D220 WGU practice Questions best
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1. A nurse thinks the electronic health record (EHR) has too many documentation 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 in a specific field in the health record.
What is the least significant impact of this action?
- ANSWER Duplicate documentation appears multiple times in the chart.
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 informatics solution assists in
ensuring these tasks are accomplished?
- ANSWER Electronic checklist
1. Which barrier to healthcare informatics use does the HITECH Act aim to reduce? -
ANSWER Financial
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?
- ANSWER A large stand-alone department should go live first.
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?
- ANSWER Electronic health record (EHR)
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?
- ANSWER Laboratory information systems (LIS)
1. What is a patient safety benefit of a pharmacy information system (PIS)?
- ANSWER Alerts regarding allergies and interactions
1. Standardized terminology was implemented to promote interoperability across
electronic health records (EHRs). Which terminology is specific to laboratory tests,
orders, and results?
- ANSWER LOINC
,1. A nurse performing patient discharge from a facility provides a continuity of care
document (CCD) to a patient and explains the document and contents at discharge.
What is a benefit provided by the CCD?
- ANSWER It provides a summary of care to patients and clinicians.
1. What are patient portals?
- ANSWER Patient portals are facility-owned and associated with an electronic
health record.
1. A hospital notes a decreased use of barcoded medication administration (BCMA)
along with an increase in medication errors. What should be the next course of action? -
ANSWER Monitor BCMA usage reports for trends.
1. A heparin medication error and a subsequent failure mode effects analysis (FMEA)
results in the purchase of smart pumps. How do smart pumps reduce the potential for
medication errors? - ANSWER Dosing limits and alerts are provided.
1. Mobile health (mHealth) apps have demonstrated benefits to patients by increasing
engagement and participation in care. What is a benefit for clinicians? - ANSWER
Integrates with electronic health records (EHRs)
1. A facility has noted a decrease in revenue related to inaccuracies in coding. A nurse
recommends computer-assisted coding (CAC) as a solution. What is the financial
benefit of CAC?
- ANSWER CAC improves coding accuracy.
1. A nurse manager is informed that bedside nurses have begun using a workaround for
scanning a patient's armband prior to medication administration. The nurse manager
finds that several patients are missing armbands and that their armbands are connected
to their bed frames. What is the nurse manager's first course of action for this
workaround to bedside-scanning technology?
- ANSWER Question nursing staff about what issues have caused this.
1. Currently, a facility uses phones and pagers for clinician communication. This
technology is due for replacement. A nurse recommends replacing with all-in-one
mobile devices. What is the benefit of all-in-one mobile technology over the current
devices?
- ANSWER It integrates functionality within the EHR.
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?
- ANSWER 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?
- ANSWER High throughput computing system
1. Which medical device is useful in establishing an effective monitoring system for a
patient with acute brain injury?
- ANSWER 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? - ANSWER Use digital platform and barcode systems.
1. What are the correct steps in medication administration that require scanning
verification?
- ANSWER 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?
- ANSWER Healthcare Effectiveness Data and Information Set (HEDIS)
1. Which situation places a clinical decision support system (CDSS) at risk for corrupt
datasets?
- ANSWER 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?
- ANSWER 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?
- ANSWER 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?
- ANSWER 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? - ANSWER When a new feature is added to the existing hospital management
system
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