D220 WGU Study Questions And Answers (A+)
Quiz :1. 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.
Quiz :1. Which information in a patient's medical record will help a nurse plan
and manage the patient's pain? - √Answer :Physician orders
Quiz :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? - √Answer :Importance of completing the
medication prescribed.
Quiz :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? - √Answer :The radiology report impression indicates pulmonary
infiltrates and the nursing assessment indicates a decrease in respirations.
Quiz :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? - √Answer :Patient
demographic records
Quiz :1. Which view in the electronic health record (EHR) confirms a patient's
blood pressure is stabilizing? - √Answer :Graphical trending
Quiz :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? - √Answer :Nursing flowsheet and intake and output
record
Quiz :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? - √Answer :Laboratory records
Quiz :1. Which patients are ideally positioned to fully engage in their care? -
√Answer :Patients that are recovering well after a full night of sleep.
Quiz :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? - √Answer :An elderly person
Quiz :1. What is true about improving health literacy? - √Answer :Improving
health literacy leads to better patient outcomes.
Quiz :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? - √Answer :Identify and define the
goal of the technology.
Quiz :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? - √Answer :List credible education
resources for the patient's research.
Quiz :1. What does the informatics nurse recommend to increase attendance
to follow-up appointments? - √Answer :Automated text or email reminders
Quiz :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? -
√Answer :Pharmacy cannot determine if there is a problem with a medication
batch.
, Quiz :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? - √Answer :Duplicate documentation appears
multiple times in the chart.
Quiz :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? -
√Answer :Electronic checklist
Quiz :1. Which barrier to healthcare informatics use does the HITECH Act aim
to reduce? - √Answer :Financial
Quiz :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? - √Answer :A large
stand-alone department should go live first.
Quiz :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? - √Answer :Electronic
health record (EHR)
Quiz :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? -
√Answer :Laboratory information systems (LIS)
Quiz :1. What is a patient safety benefit of a pharmacy information system
(PIS)? - √Answer :Alerts regarding allergies and interactions
Quiz :1. Standardized terminology was implemented to promote
interoperability across electronic health records (EHRs). Which terminology is
specific to laboratory tests, orders, and results? - √Answer :LOINC
Quiz :1. A nurse performing patient discharge from a facility provides a
continuity of care document (CCD) to a patient and explains the document and
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