D220 WGU COMPREHENSIVE 2025–2026 ULTIMATE STUDY GUIDE FOR
ALL MAJOR EXAMS, TESTS, AND FINAL REVIEWS WITH
VERIFIED QUESTIONS, CORRECT ANSWERS, AND DETAILED
EXPLANATIONS FOR COLLEGE, NURSING, AND BUSINESS
STUDENTS
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 s
hift 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
2. A patient completes the course of treatment for tuberculosis and is ready to be dischar
ged home. Which instructions should be included in the patient's discharge education?
- CORRECT ANSWER -Importance of completing the medication prescribed.
3. After a patient's assessment, a nurse observes a decrease in respiration and wheezing o
n 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 assess
ment indicates a decrease in respirations.
4. 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 elec
tronic health record (EHR) will provide a cross-
reference to the impacted patient population? - CORRECT ANSWER -
Patient demographic records
5. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - CORRECT ANSWER -Graphical trending
6. After a patient's initial assessment, a nurse observes an increase in edema, bilateral cra
ckles, and persistent cough. Which data set in the medical record from the last shift inf
, orms the decision to implement the fluid volume overload care plan? -
CORRECT ANSWER -Nursing flowsheet and intake and output record
7. Which data set in the electronic health record (EHR) will assist in evaluating the numbe
r of positive influenza tests at a facility within the past year? - CORRECT ANSWER -
Laboratory records
8. Which patients are ideally positioned to fully engage in their care? -
CORRECT ANSWER -Patients that are recovering well after a full night of sleep.
9. A nurse is teaching a patient-
centered health education course at a hospital. As an informatics nurse leveraging tech
nology to help improve patient understanding, which learner would be more likely to h
ave a low health literacy and require more focus? - CORRECT ANSWER -
An elderly person
10. What is true about improving health literacy? - CORRECT ANSWER -
Improving health literacy leads to better patient outcomes.
11. A nurse assists with implementing a new remote patient monitoring (RPM) system for c
ollecting patient data, which improves patient outcomes. Which task is a high priority f
or an informatics clinician when implementing a new technology for patient data collec
tion? - CORRECT ANSWER -Identify and define the goal of the technology.
12. 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 inacc
urate. Which recommendation should the nurse give to ensure education is accurate? -
CORRECT ANSWER -List credible education resources for the patient's research.
13. What does the informatics nurse recommend to increase attendance to follow-
up appointments? - CORRECT ANSWER -Automated text or email reminders
, 14. Pharmacy adds a field into the medication administration record to document the lot n
umber when a chemo medication is administered but fails to communicate this to the n
urse responsible for the medication administration documentation. What is a conseque
nce of this action? - CORRECT ANSWER -
Pharmacy cannot determine if there is a problem with a medication batch.
15. 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 t
he 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.
16. A nurse is working in a medical-
surgical unit assigned care for five patients. The nurse has many tasks to accomplish du
ring a shift. Which informatics solution assists in ensuring these tasks are accomplished
? - CORRECT ANSWER -Electronic checklist
17. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? -
CORRECT ANSWER -Financial
18. A project team is moving a hospital from using paper charting to using an electronic he
alth record for documentation. How should the project team roll out the software to re
duce the impact on the hospital? - CORRECT ANSWER -A large stand-
alone department should go live first.
19. While reviewing electronic nursing documentation, a nurse identifies that a patient's vit
al signs have declined since the previous shift. Which health information system assiste
d in this identification? - CORRECT ANSWER -Electronic health record (EHR)
20. 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 tes
ALL MAJOR EXAMS, TESTS, AND FINAL REVIEWS WITH
VERIFIED QUESTIONS, CORRECT ANSWERS, AND DETAILED
EXPLANATIONS FOR COLLEGE, NURSING, AND BUSINESS
STUDENTS
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 s
hift 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
2. A patient completes the course of treatment for tuberculosis and is ready to be dischar
ged home. Which instructions should be included in the patient's discharge education?
- CORRECT ANSWER -Importance of completing the medication prescribed.
3. After a patient's assessment, a nurse observes a decrease in respiration and wheezing o
n 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 assess
ment indicates a decrease in respirations.
4. 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 elec
tronic health record (EHR) will provide a cross-
reference to the impacted patient population? - CORRECT ANSWER -
Patient demographic records
5. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - CORRECT ANSWER -Graphical trending
6. After a patient's initial assessment, a nurse observes an increase in edema, bilateral cra
ckles, and persistent cough. Which data set in the medical record from the last shift inf
, orms the decision to implement the fluid volume overload care plan? -
CORRECT ANSWER -Nursing flowsheet and intake and output record
7. Which data set in the electronic health record (EHR) will assist in evaluating the numbe
r of positive influenza tests at a facility within the past year? - CORRECT ANSWER -
Laboratory records
8. Which patients are ideally positioned to fully engage in their care? -
CORRECT ANSWER -Patients that are recovering well after a full night of sleep.
9. A nurse is teaching a patient-
centered health education course at a hospital. As an informatics nurse leveraging tech
nology to help improve patient understanding, which learner would be more likely to h
ave a low health literacy and require more focus? - CORRECT ANSWER -
An elderly person
10. What is true about improving health literacy? - CORRECT ANSWER -
Improving health literacy leads to better patient outcomes.
11. A nurse assists with implementing a new remote patient monitoring (RPM) system for c
ollecting patient data, which improves patient outcomes. Which task is a high priority f
or an informatics clinician when implementing a new technology for patient data collec
tion? - CORRECT ANSWER -Identify and define the goal of the technology.
12. 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 inacc
urate. Which recommendation should the nurse give to ensure education is accurate? -
CORRECT ANSWER -List credible education resources for the patient's research.
13. What does the informatics nurse recommend to increase attendance to follow-
up appointments? - CORRECT ANSWER -Automated text or email reminders
, 14. Pharmacy adds a field into the medication administration record to document the lot n
umber when a chemo medication is administered but fails to communicate this to the n
urse responsible for the medication administration documentation. What is a conseque
nce of this action? - CORRECT ANSWER -
Pharmacy cannot determine if there is a problem with a medication batch.
15. 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 t
he 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.
16. A nurse is working in a medical-
surgical unit assigned care for five patients. The nurse has many tasks to accomplish du
ring a shift. Which informatics solution assists in ensuring these tasks are accomplished
? - CORRECT ANSWER -Electronic checklist
17. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? -
CORRECT ANSWER -Financial
18. A project team is moving a hospital from using paper charting to using an electronic he
alth record for documentation. How should the project team roll out the software to re
duce the impact on the hospital? - CORRECT ANSWER -A large stand-
alone department should go live first.
19. While reviewing electronic nursing documentation, a nurse identifies that a patient's vit
al signs have declined since the previous shift. Which health information system assiste
d in this identification? - CORRECT ANSWER -Electronic health record (EHR)
20. 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 tes
