D220 WGU Study Questions
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.
Which information in a patient's medical record will help a nurse plan and manage
the patient's pain?
Physician orders
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.
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.
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
,Which view in the electronic health record (EHR) confirms a patient's blood pressure
is stabilizing?
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?
Nursing flowsheet and intake and output record
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?
Laboratory records
Which patients are ideally positioned to fully engage in their care?
Patients that are recovering well after a full night of sleep.
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
What is true about improving health literacy?
Improving health literacy leads to better patient outcomes.
,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?
Identify and define the goal of the technology.
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 patient's research.
What does the informatics nurse recommend to increase attendance to follow-up
appointments?
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?
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?
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?
Electronic checklist
Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
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?
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?
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?
Laboratory information systems (LIS)
What is a patient safety benefit of a pharmacy information system (PIS)?
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.
Which information in a patient's medical record will help a nurse plan and manage
the patient's pain?
Physician orders
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.
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.
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
,Which view in the electronic health record (EHR) confirms a patient's blood pressure
is stabilizing?
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?
Nursing flowsheet and intake and output record
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?
Laboratory records
Which patients are ideally positioned to fully engage in their care?
Patients that are recovering well after a full night of sleep.
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
What is true about improving health literacy?
Improving health literacy leads to better patient outcomes.
,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?
Identify and define the goal of the technology.
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 patient's research.
What does the informatics nurse recommend to increase attendance to follow-up
appointments?
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?
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?
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?
Electronic checklist
Which barrier to healthcare informatics use does the HITECH Act aim to reduce?
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?
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?
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?
Laboratory information systems (LIS)
What is a patient safety benefit of a pharmacy information system (PIS)?
