WGU C816 ZQM1 : EHR IMPLEMENTATION
ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ support.
Answer: maintain and upgrade
◍ Semantic interoperability.
Answer: meaning of exchange data remains same on both endscritical for
clinical data
◍ Plan-do-check-act (PDCA).
Answer: systematic series of steps for gaining valuable learning and
knowledge for the continual improvement of a product or process.
◍ A physician documents information provided by a patient in the patient's
chart. Which type of data would this be considered?.
Answer: Primary
◍ HITECH-HIPAA Omnibus Privacy Act.
Answer: Impacted in 2009, promote the adoption and meaningful use of
health information technology as part of the American recovery and
reinvestment act (ARRA). Established more detailed provisions and
strengthened the requirements included the HIPAA privacy and security
rules.
◍ Which organization requires reporting of medical malpractice payments,
federal licensure and certification actions, and adverse clinical privileges
actions?.
Answer: National Practitioner Data Bank (NPDB)
◍ In which time frame should the history and physical be completed after a
, patient is admitted to an inpatient heath care facility?.
Answer: No more than 30 days before or 24 hours after admission
◍ A health information manager is responsible for properly destroying records
after the retention period has passed. Which principle for information
governance is described in this scenario?.
Answer: Disposition
◍ Malfeasance.
Answer: the execution of an unlawful or improper act
◍ A HIM director has been informed of potential data security violations. The
HIM director asks one of the health informatics analysts to work with the
chief information officer to monitor the audit trails of the EHR to identify
any violations. Which generally accepted record-keeping principle is
described in this scenario?.
Answer: Protection
◍ DRG.
Answer: indicates the level of resources given to a patient for an acute-care
inpatient hospital episode of care.
◍ Principle of integrity.
Answer: An IG program ensures that info assets have authenticity and
reliability
◍ visual modeling tools.
Answer: tools help analysts create and verify graphical models and may also
generate program code
◍ Hospital-acquired conditions (HAC).
Answer: reasonably preventable and hospitals will not receive additional
payment for cases in which one of the eight selected conditions was not
POA (present on admission).
◍ Which type of consent is a patient asked to sign prior to undergoing a
scheduled gallbladder surgery?.
, Answer: Informed consent
◍ incremental development.
Answer: SDLC approach completes portions of system in small increments
across iterationseach increment being integrated into the whole as it is
completed
◍ A healthcare facility experiences an unexpected hardware failure with its
EHR system, and it is expected to be operational in three hours.During this
downtime, which plan should be initiated?.
Answer: Business continuity plan
◍ Problem-oriented medical record.
Answer: Comprised of problem list, the database(history and physical exam,
and initial lab findings), the initial plan (tests, proc, and other tx), and prog
notes organized so every member of the healthcare team can easily follow
the course of treatment
◍ What includes an example of patient-identifiable data and an example of
aggregate data?.
Answer: MPI and cancer registry annual reporting data
◍ Which database is frequently used for research on topics such as charges for
particular types of care and analysis by DRG for Medicare patients only?.
Answer: MEDPAR (Medicare Provider Analysis and Review)
◍ predictive approach to the SDLC.
Answer: approach assumes project can be planned in advance - new
information system developed according to the plan
◍ waterfall model.
Answer: SDLC approach assumes phases can be completed sequentially
with no overlap "no going back" - most predictive (aka not flexible)
◍ In which healthcare setting does CMS require specific documentation by the
attending physician and an update to the patient's plan of care?.
Answer: Home healthcare
, ◍ analysis.
Answer: discover/understand details of problem/need
◍ Misfeasance.
Answer: the improper performance of an act resulting in injury to another
◍ A paragraph in a physician's order specifies information about a patient's
discharge. Which type of data is described in this scenario?.
Answer: Unstructured
◍ 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
◍ design.
Answer: configure/structure new system
◍ adaptive approach to the SDLC.
Answer: approach assumes project must be more flexible and adapt to
changing needs as the project progresses
◍ walking skeleton.
Answer: iterative development approach - complete system structure Is built
but with bare-bones functionalitylater iterations flesh out/add functionality
◍ National Alliance for Health Information Technology (NAHIT).
Answer: develop a set of terms and definitions to help the industry avoid
confusion and achieve consensus on terminology
◍ system development methodology.
Answer: guidelines for every facet of system development life cycleformal
or informaltype used determines predictive vs adaptive approach
◍ A health information management (HIM) director is writing a data
dictionary for a new disease registry. For which area is this HIM director
being a data steward?.
Answer: Data definition
ACTUAL EXAM PAPER 2026 QUESTIONS
WITH ANSWERS GRADED A+
◍ support.
Answer: maintain and upgrade
◍ Semantic interoperability.
Answer: meaning of exchange data remains same on both endscritical for
clinical data
◍ Plan-do-check-act (PDCA).
Answer: systematic series of steps for gaining valuable learning and
knowledge for the continual improvement of a product or process.
◍ A physician documents information provided by a patient in the patient's
chart. Which type of data would this be considered?.
Answer: Primary
◍ HITECH-HIPAA Omnibus Privacy Act.
Answer: Impacted in 2009, promote the adoption and meaningful use of
health information technology as part of the American recovery and
reinvestment act (ARRA). Established more detailed provisions and
strengthened the requirements included the HIPAA privacy and security
rules.
◍ Which organization requires reporting of medical malpractice payments,
federal licensure and certification actions, and adverse clinical privileges
actions?.
Answer: National Practitioner Data Bank (NPDB)
◍ In which time frame should the history and physical be completed after a
, patient is admitted to an inpatient heath care facility?.
Answer: No more than 30 days before or 24 hours after admission
◍ A health information manager is responsible for properly destroying records
after the retention period has passed. Which principle for information
governance is described in this scenario?.
Answer: Disposition
◍ Malfeasance.
Answer: the execution of an unlawful or improper act
◍ A HIM director has been informed of potential data security violations. The
HIM director asks one of the health informatics analysts to work with the
chief information officer to monitor the audit trails of the EHR to identify
any violations. Which generally accepted record-keeping principle is
described in this scenario?.
Answer: Protection
◍ DRG.
Answer: indicates the level of resources given to a patient for an acute-care
inpatient hospital episode of care.
◍ Principle of integrity.
Answer: An IG program ensures that info assets have authenticity and
reliability
◍ visual modeling tools.
Answer: tools help analysts create and verify graphical models and may also
generate program code
◍ Hospital-acquired conditions (HAC).
Answer: reasonably preventable and hospitals will not receive additional
payment for cases in which one of the eight selected conditions was not
POA (present on admission).
◍ Which type of consent is a patient asked to sign prior to undergoing a
scheduled gallbladder surgery?.
, Answer: Informed consent
◍ incremental development.
Answer: SDLC approach completes portions of system in small increments
across iterationseach increment being integrated into the whole as it is
completed
◍ A healthcare facility experiences an unexpected hardware failure with its
EHR system, and it is expected to be operational in three hours.During this
downtime, which plan should be initiated?.
Answer: Business continuity plan
◍ Problem-oriented medical record.
Answer: Comprised of problem list, the database(history and physical exam,
and initial lab findings), the initial plan (tests, proc, and other tx), and prog
notes organized so every member of the healthcare team can easily follow
the course of treatment
◍ What includes an example of patient-identifiable data and an example of
aggregate data?.
Answer: MPI and cancer registry annual reporting data
◍ Which database is frequently used for research on topics such as charges for
particular types of care and analysis by DRG for Medicare patients only?.
Answer: MEDPAR (Medicare Provider Analysis and Review)
◍ predictive approach to the SDLC.
Answer: approach assumes project can be planned in advance - new
information system developed according to the plan
◍ waterfall model.
Answer: SDLC approach assumes phases can be completed sequentially
with no overlap "no going back" - most predictive (aka not flexible)
◍ In which healthcare setting does CMS require specific documentation by the
attending physician and an update to the patient's plan of care?.
Answer: Home healthcare
, ◍ analysis.
Answer: discover/understand details of problem/need
◍ Misfeasance.
Answer: the improper performance of an act resulting in injury to another
◍ A paragraph in a physician's order specifies information about a patient's
discharge. Which type of data is described in this scenario?.
Answer: Unstructured
◍ 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
◍ design.
Answer: configure/structure new system
◍ adaptive approach to the SDLC.
Answer: approach assumes project must be more flexible and adapt to
changing needs as the project progresses
◍ walking skeleton.
Answer: iterative development approach - complete system structure Is built
but with bare-bones functionalitylater iterations flesh out/add functionality
◍ National Alliance for Health Information Technology (NAHIT).
Answer: develop a set of terms and definitions to help the industry avoid
confusion and achieve consensus on terminology
◍ system development methodology.
Answer: guidelines for every facet of system development life cycleformal
or informaltype used determines predictive vs adaptive approach
◍ A health information management (HIM) director is writing a data
dictionary for a new disease registry. For which area is this HIM director
being a data steward?.
Answer: Data definition
