D220 WGU Study Questions
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - correct answer-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? - correct answer-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? - correct
answer-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? - correct answer-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? -
correct answer-Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - correct answer-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? - correct
answer-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? - correct answer-Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - correct
answer-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? - correct
answer-An elderly person
1. What is true about improving health literacy? - correct answer-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? -
correct answer-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? - correct
answer-List credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - correct answer-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? - correct answer-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? - correct answer-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? - correct answer-Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - correct
answer-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? - correct answer-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? - correct answer-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? - correct answer-Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - correct
answer-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?
- correct answer-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? - correct answer-It provides a summary of care to patients
and clinicians.
1. What are patient portals? - correct answer-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? - correct
answer-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? - correct answer-Dosing 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? - correct
answer-Integrates 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? - correct answer-CAC 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? - correct answer-Question 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? - correct answer-It
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?
- correct answer-Query 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
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - correct answer-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? - correct answer-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? - correct
answer-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? - correct answer-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? -
correct answer-Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - correct answer-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? - correct
answer-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? - correct answer-Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - correct
answer-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? - correct
answer-An elderly person
1. What is true about improving health literacy? - correct answer-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? -
correct answer-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? - correct
answer-List credible education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - correct answer-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? - correct answer-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? - correct answer-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? - correct answer-Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - correct
answer-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? - correct answer-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? - correct answer-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? - correct answer-Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - correct
answer-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?
- correct answer-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? - correct answer-It provides a summary of care to patients
and clinicians.
1. What are patient portals? - correct answer-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? - correct
answer-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? - correct answer-Dosing 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? - correct
answer-Integrates 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? - correct answer-CAC 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? - correct answer-Question 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? - correct answer-It
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?
- correct answer-Query 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
