WGU 220 EXAM WITH COMBINED STUDY GUIDE
PRACTICE QUESTIONS WITH ANSWERS NEW
MODIFIED TESTED AND APPROVED!!!
What does the informatics nurse recommend to increase attendance to follow-up
appointments? --ANSWER--Automated text or email reminders
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.
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.
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
Page 1 of 67
,Which barrier to healthcare informatics use does the HITECH Act aim to
reduce? --ANSWER--Financial
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.
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)
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)
What is a patient safety benefit of a pharmacy information system (PIS)? --
ANSWER--Alerts regarding allergies and interactions
Standardized terminology was implemented to promote interoperability across
electronic health records (EHRs). Which terminology is specific to laboratory
tests, orders, and results? --ANSWER--LOINC
Page 2 of 67
,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.
What are patient portals? --ANSWER--Patient portals are facility-owned and
associated with an electronic health record.
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.
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.
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.
Which information in a patient's medical record will help a nurse plan and
manage the patient's pain? --ANSWER--Physician orders
Page 3 of 67
, 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.
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.
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
Which view in the electronic health record (EHR) confirms a patient's blood
pressure is stabilizing? --ANSWER--Graphical trending
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
Page 4 of 67
PRACTICE QUESTIONS WITH ANSWERS NEW
MODIFIED TESTED AND APPROVED!!!
What does the informatics nurse recommend to increase attendance to follow-up
appointments? --ANSWER--Automated text or email reminders
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.
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.
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
Page 1 of 67
,Which barrier to healthcare informatics use does the HITECH Act aim to
reduce? --ANSWER--Financial
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.
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)
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)
What is a patient safety benefit of a pharmacy information system (PIS)? --
ANSWER--Alerts regarding allergies and interactions
Standardized terminology was implemented to promote interoperability across
electronic health records (EHRs). Which terminology is specific to laboratory
tests, orders, and results? --ANSWER--LOINC
Page 2 of 67
,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.
What are patient portals? --ANSWER--Patient portals are facility-owned and
associated with an electronic health record.
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.
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.
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.
Which information in a patient's medical record will help a nurse plan and
manage the patient's pain? --ANSWER--Physician orders
Page 3 of 67
, 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.
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.
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
Which view in the electronic health record (EHR) confirms a patient's blood
pressure is stabilizing? --ANSWER--Graphical trending
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
Page 4 of 67
