INP402 EPICCARE INPATIENT CLINICAL
EXAM Actual Exam 2026/2027 176 Questions
Complete and Verified Answers Pass
Guaranteed - A+ Graded
SECTION 1: INPATIENT WORKFLOW & NAVIGATORS (30
Questions)
Q1: A hospitalist physician needs to review all active orders, recent
vitals, and current medications for a newly admitted patient before
morning rounds. Which Epic navigator activity provides the most
efficient consolidated view of this information without opening multiple
chart sections?
A. Patient Summary activity
B. Chart Review activity with the "Snapshot" view
C. Inpatient Summary activity [CORRECT]
D. Orders Only activity
Correct Answer: C
Rationale: The Inpatient Summary activity is specifically designed for
hospitalists and inpatient providers, presenting a consolidated dashboard
view that combines active orders, recent flowsheets (vitals, I&Os),
current medications, allergies, and problem list in a single screen. This
eliminates the need to toggle between Orders, Flowsheets, and MAR
activities. Option A (Patient Summary) is more appropriate for
ambulatory settings and lacks the inpatient-specific layout. Option B's
"Snapshot" view in Chart Review provides historical data but doesn't
prioritize real-time inpatient data. Option D only shows orders without
the clinical context of vitals or meds. The Inpatient Summary is
configurable by institution but typically displays the most relevant
inpatient data elements for efficient rounding.
,Q2: A nurse is documenting intake and output in the I&O flowsheet.
The patient has a new nasogastric tube placed, and the nurse needs to
add a row to track NG tube output. What is the most efficient workflow
to add this specific flowsheet row?
A. Right-click in the flowsheet, select "Add Row," then search the
master flowsheet item list
B. Click the "+" icon in the flowsheet toolbar, select "Add Rows,"
then search for "NG tube output" or browse the Gastrointestinal
category [CORRECT]
C. Contact the Epic analyst to add the row permanently to the template
D. Document the output in a free-text comment field within an existing
row
Correct Answer: B
Rationale: Epic's flowsheet allows authorized users (typically nurses
with appropriate permissions) to dynamically add rows using the "+"
toolbar icon, which opens the "Add Rows" dialog. This enables
searching by keyword (e.g., "NG") or browsing categorical folders like
"Gastrointestinal" or "Tubes/Drains." This maintains data integrity by
ensuring the output is captured in a structured, reportable field rather
than free text. Option A describes an outdated or incorrect workflow—
right-clicking doesn't provide "Add Row" in modern Epic builds. Option
C is inefficient for a one-time immediate need and creates unnecessary
analyst work for temporary additions. Option D destroys data integrity,
making the information unsearchable and unavailable for clinical
decision support or regulatory reporting. The dynamic add functionality
preserves standardization while allowing flexibility.
,Q3: [SATA – Select All That Apply] Which of the following are
configurable components of an Epic Inpatient Navigator? (Select all that
apply)
A. Activity tabs (e.g., Summary, Orders, MAR) [CORRECT]
B. Sections within activities (e.g., "Active Orders" section in Orders
activity) [CORRECT]
C. Rows within sections (e.g., specific vital signs in the Vitals section)
[CORRECT]
D. Dynamic documentation SmartForms linked to navigator
sections [CORRECT]
E. The underlying Epic database schema structure
F. Quick actions and toolbar buttons [CORRECT]
G. The fundamental HL7 messaging protocols between Epic modules
Correct Answers: A, B, C, D, F
Rationale: Epic Navigators are highly configurable clinical workflow
frameworks. Activity tabs (A) define the major functional areas
available to a user role. Within activities, sections (B) organize related
information (like grouping all active orders), and rows (C) define
specific data elements or documentation points. Dynamic documentation
(D) can be embedded via SmartForms or note templates launched from
navigator sections. Quick actions and toolbar buttons (F) provide role-
based shortcuts. However, the underlying database schema (E) is core
Epic infrastructure and cannot be modified by implementation teams—
it's part of Epic's base code. Similarly, HL7 messaging protocols (G) are
standardized interoperability formats, not configurable navigator
components. This distinction between presentation layer configuration
(A–D, F) and infrastructure layer (E, G) is crucial for certification.
Q4: A provider wants to efficiently document a comprehensive history
and physical examination using structured data that flows into the note
, and updates the problem list simultaneously. Which Epic tool best
supports this integrated workflow?
A. SmartForm embedded in a note template with mapped flowsheet
rows [CORRECT]
B. Dictation using Dragon Medical One with auto-population
C. Free-text typing in a blank Progress Note
D. Discrete documentation in the flowsheets followed by copy-paste into
the note
Correct Answer: A
Rationale: SmartForms provide structured documentation interfaces
that capture discrete data elements (checkboxes, radio buttons,
dropdowns) which simultaneously populate both the clinical note and
underlying flowsheet rows or problem list entries. This ensures data
integrity and eliminates redundant documentation. When mapped
correctly, selecting "Chest pain" in a SmartForm can add the problem to
the problem list while appearing in the H&P narrative. Option B
(dictation) creates unstructured text that doesn't populate discrete data
fields. Option C creates entirely free-text documentation with no
structured data capture. Option D is inefficient, risks transcription errors,
and creates documentation redundancy that Epic's design specifically
aims to prevent. SmartForms represent Epic's best practice for integrated
structured documentation in 2026/2027 builds.
Q5: During morning rounds, a physician needs to quickly see which
patients have new critical lab results, active sepsis alerts, and pending
medication reconciliations. Which Epic list or dashboard provides this
population-level view?
A. Patient List with customized columns showing result status, BPA
alerts, and Med Rec indicators [CORRECT]
B. Inbox messages filtered by priority
C. Departmental whiteboard view
D. Individual patient chart notifications
EXAM Actual Exam 2026/2027 176 Questions
Complete and Verified Answers Pass
Guaranteed - A+ Graded
SECTION 1: INPATIENT WORKFLOW & NAVIGATORS (30
Questions)
Q1: A hospitalist physician needs to review all active orders, recent
vitals, and current medications for a newly admitted patient before
morning rounds. Which Epic navigator activity provides the most
efficient consolidated view of this information without opening multiple
chart sections?
A. Patient Summary activity
B. Chart Review activity with the "Snapshot" view
C. Inpatient Summary activity [CORRECT]
D. Orders Only activity
Correct Answer: C
Rationale: The Inpatient Summary activity is specifically designed for
hospitalists and inpatient providers, presenting a consolidated dashboard
view that combines active orders, recent flowsheets (vitals, I&Os),
current medications, allergies, and problem list in a single screen. This
eliminates the need to toggle between Orders, Flowsheets, and MAR
activities. Option A (Patient Summary) is more appropriate for
ambulatory settings and lacks the inpatient-specific layout. Option B's
"Snapshot" view in Chart Review provides historical data but doesn't
prioritize real-time inpatient data. Option D only shows orders without
the clinical context of vitals or meds. The Inpatient Summary is
configurable by institution but typically displays the most relevant
inpatient data elements for efficient rounding.
,Q2: A nurse is documenting intake and output in the I&O flowsheet.
The patient has a new nasogastric tube placed, and the nurse needs to
add a row to track NG tube output. What is the most efficient workflow
to add this specific flowsheet row?
A. Right-click in the flowsheet, select "Add Row," then search the
master flowsheet item list
B. Click the "+" icon in the flowsheet toolbar, select "Add Rows,"
then search for "NG tube output" or browse the Gastrointestinal
category [CORRECT]
C. Contact the Epic analyst to add the row permanently to the template
D. Document the output in a free-text comment field within an existing
row
Correct Answer: B
Rationale: Epic's flowsheet allows authorized users (typically nurses
with appropriate permissions) to dynamically add rows using the "+"
toolbar icon, which opens the "Add Rows" dialog. This enables
searching by keyword (e.g., "NG") or browsing categorical folders like
"Gastrointestinal" or "Tubes/Drains." This maintains data integrity by
ensuring the output is captured in a structured, reportable field rather
than free text. Option A describes an outdated or incorrect workflow—
right-clicking doesn't provide "Add Row" in modern Epic builds. Option
C is inefficient for a one-time immediate need and creates unnecessary
analyst work for temporary additions. Option D destroys data integrity,
making the information unsearchable and unavailable for clinical
decision support or regulatory reporting. The dynamic add functionality
preserves standardization while allowing flexibility.
,Q3: [SATA – Select All That Apply] Which of the following are
configurable components of an Epic Inpatient Navigator? (Select all that
apply)
A. Activity tabs (e.g., Summary, Orders, MAR) [CORRECT]
B. Sections within activities (e.g., "Active Orders" section in Orders
activity) [CORRECT]
C. Rows within sections (e.g., specific vital signs in the Vitals section)
[CORRECT]
D. Dynamic documentation SmartForms linked to navigator
sections [CORRECT]
E. The underlying Epic database schema structure
F. Quick actions and toolbar buttons [CORRECT]
G. The fundamental HL7 messaging protocols between Epic modules
Correct Answers: A, B, C, D, F
Rationale: Epic Navigators are highly configurable clinical workflow
frameworks. Activity tabs (A) define the major functional areas
available to a user role. Within activities, sections (B) organize related
information (like grouping all active orders), and rows (C) define
specific data elements or documentation points. Dynamic documentation
(D) can be embedded via SmartForms or note templates launched from
navigator sections. Quick actions and toolbar buttons (F) provide role-
based shortcuts. However, the underlying database schema (E) is core
Epic infrastructure and cannot be modified by implementation teams—
it's part of Epic's base code. Similarly, HL7 messaging protocols (G) are
standardized interoperability formats, not configurable navigator
components. This distinction between presentation layer configuration
(A–D, F) and infrastructure layer (E, G) is crucial for certification.
Q4: A provider wants to efficiently document a comprehensive history
and physical examination using structured data that flows into the note
, and updates the problem list simultaneously. Which Epic tool best
supports this integrated workflow?
A. SmartForm embedded in a note template with mapped flowsheet
rows [CORRECT]
B. Dictation using Dragon Medical One with auto-population
C. Free-text typing in a blank Progress Note
D. Discrete documentation in the flowsheets followed by copy-paste into
the note
Correct Answer: A
Rationale: SmartForms provide structured documentation interfaces
that capture discrete data elements (checkboxes, radio buttons,
dropdowns) which simultaneously populate both the clinical note and
underlying flowsheet rows or problem list entries. This ensures data
integrity and eliminates redundant documentation. When mapped
correctly, selecting "Chest pain" in a SmartForm can add the problem to
the problem list while appearing in the H&P narrative. Option B
(dictation) creates unstructured text that doesn't populate discrete data
fields. Option C creates entirely free-text documentation with no
structured data capture. Option D is inefficient, risks transcription errors,
and creates documentation redundancy that Epic's design specifically
aims to prevent. SmartForms represent Epic's best practice for integrated
structured documentation in 2026/2027 builds.
Q5: During morning rounds, a physician needs to quickly see which
patients have new critical lab results, active sepsis alerts, and pending
medication reconciliations. Which Epic list or dashboard provides this
population-level view?
A. Patient List with customized columns showing result status, BPA
alerts, and Med Rec indicators [CORRECT]
B. Inbox messages filtered by priority
C. Departmental whiteboard view
D. Individual patient chart notifications
