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CEHRS — CERTIFIED ELECTRONIC HEALTH
RECORDS SPECIALIST EXAM 2026 QUESTIONS
LATEST VERSION QUESTIONS AND ANSWERS
CEHRS — CERTIFIED ELECTRONIC HEALTH RECORDS SPECIALIST EXAM
— 250 Practice Questions
This comprehensive CEHRS practice exam is designed to assess your knowledge and
readiness for the National Healthcareer Association (NHA) Certified Electronic Health
Records Specialist (CEHRS) certification exam. Based on the NHA test plan, the exam
covers five major domains.
EXAM FORMAT
Total Questions: 100 scored items, 25 pretest items (125 total)
Time Allowed: 2 hours
Question Types: Multiple-choice
Scoring: Scaled score of 200-500; passing score is typically 390
SECTION 1: NON-CLINICAL OPERATIONS (Questions 1-70)
1. An EHR specialist is training a new employee on the organization's EHR system.
Which of the following is the FIRST step the employee should take when accessing the
system each day?
A. Open the patient's chart.
B. Log in using their unique username and password.
C. Check the schedule for the day.
D. Review the patient's medical history.
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Answer: B. Rationale: The first step in accessing an EHR system is to log in using unique
credentials. This ensures security and proper user authentication. Patient records should only
be accessed after successful login.
2. A provider asks an EHR specialist to add a new clinical vocabulary term to the
system. Which of the following should the EHR specialist consult to ensure the correct
terminology is used?
A. The practice's internal glossary.
B. A standardized clinical vocabulary such as SNOMED CT.
C. The patient's chief complaint.
D. The provider's personal notes.
Answer: B. Rationale: Standardized clinical vocabularies such as SNOMED CT, LOINC,
and ICD-10 ensure consistency and interoperability in EHR systems. Internal glossaries may
not be standardized across systems.
3. An EHR specialist notices that a user is having difficulty navigating the EHR system.
Which of the following is the best method to ensure the user can efficiently access
patient records?
A. Provide the user with a paper manual.
B. Offer one-on-one training on system navigation.
C. Reset the user's password.
D. Restrict the user's access to certain modules.
Answer: B. Rationale: One-on-one training is the most effective method for helping users
navigate the EHR system efficiently. Paper manuals may not be sufficient, and restricting
access does not address the root issue.
4. Which of the following is the best method to ensure restoration of EHR documents in
the event of a system crash or data loss?
A. Back up all database information on a routine basis.
B. Keep a paper copy of all health information.
C. Use two different EHR systems.
D. Give the patient a digital copy of their records.
Answer: A. Rationale: Routine database backups are the best method for ensuring restoration
of EHR documents in the event of a system crash or data loss.
5. An EHR specialist is setting up user access privileges for a new clinical staff member.
Which of the following should the EHR specialist assign based on the user's role?
A. Full access to all patient records.
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B. Access privileges based on the minimum necessary standard.
C. Access to all financial records.
D. Access to the system administrator account.
Answer: B. Rationale: The minimum necessary standard under HIPAA requires that users be
granted only the access they need to perform their job functions. This limits exposure to
protected health information.
6. A provider reports that a patient's laboratory results are not displaying correctly in
the EHR. Which of the following should the EHR specialist do FIRST?
A. Contact the laboratory to confirm the results were sent.
B. Verify that the results were entered correctly into the system.
C. Restart the EHR system.
D. Notify the patient that the results are unavailable.
Answer: B. Rationale: The first step in troubleshooting display issues is to verify that the
data was entered correctly. This helps determine whether the issue is with data entry or
system functionality.
7. An EHR specialist is responsible for managing user accounts. Which of the following
is the MOST important practice when an employee leaves the organization?
A. Keep the account active for 30 days.
B. Immediately deactivate the user's account.
C. Change the user's password.
D. Notify all other staff members of the departure.
Answer: B. Rationale: User accounts should be deactivated immediately when an employee
leaves the organization to prevent unauthorized access to patient information.
8. Which of the following is an example of a technical safeguard required by HIPAA?
A. Training employees on privacy policies.
B. Implementing automatic logoff after a period of inactivity.
C. Designating a privacy officer.
D. Conducting risk assessments.
Answer: B. Rationale: Technical safeguards include technology-based protections such as
automatic logoff, encryption, and access controls. Training and privacy officers are
administrative safeguards.
9. An EHR specialist is asked to generate a report of all patients seen by a specific
provider in the last month. Which of the following reports should the specialist run?
A. Patient aging report.
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B. Provider productivity report.
C. Claim status report.
D. Referral report.
Answer: B. Rationale: A provider productivity report shows the number of patients seen by a
specific provider over a given time period. This is used for tracking provider performance
and workload.
10. An EHR specialist is troubleshooting a printer issue in the clinical area. Which of
the following is the MOST appropriate first step?
A. Restart the printer.
B. Check that the printer is properly connected and has paper.
C. Contact the IT department.
D. Notify the provider.
Answer: B. Rationale: The first step in troubleshooting equipment issues is to check basic
functionality such as connections and supplies. This can resolve many issues without
escalating to IT.
11. Which of the following is the BEST method to ensure that patient data entered into
the EHR is accurate and complete?
A. Enter data as quickly as possible.
B. Use standardized templates and data entry protocols.
C. Allow any staff member to enter data.
D. Enter data only at the end of the day.
Answer: B. Rationale: Standardized templates and data entry protocols help ensure
consistency and completeness of patient data. This reduces errors and improves data quality.
12. An EHR specialist is configuring the system to allow secure communication between
healthcare providers. Which of the following technologies supports this functionality?
A. Direct messaging.
B. Social media.
C. Email without encryption.
D. Text messaging.
Answer: A. Rationale: Direct messaging is a secure health information exchange technology
that allows providers to send and receive encrypted messages. Email and text messaging
without encryption do not meet security requirements.
13. A patient requests access to their medical records through the patient portal. Which
of the following is the EHR specialist's responsibility?
CEHRS — CERTIFIED ELECTRONIC HEALTH
RECORDS SPECIALIST EXAM 2026 QUESTIONS
LATEST VERSION QUESTIONS AND ANSWERS
CEHRS — CERTIFIED ELECTRONIC HEALTH RECORDS SPECIALIST EXAM
— 250 Practice Questions
This comprehensive CEHRS practice exam is designed to assess your knowledge and
readiness for the National Healthcareer Association (NHA) Certified Electronic Health
Records Specialist (CEHRS) certification exam. Based on the NHA test plan, the exam
covers five major domains.
EXAM FORMAT
Total Questions: 100 scored items, 25 pretest items (125 total)
Time Allowed: 2 hours
Question Types: Multiple-choice
Scoring: Scaled score of 200-500; passing score is typically 390
SECTION 1: NON-CLINICAL OPERATIONS (Questions 1-70)
1. An EHR specialist is training a new employee on the organization's EHR system.
Which of the following is the FIRST step the employee should take when accessing the
system each day?
A. Open the patient's chart.
B. Log in using their unique username and password.
C. Check the schedule for the day.
D. Review the patient's medical history.
, Page 2 of 63
Answer: B. Rationale: The first step in accessing an EHR system is to log in using unique
credentials. This ensures security and proper user authentication. Patient records should only
be accessed after successful login.
2. A provider asks an EHR specialist to add a new clinical vocabulary term to the
system. Which of the following should the EHR specialist consult to ensure the correct
terminology is used?
A. The practice's internal glossary.
B. A standardized clinical vocabulary such as SNOMED CT.
C. The patient's chief complaint.
D. The provider's personal notes.
Answer: B. Rationale: Standardized clinical vocabularies such as SNOMED CT, LOINC,
and ICD-10 ensure consistency and interoperability in EHR systems. Internal glossaries may
not be standardized across systems.
3. An EHR specialist notices that a user is having difficulty navigating the EHR system.
Which of the following is the best method to ensure the user can efficiently access
patient records?
A. Provide the user with a paper manual.
B. Offer one-on-one training on system navigation.
C. Reset the user's password.
D. Restrict the user's access to certain modules.
Answer: B. Rationale: One-on-one training is the most effective method for helping users
navigate the EHR system efficiently. Paper manuals may not be sufficient, and restricting
access does not address the root issue.
4. Which of the following is the best method to ensure restoration of EHR documents in
the event of a system crash or data loss?
A. Back up all database information on a routine basis.
B. Keep a paper copy of all health information.
C. Use two different EHR systems.
D. Give the patient a digital copy of their records.
Answer: A. Rationale: Routine database backups are the best method for ensuring restoration
of EHR documents in the event of a system crash or data loss.
5. An EHR specialist is setting up user access privileges for a new clinical staff member.
Which of the following should the EHR specialist assign based on the user's role?
A. Full access to all patient records.
, Page 3 of 63
B. Access privileges based on the minimum necessary standard.
C. Access to all financial records.
D. Access to the system administrator account.
Answer: B. Rationale: The minimum necessary standard under HIPAA requires that users be
granted only the access they need to perform their job functions. This limits exposure to
protected health information.
6. A provider reports that a patient's laboratory results are not displaying correctly in
the EHR. Which of the following should the EHR specialist do FIRST?
A. Contact the laboratory to confirm the results were sent.
B. Verify that the results were entered correctly into the system.
C. Restart the EHR system.
D. Notify the patient that the results are unavailable.
Answer: B. Rationale: The first step in troubleshooting display issues is to verify that the
data was entered correctly. This helps determine whether the issue is with data entry or
system functionality.
7. An EHR specialist is responsible for managing user accounts. Which of the following
is the MOST important practice when an employee leaves the organization?
A. Keep the account active for 30 days.
B. Immediately deactivate the user's account.
C. Change the user's password.
D. Notify all other staff members of the departure.
Answer: B. Rationale: User accounts should be deactivated immediately when an employee
leaves the organization to prevent unauthorized access to patient information.
8. Which of the following is an example of a technical safeguard required by HIPAA?
A. Training employees on privacy policies.
B. Implementing automatic logoff after a period of inactivity.
C. Designating a privacy officer.
D. Conducting risk assessments.
Answer: B. Rationale: Technical safeguards include technology-based protections such as
automatic logoff, encryption, and access controls. Training and privacy officers are
administrative safeguards.
9. An EHR specialist is asked to generate a report of all patients seen by a specific
provider in the last month. Which of the following reports should the specialist run?
A. Patient aging report.
, Page 4 of 63
B. Provider productivity report.
C. Claim status report.
D. Referral report.
Answer: B. Rationale: A provider productivity report shows the number of patients seen by a
specific provider over a given time period. This is used for tracking provider performance
and workload.
10. An EHR specialist is troubleshooting a printer issue in the clinical area. Which of
the following is the MOST appropriate first step?
A. Restart the printer.
B. Check that the printer is properly connected and has paper.
C. Contact the IT department.
D. Notify the provider.
Answer: B. Rationale: The first step in troubleshooting equipment issues is to check basic
functionality such as connections and supplies. This can resolve many issues without
escalating to IT.
11. Which of the following is the BEST method to ensure that patient data entered into
the EHR is accurate and complete?
A. Enter data as quickly as possible.
B. Use standardized templates and data entry protocols.
C. Allow any staff member to enter data.
D. Enter data only at the end of the day.
Answer: B. Rationale: Standardized templates and data entry protocols help ensure
consistency and completeness of patient data. This reduces errors and improves data quality.
12. An EHR specialist is configuring the system to allow secure communication between
healthcare providers. Which of the following technologies supports this functionality?
A. Direct messaging.
B. Social media.
C. Email without encryption.
D. Text messaging.
Answer: A. Rationale: Direct messaging is a secure health information exchange technology
that allows providers to send and receive encrypted messages. Email and text messaging
without encryption do not meet security requirements.
13. A patient requests access to their medical records through the patient portal. Which
of the following is the EHR specialist's responsibility?
