D220 WGU Study Questions and Answers
1. Which data in a medical record would inform the nurse that a PRN pain medication
can be administered to the patient? - ANS-The 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? - ANS-Physician 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? - ANS-Importance 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? - ANS-The 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? - ANS-Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure
is stabilizing? - ANS-Graphical 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? -
ANS-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? - ANS-Laboratory
records
1. Which patients are ideally positioned to fully engage in their care? - ANS-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? -
ANS-An elderly person
1. What is true about improving health literacy? - ANS-Improving 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? - ANS-Identify 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? - ANS-List credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - ANS-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? - ANS-Pharmacy 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? - ANS-Duplicate
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? - ANS-Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
, - ANS-Financial
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? - ANS-A 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? - ANS-Electronic 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? - ANS-Laboratory information systems
(LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? -
ANS-Alerts 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? - ANS-LOINC
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? - ANS-It provides a summary of care to patients
and clinicians.
1. What are patient portals? - ANS-Patient 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? -
ANS-Monitor 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? - ANS-Dosing limits and alerts are provided.
1. Mobile health (mHealth) apps have demonstrated benefits to patients by increasing
1. Which data in a medical record would inform the nurse that a PRN pain medication
can be administered to the patient? - ANS-The 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? - ANS-Physician 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? - ANS-Importance 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? - ANS-The 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? - ANS-Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure
is stabilizing? - ANS-Graphical 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? -
ANS-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? - ANS-Laboratory
records
1. Which patients are ideally positioned to fully engage in their care? - ANS-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? -
ANS-An elderly person
1. What is true about improving health literacy? - ANS-Improving 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? - ANS-Identify 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? - ANS-List credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - ANS-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? - ANS-Pharmacy 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? - ANS-Duplicate
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? - ANS-Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
, - ANS-Financial
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? - ANS-A 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? - ANS-Electronic 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? - ANS-Laboratory information systems
(LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? -
ANS-Alerts 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? - ANS-LOINC
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? - ANS-It provides a summary of care to patients
and clinicians.
1. What are patient portals? - ANS-Patient 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? -
ANS-Monitor 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? - ANS-Dosing limits and alerts are provided.
1. Mobile health (mHealth) apps have demonstrated benefits to patients by increasing
