2026|2027 UPDATE Actual Exam 2026/2027: Complete Exam-Style
Questions with Detailed Rationales | 100% Verified | Pass Guaranteed
– A+ Graded
TABLE OF CONTENTS
Section 1 | EPIC System Navigation & Patient Access | Q1 – Q10
Section 2 | Clinical Documentation & Orders | Q11 – Q20
Section 3 | In-Basket, Results & Communication | Q21 – Q30
Section 4 | Ambulatory & Specialty Workflows | Q31 – Q40
Section 5 | Reporting, Security & Compliance | Q41 – Q50
Instructions: Choose the single best answer. Pass: 80% in 90 minutes.
══════════════════════════════════════
SECTION 1: EPIC SYSTEM NAVIGATION & PATIENT ACCESS Q1 – Q10
══════════════════════════════════════
Question 1 of 50
A 62-year-old patient named Robert Chen arrives at the outpatient cardiology clinic for a
follow-up visit. The front desk registrar needs to locate his existing chart in Hyperspace
to check him in. The registrar knows his date of birth but is unsure whether to search
using his full legal name or a nickname he sometimes uses. How should the registrar
perform the search?
A. Enter only the patient's first name and date of birth to pull up all possible matches
B. Enter the patient's last name, first name, and date of birth to perform a targeted
search ✓ CORRECT
C. Search by Social Security number alone since it is the most reliable identifier in EPIC
D. Look up the patient by appointment time and provider name in the schedule only
Correct Answer: B
Rationale: Entering the last name, first name, and date of birth is the standard way to
perform a targeted patient search while minimizing duplicate record confusion.
,Searching by first name and date of birth alone often returns too many matches, and
relying solely on schedule lookups risks missing the correct patient if the appointment
was rescheduled.
Question 2 of 50
A 45-year-old female patient calls the clinic stating she has two separate charts in the
system because she was previously married and registered under a different last name.
The registration staff pulls up both records and sees overlapping visit history. What is
the appropriate next step?
A. Merge the two records immediately since the patient confirmed they belong to her
B. Delete the older record to prevent future confusion at check-in
C. Ask the patient to choose which record to keep and inactivate the other
D. Initiate the duplicate record workflow and contact Health Information Management
for formal merging ✓ CORRECT
Correct Answer: D
Rationale: Merging duplicate records requires a formal process through Health
Information Management to ensure data integrity and audit compliance. Front desk
staff should never merge or delete records themselves, as this can cause permanent
loss of clinical data and violate organizational policy.
Question 3 of 50
A 38-year-old father wants to request MyChart proxy access so he can view his
8-year-old daughter's lab results and schedule appointments online. He currently does
not have an active MyChart account of his own. What must happen first?
A. The father must first activate his own MyChart account before he can request proxy
access for his child ✓ CORRECT
B. Proxy access can be granted immediately by the clinic staff without any MyChart
account requirement
,C. The father should create a separate MyChart account using his daughter's email
address and medical record number
D. Proxy access is only available for patients over age 12, so the request will be
automatically denied
Correct Answer: A
Rationale: MyChart proxy access requires the requesting adult to have an active
personal MyChart account first, after which they can link to a minor's record through the
proper authorization workflow. Creating an account in the child's name or bypassing the
personal account requirement violates both policy and identity verification standards.
Question 4 of 50
A medical assistant is performing the preliminary review for a 55-year-old diabetic
patient who just arrived for a routine follow-up. The assistant needs to document
today's vital signs and the patient's stated chief complaint before the provider enters the
exam room. Where should this information be entered?
A. Open a new telephone encounter since the patient has not yet been seen by the
provider
B. Document the information in the office visit note after the provider has signed it
C. Enter the vitals and chief complaint in the Prelim activity within the ambulatory
navigator ✓ CORRECT
D. Send an In-Basket message to the provider with the vital signs attached
Correct Answer: C
Rationale: The Prelim activity in the ambulatory navigator is specifically designed for
staff to document vitals, chief complaints, and screening information before the
provider sees the patient. Documenting in a telephone encounter or via In-Basket
creates fragmented documentation, and adding to a signed note is not possible without
an addendum.
Question 5 of 50
, A staff member in the billing department attempts to look up the chart of a well-known
local celebrity who was recently admitted to the hospital. The staff member is not
involved in the patient's care and does not have a treatment-related reason to access
the record. What is the correct response?
A. Allow the access since all employees have general access to patient charts for
operational purposes
B. Deny the access and report the attempted lookup to the privacy officer as a potential
breach ✓ CORRECT
C. Grant access but flag the chart for audit review after the fact to document the
incident
D. Require the staff member to obtain a supervisor's verbal approval before proceeding
Correct Answer: B
Rationale: Accessing a patient chart without a treatment, payment, or operations need
violates HIPAA and organizational privacy policies, and must be reported to the privacy
officer. Break-the-glass and other access overrides are reserved for legitimate clinical
scenarios, not for curiosity or non-clinical operational needs.
Question 6 of 50
A clinic manager needs to block a provider's schedule for a two-week vacation occurring
next month so that no patients can be booked during that time. The provider currently
has a standard template applied Monday through Friday. What is the best approach?
A. Apply a block schedule or override template to the provider's calendar for the
vacation dates ✓ CORRECT
B. Cancel every existing appointment individually and mark the provider as inactive
C. Ask patients to call back after the vacation to reschedule their appointments
D. Delete the provider's schedule template entirely and recreate it after the vacation
Correct Answer: A
Rationale: Using a block schedule or override template is the correct way to prevent new
appointments from being scheduled during a provider's absence without losing the