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Wgu hesi Information Technology in Nursing Practice

Total Questions : 60

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Question 1:

A cancer patient is exhibiting symptoms of a respiratory infection. The nurse needs to place the patient in reverse isolation because the patient le immunocompromised and to prevent the spread of infection Where, within the clinical information system, should the nurse document this information so that other healthcare providers who enter the patient's room will be aware of this precaution?

Explanation

A. The electronic documentation section – This is the appropriate place for documenting precautions like reverse isolation, so all healthcare staff can see the need for protective measures upon entry.

B. The clinical decision support system – This system provides alerts or suggestions based on clinical data, not specifically used to document isolation requirements.

C. The picture archiving and communication system – This system stores medical imaging, not isolation precautions or patient care notes.

D. The physiological monitoring system – This is used for real-time monitoring of vital signs, not for documenting patient isolation precautions.


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Question 2:

A patient has been coughing for several weeks and has chest pain, fever, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis. The PA ordered a chest x-ray earlier that day would like to review the results since appropriate infection control and treatment measures need to be taken if the patient is positive. Where, within the clinical information system, should the PA review the chest x-ray results to verify whether the patient has tuberculosis?

Explanation

A. The pharmacy information system – This system tracks medication orders and inventories, not radiology reports.

B. The radiology information system – Radiology images and reports are stored here, making it the correct place to check X-ray results.

C. The laboratory information system – This system stores laboratory test results, not imaging reports.

D. The clinical decision support system – This provides clinical guidelines and decision-making assistance, not storage for imaging results.


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Question 3:

A patient has symptoms of itching and genital warts. The nurse believes the patient may have human papilloma virus (HPV), which is a sexually transmitted disease. The nurse practitioner orders a pap smear in which a sample is collected and tested for HPV. After a couple of hours, the nurse practitioner wants to check the results so that she can appropriately treat and understand the patient's condition. Where, within the clinical information system, should the nurse practitioner review the pap smear results to verify whether the patient has HPV?

Explanation

A. The radiology information system – This system stores and manages imaging studies, not laboratory tests like a Pap smear.

B. The pharmacy information system – This system is for medication records, unrelated to laboratory test results.

C. The computerized provider order entry system – This system is for entering patient care orders but not for viewing test results.

D. The laboratory information system – Laboratory results, including Pap smear results, are stored here, making it the correct choice.


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Question 4:

A patient has a pus-filled lesion on her lower leg accompanied by a fever. The nurse believes the patient may have methicillin-resistant Staphylococcus aureus (MRSA), which can be easily spread through physical contact appropriate personal protective equipment (PPE) is not wain. Where, within the clinical information system, should the nurse record this precaution to ensure that others will wear the appropriate PPE when interacting with this patient?

Explanation

A. The pharmacy information system – This system is for medication management, not patient isolation or PPE documentation.

B. The electronic documentation section – Isolation precautions are documented here so all healthcare personnel are aware and can use the required PPE.

C. The radiology information system – This is for imaging records, not for documenting infection control measures.

D. The laboratory information system – This system stores lab results, not isolation or PPE documentation.


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Question 5:

A patient is coughing up blood and has night sweats, fever, chest pain, and fatigue. The physician assistant (PA) suspects the patient may have tuberculosis; therefore, she orders a TB blood test Where, within the clinical information system, should the PA request this test to appropriately diagnose and treat the patient?

Explanation

A. The clinical decision support system – This system provides decision-making assistance, not a place for ordering or storing lab test results.

B. The electronic documentation section – This is for recording general documentation and notes, not for ordering lab tests.

C. The physiological monitoring system – This system monitors and displays real-time patient vital signs, not lab orders or results.

D. The laboratory information system – The lab information system is the appropriate location to request and manage laboratory tests such as the TB blood test.


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Question 6:

A nurse has a patient with a low pulse oxygen level, who is struggling to breathe without a nebulizer. The nurse wants to use a clinical data source to access research studies regarding meta-analyses and systematic reviewsWhich clinical data source will provide this type of access?

Explanation

A. Cochrane Database of Systematic Reviews – The Cochrane Database specializes in systematic reviews and meta-analyses, making it the best source for high-quality evidence on healthcare interventions.

B. PubMed – While PubMed provides access to a broad range of medical research, it doesn’t exclusively focus on systematic reviews and meta-analyses.

C. Google Scholar – Google Scholar is a broad search engine that includes a wide range of academic sources but lacks a specific focus on systematic reviews and meta-analyses.

D. Medline – Medline provides access to a wide range of medical literature but, like PubMed, it is not focused on systematic reviews and meta-analyses.


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Question 7:

An emergency room nurse has a patient with the flu, whose respiratory rate is wavering and whose body temperature is escalating periodically. The nurse wants to accese a clinical data source that regularly and systematically collects, analyses, and interprets data on infectious diseases to research disease-prevention and control information related to the patient's condition.Which clinical data source will meet the nurse's needs?

Explanation

A. Surveys – Surveys may collect health-related data but are not typically focused on disease surveillance or providing real-time information on infectious diseases.

B. Vital records – Vital records track birth, death, and health events but are not regularly updated for active infectious disease surveillance.

C. Claims data – Claims data relate to insurance and billing, not specifically disease prevention or control.

D. Surveillance – Disease surveillance systems systematically track and interpret data on infectious diseases to aid in disease control and prevention.


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Question 8:

A patient is experiencing sudden bouts of shortness of breath. The physician assistant (PA) wants to use a source of clinical data to collaborate with other healthcare providers in evaluating the patient's fluctuating vital signs. The PA decides to use Wikipedia.com.Which statement about this source of clinical data is correct?

Explanation

A. It compiles medical information regarding patients by utilizing various sources into one searchable area – This is incorrect, as Wikipedia does not compile patient-specific information. It is a general knowledge platform.

B. It requires a subscription fee to access – This is incorrect; Wikipedia is a free resource.

C. It is not a reliable information source – Wikipedia is not considered a reliable medical source due to potential inaccuracies and the ability for unverified users to edit content.

D. It uses a healthcare-specific browser to narrow search results – This is incorrect, as Wikipedia does not have a healthcare-specific search browser.


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Question 9:

A nurse wants to conduct an Internet search because a patient is experiencing vital-sign fluctuations.Which statement about this source of clinical data is correct?

Explanation

A. The same search terms should be used repeatedly to produce consistent results – This may limit the scope of information and won’t necessarily improve result accuracy.

B. Important keywords should be used to narrow and direct the search – Using specific keywords effectively narrows the search, allowing the user to find relevant information faster.

C. Extraneous terms are used to make the search more diverse – Adding unrelated terms can yield irrelevant results and confuse the search.

D. Words are placed within parentheses to limit the search results – Parentheses are not generally used in search engines to narrow results; quotes are more effective in limiting to exact phrases.


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Question 10:

A patient comes to the emergency room complaining of a rapid heart rate. The nurse wants to use an online journal to research abnormally rapid heart rates. What is a downside of using an online journal as a clinical data source?

Explanation

A. Online journals require extra storage space – This is generally not true, as online journals are stored digitally and accessed via the internet.

B. Online journals generally require a subscription to access content – Many reputable online medical journals require a subscription or payment to access full articles, which can limit availability.

C. Online journals offer limited access to graphic images and diagrams – This is generally incorrect, as many online journals include graphics and diagrams in articles.

D. Online journals are not up-to-date due to publishing delays – Most reputable online journals strive to publish current studies, though there may be some delay in publication, this is not a primary downside compared to subscription requirements.


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Question 11:

A patient-care technician has a patient with an abnormal heart rhythm. The technician wants to use the Google search engine to obtain a deeper understanding of the patient's condition Which statement about this source of clinical data is correct?

Explanation

A. Google search streamlines web content for information-feed subscribers. – This statement is misleading; Google does not specifically streamline content for subscribers; it is a general search engine.

B. Google search outcomes may have less pertinent search topics since they are used as marketing tools. – Google search results can include paid advertisements and marketing materials, which may not provide the most relevant or accurate medical information.

C. Google search ranks the most ideal websites for searches regarding health information for a certain topic. – This is incorrect; while Google does rank search results, it does not guarantee the quality or accuracy of the information presented.

D. Google search requires a subscription to access content. – This is incorrect; Google is a free search engine that does not require a subscription to access search results.


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Question 12:

Which information in an electronic health record (EHR) would help a nurse plan the care for a patient with chronic obstructive pulmonary disease (COPD)?

Explanation

A. Anesthesia record – This is not relevant for COPD care planning as it pertains to surgical procedures rather than respiratory conditions.

B. Intake and output record – While this record can provide useful information, it does not specifically address the management of chronic obstructive pulmonary disease.

C. Complete health history – A complete health history includes information on the patient’s past and current health status, which is crucial for planning appropriate care for COPD management.

D. Radiology report – Although radiology reports can provide useful diagnostic information, the complete health history offers a broader view necessary for comprehensive care planning.


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Question 13:

After upgrading to a new EHR system, the software used can determine dosages for prescription medications without the need for manual calculation. What kind of errors should be expected with such a platform and is it advantageous?

Explanation

A. Users would make fewer errors since the software is intended to support ease of use. – This may be true to some extent; however, reliance on software can also lead to other types of errors.

B. None, this platform would make visits faster. – This is misleading; while it may make visits faster, there can still be errors related to over-reliance on the system.

C. None, however, this platform would increase visit times. – This statement contradicts the nature of the EHR system designed to improve efficiency; hence, it is not a correct assertion.

D. Users could become reliant on the new platform due to its ease and may become prone to errors despite the improved speed of visits. – This acknowledges that while the system may reduce calculation errors, users may neglect critical thinking skills, leading to potential errors in other areas of patient care.


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Question 14:

The attending in charge of several residents in the EHR has noticed inconsistencies in patient metrics. Some examples include abnormally low platelet counts for patients who never received requests for bloodwork.How should the EHR be reviewed to identify the cause?

Explanation

A. The attending physician training the residents should assume the responsibility for this situation. – While training is important, responsibility should not solely fall on the attending physician; it's a shared duty among all staff.

B. The EHR maintained by the IT department, and their expertise is recommended. – IT support is valuable, but the clinical staff should also be involved in reviewing the EHR data for clinical relevance.

C. The residents involved should be responsible for reporting how they entered data. – While residents should be accountable for their entries, the issue of systemic inconsistencies goes beyond individual responsibility.

D. The EHR records all entries' key logs, and these entries can be traced to the initial mistake. – This option highlights the importance of auditing the EHR to track errors back to their source, enabling corrective actions to be taken.


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Question 15:

How might patient visits be used proactively to inform them about the use of their patient portal?

Explanation

A. Have someone from the information technology (IT) department present information to support the patient's learning. – This could be beneficial, but IT staff may not be present during every patient visit.

B. It is not advisable to show a patient how to use the portal during an appointment. – Incorrect: This is a missed opportunity, as educating patients during appointments can be beneficial.

C. Patient portal training is outside the scope of the medical professional. – This is incorrect; educating patients on using health resources is part of many healthcare professionals' roles.

D. Showcase the portal while attending to the patient during their visit. – Correct Answer: This allows for real-time demonstration, making it more likely that patients will understand and engage with the portal effectively while their needs are being addressed.


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Question 16:

A patient would like to be informed about their appointments in advance for logistical purposes. What is the most efficient solution?

Explanation

A. Utilize mobile texting to communicate information about appointments. – Mobile texting is a quick and effective method to communicate appointment details, allowing patients to receive reminders directly on their phones.

B. Utilize traditional phone calls to schedule appointments. – While phone calls can be effective, they are less efficient for reminders compared to texting or electronic communications, which can be sent in bulk.

C. Utilize emails to communicate information about appointments. – Email is a valid option, but it may not be checked as frequently as text messages, making it less immediate for some patients.

D. Show the patient how to use their patient portal to schedule and check for appointments. – While the patient portal is a useful tool, it requires the patient to actively log in and may not provide timely reminders like texting would.


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Question 17:

A new patient wants to be able to chat more frequently with their healthcare provider about their condition and progress between visits How should the patient portal be best utilized to increase their access to such information?

Explanation

A. Alternatively, it is possible to use mobile texting for such exchanges. – Mobile texting can facilitate communication but may not be integrated into the formal care plan or records.

B. Patient portals accessible from kiosks at the local hospital can be used to keep track of their progress. – This option is less convenient for ongoing communication as it requires physical presence at a hospital rather than facilitating remote communication.

C. It is best to enable their portal to allow them to receive notifications on their mobile device so that they become aware of them in real time. – Notifications through the patient portal can provide timely updates and reminders, enhancing communication and access to information between visits.

D. Patient portals should be used with the patient present. – This is not practical for ongoing communication and does not facilitate frequent interactions outside of appointments.


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Question 18:

A patient is interested in purchasing over-the-counter medication and wants to confirm whether there are potential contraindications. Which method would be the most efficient when assisting this patient?

Explanation

A. Referring the patient to their primary care physician. – This may be helpful, but it could delay the patient’s ability to make informed decisions about their medication purchase.

B. Communicating with the pharmacy and the patient's primary care physician to acquire the necessary documents. – This could be time-consuming and may not be necessary for over-the-counter medication.

C. Referring the patient to the associated pharmacy agent. – Pharmacy agents are knowledgeable about medications, including over-the-counter options, and can provide immediate guidance on contraindications.

D. Communicating via the patient portal while utilizing the presented allergy data available to assist the patient through the same portal. – While the patient portal can be helpful, it may not provide real-time assistance compared to direct communication with pharmacy staff.


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Question 19:

A patient admits to having difficulty understanding their primary care physician's instructions and asks another provider to explain their treatment. How should their patient portal be utilized to support this request?

Explanation

A. Patient portals are designed to contain the same information available to the primary care provider. – Patient portals do contain much of the same information available to the primary care provider, such as test results, medication lists, and visit summaries. This can help the patient better understand their treatment plan and clarify any instructions given by the physician.

B. Patient portals are designed to display metrics and qualifications similar to an electronic health record (EHR). This patient can refer to their portal to make sense of the plan. – While portals do provide access to health information, they are not primarily for understanding treatment plans without context or explanation.

C. Patient portals typically do not contain sensitive information that the patient can access. – This is incorrect; patient portals often contain sensitive health information, including treatment instructions and medical history.

D. Patient portals are the same as an electronic health record (EHR), and the patient can alter the course of their treatment plan if they choose. – This is incorrect; while portals provide access to EHR information, patients cannot typically alter their treatment plans directly through the portal.


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Question 20:

How should a patient protect their patient portal data?

Explanation

A. By utilizing its hospital Wi-Fi. – While hospital Wi-Fi is generally secure, relying solely on it does not guarantee protection from potential security risks.

B. By utilizing public Wi-Fi that is encrypted and enabling a VPN. – This option provides an extra layer of security by encrypting the data and protecting the patient’s information from unauthorized access while using public networks.

C. By utilizing public Wi-Fi and using a browser capable of blocking cookies. – Blocking cookies does not significantly enhance security for accessing sensitive health information and can hinder the functionality of some websites.

D. By utilizing public Wi-Fi that is encrypted. – While this provides some security, it is better to use a VPN alongside encrypted public Wi-Fi for enhanced protection against potential threats.


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Question 21:

A patient has traditionally made calls to schedule visits. Although they are enrolled in the patient portal, they prefer not to use it due to difficulty in navigating the platform. What change to the patient's application would increase ease of use for them?

Explanation

A. Enabling the narration tool and making the device features more accessible by providing remote technical support. – This option would directly assist the patient in navigating the platform more easily by providing auditory guidance and technical help, making the portal more user-friendly.

B. Enhancing the readability of text. – This is beneficial, but if the patient has difficulties navigating the platform, it may not be sufficient to address their overall usability concerns.

C. Consider changing platforms or supporting the patient's preference to use phone calls. – While this respects the patient's preference, it does not address the potential to improve their experience with the existing portal.

D. Turning on notifications for recurring appointments or enabling a default time-based notification requesting an appointment. – This would improve reminders but does not assist the patient with navigating or using the portal.


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Question 22:

A patient is unaware that their health information is readily available, in real time, through the patient portal. Which method is most efficient to answer non-emergency inquiries instead of manually calling?

Explanation

A. Referring the patient to the patient portal. – This directs the patient to the correct resource where they can find their information in real time, improving efficiency and reducing the need for phone calls.

B. Referring the patient to their primary care physician. – This would likely not be as efficient as directing the patient to the portal, which they can access independently.

C. Scheduling an appointment. – This would not address the patient's current needs for information and could lead to unnecessary delays.

D. Mailing the associated documentation. – This is a slower method and does not provide real-time access to information.


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Question 23:

Assume that a patient has never accessed their patient portal and has requested hard copies of their information. How should this situation be resolved with the intent of getting the patient to use their patient portal?

Explanation

A. Suggest an in-person meeting with the patient to show them how to best use the platform. – This option is proactive and personal, allowing the patient to learn about the portal hands-on and encouraging future use.

B. Inform the patient that they should use their patient portal instead. – While this suggests using the portal, it does not provide any support or guidance, which may frustrate the patient.

C. Request that their primary care physician show them how to use the platform for their next visit. – This could delay the learning process and does not offer immediate assistance.

D. Use the portal on their behalf to transfer the documents. – This does not encourage the patient to use the portal themselves and may create dependency on staff assistance.


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Question 24:

Which clinical information system is used by medical professionals to enhance decision making with the help of data collected from other clinical information systems

Explanation

A. Physiological monitoring system. – This system primarily focuses on real-time data from patients but does not integrate data from other clinical information systems for decision-making.

B. Electronic documentation. – While useful for record-keeping, electronic documentation systems do not necessarily support clinical decision-making by synthesizing data from multiple sources.

C. Anesthesia information management system. – This system is specialized for anesthesia-related data but does not broadly enhance decision-making across multiple clinical information systems.

D. Clinical decision support system. – This system is specifically designed to integrate data from various clinical information systems to provide evidence-based recommendations and support clinical decision-making.


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Question 25:

Which administrative information system is the primary determinant of scheduling availability for other administrative and clinical information systems?

Explanation

A. Quality-assurance. – This system focuses on evaluating and improving healthcare quality and does not directly manage scheduling.

B. Human-resources information system. – This system manages employee information and staffing but does not directly impact patient scheduling availability.

C. Admission/discharge/transfer system. – This system manages patient flow but is not primarily responsible for scheduling availability across systems.

D. Registration and scheduling system. – This system is essential for managing patient appointments and schedules, determining availability for both administrative and clinical operations.


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