WGU D220- Information Technology in Nursing Practice Exam 100% Complete 2024-2025 ALREADY PASSED!!

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

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

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.

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

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

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.

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

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

Which act in 2009 did Meaningful Use (MU) originate

American Recovery & Reinvestment Act (ARRA) act in 2009

What is the intent of the Clinical Decision Support (CDS) System

Providing clinicians with knowledge & person-specific information.

Which government organization oversees the meaningful use program

CMS (Centers for Medicare and Medicaid Services

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

Process for discovering root causes of problems & ID the solution

Root cause analysis

What should providers have on their personal mobile devices to protect them from sharing information when stolen?

Authentication & encryption

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

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.

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.

Which statement defines electronic protected health information (ePHI)

It is the information used to specifically identify an individual.

An informatics nurse is developing a web-based application for patient care. Which statement accurately describes the internet?

An unregulated network of networks

What represents privacy & security risks for telehealth technology?

Patients have the option to use the speakerphone in the telehealth apps.

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

What is a structured method used to analyze serious adverse events?

A root cause analysis (RCA)

Which form allows stored information in an Electronic Health Record (EHR) to be instantly searched, retrieved, combined, & reported in different ways?

Text data

Why was Barcode Medication Administration (BCMA) adopted by healthcare facilities

To prevent medication administration errors

MRSA

contact precautions

Which info in Electronic Medical Records will help nurses manage post-op care for appendectomy

Doctor's orders

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

Tapping badge

Improves documentation time.

Action that demonstrates data mining to improve patient outcomes

HbA1c

What to do when Clinical Decision Support (CDS) System is ignored

Educate staff on the importance.

Spouse requests patient's medical records

Refer the family member to medical records.

Comparing infection rates across the states

bar graph

Promoting the adoption & implementation of telehealth programs

Advocacy

Mom calls asking for the child's info that was seen at the clinic

Clinic is unable to provide the medical records.

Metrics related to stroke care & compare them across the country in a presentation

Benchmarking

Confirming data accuracy or Analyzing a single piece of data in multiple ways

Triangulation

What is included in meaningful use

Use of electronic prescribing

What is the goal of the Health Information Exchange

To allow insurance companies & providers to be able to share data

Groups at risk for decreased health literacy?

elderly

The main way to keep HIPPA compliance?

passwords

The element that is PHI

DOB

The best method of Electronic Medical Record charting for nursing?

or

Data Entry fields

Cascading

Physical taking care of a patient whose established care is somewhere else talking about Health Information Exchange

Query-based

When can you get notes from the provider quickly?

Health Information Exchange, Query-based transfer.

How to start an admission process when extremely busy?

Checklist

What would be the causes to put someone in isolation?

MRSA, Influenza, TB, Covid

Nurse wants to optimize EH software with the goal of decreasing documentation time

Surveys

Data visualization of oncology patient length of stays

Line graph

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.

Define predictive modeling/analytics

Uses past & current data to forecast the likelihood that an event will occur.

What data source is used to track specific diseases & conditions

Disease surveillance

Non-maleficence & fidelity, promote accuracy & integrity.

Fundamental principles

HIPPA stands for and what year did it form

Health Insurance Portability & Accountability Act 1996

What year did Hitech Act form

2009

Two nurses are in the cafeteria talking about lab reports & they commit HIPAA violations what is the action

Fines

A medication alert pops up. What system is alerting

Clinical Decision Support (CDS) System

Monitor the patient's glucose level you need

nurse flow sheets

What is the barrier to using biometrics

Financial

During which phase of the systems development life cycle should a system be activated to effectively be used by end users

Implementation.

Homeless man IV drug user

Find in the EMR which information helps you put him in isolation.

Treatment of patients related to blood pressure measures

Medication administration

When does Discharge planning

Starts on admission.

Discharge teaching patient with diabetes

Important what the time of day

Single event & doing root cause analysis

Fishbone

Stroke patient & analysis

Statistical, fishbone

Rapid dictation advantages of template-based charting

They are available immediately and eliminate human errors @ more accurate documentation.

D/C teaching

The 5th-grade level starts on admission, time of day, and increase font size.

A high number of data-entry fields in electronic health records can be overwhelming for staff & make it difficult to find where information should be documented. Which informatics solution could solve this problem?

Cascading documentation

How can informatics be used to assess a person's health literacy

Informatics can evaluate the current state & determine the resources needed to determine a patient's level of understanding.

Pie

Percentages chart

Bar graph

nouns

Ensures the app still functions as expected after an update or change in improvement.

Regression testing

Life insurance wants records

don't release.

HIPAA

Name, birthdate/year, test results, and lab results are protected.

Nurse finds 100 errors in coding

AHIMA & report to nurse manager

Glucose stabilizing & Blood Pressure stabilizing

trending graph

Clean & accurate, quality of care, can be used to evaluate patient safety, and quality performance, measure & compare services, improve performance, sets standards of excellence, identifies learning gaps (pt falls)

Benchmark

Covid graphing

scatterplot

Statistical analysis

stroke patient

Review ICU fall risk

Different reviewer's conduction research

Benefit of Internet/externet

Improve communication & teamwork

Ethical/legal issue with rural hospital & tele-radiology

State licensing issue

What is an example of the benefit of MD using Computerized Provider Order Entry (CPOE) & DSS

Alerts when ordering Viagra (sildenafil) when patient is taking a cardiac med.

Staff is resistance to Tele-ICU. What are the benefits

resources & expertise

HIPAA violations

Civil monetary fines

Healthcare staff members become overwhelmed when using EHR, & they begin to ignore clinical decision support messages. Why is it important to control the number of warnings in an EHR?

· Alert fatigue

Which act in 2009 did MU originate?

· ARRA act in 2009

Which two technologies support the standardization of healthcare data?

· HL7 (Health Level 7) & DICOM

An informatics nurse & an ER nurse are conducting an analysis of a patient admission form the er. Which tool should these nurses use for a process analysis?

SWOT

Which government agency recommended to use of bar code medication administration?

FDA

A laboratory manager requested a report of all patients that had a blood glucose greater than 400 mg/dL for the month of July to provide to the corporate office. Which type of report should the nurse informaticists create using information stored in the electronic health record for this one-time request?

Short time report

Process for discovering root causes of problems & ID the solution?

Root cause analysis

Which is a physician's clinical informatics assessment?

Vital signs

Which EHR challenge can a nurse informaticist help support & change?

Analyzing & redesigning workflows

What describes the goal of EHR incentive programs, such as meaningful use?

To promote the achievement of quality, safety, & efficiency measures

What is the role of the informatics nurse working with EHR?

To improve patient safety

Health systems can be inoperable with other health systems. What are 2 barrier that prevent interoperability

Data blocking. Interface cost.

Unit managers want to be assured nurses are signing completed clinical documentation. What can managers do to determine documentation completion?

Randomly run EHR reports & list noncompliant nurses.

Reported falls on the med surg unit as compared to the previous quarter. Which data set informs the decision to review the protocol for falls on the med-surg unit?

The radiology reports of pts with a reported fall on the med-surg unit

Which data in a medical record informs the management of the pt's condition following a surgical procedure?

Nursing assessment from the prior shift & the doctor's orders