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D220 WGU Study Questions 2024/2025 already graded A+
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D220 WGU Study Questions 2024/2025 already graded A+
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D220 WGU Study Questions1. Which data in a medical record would inform the nurse that a PRN pain medication can be
administered to the patient? - ANSThe 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? - ANSPhysician 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? -
ANSImportance 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? - ANSThe radiology report impression indicates
pulmonary infiltrates and the nursing assessment indicates a decrease in respirations.
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? - ANSPatient
demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure is
stabilizing? - ANSGraphical 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? - ANSNursing 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? - ANSLaboratory records
1. Which patients are ideally positioned to fully engage in their care? - ANSPatients 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? - ANSAn elderly
person
,1. What is true about improving health literacy? - ANSImproving 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? -
ANSIdentify 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 education is accurate? - ANSList credible
education resources for the patient's research.
1. What does the informatics nurse recommend to increase attendance to follow-up
appointments? - ANSAutomated 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? -
ANSPharmacy 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? - ANSDuplicate 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 these
tasks are accomplished? - ANSElectronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? -
ANSFinancial
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? - ANSA large stand-alone department should go live first.
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? - ANSElectronic health record (EHR)
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? - ANSLaboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)? - ANSAlerts
regarding allergies and interactions
1. Standardized terminology was implemented to promote interoperability across electronic
health records (EHRs). Which terminology is specific to laboratory tests, orders, and results? -
ANSLOINC
1. 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? - ANSIt provides a summary of care to patients and clinicians.
1. What are patient portals? - ANSPatient portals are facility-owned and associated with an
electronic health record.
1. 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? - ANSMonitor
BCMA usage reports for trends.
1. 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?
- ANSDosing limits and alerts are provided.
1. Mobile health (mHealth) apps have demonstrated benefits to patients by increasing
engagement and participation in care. What is a benefit for clinicians? - ANSIntegrates with
electronic health records (EHRs)
1. A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse
recommends computer-assisted coding (CAC) as a solution. What is the financial benefit of
CAC? - ANSCAC improves coding accuracy.
1. A nurse manager is informed that bedside nurses have begun using a workaround for
scanning a patient's armband prior to medication administration. The nurse manager finds that
several patients are missing armbands and that their armbands are connected to their bed
frames. What is the nurse manager's first course of action for this workaround to
bedside-scanning technology? - ANSQuestion nursing staff about what issues have caused this.
1. Currently, a facility uses phones and pagers for clinician communication. This technology is
due for replacement. A nurse recommends replacing with all-in-one mobile devices. What is the
benefit of all-in-one mobile technology over the current devices? - ANSIt integrates functionality
within the EHR.
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