WGU C425 PRACTICE EXAM QUESTIONS AND ANSWERS
GUARANTEE A+
✔✔A woman has had heavy menses for the past year. She visits the doctor who
suggests a dilatation and curettage (D and C).
What is a cost effective healthcare delivery option for this procedure? - ✔✔Specialty
care clinic
✔✔An employer changed insurance carriers. An employee's long-standing primary care
physician is not a part of the new plan. Since this physician has been treating the
employee for a chronic medical condition for the last 10 years, the employee is
concerned about their healthcare costs.
Which decision will provide cost-effective care for the patient? - ✔✔Continuing to follow
the previous physician's recommendations while seeking a new in-network physician
✔✔A patient has acquired a sexually transmitted disease. The patient makes minimum
wage at a part-time job and does not have health insurance.
How can this patient overcome these barriers? - ✔✔Visit a state health department
✔✔A patient's physician suspects a mental disorder but is unsure how to properly treat
the diagnosis. The mental health population still lacks research to properly care for this
disorder.
Which barrier is causing this to happen? - ✔✔Funding
✔✔After being treated for breast cancer, a woman was denied a follow-up MRI scan by
a Health Maintenance Organization (HMO). The patient contacted the insurance
company and was again denied on internal appeal despite the current physician's letter
in support of the claim.
What should be this patient's next step? - ✔✔Seek legal advice
✔✔A patient goes to the hospital emergency room to be seen for an increased heart
rate. The patient was diagnosed with severe anxiety and was discharged. This visit is
followed by an invoice to the patient's insurance company. The patient complained to
the state health board.
Who in the hospital should the patient have reached out to first? - ✔✔The patient
advocate
, ✔✔An employer organization is facing increasing demands to offer a new health
insurance product. The CEO of the organization decides to introduce a PPO.
Which professional organization will the CEO consult? - ✔✔National Committee for
Quality Assurance
✔✔A dental department ordered new hand pieces. The Occupational Safety and Health
Administration and the Centers for Disease Control mandate processing by the Sterile
Processing Department to reduce exposure to patients.
Which area of concern is identified by this type of mandate? - ✔✔Infection control
✔✔Congress passed a bill establishing the Veterans Choice Act, which allows veterans
living 40 miles from a Veterans Administration (VA) facility, who cannot be seen within
30 days of the clinically appropriate date, to be sent to non-VA facilities.
How does this interaction influence the Veterans Administration? - ✔✔It enables the VA
patients to be seen faster.
✔✔An immigrant to the U.S. wants to understand how to navigate the healthcare
system.
Match each care description with its corresponding level of care.
Answer options may be used once or not at all. Select your answers from the pull-down
list. - ✔✔Provides holistic care and serves an integrating function - PRIMARY
Is associated with secondary and tertiary levels of services - SPECIALTY
Provides patient referrals to other appropriate healthcare services as needed -
PRIMARY
Provides a balance of multiple requirements that a patient's condition may call for -
PRIMARY
Is episodic in nature and focuses on specific organ systems or the disease process
involved - SPECIALTY
✔✔An elderly patient in poor financial straits was referred to a professional that will
provide assistance with purchasing medication.
Which professional received this referral? - ✔✔Social worker
✔✔Match each job description with its corresponding specialization.
Answer options may be used more than once or not at all. Select your answers from the
pull-down list. - ✔✔Treats gums - Periodontics
Straightens teeth - ORTHODONTIST
Makes artificial teeth or dentures - PROSTHODONTIST
Operates on the mouth and jaws - ORAL AND MAXILLOFACIAL SURGERY
GUARANTEE A+
✔✔A woman has had heavy menses for the past year. She visits the doctor who
suggests a dilatation and curettage (D and C).
What is a cost effective healthcare delivery option for this procedure? - ✔✔Specialty
care clinic
✔✔An employer changed insurance carriers. An employee's long-standing primary care
physician is not a part of the new plan. Since this physician has been treating the
employee for a chronic medical condition for the last 10 years, the employee is
concerned about their healthcare costs.
Which decision will provide cost-effective care for the patient? - ✔✔Continuing to follow
the previous physician's recommendations while seeking a new in-network physician
✔✔A patient has acquired a sexually transmitted disease. The patient makes minimum
wage at a part-time job and does not have health insurance.
How can this patient overcome these barriers? - ✔✔Visit a state health department
✔✔A patient's physician suspects a mental disorder but is unsure how to properly treat
the diagnosis. The mental health population still lacks research to properly care for this
disorder.
Which barrier is causing this to happen? - ✔✔Funding
✔✔After being treated for breast cancer, a woman was denied a follow-up MRI scan by
a Health Maintenance Organization (HMO). The patient contacted the insurance
company and was again denied on internal appeal despite the current physician's letter
in support of the claim.
What should be this patient's next step? - ✔✔Seek legal advice
✔✔A patient goes to the hospital emergency room to be seen for an increased heart
rate. The patient was diagnosed with severe anxiety and was discharged. This visit is
followed by an invoice to the patient's insurance company. The patient complained to
the state health board.
Who in the hospital should the patient have reached out to first? - ✔✔The patient
advocate
, ✔✔An employer organization is facing increasing demands to offer a new health
insurance product. The CEO of the organization decides to introduce a PPO.
Which professional organization will the CEO consult? - ✔✔National Committee for
Quality Assurance
✔✔A dental department ordered new hand pieces. The Occupational Safety and Health
Administration and the Centers for Disease Control mandate processing by the Sterile
Processing Department to reduce exposure to patients.
Which area of concern is identified by this type of mandate? - ✔✔Infection control
✔✔Congress passed a bill establishing the Veterans Choice Act, which allows veterans
living 40 miles from a Veterans Administration (VA) facility, who cannot be seen within
30 days of the clinically appropriate date, to be sent to non-VA facilities.
How does this interaction influence the Veterans Administration? - ✔✔It enables the VA
patients to be seen faster.
✔✔An immigrant to the U.S. wants to understand how to navigate the healthcare
system.
Match each care description with its corresponding level of care.
Answer options may be used once or not at all. Select your answers from the pull-down
list. - ✔✔Provides holistic care and serves an integrating function - PRIMARY
Is associated with secondary and tertiary levels of services - SPECIALTY
Provides patient referrals to other appropriate healthcare services as needed -
PRIMARY
Provides a balance of multiple requirements that a patient's condition may call for -
PRIMARY
Is episodic in nature and focuses on specific organ systems or the disease process
involved - SPECIALTY
✔✔An elderly patient in poor financial straits was referred to a professional that will
provide assistance with purchasing medication.
Which professional received this referral? - ✔✔Social worker
✔✔Match each job description with its corresponding specialization.
Answer options may be used more than once or not at all. Select your answers from the
pull-down list. - ✔✔Treats gums - Periodontics
Straightens teeth - ORTHODONTIST
Makes artificial teeth or dentures - PROSTHODONTIST
Operates on the mouth and jaws - ORAL AND MAXILLOFACIAL SURGERY
