WGU C810 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026

WGU C810 EXAM QUESTIONS ANSWERED CORRECTLY LATEST UPDATE 2026 Which component of the patient portal is the ability to see a doctor's availability? - Answers Scheduling Where would information about the patient's insulin dosage be found within the portal? - Answers Medication history Which form of review is conducted following the discharge of a patient from an acute care facility to obtain information about trends and patterns of documentation? - Answers Closed-record review A hospital uses a filing system for permanent storage of paper-based records. The records are filed according to a three-part number made up of two-digit parts. What type of system is this? - Answers Terminal-digit filing system A patient went to the emergency room complaining of chest pain and was released home 4 hours later. Which type of documentation is required in this scenario? - Answers Discharge orders Within how many days prior to admission must the H&P be performed and within how many hours must the H&P be placed in the patient's record after admission? - Answers 30 days 24 hours A patient is ready to leave the emergency room but will need discharge orders before leaving. How should the discharge orders be communicated to this patient? - Answers A physician should issue the order in writing Which component of the medical record does CMS CoP require to be completed no more than 30 days before or 24 hours after admission? - Answers History and physical Which type of consent is a patient asked to sign prior to undergoing a scheduled gallbladder surgery? - Answers Informed consent Where does a nurse document that a patient is given an oral dose of Coumadin 1 mg while hospitalized? - Answers Medication administration record (MAR) Which person's signature must be included on a consent form? - Answers Patient In a physician's practice, a doctor is attempting to submit a claim to MCR, but the system is experiencing an outage. Which form would this doctor use to submit a paper claim? - Answers CMS-1500 Which guideline should an HIM professional use for documentation of both paper and electronic records? - Answers The original documents should be maintained in the health record Which type of information can be found in a physician's order? - Answers Written or verbal requests for treatment, tests, procedures, and medications A nurse at a long-term care facility is documenting a comprehensive assessment into the patient's medical record. What must the record include to meet CMS requirements? - Answers Minimum Data Set (MDS) A state hospital system is collecting information on patient discharges from hospitals in the central part of the state. Which databases should the hospital system use to collect this data? - Answers Uniform Hospital Discharge Data Set (UHDDS) Which data type is a cardiac catheterization examination note an example of? - Answers Unstructured data A paragraph in a physician's order specifies information about a patient's discharge. Which type of data is described in this scenario? - Answers Unstructured Structured or Unstructured data: A zip code is entered and the state is automatically populated. - Answers Structured Structured or Unstructured data: PT chooses Therapy tab in the EHR and writes their treatment plan notes. - Answers Structured Structured or Unstructured data: Nurse answers a question on an assessment screen in the EHR by clicking a radial button in front of a Yes or a No - Answers Structured The HIM director and the CIO have been asked to update the healthcare system's data governance strategic plan. In particular, they are working on standardizing data governance language across the healthcare system and ensuring that they meed data regulations and mandates. Which information governance principle is described in this scenario? - Answers Compliance A hospital is informing the Infection Control Committee about the number of postoperative infections it had during a given time period. Which principle for governance is used in this scenario? - Answers Transparency A health information manager is responsible for properly destroying records after the retention period has passed. Which principle for information governance is described in this scenario? - Answers Disposition A communication plan is being developed to reduce mistrust and miscommunication in a healthcare setting. In addition to open communication, which other principle for information governance must be considered when developing this plan? - Answers Transparency A data governance steering committee is formed and tasked with developing the goals of the data governance program. Which generally accepted record-keeping principle is described in the scenario? - Answers Accountability A HIM director has been informed of potential data security violations. The HIM director asks one of the health informatics analysts to work with the CIO to monitor the audit trails of the EHR to identify any violations. Which generally accepted record-keeping principle is described in this scenario? - Answers Protection The CIO is working to improve data security methodologies within the EHR. The CIO enlists the help of the HIM director to help design and enforce the new data security policies, which include the utilization of a new token system to access the EHR. Which information governance principle is described in this scenario? - Answers Protection In a healthcare facility that still uses paper records, a physician is requesting a record to complete a discharge summary that is now 28 days past due. The record tracker states that the record has been sent to storage. Which record keeping principle would apply to this scenario? - Answers Availability Which term refers to the manner in which policy makers, data owners, data stewards, and other stakeholders interact with each other? - Answers Rules of engagement What does a stakeholder analysis of a data governance system identify? - Answers Needs of those interested in the data What is a best practice for data governance that should be incorporated into every program? - Answers Specifying data quality requirements Which organization requires cancer statistics to be reported from central registries to the national organization responsible for cancer statistics? - Answers Centers for Disease Control and Prevention (CDC) Which organization requires reporting of medical malpractice payments, federal licensure and certification actions, and adverse clinical privileges actions? - Answers National Practitioner Data Bank (NPDB) Which organization administers voluntary accreditation programs and provides deemed status to certified hospitals and other healthcare organizations? - Answers The Joint Commission What is the CMS external audit program that works to reduce MCR improper payments? - Answers RACs Which assessment do the CoP require all home health agencies to electronically report? - Answers OASIS To which organization must a sentinel event be reported? - Answers The Joint Commission Which HIE architecture describes information that flows to more than one regional clinical data repository (CDR) and requested records sent from one regional authority? - Answers Federated Which HIE model supports uniformity of data, quick response times to queries, and consistency in data accessibility? - Answers Centralized A local SNF, hospital, and public health agency all participate in an HIE. The data is pushed from their facilities into one repository where they all have access to retrieve data when needed. Which HIE model is used in this scenario? - Answers Centralized Which characteristic addresses the level of depth represented by data in a fact or dimension table in a data warehouse? - Answers Granularity Which quality describes data that is unaffected when used across all applications and systems? - Answers Consistency An HIM analyst is charged with reviewing abstracted information on opiod-related admissions from the hospital's disease index database. The analyst wants to make sure that the correct ICD-10 codes have been abstracted and pulled from the database. Which data quality characteristic does this situation involve? - Answers Accuracy An HIM director is auditing physician documentation and finds that 3% of the discharge summaries from the last 6 months were completed more than 30 days past patient discharge. Which data quality standard is an area of concern in this scenario? - Answers Timeliness Once a year, members of the Disaster Planning Committee meet to conduct mock drills that satisfy staff training requirements as outlined in the organization's disaster plan. What is the best practice for training staff on disaster protocol? - Answers Arrange for continuous training through in-service programs and conducting mock drills In the event that a disaster affects a facility, how should damage to off-site records be prevented? - Answers Off-site storage should be located at a distance far enough away from the facility. Which security feature should be enabled on backup tapes as a best practice to prevent data breach? - Answers Encryption During a storm, an EHR has crashed. Data systems are needed for the ongoing treatment of current patients. Which quality standard is jeopardized in this disaster and should be addressed? - Answers Timeliness During a storm, information system operation and data preservation are threatened, triggering a disaster protocol. Which disaster recovery planning process step should be taken in this situation? - Answers Execute continuity plan A hurricane has occurred and a hospital's HIM clerk needs to relocate information systems to an alternate site. Which plan should the HIM clerk reference to ensure that correct procedures are followed? - Answers Disaster Recovery Plan An acute care facility is concerned with identity theft and wants to update policies to detect identity theft in day-to-day operations, take steps to prevent the crime, and mitigate its damage. Which prevention program element should the facility update? - Answers Red Flags Rule Given that the medical records of a newborn must be retained for seven years after the patient reaches the age of majority, long-term retention and rapid-access storage is key. Based on current technology, what is the most effective storage setting for the records and data? - Answers EHR Which method of disposal would cause compliance issues for records that have met their required retention? - Answers Records that are trashed once reaching their retention An internal medicine physician practicing at one of three hospitals in town wants to determine whether to expand the scope of the office practice to patients under 16 years old through recruiting a pediatrician. Which data source, in addition to the current number of active pediatricians in the community, is needed to decide to go forward? - Answers Census and vital statistics data A hospital's CEO notices a spike in complaints about a certain unit and wants to know the average number of patients admitted to that unit in order to monitor staff need. Where should the CEO look for this data? - Answers Daily census report When an entry is made to the disease registry, an automatic format check ensures the data field for "Present on Admission" (POA) is completed. Which principle of data stewardship is this an example of? - Answers Establishing controls An HIM professional is completing the death clearance as part of the central cancer registry procedure for data collection. This information is required to be shared with the CDC to develop survivor statistics. Which principle of data stewardship is being applied? - Answers Compliance An HIM director is writing a data dictionary for a new disease registry. For which areas is this HIM Director being a data steward? - Answers Data definition A report is needed from a disease registry, but patients' names must be de-identified. Which category of key principles and practices applies to this scenario? - Answers Responsibility of health data steward The data provided to external users is generally aggregate data. Which type of data would this be considered? - Answers Secondary data A physician documents information provided by a patient in the patient's chart. Which type of data would this be considered? - Answers Primary The clinical trials databases house data extracted from health records of patients from all around the country. What is a key use of these databases? - Answers Determine effectiveness of alternate treatment methods A family practice clinic in a rural community partnered with a cardiology clinic in a large city to provide real-time, web-based cardiology services. The clinic installed the necessary equipment to provide these services. Which technology specifically supports patient-centered care for this situation? - Answers Telehealth A local hospital wants to connect to other hospitals to facilitate access and retrieval of clinical data to provide safer, timelier, patient-centered care. Which patient-centered technology is described? - Answers HIE