WGU D220 OA EXAM ANSWERS
Which information in an electronic medical record (EMP) helps a nurse plan & manage a patient's
post-operative care after open-heart surgery - answer Provider order
Which information in a patient's electronic medical record (EMA), in addition to the nursing
flowsheets & provider orders, helps a nurse plan & manage fluctuations in blood glucose levels -
answer MAR
A nurse is planning the care for a patient admitted to the hospital with COVID-19 Which list of
information in the electronic medical record (EMR) will help the nurse plan the care for this patient -
answer The patient's laboratory results over the last 72 hours.
Which clinical note type is exempt from being shared with patients according to the United States
Core Data for Interoperability (USC DI) standards - answer Psychotherapy notes
Operating room (OR) staff are reliant upon a manual whiteboard for patient tracking. Recently,
surgeons have complained that the turnaround time between surgical cases has increased & blame
the manual tracking system. An informatics nurse recommends expanding the use of the existing
surgical information system (SIS). Which resolution can improve this workflow issue? - answer
Radiofrequency identification (RFID) in patient labels
What is an effective way to reduce the risk of access to electronic protected health information
(ePHI) by unauthorized users - answer Make sure all the users adhere to the security & confidential
policy set forth by the facility.
A patient is being transferred to another hospital, however, the hospital he is being transferred to
does not have access to the Electronic Health Record (EHR) since they use EPIC. How will they
receive his Electronic Health Record (EHR)? - answer Continuity care record from AMR
When a physician arrives on the unit, a nurse is asked about the fluid status of a patient. Where
should the nurse find this information? - answer The intake & output chart
Which act in 2009 did Meaningful Use (MU) originate - answer American Recovery & Reinvestment
Act (ARRA) act in 2009
,What is the intent of the Clinical Decision Support (CDS) System - answer Providing clinicians with
knowledge & person-specific information.
Which government organization oversees the meaningful use program - answer CMS (Centers for
Medicare and Medicaid Services
A Nursing Innovator & a medsurg nurse want to capture how many patients were seen in a day of 24
hours, how would they best see this - answer Flowsheet
Process for discovering root causes of problems & ID the solution - answer Root cause analysis
What should providers have on their personal mobile devices to protect them from sharing
information when stolen? - answer Authentication & encryption
Which area of the Electronic Health Record (EHR) is used to guide a nurse on the task that needs to
be completed during the shift - answer Workflow
How does the health information exchange (HIE) improve interoperability within a healthcare
organization - answer It allows patient information to be accessible despite where the patient is
receiving care.
In a healthcare setting, there is resistance to using a new Electronic Health Record (EHR). The staff
insists the prior system was much faster than navigating this new Electronic Health Record (EHR).
Which method should be used to motivate staff to adopt this Electronic Health Record (EHR) -
answer Involve staff in the implementation process.
Which statement defines electronic protected health information (ePHI) - answer It is the
information used to specifically identify an individual.
An informatics nurse is developing a web-based application for patient care. Which statement
accurately describes the internet? - answer An unregulated network of networks
What represents privacy & security risks for telehealth technology? - answer Patients have the
option to use the speakerphone in the telehealth apps.
,A restraint committee has been assembled to oversee the need & proper usage of restraints. Which
data element would this committee find least useful in this report? - answer Patient allergy history
What is a structured method used to analyze serious adverse events? - answer A root cause analysis
(RCA)
Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched,
retrieved, combined, & reported in different ways? - answer Text data
Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities - answer To
prevent medication administration errors
MRSA - answer contact precautions
Which info in Electronic Medical Records will help nurses manage post-op care for appendectomy -
answer Doctor's orders
The act that recognizes patients need more power in their healthcare, & access to information is key
to making that happen or What act puts patients in charge of their healthcare records? - answer 21st
Century Cures Act
Action that demonstrates data mining to improve patient outcomes - answer HbA1c
What to do when Clinical Decision Support (CDS) System is ignored - answer Educate staff on the
importance.
Spouse requests patient's medical records - answer Refer the family member to medical records.
Comparing infection rates across the states - answer bar graph
Promoting the adoption & implementation of telehealth programs - answer Advocacy
, Mom calls asking for the child's info that was seen at the clinic - answer Clinic is unable to provide
the medical records.
Metrics related to stroke care & compare them across the country in a presentation - answer
Benchmarking
Confirming data accuracy or Analyzing a single piece of data in multiple ways - answer Triangulation
What is included in meaningful use - answer Use of electronic prescribing
What is the goal of the Health Information Exchange - answer To allow insurance companies &
providers to be able to share data
Groups at risk for decreased health literacy? - answer elderly
The main way to keep HIPPA compliance? - answer passwords
The element that is PHI - answer DOB
The best method of Electronic Medical Record charting for nursing?
or
Data Entry fields - answer Cascading
Physical taking care of a patient whose established care is somewhere else talking about Health
Information Exchange - answer Query-based
When can you get notes from the provider quickly? - answer Health Information Exchange, Query-
based transfer.
How to start an admission process when extremely busy? - answer Checklist
What would be the causes to put someone in isolation? - answer MRSA, Influenza, TB, Covid
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