WGU D220 QUESTIONS WITH CORRECT
ANSWERS ALL 328 Q&A (Actual Exam
Questions)verified solutions 2024/2025
1. A nurse in a primary care provider's office needs to review results from a patient's
cardiology consultation. Using health information exchange (HIE) technology, the nurse
requests this information from the cardiologist's office. Which type of exchange is
described? - Query based.
1. An informatics nurse is working on genomics data to facilitate disease identification
and develop individualized treatment plans for patients in a complex medical facility.
What is considered a fundamental requirement for valid interpretation of genomics
data? - High throughput computing system
1. Which medical device is useful in establishing an effective monitoring system for a
patient with acute brain injury? - Temperature probe
1. An informatics nurse is collaborating with a nursing director of a long-term care facility
to address an ongoing issue with medication errors. Which solution should they
consider? - Use digital platform and barcode systems.
1. What are the correct steps in medication administration that require scanning
verification? - Scan the serial numbers on the medication label and patient's
identification bracelet.
1. Which healthcare data set would allow identification of performance gaps and
establishment of realistic targets for improvement? - Healthcare Effectiveness Data and
Information Set (HEDIS)
1. Which situation places a clinical decision support system (CDSS) at risk for corrupt
datasets? - A nurse updates a patient's medical history after learning of a medical
condition via social media.
1. A team of healthcare workers were stunned when a reality show actor was brought to
their emergency unit. A few of them took videos of the actor and streamed them live on
social media. Which law did the healthcare workers possibly violate? - Health Insurance
Portability and Accountability Act (HIPAA)
,1. The nursing unit of a major hospital is revisiting their policy on the use of mobile
devices for accessing the EMR. Which guideline should take precedence? - Ensure
legal and regulatory compliance.
1. The hospital director asks the informatics nurse about an effective patient record
management system. Which basic feature of a patient health record (PHR) system
would the informatics nurse endorse? - Encourage the active participation of patients in
the management of their condition.
1. In which situation should the informatics nurse recommend the use of regression
testing? - When a new feature is added to the existing hospital management system
1. How does an informatics nurse apply expertise in workflow and technology? - By
analyzing the impact of new technologies
1. Physicians rely on free text notes for a significant amount of their patient-related
documentation. An organization is reviewing data to identify and progress toward set
goals related to patient outcomes. What challenge does this present? - Qualitative data
is manually extracted from the health record.
1. A healthcare organization has determined which outcomes it wants to improve over
the next year and what changes will be implemented to help the organization achieve its
goals. The organization builds an interactive reminder tool in the electronic health
record (EHR) for staff. Data can be collected from this tool to determine if the changes
are implemented. Which type of data collection is this? - Checklist
1. A charge nurse uses the department's smartphone to send a text message containing
the patient's last name, room number, and most recent vital signs to the attending
physician. Which federal act does this violate? - Health Insurance Portability and
Accountability Act (HIPAA)
1. A nurse scans the barcode of a medication prior to administering it to a patient.
Which metric is reduced when a healthcare system implements a policy which promotes
barcode scanning of medications? - Medication Errors
1. Which entity is required by The Health Insurance Portability and Accountability Act of
1996 (HIPAA) to remove identifying information before sharing information publicly? -
Billing Company
1. A clinic employee left a message at home for a patient that included details of both a
medical condition and treatment plan. The patient requested any contact regarding
medical conditions be done through the patient's work phone number. What should the
clinic's next steps be? - Train employees to provide only the minimum necessary
information in messages.
, 1. Pharmacies are required to maintain logbooks regarding pseudoephedrine
purchases. A pharmacy kept their logbooks open on the counter where patients
approach to pick up prescription medications. Which statement is true regarding the
pharmacy's logbook? - HIPAA was violated as the logbooks contain protected health
information.
1. 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.
1. Which information in a patient's medical record will help a nurse plan and manage the
patient's pain? - 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? - 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? - The 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? - Patient demographic records
1. Which view in the electronic health record (EHR) confirms a patient's blood pressure
is stabilizing? - 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? - 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? - Laboratory records
1. Which patients are ideally positioned to fully engage in their care? - 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
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