WGU D545 Practice Exam 2026: 200 Real Q&As for
Sections 1, 2, 3, & 4
Question 1
Which law mandates that emergency rooms cannot refuse care based on a patient's
ability to pay?
A) Health Insurance Portability and Accountability Act (HIPAA)
B) Consolidated Omnibus Budget Reconciliation Act (COBRA)
C) Emergency Medical Treatment and Active Labor Act (EMTALA)
D) Affordable Care Act (ACA)
Answer: C) Emergency Medical Treatment and Active Labor Act (EMTALA).
Rationale: EMTALA mandates that emergency rooms cannot refuse care based on a
patient's ability to pay. This federal law requires hospitals with emergency departments
to provide stabilizing treatment to any patient regardless of their insurance status or
ability to pay .
Question 2
What is the primary purpose of the Health Insurance Portability and Accountability
Act (HIPAA)?
A) Expanding health insurance coverage to uninsured individuals
B) Protecting patient privacy and ensuring security of health information
C) Reducing Medicare spending
D) Establishing quality measures for hospitals
Answer: B) Protecting patient privacy and ensuring security of health
information.
Rationale: HIPAA establishes national standards for protecting the privacy and security
of protected health information (PHI), ensuring that patient data is handled
confidentially and securely .
Question 3
Which law provides for continuation of health insurance coverage after job loss?
,A) Health Insurance Portability and Accountability Act (HIPAA)
B) Employee Retirement Income Security Act (ERISA)
C) Consolidated Omnibus Budget Reconciliation Act (COBRA)
D) Affordable Care Act (ACA)
Answer: C) Consolidated Omnibus Budget Reconciliation Act (COBRA).
Rationale: COBRA mandates that employees and their families can continue group
health coverage at their own expense when employment ends or hours are reduced,
ensuring continuity of care .
Question 4
How does the Affordable Care Act (ACA) affect individuals with preexisting
conditions?
A) It allows insurers to charge higher premiums based on health status
B) It requires insurers to cover individuals regardless of preexisting conditions
C) It excludes coverage for preexisting conditions for the first year
D) It only covers preexisting conditions for children under 19
Answer: B) It requires insurers to cover individuals regardless of preexisting
conditions.
Rationale: The ACA prohibits insurance companies from denying coverage or charging
higher premiums based on preexisting conditions, ensuring that all individuals have
access to health insurance regardless of their health status .
Question 5
What was the relationship between changing demographics in the US and the
Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003?
A) Younger populations increased demand for prescription coverage
B) An aging population led to increased prescription coverage under the MMA
C) MMA restricted prescription coverage to only elderly people in nursing homes
D) MMA eliminated access to drugs for disabled individuals
Answer: B) An aging population led to increased prescription coverage under
the MMA.
Rationale: The MMA introduced Medicare Part D in response to rising prescription drug
needs of an aging population, expanding access and affordability of medications for
seniors .
,Question 6
What is the primary goal of the Clinical Laboratory Improvement Amendments
(CLIA)?
A) Regulating pharmaceutical manufacturing
B) Standardizing testing procedures across organizations
C) Reducing hospital readmission rates
D) Expanding telemedicine services
Answer: B) Standardizing testing procedures across organizations.
Rationale: CLIA ensures consistent quality and accuracy in lab testing by standardizing
testing procedures across organizations .
Question 7
What is the purpose behind regulating coding practices under the False Claims Act?
A) To allow flexible billing strategies
B) Preventing fraudulent documentation and billing of services
C) To speed up insurance reimbursement processes
D) To simplify medical record keeping
Answer: B) Preventing fraudulent documentation and billing of services.
Rationale: Regulation under the False Claims Act deters healthcare fraud by imposing
penalties for false billing, promoting integrity and accountability in coding and claims
submissions .
Question 8
Which Act emphasizes patient input in the FDA's drug approval process?
A) Food, Drug, and Cosmetic Act
B) Prescription Drug User Fee Act (PDUFA)
C) FDA Safety and Innovation Act
D) Patient Protection and Affordable Care Act
Answer: C) FDA Safety and Innovation Act.
Rationale: The FDA Safety and Innovation Act emphasizes patient input in the FDA's
drug approval process, incorporating patient perspectives to enhance decision-making .
, Question 9
Which is the purpose for establishing Medicare in 1965?
A) To provide free healthcare to all citizens
B) To assist medical care coverage as people age or are disabled
C) To replace private health insurance
D) To fund hospital construction
Answer: B) To assist medical care coverage as people age or are disabled.
Rationale: Medicare was established in 1965 to provide health insurance coverage for
elderly individuals and those with disabilities .
Question 10
What is the reason that the Action Collaborative on Clinician Well-Being and
Resilience was created?
A) Increase healthcare profits
B) Diminish burnout
C) Expand hospital capacity
D) Reduce patient wait times
Answer: B) Diminish burnout.
Rationale: The Action Collaborative on Clinician Well-Being and Resilience was created
to address and diminish burnout among healthcare professionals .
Question 11
How has the 21st Century Cures Act of 2016 assisted the Food and Drug
Administration in its mission to improve drug quality and safety?
A) Assisting physicians with pharmaceutical guidelines decreased patient mortality
B) Incorporating patient perspectives helped enhance the decision-making process
C) Increasing the sample size for clinical trials increased data reliability
D) Evaluating potential side effects was enhanced by rapid response testing
Answer: B) Incorporating patient perspectives helped enhance the decision-
making process.
Sections 1, 2, 3, & 4
Question 1
Which law mandates that emergency rooms cannot refuse care based on a patient's
ability to pay?
A) Health Insurance Portability and Accountability Act (HIPAA)
B) Consolidated Omnibus Budget Reconciliation Act (COBRA)
C) Emergency Medical Treatment and Active Labor Act (EMTALA)
D) Affordable Care Act (ACA)
Answer: C) Emergency Medical Treatment and Active Labor Act (EMTALA).
Rationale: EMTALA mandates that emergency rooms cannot refuse care based on a
patient's ability to pay. This federal law requires hospitals with emergency departments
to provide stabilizing treatment to any patient regardless of their insurance status or
ability to pay .
Question 2
What is the primary purpose of the Health Insurance Portability and Accountability
Act (HIPAA)?
A) Expanding health insurance coverage to uninsured individuals
B) Protecting patient privacy and ensuring security of health information
C) Reducing Medicare spending
D) Establishing quality measures for hospitals
Answer: B) Protecting patient privacy and ensuring security of health
information.
Rationale: HIPAA establishes national standards for protecting the privacy and security
of protected health information (PHI), ensuring that patient data is handled
confidentially and securely .
Question 3
Which law provides for continuation of health insurance coverage after job loss?
,A) Health Insurance Portability and Accountability Act (HIPAA)
B) Employee Retirement Income Security Act (ERISA)
C) Consolidated Omnibus Budget Reconciliation Act (COBRA)
D) Affordable Care Act (ACA)
Answer: C) Consolidated Omnibus Budget Reconciliation Act (COBRA).
Rationale: COBRA mandates that employees and their families can continue group
health coverage at their own expense when employment ends or hours are reduced,
ensuring continuity of care .
Question 4
How does the Affordable Care Act (ACA) affect individuals with preexisting
conditions?
A) It allows insurers to charge higher premiums based on health status
B) It requires insurers to cover individuals regardless of preexisting conditions
C) It excludes coverage for preexisting conditions for the first year
D) It only covers preexisting conditions for children under 19
Answer: B) It requires insurers to cover individuals regardless of preexisting
conditions.
Rationale: The ACA prohibits insurance companies from denying coverage or charging
higher premiums based on preexisting conditions, ensuring that all individuals have
access to health insurance regardless of their health status .
Question 5
What was the relationship between changing demographics in the US and the
Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003?
A) Younger populations increased demand for prescription coverage
B) An aging population led to increased prescription coverage under the MMA
C) MMA restricted prescription coverage to only elderly people in nursing homes
D) MMA eliminated access to drugs for disabled individuals
Answer: B) An aging population led to increased prescription coverage under
the MMA.
Rationale: The MMA introduced Medicare Part D in response to rising prescription drug
needs of an aging population, expanding access and affordability of medications for
seniors .
,Question 6
What is the primary goal of the Clinical Laboratory Improvement Amendments
(CLIA)?
A) Regulating pharmaceutical manufacturing
B) Standardizing testing procedures across organizations
C) Reducing hospital readmission rates
D) Expanding telemedicine services
Answer: B) Standardizing testing procedures across organizations.
Rationale: CLIA ensures consistent quality and accuracy in lab testing by standardizing
testing procedures across organizations .
Question 7
What is the purpose behind regulating coding practices under the False Claims Act?
A) To allow flexible billing strategies
B) Preventing fraudulent documentation and billing of services
C) To speed up insurance reimbursement processes
D) To simplify medical record keeping
Answer: B) Preventing fraudulent documentation and billing of services.
Rationale: Regulation under the False Claims Act deters healthcare fraud by imposing
penalties for false billing, promoting integrity and accountability in coding and claims
submissions .
Question 8
Which Act emphasizes patient input in the FDA's drug approval process?
A) Food, Drug, and Cosmetic Act
B) Prescription Drug User Fee Act (PDUFA)
C) FDA Safety and Innovation Act
D) Patient Protection and Affordable Care Act
Answer: C) FDA Safety and Innovation Act.
Rationale: The FDA Safety and Innovation Act emphasizes patient input in the FDA's
drug approval process, incorporating patient perspectives to enhance decision-making .
, Question 9
Which is the purpose for establishing Medicare in 1965?
A) To provide free healthcare to all citizens
B) To assist medical care coverage as people age or are disabled
C) To replace private health insurance
D) To fund hospital construction
Answer: B) To assist medical care coverage as people age or are disabled.
Rationale: Medicare was established in 1965 to provide health insurance coverage for
elderly individuals and those with disabilities .
Question 10
What is the reason that the Action Collaborative on Clinician Well-Being and
Resilience was created?
A) Increase healthcare profits
B) Diminish burnout
C) Expand hospital capacity
D) Reduce patient wait times
Answer: B) Diminish burnout.
Rationale: The Action Collaborative on Clinician Well-Being and Resilience was created
to address and diminish burnout among healthcare professionals .
Question 11
How has the 21st Century Cures Act of 2016 assisted the Food and Drug
Administration in its mission to improve drug quality and safety?
A) Assisting physicians with pharmaceutical guidelines decreased patient mortality
B) Incorporating patient perspectives helped enhance the decision-making process
C) Increasing the sample size for clinical trials increased data reliability
D) Evaluating potential side effects was enhanced by rapid response testing
Answer: B) Incorporating patient perspectives helped enhance the decision-
making process.
