WGU D220 Nursing Informatics Study Assessment Guide Exam
with Questions and well Detailed Answers 100% Verified
1. 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.
2. 1. Which information in a patient's medical record will help a nurse plan and
manage the patient's pain?: Physician orders
3. 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.
4. 1. After a patient's assessment, a nurse observes a decrease in respirationand
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.
5. 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
6. 1. Which view in the electronic health record (EHR) confirms a patient's
,blood pressure is stabilizing?: Graphical trending
7. 1. After a patient's initial assessment, a nurse observes an increase in edema,
bilateral crackles, and persistent cough. Which data set in the medicalrecord
from the last shift informs the decision to implement the fluid volumeoverload
care plan?: Nursing flowsheet and intake and output record
8. 1. Which data set in the electronic health record (EHR) will assist in eval-
uating the number of positive influenza tests at a facility within the past year?:
Laboratory records
9. 1. Which patients are ideally positioned to fully engage in their care?: Pa-
tients that are recovering well after a full night of sleep.
10. 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 healthliteracy
and require more focus?: An elderly person
11. 1. What is true about improving health literacy?: Improving health literacy
leads to better patient outcomes.
12. 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?: Identify and define the goal of the
technology.
13. 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 giveto
ensure education is accurate?: List credible education resources for the pa- tient's
research.
14. 1. What does the informatics nurse recommend to increase attendance to
follow-up appointments?: Automated text or email reminders
15. 1. Pharmacy adds a field into the medication administration record to
document the lot number when a chemo medication is administered but failsto
communicate this to the nurse responsible for the medication administra-tion
documentation. What is a consequence of this action?: Pharmacy cannot
determine if there is a problem with a medication batch.
16. 1. A nurse thinks the electronic health record (EHR) has too many docu-
mentation 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 ina
specific field in the health record. What is the least significant impact of this
action?: Duplicate documentation appears multiple times in the chart.
17. 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 infor-
matics solution assists in ensuring these tasks are accomplished?: Electronic
checklist
18. 1. Which barrier to healthcare informatics use does the HITECH Act aim to
, reduce?: Financial
19. 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?: A large stand-alone
department should go live first.
20. 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?: Electronic health record (EHR)
21. 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?:
Laboratory information systems (LIS)
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