WGU D514 PRACTICE EXAM
QUESTIONS AND ANSWERS 2026/2027
1. Under the HIPAA Breach Notification Rule, what is the specific threshold of affected
individuals that triggers the requirement to notify major media outlets in addition to the
Secretary of HHS?
A. 500 individuals
B. 250 individuals
C. 100 individuals
D. 1000 individuals
Answer: A
Conceptual Explanation: If a breach of unsecured PHI affects 500 or more individuals in a
single jurisdiction, the covered entity must notify prominent media outlets serving the
state or jurisdiction in addition to individual notice and HHS notification.
,2. Which level of interoperability refers to the ability of two or more systems to exchange
data so that the meaning of the data is shared and can be automatically processed by the
receiving system?
A. Semantic Interoperability
B. Structural Interoperability
C. Foundational Interoperability
D. Organizational Interoperability
Answer: A
Conceptual Explanation: Semantic interoperability provides the highest level of data
exchange, ensuring that the receiving system can interpret the data correctly based on
standardized terminologies and coding systems.
3. The HITECH Act of 2009 was primarily designed to accomplish which of the following?
A. Promote the adoption and meaningful use of health information technology
B. Establish the ICD-10 coding system for billing
C. Deregulate health insurance premiums for small businesses
D. Mandate the use of paper-based records for emergency backup
Answer: A
, Conceptual Explanation: The Health Information Technology for Economic and Clinical
Health (HITECH) Act provided financial incentives for EHR adoption and established
stricter privacy and security requirements for PHI.
4. Which terminology is primarily used for standardizing laboratory test results and clinical
observations?
A. SNOMED CT
B. LOINC
C. ICD-10-CM
D. CPT
Answer: B
Conceptual Explanation: LOINC (Logical Observation Identifiers Names and Codes) is the
universal standard for identifying health measurements, observations, and documents,
specifically in laboratory settings.
5. What is the primary purpose of a Clinical Decision Support (CDS) system in a modern EHR?
A. To automate the billing process without human intervention
B. To provide clinicians with person-specific, filtered information to enhance health and
healthcare
C. To replace the need for licensed medical professionals in primary care
D. To store archival data that is no longer relevant to current treatment
QUESTIONS AND ANSWERS 2026/2027
1. Under the HIPAA Breach Notification Rule, what is the specific threshold of affected
individuals that triggers the requirement to notify major media outlets in addition to the
Secretary of HHS?
A. 500 individuals
B. 250 individuals
C. 100 individuals
D. 1000 individuals
Answer: A
Conceptual Explanation: If a breach of unsecured PHI affects 500 or more individuals in a
single jurisdiction, the covered entity must notify prominent media outlets serving the
state or jurisdiction in addition to individual notice and HHS notification.
,2. Which level of interoperability refers to the ability of two or more systems to exchange
data so that the meaning of the data is shared and can be automatically processed by the
receiving system?
A. Semantic Interoperability
B. Structural Interoperability
C. Foundational Interoperability
D. Organizational Interoperability
Answer: A
Conceptual Explanation: Semantic interoperability provides the highest level of data
exchange, ensuring that the receiving system can interpret the data correctly based on
standardized terminologies and coding systems.
3. The HITECH Act of 2009 was primarily designed to accomplish which of the following?
A. Promote the adoption and meaningful use of health information technology
B. Establish the ICD-10 coding system for billing
C. Deregulate health insurance premiums for small businesses
D. Mandate the use of paper-based records for emergency backup
Answer: A
, Conceptual Explanation: The Health Information Technology for Economic and Clinical
Health (HITECH) Act provided financial incentives for EHR adoption and established
stricter privacy and security requirements for PHI.
4. Which terminology is primarily used for standardizing laboratory test results and clinical
observations?
A. SNOMED CT
B. LOINC
C. ICD-10-CM
D. CPT
Answer: B
Conceptual Explanation: LOINC (Logical Observation Identifiers Names and Codes) is the
universal standard for identifying health measurements, observations, and documents,
specifically in laboratory settings.
5. What is the primary purpose of a Clinical Decision Support (CDS) system in a modern EHR?
A. To automate the billing process without human intervention
B. To provide clinicians with person-specific, filtered information to enhance health and
healthcare
C. To replace the need for licensed medical professionals in primary care
D. To store archival data that is no longer relevant to current treatment
