WGU D547 – Evidence Based Healthcare Administration
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Brief Exam Coverage: WGU D547 – Evidence Based Healthcare Administration
This exam assesses competency in applying evidence-based principles to healthcare
administration decisions. Key domains include:
1. Foundations of Evidence-Based Management (EBMgt) – Asking answerable questions,
acquiring evidence, appraising evidence.
2. Quantitative & Qualitative Research Methods – Study designs (RCTs, cohort, case-
control, qualitative), bias, validity, reliability.
3. Data-Driven Decision Making – Descriptive/inferential statistics, data visualization,
dashboards, quality improvement (PDSA, Six Sigma, Lean).
4. Implementation Science & Change Management – Translating evidence into practice,
barriers/facilitators, Kotter’s 8 steps, ADKAR.
5. Healthcare Economics & Finance – Cost-effectiveness, budget impact analysis, ROI,
value-based purchasing.
6. Ethics & Professionalism in EBP – IRB, informed consent, conflicts of interest, equity in
evidence application.
7. Population Health & Outcomes Measurement – Process vs. outcome measures, risk
adjustment, patient-reported outcomes, SDOH.
200 MCQs with Answers & Rationales
Domain 1: Foundations of Evidence-Based Management (Questions 1–40)
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1. What is the first step in the evidence-based management (EBMgt) process?
A) Appraising the evidence
B) Acquiring the best available evidence
C) Asking an answerable question
D) Applying evidence to the population
Answer: C
Rationale: The EBMgt process begins with translating a practical problem into an answerable
question (e.g., PICO format). Without a focused question, searching and appraising evidence is
inefficient.
2. Which of the following best defines “evidence-based practice” in healthcare administration?
A) Using only randomized controlled trials to make decisions
B) Integrating best research evidence with managerial expertise and stakeholder values
C) Following administrative rules without question
D) Relying solely on patient satisfaction surveys
Answer: B
Rationale: Evidence-based practice integrates three pillars: best available scientific evidence,
practitioner expertise, and patient/community values and preferences.
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3. A hospital CEO asks, “Does bedside shift reporting reduce falls compared to shift report at the
nurse station?” This is an example of:
A) Background question
B) Foreground question
C) Ethical dilemma
D) Qualitative inquiry
Answer: B
Rationale: Foreground questions are specific, answerable questions comparing interventions or
exposures. Background questions ask for general knowledge (e.g., “What is bedside
reporting?”).
4. In the PICO framework, the “C” stands for:
A) Comparison
B) Context
C) Cost
D) Clinical condition
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Answer: A
Rationale: PICO = Population, Intervention, Comparison, Outcome. The comparison is often usual
care, placebo, or alternative intervention.
5. A manager asks: “Among nurses working night shifts, does a 30-minute nap break compared
to no nap break reduce medication errors?” What is the “P”?
A) 30-minute nap break
B) Medication errors
C) Nurses working night shifts
D) No nap break
Answer: C
Rationale: The Population (P) is the group of interest: nurses working night shifts.
6. Which type of question is best answered by a qualitative study?
A) Does A cause B?
B) How do patients experience care transitions?
C) What is the sensitivity of a new diagnostic test?
D) What is the incidence of HAIs?