| 2025–2026 PRE-ASSESSMENT ANSWERS | 130 VERIFIED
QUESTIONS & CORRECT RESPONSES
The D033 Pre-Assessment focuses on foundational knowledge in electronic
health record systems, clinical documentation strategies, and HIM
department operations. Topics include the selection of template-based vs.
structured/unstructured data entry, the implementation of barcoding for
loose documentation, and tools that improve record integration and data
accessibility. Every question has been carefully reviewed and answered to
ensure first-try success for WGU students pursuing excellence in health
information
A physician group is adopting a new electronic health record (EHR). Some members of the group
prefer to dictate, and others prefer direct data entry.
Which data capture method should the EHR coordinator recommend to meet the needs of all
physicians?
- Voice data entry
- Structured data entry
- Template-based entry
- Unstructured data entry - CORRECT ANSWER-Template-based entry
A hospital's health information management (HIM) department receives numerous pages of loose
documentation on a daily basis to integrate into the patient's electronic chart.
Which procedure should the department consider implementing to improve the electronic record
process and ensure documentation is readily available?
- Barcoding
- Abstracting
- Chart reviews
- Form management - CORRECT ANSWER-Barcoding
An administrator needs to generate reports that show patient utilization trends for the emergency
department (ED) on a quarterly basis.
Which system should be used?
,- MPI
- EIS
- CDS
- R-ADT - CORRECT ANSWER-R-ADT
Which benefit is provided by a hospital's birth certificate system?
- On-demand printing of birth certificates
- Modification of the labor and delivery log
- Quality review of labor and delivery records
- -Submission of social security number requests - CORRECT ANSWER-Submission of social security
number requests
A hospital has a pharmacy information system (PIS) that is integrated with a computerized provider
order entry (CPOE) system. The physician orders medications for an inpatient through the CPOE.
How is healthcare decision-making affected due to the integration of the PIS?
-The integration allows the CPOE system to streamline the process of medication reconciliation.
-The integration allows the CPOE system to automatically substitute a more clinically appropriate
medication.
-The integration allows the physician to send discharge medications electronically to the patient's
pharmacy of choice.
-The integration allows the physician to be alerted to contraindication for any medication based on
the patient's allergy information. - CORRECT ANSWER-The integration allows the physician to be
alerted to contraindication for any medication based on the patient's allergy information.
An emergency department (ED) patient is sent to radiology for a two-view X-ray of the left knee. The
X-ray technician uses the hospital's radiology information system (RIS) throughout the exam.
How does the RIS assist the technician?
-It controls radiation exposure and calculates expected rate of recovery from injury.
-It controls radiation exposure and calculates expected risk of infection from injury.
-It helps the technician decide the correct positioning of the patient and ensures image quality.
-It helps the technician decide the correct positioning of the patient and ensures documentation
integrity. - CORRECT ANSWER-It helps the technician decide the correct positioning of the patient
and ensures image quality.
, A primary care clinic encourages its physicians to engage in patient-centered care by actively
partnering with patients during healthcare decision-making.
Which technology in the clinic's health information system (HIS) supports this process?
-Patient portal
-Patient billing
-Patient monitoring
-Patient identification - CORRECT ANSWER-Patient portal
Which medication-related area has benefited from the use of an electronic health record (EHR)?
-Reduced pharmacy personnel turnover
-Bypassed pharmacy dispensing system
-Eliminated physician-specific log-in verification
-Improved patient verification with prescribed medication - CORRECT ANSWER-Improved patient
verification with prescribed medication
How does a health information exchange (HIE) improve patient safety?
-Reduces over-utilization of diagnostic services
-Provides real-time clinical decision support capabilities
-Gives primary care physicians the ability to learn from specialists
-Allows all physicians caring for a patient to access the same data - CORRECT ANSWER-Allows all
physicians caring for a patient to access the same data
A health information management (HIM) system becomes unavailable due to a faulty component in
a server. The information technology (IT) staff orders a replacement part to arrive the following
morning.
Which need is associated with managing the health information during this downtime?
-Reschedule patients
-Allow only very sick patients to be seen today
-Access back-up servers to capture historical data
-Close the office until the system is back up the next day - CORRECT ANSWER-Access back-up
servers to capture historical data