D220 WGU Study Questions with Accurate Answers 2024

1. Which data in a medical record would inform the nurse that a PRN pain medication can be administered to the patient? - answersThe medication administration record and the nursing assessment notes from the last shift indicate the patient's level of comfort. 1. Which information in a patient's medical record will help a nurse plan and manage the patient's pain? - answersPhysician 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? - answersImportance 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? - answersThe 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? - answersPatient demographic records 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is stabilizing? - answersGraphical 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? - answersNursing 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? - answersLaboratory records 1. Which patients are ideally positioned to fully engage in their care? - answersPatients 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? - answersAn elderly person 1. What is true about improving health literacy? - answersImproving 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? - answersIdentify 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? - answersList credible education resources for the patient's research. 1. What does the informatics nurse recommend to increase attendance to follow-up appointments? - answersAutomated 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? - answersPharmacy 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? - answersDuplicate 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? - answersElectronic checklist 1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - answersFinancial 1. 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? - answersA large stand-alone department should go live first. 1. While reviewing electronic nursing documentation, a nurse identifies that a patient's vital signs have declined since the previous shift. Which health information system assisted in this identification? - answersElectronic health record (EHR) 1. 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 to review testing turnaround times for the clinic. Which health information system (HIS) should the nurse manager review for this data? - answersLaboratory information systems (LIS) 1. What is a patient safety benefit of a pharmacy information system (PIS)? - answersAlerts regarding allergies and interactions 1. Standardized terminology was implemented to promote interoperability across electronic health records (EHRs). Which terminology is specific to laboratory tests, orders, and results? - answersLOINC 1. A nurse performing patient discharge from a facility provides a continuity of care document (CCD) to a patient and explains the document and contents at discharge. What is a benefit provided by the CCD? - answersIt provides a summary of care to patients and clinicians. 1. What are patient portals? - answersPatient portals are facility-owned and associated with an electronic health record. 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? - answersMonitor BCMA usage reports for trends. 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? - answersDosing limits and alerts are provided. 1. Mobile health (mHealth) apps have demonstrated benefits to patients by increasing engagement and participation in care. What is a benefit for clinicians? - answersIntegrates with electronic health records (EHRs) 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? - answersCAC improves coding accuracy. 1. A nurse manager is informed that bedside nurses have begun using a workaround for scanning a patient's armband prior to medication administration. The nurse manager finds that several patients are missing armbands and that their armbands are connected to their bed frames. What is the nurse manager's first course of action for this workaround to bedside-scanning technology? - answersQuestion nursing staff about what issues have caused this. 1. Currently, a facility uses phones and pagers for clinician communication. This technology is due for replacement. A nurse recommends replacing with all-in-one mobile devices. What is the benefit of all-in-one mobile technology over the current devices? - answersIt integrates functionality within the EHR. 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? - answersQuery based. 1. An informatics nurse is working on genomics data to facilitate disease identification and develop individualized treatment plans for patients in a complex medical facility. What is considered a fundamental requirement for valid interpretation of genomics data? - answersHigh throughput computing system