WGU C810 FOUNDATIONS IN HEALTHCARE DATA MANAGEMENT
EXAM COMPLETE QUESTIONS WITH 100% CORRECT ANSWERS
1. 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?
A) Online visits
B) Medication tracking
C) Scheduling
D) Appointment reminders
Correct answer: C
Rationale: Scheduling is the patient portal component that allows patients to
view provider availability and schedule appointments. Online visits refer to
telehealth, medication tracking monitors prescriptions, and appointment
reminders notify patients of upcoming visits.
2. A patient was 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?
A) Appointment history
B) Medication history
,C) Laboratory results
D) Problem list
Correct answer: B
Rationale: The medication history section of a patient portal contains
information about prescribed medications including dosages. Appointment
history shows past visits, laboratory results contain test values, and the problem
list contains diagnoses .
3. Which form of review is conducted following the discharge of a patient from an
acute care facility to obtain information about trends and patterns of
documentation?
A) Open-record review
B) Point-of-care review
C) Closed-record review
D) Ongoing-record review
Correct answer: C
Rationale: A closed-record review occurs after patient discharge and is used to
analyze documentation trends, patterns, and completeness. Open-record review
occurs during the patient's stay, point-of-care review happens at the time of
service, and ongoing-record review is continuous .
4. 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?
A) Unit numbering system
B) Terminal-digit filing system
C) Serial-unit numbering system
D) Straight numeric filing system
,Correct answer: B
Rationale: Terminal-digit filing uses a three-part number with two-digit pairs,
where the last two digits (terminal digits) are the primary filing unit. This
distributes records evenly throughout the filing system .
5. A patient went to the emergency room complaining of chest pain and was
released home 4 hours later. Which type of documentation is required in this
scenario?
A) Plan of care
B) Time of admission
C) Discharge orders
D) Mental assessment
Correct answer: C
Rationale: Discharge orders are required for any patient leaving the emergency
department. They include instructions for follow-up care, medications, and
activity restrictions. Plan of care is more detailed for longer stays .
6. A physician in an acute care facility is performing a history and physical (H&P) in
accordance with CMS Conditions of Participation. Within how many days prior to
admission must the H&P be performed and within how many hours after
admission must the H&P be placed in the patient's record?
A) 30 days; 24 hours
B) 5 days; 24 hours
C) 30 days; 12 hours
D) 5 days; 12 hours
Correct answer: A
, Rationale: CMS Conditions of Participation require that an H&P be completed no
more than 30 days before admission and placed in the patient's record within 24
hours after admission .
7. 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?
A) A nurse should issue the order verbally
B) A physician should issue the order verbally
C) A physician should issue the order in writing
D) A nurse should issue the order in writing
Correct answer: C
Rationale: Discharge orders must be issued in writing by a physician. Verbal
orders are discouraged and require countersigning. Written orders ensure clarity
and legal documentation .
8. Which component of the medical record do CMS Conditions of Participation
require to be completed no more than 30 days before or 24 hours after
admission?
A) Focus charting
B) Progress notes
C) Discharge summary
D) History and physical
Correct answer: D
Rationale: The history and physical (H&P) must be completed within 30 days
prior to admission or within 24 hours after admission per CMS CoP
requirements .
EXAM COMPLETE QUESTIONS WITH 100% CORRECT ANSWERS
1. 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?
A) Online visits
B) Medication tracking
C) Scheduling
D) Appointment reminders
Correct answer: C
Rationale: Scheduling is the patient portal component that allows patients to
view provider availability and schedule appointments. Online visits refer to
telehealth, medication tracking monitors prescriptions, and appointment
reminders notify patients of upcoming visits.
2. A patient was 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?
A) Appointment history
B) Medication history
,C) Laboratory results
D) Problem list
Correct answer: B
Rationale: The medication history section of a patient portal contains
information about prescribed medications including dosages. Appointment
history shows past visits, laboratory results contain test values, and the problem
list contains diagnoses .
3. Which form of review is conducted following the discharge of a patient from an
acute care facility to obtain information about trends and patterns of
documentation?
A) Open-record review
B) Point-of-care review
C) Closed-record review
D) Ongoing-record review
Correct answer: C
Rationale: A closed-record review occurs after patient discharge and is used to
analyze documentation trends, patterns, and completeness. Open-record review
occurs during the patient's stay, point-of-care review happens at the time of
service, and ongoing-record review is continuous .
4. 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?
A) Unit numbering system
B) Terminal-digit filing system
C) Serial-unit numbering system
D) Straight numeric filing system
,Correct answer: B
Rationale: Terminal-digit filing uses a three-part number with two-digit pairs,
where the last two digits (terminal digits) are the primary filing unit. This
distributes records evenly throughout the filing system .
5. A patient went to the emergency room complaining of chest pain and was
released home 4 hours later. Which type of documentation is required in this
scenario?
A) Plan of care
B) Time of admission
C) Discharge orders
D) Mental assessment
Correct answer: C
Rationale: Discharge orders are required for any patient leaving the emergency
department. They include instructions for follow-up care, medications, and
activity restrictions. Plan of care is more detailed for longer stays .
6. A physician in an acute care facility is performing a history and physical (H&P) in
accordance with CMS Conditions of Participation. Within how many days prior to
admission must the H&P be performed and within how many hours after
admission must the H&P be placed in the patient's record?
A) 30 days; 24 hours
B) 5 days; 24 hours
C) 30 days; 12 hours
D) 5 days; 12 hours
Correct answer: A
, Rationale: CMS Conditions of Participation require that an H&P be completed no
more than 30 days before admission and placed in the patient's record within 24
hours after admission .
7. 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?
A) A nurse should issue the order verbally
B) A physician should issue the order verbally
C) A physician should issue the order in writing
D) A nurse should issue the order in writing
Correct answer: C
Rationale: Discharge orders must be issued in writing by a physician. Verbal
orders are discouraged and require countersigning. Written orders ensure clarity
and legal documentation .
8. Which component of the medical record do CMS Conditions of Participation
require to be completed no more than 30 days before or 24 hours after
admission?
A) Focus charting
B) Progress notes
C) Discharge summary
D) History and physical
Correct answer: D
Rationale: The history and physical (H&P) must be completed within 30 days
prior to admission or within 24 hours after admission per CMS CoP
requirements .
