PREP 2026 150+ LONG-STATEMENT
Q&AS WITH BOLD ANSWERS & FULL
RATIONALES
Epic Ambulatory Certification Practice Exam
Q1
A clinical analyst needs to restrict a specific medication order template
so that it is only visible and selectable by providers working within the
Oncology department. Which Epic data structure configuration best
achieves this workflow restriction?
A. Create a new security class and assign it directly to the provider
records.
B. Configure a Preference List and link it to the Oncology department
record.
C. Configure an Order Specificity record with a Department-
level Criteria rule. Rationale: Order Specificity records allow
administrators to define rule-based criteria—such as patient location,
provider specialty, or department—to dynamically control the visibility
and availability of specific orderables or order templates.
D. Adjust the system definitions (LSD) profile to filter the medication
profile.
Q2
During a system build, a builder is tasked with ensuring that a
specialized clinical intake flowchart automatically appears for medical
assistants only when documenting a pediatric preventative care visit.
Which tool should be utilized?
A. Navigator Configuration (VCN) linked directly to the user role.
B. A Workflow Engine Rule (LOR) configured with conditions
for patient age and encounter type. Rationale: The Workflow
Engine Rule evaluates properties of the current encounter—such as
patient age, department specialty, and visit type—to dynamically alter
the clinician's workspace, including which navigator sections and
flowcharts are visible.
,C. Epic Care Everywhere rule targeting the specific department profile.
D. Security Class (ECL) override linked to the specific template.
Q3
When configuring a navigator section for medication reconciliation, an
administrator wants to display discrete instructions that guide clinicians
through the process of resuming home medications. What Epic build
object acts as the container for these specific clinician workflows within a
navigator?
A. Navigator Template (LVN)
B. Navigator Topic (LVN)
C. Navigator Section (LVN) driven by an Extension (LPP)
record. Rationale: Navigator templates are built using a hierarchy of
Templates, Topics, and Sections (all LVN records). The individual
sections utilize Extension (LPP) records to execute specialized code and
display interactive clinical workflows like medication reconciliation.
D. SmartText (LST) record containing embedded SmartLinks.
Q4
A healthcare organization wants to deploy a new standard configuration
for the Schedule View in the ambulatory clinic layout, ensuring all
receptionists see the same default columns. At which level of the Epic
profile hierarchy should this default layout be applied to maximize
efficiency while allowing clinical users to keep their separate views?
A. System Definitions (LSD)
B. Revenue Location (EAF)
C. Department (EAF) or User Role (E2R). Rationale: The Schedule
View can be set at multiple levels, but applying it at the Department
level ensures all users in that physical space share defaults, or at the
User Role level to specifically target non-clinical reception staff without
affecting providers.
D. Individual User Record (EMP) override.
Q5
An ambulatory clinic requires that when a provider documents a
diagnosis of Type 2 Diabetes, a specific set of orders—including an
HbA1c test and a diabetic foot exam referral—proactively suggests itself
within the charting workspace. What Epic tool should be built?
A. A SmartText containing SmartLists.
B. A SmartSet (CMS) with an associated Criteria Record (LQL)
,based on the encounter diagnosis. Rationale: SmartSets are
clinical decision support tools that contain groups of orders,
documentation templates, and referrals. Linking a Criteria Record
(LQL) evaluates the encounter data (like diagnosis codes) to
automatically suggest the SmartSet to the clinician.
D. An Order Set (OSM) linked to a Security Class.
D. A Chronicles database index redirect.
Q6
When a clinician is using a SmartText template to write a progress note,
they encounter a dropdown list that allows them to select multiple
associated symptoms. Which master file controls the choices available
within this interactive dropdown selection?
A. SmartList (ELG) Rationale: SmartLists (ELG master file) are the
specific Epic objects used to create single- or multi-select dropdown
menus within documentation tools like SmartTexts and SmartPhrases.
B. SmartPhrase (ERA)
C. SmartLink (E2U)
D. Concept (AST)
Q7
An analyst is configuring a new clinical specialty navigator and needs to
track exactly which master file is used to store the master definitions of
individual user workspaces. Which master file is responsible for this?
A. E2R (User Role)
B. LVN (Navigator) Rationale: The LVN master file stores all
navigator templates, topics, and sections that dictate the layout and
clinical documentation workflows presented to users during an
encounter.
C. E2N (Navigator Configuration)
D. ERP (Report)
Q8
A clinic manager requests that certain medical assistants have the ability
to sign specific immunisation orders on behalf of a physician using a
protocol, while others cannot. What configuration controls this specific
administrative capability?
A. The user's Chronicle Database profile settings.
B. The user's Provider (SER) record credentials and EpicCare
Security Class (ECL). Rationale: The Provider (SER) record dictates
, clinical attributes and authorizations, while the EpicCare Security Class
(ECL) contains the specific security points that govern ordering
privileges, such as ordering under protocol.
C. The Department (EAF) security override parameters.
D. The Workflow Engine Rule (LOR) criteria list.
Q9
An Epic builder needs to look up a raw data point stored in Chronicles
for a specific patient's ambulatory encounter. They know the item
number but need to identify how the data is organized. Which of the
following describes the relationship between Chronicles Master Files,
Records, and Items?
A. Records contain Master Files, which are composed of individual
Items.
B. Items contain Records, which are indexed inside Master Files.
C. Master Files contain Records, which contain individual
Items storing the data. Rationale: Chronicles is structured
hierarchically: a Master File (like PAT for patients) contains Records
(individual patients), and each Record contains Items (specific data
fields like date of birth or phone number).
D. Profiles contain Master Files, which contain items.
Q10
A clinical team wants a specific rows in a vitals flowchart to turn red
when a patient's systolic blood pressure exceeds 140 mmHg. What Epic
tool must be configured and linked to the flowchart row to execute this
visual alert?
A. A Workflow Engine Rule (LOR)
B. A Custom Cascading Rule (CRI) or Flowchart Alert Rule.
Rationale: Flowchart rows utilize properties and rules (often built in
the CER/CRI master files) to evaluate entered data against thresholds
and trigger custom visual alerts or cascading logic.
C. A SmartLink (E2U) condition
D. A Security Point configuration
Q11
A provider notes that they are missing a specific button in their Chart
Review activity that allows them to view external clinical documents via
Care Everywhere. What is the most likely cause of this missing
functionality?