EHR EXAM 1 PRACTICE QUESTIONS WITH
DETAILED EXPLANATIONS 2026
◉ Diagnosis-Related Groups (DRGs).
Answer: System that categorizes into payment groups patients who
are medically related with respect to diagnosis and treatment and
statistically similar with regard to length of stay
◉ Nurses notes.
Answer: nurses observations, care given, and patients responses.
ensure institutions get paid
◉ EHR.
Answer: Electronic Health Record - supports data analysis necessary
for coordinating care
◉ PHR.
Answer: Personal Health Record - extension of EHR & allows patient
input
◉ Patient Portal.
Answer: allows a patient to send and receive information with a
provider electronically (patient cannot add health information)
, ◉ ISBARR.
Answer: introduction, situation, background, assessment,
recommendation, read back
◉ Traditional charting.
Answer: divided in sections/ emphasis placed on specific sections of
information
◉ Narrative Charting.
Answer: recording of patient care in descriptive form
◉ POMR.
Answer: problem-oriented medical record - organized through
problem solving system/ accumulated date prioritizing health
problems addressed
◉ SOAP.
Answer: Subjective, Objective, Assessment, Plan, (Evaluation)
◉ SOAPIER.
Answer: subjective, objective, assessment, plan, intervention,
evaluation, revision
DETAILED EXPLANATIONS 2026
◉ Diagnosis-Related Groups (DRGs).
Answer: System that categorizes into payment groups patients who
are medically related with respect to diagnosis and treatment and
statistically similar with regard to length of stay
◉ Nurses notes.
Answer: nurses observations, care given, and patients responses.
ensure institutions get paid
◉ EHR.
Answer: Electronic Health Record - supports data analysis necessary
for coordinating care
◉ PHR.
Answer: Personal Health Record - extension of EHR & allows patient
input
◉ Patient Portal.
Answer: allows a patient to send and receive information with a
provider electronically (patient cannot add health information)
, ◉ ISBARR.
Answer: introduction, situation, background, assessment,
recommendation, read back
◉ Traditional charting.
Answer: divided in sections/ emphasis placed on specific sections of
information
◉ Narrative Charting.
Answer: recording of patient care in descriptive form
◉ POMR.
Answer: problem-oriented medical record - organized through
problem solving system/ accumulated date prioritizing health
problems addressed
◉ SOAP.
Answer: Subjective, Objective, Assessment, Plan, (Evaluation)
◉ SOAPIER.
Answer: subjective, objective, assessment, plan, intervention,
evaluation, revision
