D220 WGU
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - 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? - 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? - 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? - 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? - Answer- Patient
demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - 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? - 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? - Answer- Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - 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? - Answer- An elderly person
1. What is true about improving health literacy? - 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? - 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? - Answer- List credible
education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - 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? - 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? - 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? - Answer- Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - 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? - 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? - 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? - Answer- Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - 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? - 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? - Answer- It provides a summary of care to patients and clinicians.
, 1. What are patient portals? - 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? - 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? -
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? - 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?
- 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? -
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? - 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? - 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 considered a
fundamental requirement for valid interpretation of genomics data? - Answer- High throughput
computing system
1. Which medical device is useful in establishing an effective monitoring system for a patient with
acute brain injury? - Answer- Temperature probe
1. An informatics nurse is collaborating with a nursing director of a long-term care facility to
address an ongoing issue with medication errors. Which solution should they consider? - Answer-
Use digital platform and barcode systems.
1. What are the correct steps in medication administration that require scanning verification? -
Answer- Scan the serial numbers on the medication label and patient's identification bracelet.
1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - 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? - 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? - 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? - 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? - Answer- Patient
demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - 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? - 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? - Answer- Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - 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? - Answer- An elderly person
1. What is true about improving health literacy? - 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? - 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? - Answer- List credible
education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - 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? - 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? - 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? - Answer- Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? - 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? - 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? - 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? - Answer- Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - 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? - 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? - Answer- It provides a summary of care to patients and clinicians.
, 1. What are patient portals? - 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? - 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? -
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? - 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?
- 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? -
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? - 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? - 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 considered a
fundamental requirement for valid interpretation of genomics data? - Answer- High throughput
computing system
1. Which medical device is useful in establishing an effective monitoring system for a patient with
acute brain injury? - Answer- Temperature probe
1. An informatics nurse is collaborating with a nursing director of a long-term care facility to
address an ongoing issue with medication errors. Which solution should they consider? - Answer-
Use digital platform and barcode systems.
1. What are the correct steps in medication administration that require scanning verification? -
Answer- Scan the serial numbers on the medication label and patient's identification bracelet.
