D220 WGU Study Questions
1. 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.
2. 1. Which information in a patient's medical record will help a nurse plan and manage the
patient's pain?: Physician orders
3. 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?: Importance of
completing the medication prescribed.
4. 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?-
: The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a
decrease in respirations.
5. 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?: Patient
demographic records
6. 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing?: Graphical trending
, D220 WGU Study Questions
7. 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?: Nursing flowsheet and intake and
output record
8. 1. Which data set in the electronic health record (EHR) will assist in eval- uating the
number of positive influenza tests at a facility within the past year?: Laboratory records
9. 1. Which patients are ideally positioned to fully engage in their care?: Pa- tients that are
recovering well after a full night of sleep.
10.1. 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?: An elderly person
11.1. What is true about improving health literacy?: Improving health literacy leads to better
patient outcomes.
12.1. 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
, D220 WGU Study Questions
new technology for patient data collection?: Identify and define the goal of the technology.
13.1. 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?: List credible
education resources for the pa- tient's research.
14.1. What does the informatics nurse recommend to increase attendance to follow-up
appointments?: Automated text or email reminders
15.1. 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 administra- tion documentation. What is a consequence of this
action?: Pharmacy cannot determine if there is a problem with a medication batch.
16.1. A nurse thinks the electronic health record (EHR) has too many docu- mentation 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.
17.1. 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 infor- matics solution assists in ensuring these
tasks are accomplished?: Electronic checklist
18.1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce?:
, D220 WGU Study Questions
Financial
19.1. 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?: A large stand-alone department should go live first.
20.1. 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?: Electronic health record (EHR)
21.1. 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?: Laboratory information systems (LIS)
1. 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.
2. 1. Which information in a patient's medical record will help a nurse plan and manage the
patient's pain?: Physician orders
3. 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?: Importance of
completing the medication prescribed.
4. 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?-
: The radiology report impression indicates pulmonary infiltrates and the nursing assessment indicates a
decrease in respirations.
5. 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?: Patient
demographic records
6. 1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing?: Graphical trending
, D220 WGU Study Questions
7. 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?: Nursing flowsheet and intake and
output record
8. 1. Which data set in the electronic health record (EHR) will assist in eval- uating the
number of positive influenza tests at a facility within the past year?: Laboratory records
9. 1. Which patients are ideally positioned to fully engage in their care?: Pa- tients that are
recovering well after a full night of sleep.
10.1. 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?: An elderly person
11.1. What is true about improving health literacy?: Improving health literacy leads to better
patient outcomes.
12.1. 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
, D220 WGU Study Questions
new technology for patient data collection?: Identify and define the goal of the technology.
13.1. 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?: List credible
education resources for the pa- tient's research.
14.1. What does the informatics nurse recommend to increase attendance to follow-up
appointments?: Automated text or email reminders
15.1. 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 administra- tion documentation. What is a consequence of this
action?: Pharmacy cannot determine if there is a problem with a medication batch.
16.1. A nurse thinks the electronic health record (EHR) has too many docu- mentation 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.
17.1. 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 infor- matics solution assists in ensuring these
tasks are accomplished?: Electronic checklist
18.1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce?:
, D220 WGU Study Questions
Financial
19.1. 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?: A large stand-alone department should go live first.
20.1. 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?: Electronic health record (EHR)
21.1. 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?: Laboratory information systems (LIS)
