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WGU D220 STUDY GUIDE 2026
COMPREHENSIVE ANSWER DIGEST
◉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. 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 ◉1. How does an informatics nurse apply expertise in workflow and technology? Answer: By analyzing the impact of new technologies ◉1. Physicians rely on free text notes for a significant amount of their patient-related documentation. An organization is reviewing data to identify and progress toward set goals related to patient outcomes. What challenge does this present? Answer: Qualitative data is manually extracted from the health record. ◉1. A healthcare organization has determined which outcomes it wants to improve over the next year and what changes will be implemented to help the organization achieve its goals. The organization builds an interactive reminder tool in the electronic health record (EHR) for staff. Data can be collected from this tool to determine if the changes are implemented. Which type of data collection is this? Answer: Checklist
on the counter where patients approach to pick up prescription medications. Which statement is true regarding the pharmacy's logbook? Answer: HIPAA was violated as the logbooks contain protected health information. ◉1. After a patient leaves an appointment with a healthcare provider, a nurse notices that the patient's printed visit information was left in a public location. Which action adheres to the ethical and legal requirements for the disposal of this material? Answer: The nurse disposes of the printed document in the appropriate document shredder. ◉1. A nurse supporting a new employee within a patient care setting witnesses the new employee incorrectly explaining their patient's procedure to other employees in the cafeteria. Which action should the nurse perform? Answer: Remind the group of the privacy requirements. ◉1. What are the requirements for data collection and tracking in clinical healthcare research? Answer: Include all data whether or not it aligns with the expected outcome. ◉1. A nurse is documenting the electronic record of a patient while in a common area. The nurse is called away to briefly assist nearby. Which action is correct for the nurse to complete prior to assisting in the other area? Answer: Close the record and log out of the account.
◉1. Which information should a nurse consider as protected health information (PHI) while evaluating a patient's records? Answer: The patient's gender and date of birth ◉1. An adult asks a nurse to look up lab results for their adult family member. How should the nurse respond to this request? Answer: Explain to the family member that lab results are protected health information and can only be released to the patient or an authorized representative. ◉1. A mother brings her child to the emergency department after noticing the child had trouble breathing, refused breastfeeding, and no urine in the diaper within the last eight hours. The provider suspects respiratory syncytial virus and admits the infant to the hospital. How will data in the medical record inform the decision to select appropriate infection-control precautions? Answer: The data will identify the pathogen causing the patient's symptoms. ◉1. A nurse admits an infant with a severe, hacking cough who is vomiting and who has had a fever for the past two weeks. Which data in the electronic health record (EHR) informs the decision to implement infection-control precautions? Answer: The nasopharyngeal swab culture results indicate the patient is positive for Bordetella pertussis.
◉1. Which two practice environments employ informatics nurses? Answer: A medical device manufacturer and clinical system vendor ◉1. Which information in an electronic medical record (EMR) helps a nurse plan and manage a patient's post-operative care after an open-heart surgery? Answer: Providers Orders ◉1. Which information in a patient's electronic medical record (EMR), in addition to the nursing flowsheets and provider orders, helps a nurse plan and manage fluctuations in blood glucose levels? Answer: MAR ◉1. A nurse is planning the care for a patient admitted to the hospital with COVID. Which list of information in the EMR will help the nurse plan the care for this patient? Answer: The patient's laboratory results over the last 72 hours. ◉1. Which clinical note type is exempt from being shared with patients according to the United States Core Data for Interoperability (USCDI) standards? Answer: Psychotherapy notes ◉1. OR staff are reliant on a manual whiteboard for patient tracking. Recently, surgeons have complained that the turnaround time between surgical cases has increased and blame the manual 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 ◉1. An ER doctor needs patients' data from a different state. Does the doctor need patient permission to get it? Answer: No ◉1. Two nurses are in the cafeteria talking about lab reports and they commit HIPAA violations. What is the action? Answer: $100- 50,000 Fines ◉1. Medication alert pop ups and what system is alerting? Answer: Clinical Decision Support (CDS) System ◉1. Patient Discharge Teaching things to consider: Answer: Teach back, 5th grade level, starts on admission, time of day (especially for diabetics), increase font size or ask the patient what works best for them. ◉1. The hospital announced its integration engine has stopped functioning. What does this mean for system interoperability throughout the organization? Answer: Manually chart the VS ◉1. What is a barrier and benefit to using biometrics? Answer: Barrier - Financial; Benefit - Security
◉1. To monitor a patient's blood glucose level, you will need: Answer: A nurse flow sheet ◉1. Workflow analysis: Answer: Also known as the process analysis, involves identifying, prioritizing and ordering tasks and information needed to achieve the intended results of a clinical or business process. Workflow analysis mitigates these rights and increases the chances for success in an IT implementation. ◉1. Treatment of patient related to BP measures or fluctuation blood glucose levels: Answer: Medication administration and MAR ◉1. The ER is trying to improve quality of care and decrease the waste time. Nurse recognizes a problem and thinks of which solution: Answer: Planning phase when the nurse recognizes a problem and solution. ◉1. To create an informatics culture, you should: Answer: Assess current state to determine gaps. ◉1. A rural hospital is planning to implement teleradiology in its busy ER department. What is a security consideration in teleradiology implementations? Answer: Access to patient images
◉1. A high number of data-entry fields in the EHR can be overwhelming for staff and make it difficult to find where information should be documented. Which informatics solution could solve this problem? Answer: Cascading documentation ◉1. How can informatics be used to assess a person's health literacy? Answer: Informatics can evaluate current state and determine the resources needed to determine a patient's level of understanding. ◉1. A provider receives a request from a third-party for details of a patients encounter. When must the provider obtain consent from the patient before releasing this information? Answer: When it is provided to be a life insurer for coverage purposes (do not release life health records to life insurance unless allowed by patient) ◉1. A facility recently implemented a new EHR. End nurses are now suggesting changes to improve the HR and workflow processes. Which phase in the SDLC does this describe? Answer: Maintenance ◉1. High priority task for informatics clinician when implementing a new technology for data collection is: Answer: Identify and define goal of technology. ◉1. What is regression testing? Answer: Ensures app still functions as expected after an update or change in improvement
◉1. Identifiable Patient information is also called: Answer: Personal data, personal information and IPI ◉1. Busy ER, what can a nurse do to help? Answer: Nurse can start the admission process. ◉1. Staff is resistant to tele-ICU (implementing new process). What are the benefits? Answer: Improve workflow, Resources and expertise. ◉1. Benefit of MD using CPOE and DSS? Answer: Alerts when ordering Viagra when patient is taking a cardiac medication. ◉1. Patient transferring from the ED to the ICU. Information comes from: Answer: Progress notes of the previous nurse (if in the same hospital) OR HIE (from different hospital) ◉1. Patient is being transported to another hospital. The first hospital uses one system, and the admitting hospital uses a different system. What does the nurse need to do in order to obtain the patients information from the ED visit? Answer: Request a copy of the medical record from the transport team. ◉1. Ethical/legal issue with rural hospital and tele-radiology: Answer: State licensing issue
◉1. Clinical data enters the date warehouse in a de-identified state. Answer: Ensures data is clean and accurate. ◉1. Doctors use RFID (radio frequency identification) for which purpose? Answer: Improve documentation time and Improve access to documentation. ◉1. Benefit of mHealth Answer: Integrates with EHR ◉1. What is Analysis? Answer: New technology going to roll out and staff is deciding what can make it better. ◉1. Where to get information from? Answer: Medline ◉1. What is Administrative Information System (AIS)? Answer: Systems that support patient care by managing financial and demographic information and providing reporting capabilities. ◉1. What is the Affordable Care Act? Answer: US legislation intended to improve healthcare quality through using information technology ensuring affordable care and increasing the number of insured persons.
◉1. What is authentication? Answer: Action that verifies the authority of users to receive specified ◉1. What is Benchmarking? Answer: indicators against which a process is measured ◉1. What is Big Data? Answer: Very large data sets that are beyond human capability to analyze or manage without the aid of information technology. ◉1. What is Biometrics? Answer: A unique measurable characteristic of trait of a human being for automatically recognizing or verifying identity ◉1. What is Clinical Decision Support System (CDSS)? Answer: supports healthcare practitioners in making patient care decisions by integrating patient data with current clinical knowledge ◉1. What is Clinical Information System (CIS)? Answer: also known as patient care information system; Large computerized database management systems used to access the patient data that are needed to plan, implement, and evaluate care
◉1. What is Computer Literacy? Answer: Familiarity with the use of computers, including software tools such as word processing, spreadsheets, databases, presentation graphics and email ◉1. What is Computerized Provider Order System (CPOS)? Answer: An application that supports direct electronic entry of patient-care- related orders by authorized practitioners and direct transmission of those orders to designated entities. ◉1. What is Confidentiality? Answer: Tacit understanding that private information shared in a situation in which a relationship has been established for the purpose of treatment or delivery of services will remain protected ◉1. What is the Consolidated-Clinical Document Architecture (C- CDA)? Answer: standard that provides a framework for the encoding, formatting and semantics of electronic documents ◉1. What is the Continuity of Care Record (CCR)? Answer: Technical informatics standard that provides a snapshot of a person's current health and healthcare to a provider who does not have access to that person EHR ◉1. What is the 21st Century Cures Act? Answer: Enacted in 2016, advanced interoperability and patient access to EHI
