WGU D220 OBJECTIVE ASSESSMENT
FINAL EXAM NEWEST 2024-2025
ACTUAL EXAM COMPLETE 320
QUESTIONS AND CORRECT DETAILED
ANSWERS
1. Which information in an electronic medical record (EMP) helps a nurse plan & manage
a patient's post-operative care after open-heart surgery - ANSWERProvider orders
2. 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 - ANSWERMAR
3. 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 - ANSWERThe patient's laboratory results over the last 72 hours
4. Which clinical note type is exempt from being shared with patients according to the
United States Core Data for Interoperability (USC DI) standards - ANSWERPsychotherapy
notes
5. Operating room (OR) staff are reliant upon a manual white board 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 use of the existing surgical information system (SIS). Which resolution can
improve this workflow issue - ANSWERRadio frequency identification (RFID) in patient
labels
6. An informatics nurse & an emergency nurse are conducting an analysis of a patient
admission from the ER - ANSWERWhich tool should these nurses use for a process
analysis? SWOT template
7. What is an effective way to reduce the risk of access of electronic protected health
information (ePHI) by unauthorized users - ANSWERMake sure all the users adhere to
security & confidential policy set forth by the facility
,8. How does a healthcare policy assure access to health information by authorized users
- ANSWERIt creates a reliable method to verify the identities of users accessing health
information
9. Which statement describes the application of meaningful use - ANSWERProvider
needs to show the use of the Electronic Health Record (EHR) technology
10. What is the typical role of the informatics nurse - ANSWERPlans, coordinates, &
facilitates education for all computer applications & software for nursing or clinical user
group
11. A patients glucose blood sugar is 400. What is a one-time kind of report - ANSWERAd
Hoc
12. Which clinical information technology enables providers to document patient
assessments - ANSWERVitals signs capture
13. 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) - ANSWERContinuity care
record from AMR
14. Which statement best describes Nursing Informatics - ANSWER"Computer science,
decision science, information science, management science, cognitive science, &
organizational theory."
15. The nurse receives report that there are new orders to review. Where does the nurse
look to verify this information - ANSWERThe Kardex
16. What is the goal of Merit-Based Incentive Payment System (MIPS) & Meaningful Use
(MU) - ANSWERPatient quality care
17. What is a type of phishing - ANSWERTrojan
18. What is Data governance - ANSWERDefines who can take what action, upon what
data, in what situations, using what methods
19. A provider at the hospital had his laptop stolen from his vehicle. What should be on
his laptop to protect it from data breach - ANSWEREncryption
20. What is the name of the process that begins with conception & continues through
implementation - ANSWERSystems Development Life Cycle (SDLC)
21. What is the intent of the Clinical Decision Support (CDS) System - ANSWERThis is an
application that supports healthcare practitioners in making patient-care decisions
22. What is the term for sharing a person's personal information with other individuals
electronically - ANSWERInformation sharing
, 23. 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 - ANSWERThe intake & output
chart
24. Why is it important to control the number of warnings in Electronic Health Record
(EHR) - ANSWERAlert fatigue
25. Which change theory begins with creating urgency - ANSWERKotter's Models
26. Which act in 2009 did Meaningful Use (MU) originate - ANSWERAmerican Recover &
Reinvestment Act (ARRA) act in 2009
27. What is the primary concern driving Nursing informatic initiative - ANSWERPatient
safety
28. What can be installed to allow one operation to access another to enable the
exchange of data - ANSWERIntegration
29. Which type of chart uses rectangle, oval & diamonds in both - ANSWERFlowchart
30. What is the intent of the Clinical Decision Support (CDS) System - ANSWERProviding
clinicians with knowledge & person specific information
31. Information may be kept secret to those with an only need to know - ANSWERWhat is
this? Information privacy is the right to choose the conditions under which information is
shared, & to ensure the accuracy of collected information.
32. Which statement defines interoperability - ANSWERThe extent to which systems &
devices can exchange data & interpret that shared data.
33. Which two statement defines healthcare informatics - ANSWERStandardized
languages & terminologies to ensure consistent meanings across all settings
34. What is a physical safeguard of ePHI - ANSWERLock on hard drive. Facility Access
Controls Workstation Use Workstation Security - Device & Media Controls
35. What is a technical safeguard ePHI - ANSWERAccess control. Audit controls.
Authentication.
36. Which government agency recommended to use of bar code medication
administration - ANSWERFDA
37. What describes an example of opt-in or opt-out choice regarding the disclosure of
personal health information - ANSWERYour information be sent to another facility
38. What is an important security consideration related to the use of email application to
send & receive patient data - ANSWEREmails have the potential to go to other users
39. What are the maximum penalties for refraining from full participation in the Merit-
Based Incentive Payment System (MIPS) in years 2017 through 2024 - ANSWERMerit-
Based Incentive Payment System (MIPS) penalty for failing to comply? 3-8%
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