D220 Pre-Test part 1 and part 2 answered correctly
D220 Pre-Test part 1
Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?
The medication administration record and the nursing assessment notes from the last
shift indicate the patient's level of comfort.
Which information in a patient's medical record will help a nurse plan and
manage the patient'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
discharge education?
Importance of completing the medication prescribed
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?
The data will identify the pathogen causing the patient's symptoms
A nurse admits an infant with a severe hacking cough, vomiting, and a fever for
the past two weeks. Which data in the electronic medical record (EMR) informs
the decision to implement infection-control precautions?
The nasopharyngeal swab culture results indicate the patient is positive for Bordetella
pertussis.
A patient is admitted to the hospital with a painful rash on the left side of the face.
The provider orders the patient to be placed on contact precautions. Which data
in the electronic health record (EHR) informed the decision to implement contact
precautions?
The skin culture results indicate the presence of the varicella-zoster virus.
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?
The radiology report impression indicates pulmonary infiltrates and the nursing
assessment 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 medical record will provide a cross-reference to the
impacted patient population?
Patient demographic records
Which view in the electronic medical record (EMR) confirms a patient's blood
pressure is 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 shift informs the decision to implement the fluid volume overload
care plan?
Nursing flowsheet and intake and output record
Which data set in the electronic medical record (EMRs) will assist in evaluating
the number of positive influenza tests at a facility within the past year?
Laboratory records
During the evening shift, a nurse notices a significant change in a patient's blood
pressure as compared to the morning shift. Which 24-hour trend information in
the electronic medical record will help the nurse further evaluate and manage the
patient's blood pressure?
The intake and output record
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 in ensuring 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
electronic health 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.
Which patients are ideally positioned to fully engage in their care?
Patients that are recovering well after a full night of sleep.
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
What is true about improving health literacy?
Improving health literacy leads to better patient outcomes.
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?
Identify and define the goal of the technology
D220 Pre-Test part 1
Which data in a medical record would inform the nurse that a PRN pain
medication can be administered to the patient?
The medication administration record and the nursing assessment notes from the last
shift indicate the patient's level of comfort.
Which information in a patient's medical record will help a nurse plan and
manage the patient'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
discharge education?
Importance of completing the medication prescribed
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?
The data will identify the pathogen causing the patient's symptoms
A nurse admits an infant with a severe hacking cough, vomiting, and a fever for
the past two weeks. Which data in the electronic medical record (EMR) informs
the decision to implement infection-control precautions?
The nasopharyngeal swab culture results indicate the patient is positive for Bordetella
pertussis.
A patient is admitted to the hospital with a painful rash on the left side of the face.
The provider orders the patient to be placed on contact precautions. Which data
in the electronic health record (EHR) informed the decision to implement contact
precautions?
The skin culture results indicate the presence of the varicella-zoster virus.
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?
The radiology report impression indicates pulmonary infiltrates and the nursing
assessment 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 medical record will provide a cross-reference to the
impacted patient population?
Patient demographic records
Which view in the electronic medical record (EMR) confirms a patient's blood
pressure is 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 shift informs the decision to implement the fluid volume overload
care plan?
Nursing flowsheet and intake and output record
Which data set in the electronic medical record (EMRs) will assist in evaluating
the number of positive influenza tests at a facility within the past year?
Laboratory records
During the evening shift, a nurse notices a significant change in a patient's blood
pressure as compared to the morning shift. Which 24-hour trend information in
the electronic medical record will help the nurse further evaluate and manage the
patient's blood pressure?
The intake and output record
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 in ensuring 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
electronic health 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.
Which patients are ideally positioned to fully engage in their care?
Patients that are recovering well after a full night of sleep.
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
What is true about improving health literacy?
Improving health literacy leads to better patient outcomes.
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?
Identify and define the goal of the technology
