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D220 WGU STUDY QUESTIONS AND
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.
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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
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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
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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
D220 WGU STUDY QUESTIONS AND
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.
,2 | Page
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
,3 | Page
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
, 4 | Page
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
