ASSESSMENT | OA V AND V2 |
FULL QUESTIONS AND ANSWERS
LATEST MOCK PRACTICE SET
170 Questions with Answers and Detailed Rationales
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WGU E025 OBJECTIVE ASSESSMENT | OA V AND V2 | FULL QUESTIONS AND ANSWERS | 2026 UPDATE |
100% CORREC. It contains 170 carefully selected questions that reflect the most current exam content and
testing strategies. Each question is accompanied by a correct answer and a detailed rationale that explains the
underlying pathophysiology, pharmacology, or clinical reasoning.
Self-Assessment – Test your knowledge and Exam Preparation – Familiarize yourself with the
identify areas requiring further question format and content
study areas
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understanding through strategies and reduce
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Review Summary 170 Questions
Foundations - Application - WGU E025 Objective Assessment OA V AND V2 FULL AND 2026 Update 100
Correc Health Information Management / Clinical DATA Analytics Graduate
All answers with rationales
,Table of Contents
Content Area Questions Key Topics
Leadership AND 1-29 Approach, Change, Project, Health, Coding
Management
Quality Improvement AND 30-58 Appropriate, Study, Clinical, Evidence, Ensure
Patient Safety
Evidence-based AND 59-87 Appropriate, Model, Level, Researcher, Context
Research
Health Policy AND Advocacy 88-116 Project, March, Average, System, Units
Healthcare Informatics AND 117-145 School, Intervention, Design, Behavior, Primary
Technology
Ethical AND Legal Issues IN 146-170 Security, Service, Application, Cloud, Architecture
Healthcare
TOTAL 170 All questions include answers and detailed rationales
,Section A - Leadership AND Management
Q1.
A regional health information exchange (HIE) is implementing a new patient identification
strategy to ensure accurate record linkage across multiple sources. Which approach best
balances privacy, accuracy, and scalability, particularly for patients with incomplete
demographic data?
A. Use a single unique national patient B. Deploy a probabilistic matching algorithm
identifier assigned to every citizen at birth. that uses multiple demographic attributes
with weighted scores and thresholds.
C. Rely on exact deterministic matching D. Implement a biometric-based system that
using Social Security Number and date of captures fingerprints and retina scans at
birth. every point of care.
Correct: B - Deploy a probabilistic matching algorithm that uses multiple demographic
attributes with weighted scores and thresholds.
Rationale:Probabilistic matching handles missing or inaccurate data by using weighted
attributes, making it scalable and privacy-preserving. Deterministic methods fail with
incomplete data; national IDs raise privacy and political issues; biometrics are invasive and
not universally deployable.
Q2.
A hospital's coding team is reviewing a record for a patient who developed pneumonia
during a ventilator-associated event. The physician documented 'ventilator-associated
pneumonia' but did not specify the organism. According to current ICD-10-CM guidelines,
what is the correct coding approach?
A. Assign code J95.851 B. Query the physician for the specific
(Ventilator-associated pneumonia) as causative organism before assigning any
principal diagnosis. pneumonia code.
C. Assign a code for pneumonia due to D. Assign code J18.9 (Pneumonia,
unspecified organism, and sequence a unspecified organism) and do not code the
secondary code for the ventilator ventilator association because it is integral
association. to the pneumonia.
Correct: B - Query the physician for the specific causative organism before assigning any
pneumonia code.
Rationale:When documentation is unclear or incomplete, and specificity affects DRG
assignment and reimbursement, a query is required. Coding a nonspecific code without
querying when a more specific code is possible violates coding guidelines and may lead to
inaccurate data.
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, Section A - Leadership AND Management
Q3.
A covered entity is planning to release a limited data set for research. Under HIPAA, which
of the following must be removed from the data set before disclosure?
A. Dates of admission and discharge B. Five-digit ZIP code
C. Medical record numbers D. Age in years
Correct: C - Medical record numbers
Rationale:A limited data set permits dates and geographic data (e.g., ZIP code) but requires
removal of all direct identifiers, including medical record numbers. Age is not a direct
identifier. Medical record numbers are direct identifiers and must be removed.
Q4.
A healthcare organization is implementing a data quality program. Which set of activities
best exemplifies the 'reliability' dimension of data quality?
A. Ensuring data are collected consistently B. Verifying that data values are within
across different systems and time periods. defined ranges and formats.
C. Confirming that data reflect the true D. Ensuring data are available when needed
clinical state of the patient. for decision-making.
Correct: A - Ensuring data are collected consistently across different systems and time
periods.
Rationale:Reliability refers to the consistency and stability of data over time and across
systems. Validity (B) checks format/range, accuracy (C) reflects truth, and timeliness (D)
relates to availability. Consistency is the hallmark of reliability.
Q5.
A health system is evaluating its revenue cycle performance. Which metric is most
directly impacted by the accuracy of clinical documentation improvement (CDI) efforts?
A. Days in accounts receivable (A/R) B. Case mix index (CMI)
C. Clean claim rate D. Patient satisfaction scores
Correct: B - Case mix index (CMI)
Rationale:CDI improves documentation specificity, which leads to more accurate and
higher-weighted DRG assignments, directly raising the case mix index. While clean claim rate
and A/R days can be affected, CMI is the most direct measure of documentation accuracy's
impact on reimbursement.
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