronic health record (EHR) confirms a patient's blood
pressureis stabilizing?
• Graphical trending
• 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 shiftinforms the decision to implement the fluid volume overload care plan?
• 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?
• Laboratory records
1. Which patients are ideally positioned to fully engage in their care?
• 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?
• An elderly
person
1. What is true about improving health literacy?
• Improving health literacy leads to better patient
outcomes.
1. A nurse assists with implementing a new remote patient monitoring (RPM) system
forcollecting
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?
• Identify and define the goal of the
technology.
1. Patient use of technology has increased dramatically. While patients are more
activein 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?
• List credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-
upappointments?
• 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?
• Pharmacy cannot determine if there is a problem with a medication batch.
• 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?
• Duplicate documentation appears multiple times in the chart.
• 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 inensuring these tasks are accomplished?
• Electronic checklist
• Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
• Financial
• A project team is moving a hospital from using paper charting to using an
electronichealth record for documentation. How should the project team roll out the
software to reduce the impact on the hospital?
• A large stand-alone department should go live first.
• While reviewing electronic nursing documentation, a nurse identifies that a
patient'svital signs have declined since the previous shift. Which health information
system assisted in this identification?
• Electronic health record (EHR)
• The nurse manager of an outpatient laboratory clinic is investigating decreased
patient satisfaction scores and cited delays in receiving lab results. The first step is
toreview testing turnaround times for the clinic. Which health information system
(HIS) should the nurse manager review for this data?
• Laboratory information systems (LIS)
• What is a patient safety benefit of a pharmacy information system (PIS)?
• Alerts regarding allergies and interactions
