WGU C810 FOUNDATIONS IN HEALTHCARE
DATA MANAGEMENT LATEST EXAM 2023-2024
WITH 200+ REAL EXAM QUESTIONS AND
ANSWERS|AGRADE
A physician group is updating its electronic database system to allow
patients to create profiles and provide access to necessary individuals.
Patients have the opportunity to access their personal health information
electronically from remote locations. The patients like being able to see
the doctor’s open times to coordinate their schedules before requesting
an office visit.Which component of the patient portal is the ability to see
a doctor’s availability? – ANSWER- Scheduling
A patient is admitted to an acute care facility while on vacation, but
records from his physician’s office cannot be immediately obtained. The
patient has difficulty remembering his insulin dosage, but he recalls
being enrolled in a patient portal.Where would information about the
patient’s insulin dosage be found within this portal? – ANSWERMedication history
Which form of review is conducted after a patient is discharged from an
acute care facility in order to obtain information about trends and
patterns of documentation? – ANSWER- Closed-record review
A hospital uses a filing system for permanent storage of paper-based
health records. The records are filed according to a three-part number
made up of two-digit pairs. Which type of system is this? – ANSWERTerminal-digit filing system
A patient goes to an emergency room complaining of chest pain and is
released home four hours later.Which type of documentation is required
in this scenario? – ANSWER- Discharge orders
A physician in an acute care facility is performing an H&P in
accordance with the CMS Conditions of Participation.Within how many
days prior to admission must the H&P be performed and within how
many hours must the H&P be placed in the patient’s record after
admission? – ANSWER- 30 days; 24 hours
A patient is ready to leave the emergency room but will need discharge
orders before leaving. How should the discharge orders be
communicated to this patient? – ANSWER- A physician should issue the
order in writing.
Which component of the medical record do the Centers for Medicare
and Medicaid Services (CMS) Conditions of Participation require to be
completed no more than 30 days before or 24 hours after admission? –
ANSWER- History and physical
Which type of consent is a patient asked to sign before undergoing a
scheduled gallbladder surgery? – ANSWER- Informed consent
Where does a nurse document that a patient is given an oral dose of
Coumadin 1 mg while hospitalized? – ANSWER- Medication
administration record
Which person’s signature must be included on a consent form? –
ANSWER- Patient
In a physician’s practice, a doctor is attempting to submit a claim to
Medicare, but the system is experiencing an outage.Which form should
this doctor use to submit a paper claim? – ANSWER- CMS-1500
Which guideline should an health information management (HIM)
professional follow for documentation of both paper and electronic
records? – ANSWER- Original documents should be maintained in the
health record.
In which time frame should the history and physical be completed after a
patient is admitted to an inpatient healthcare facility? – ANSWER- No
more than 30 days before or 24 hours after admission
Which type of information can be found in a physician’s orders? –
ANSWER- Written or verbal requests for treatment, tests, procedures,
and medications
A nurse at a long-term care facility is documenting a comprehensive
assessment into a patient’s medical record.What must the record include
to meet Centers for Medicare and Medicaid Services (CMS)
requirements? – ANSWER- Minimum Data Set (MDS)
A state hospital system is collecting information on inpatient discharges
from hospitals in the central part of a state.Which database should the
hospital system use to collect this data? – ANSWER- Uniform Hospital
Discharge Data Set (UHDDS)
Which data type is a cardiac catheterization examination note an
example of? – ANSWER- Unstructured data
A paragraph in a physician’s order specifies information about a patient’s
discharge. Which type of data is described in this scenario? – ANSWERUnstructured
A nurse enters a patient’s zip code, and the state is automatically
populated. – ANSWER- Structured data
A physical therapist chooses the Therapy tab in the emergency health
record and writes treatment plan notes. – ANSWER- Unstructured data