WGU D220 OA EXAM ANSWERS 220 ACTUAL EXAM QUESTIONS WITH
CORRECT VERIFIED ANSWERS LATEST 2024/2025
1. Which information in an electronic medical record (EMP) helps a nurse plan & manage a
patient's post-operative care after open-heart surgery: Provider order
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: MAR
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: The 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: - Psychotherapy notes
5. 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?-: Radiofrequency identification (RFID) in patient labels
6. What is an effective way to reduce the risk of access to electronic protected health
information (ePHI) by unauthorized users: Make sure all the users adhere to the security
& confidential policy set forth by the facility.
7. 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)?: Continuity care record
from AMR
8. 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?: The intake & output chart
9. Which act in 2009 did Meaningful Use (MU) originate: American Recovery &
Reinvestment Act (ARRA) act in 2009
10. What is the intent of the Clinical Decision Support (CDS) System: Providing clinicians with
knowledge & person-specific information.
11. Which government organization oversees the meaningful use program: -
CMS (Centers for Medicare and Medicaid Services
12. 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: Flowsheet
13. Process for discovering root causes of problems & ID the solution: Root cause analysis
14. What should providers have on their personal mobile devices to protect them from
sharing information when stolen?: Authentication & encryption
, .
15. 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: Workflow
16. How does the health information exchange (HIE) improve interoperability within a
healthcare organization: It allows patient information to be accessible despite where the
patient is receiving care.
17. 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): Involve staff in the implementation process.
18. Which statement defines electronic protected health information (ePHI): It is the
information used to specifically identify an individual.
19. An informatics nurse is developing a web-based application for patient care. Which
statement accurately describes the internet?: An unregulated network of networks
20. What represents privacy & security risks for telehealth technology?: Patients have the
option to use the speakerphone in the telehealth apps.
21. 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?:
Patient allergy history
22. What is a structured method used to analyze serious adverse events?: A root cause
analysis (RCA)
23. Which form allows stored information in an Electronic Health Record (EHR) to be
instantly searched, retrieved, combined, & reported in different ways?: Text data
24. Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities:
To prevent medication administration errors
25. MRSA: contact precautions
26. Which info in Electronic Medical Records will help nurses manage post-op care for
appendectomy: Doctor's orders
27. 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?: 21st Century Cures Act
28. Tapping badge: Improves documentation time.
29. Action that demonstrates data mining to improve patient outcomes: HbA1c 30. What to
do when Clinical Decision Support (CDS) System is ignored: Educate staff on the importance.
31. Spouse requests patient's medical records: Refer the family member to medical records.
32. Comparing infection rates across the states: bar graph
33. Promoting the adoption & implementation of telehealth programs: Advocacy
34. Mom calls asking for the child's info that was seen at the clinic: Clinic is unable to
provide the medical records.
, .
35. Metrics related to stroke care & compare them across the country in a presentation:
Benchmarking
36. Confirming data accuracy or Analyzing a single piece of data in multiple ways:
Triangulation
37. What is included in meaningful use: Use of electronic prescribing
38. What is the goal of the Health Information Exchange: To allow insurance companies &
providers to be able to share data
39. Groups at risk for decreased health literacy?: elderly
40. The main way to keep HIPPA compliance?: passwords
41. The element that is PHI: DOB
42. The best method of Electronic Medical Record charting for nursing? or
Data Entry fields: Cascading
43. Physical taking care of a patient whose established care is somewhere else talking about
Health Information Exchange: Query-based
44. When can you get notes from the provider quickly?: Health Information Exchange,
Query-based transfer.
45. How to start an admission process when extremely busy?: Checklist
46. What would be the causes to put someone in isolation?: MRSA, Influenza, TB, Covid
47. Nurse wants to optimize EH software with the goal of decreasing documentation time:
Surveys
48. Data visualization of oncology patient length of stays: Line graph
49. Universal precautions approach to health literacy: Treating all patients as if they are at
risk of not understanding health information and speaking to patients in language-
appropriate terminology.
50. Define predictive modeling/analytics: Uses past & current data to forecast the likelihood
that an event will occur.
51. What data source is used to track specific diseases & conditions: Disease surveillance
52. Non-maleficence & fidelity, promote accuracy & integrity.: Fundamental principles
53. HIPPA stands for and what year did it form: Health Insurance Portability &
Accountability Act 1996
54. What year did Hitech Act form: 2009
55. Two nurses are in the cafeteria talking about lab reports & they commit
HIPAA violations what is the action: Fines
56. A medication alert pops up. What system is alerting: Clinical Decision Support (CDS)
System
57. Monitor the patient's glucose level you need: nurse flow sheets
58. What is the barrier to using biometrics: Financial
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