D220 WGU Exam with Questions and Correct Answers 2025.

D220 WGU Exam with Questions and
Correct Answers 2025




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)