WGU C810 Exam Questions with Verified Answers (Correct Update)
Question 1: Which component of the patient portal is the ability to see a doctor's availability?
Answer: Scheduling
Question 2: Where would information about the patient's insulin dosage be found within the
portal?
Answer: Medication history
Question 3: 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?
Answer: Closed-record review
Question 4: 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?
Answer: Terminal-digit filing system
Question 5: 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?
Answer: Discharge orders
Question 6: 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?
Answer: 30 days 24 hours
Question 7: 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?
Answer: A physician should issue the order in writing
Question 8: Which component of the medical record does CMS CoP require to be completed no
more than 30 days before or 24 hours after admission?
Answer: History and physical
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, Question 9: Which type of consent is a patient asked to sign prior to undergoing a scheduled
gallbladder surgery?
Answer: Informed consent
Question 10: Where does a nurse document that a patient is given an oral dose of Coumadin 1
mg while hospitalized?
Answer: Medication administration record (MAR)
Question 11: Which person's signature must be included on a consent form?
Answer: Patient
Question 12: 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?
Answer: CMS-1500
Question 13: Which guideline should an HIM professional use for documentation of both paper
and electronic records?
Answer: The original documents should be maintained in the health record
Question 14: Which type of information can be found in a physician's order?
Answer: Written or verbal requests for treatment, tests, procedures, and medications
Question 15: 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?
Answer: Minimum Data Set (MDS)
Question 16: 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?
Answer: Uniform Hospital Discharge Data Set (UHDDS)
Question 17: Which data type is a cardiac catheterization examination note an example of?
Answer: Unstructured data
Page 2
Question 1: Which component of the patient portal is the ability to see a doctor's availability?
Answer: Scheduling
Question 2: Where would information about the patient's insulin dosage be found within the
portal?
Answer: Medication history
Question 3: 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?
Answer: Closed-record review
Question 4: 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?
Answer: Terminal-digit filing system
Question 5: 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?
Answer: Discharge orders
Question 6: 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?
Answer: 30 days 24 hours
Question 7: 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?
Answer: A physician should issue the order in writing
Question 8: Which component of the medical record does CMS CoP require to be completed no
more than 30 days before or 24 hours after admission?
Answer: History and physical
Page 1
, Question 9: Which type of consent is a patient asked to sign prior to undergoing a scheduled
gallbladder surgery?
Answer: Informed consent
Question 10: Where does a nurse document that a patient is given an oral dose of Coumadin 1
mg while hospitalized?
Answer: Medication administration record (MAR)
Question 11: Which person's signature must be included on a consent form?
Answer: Patient
Question 12: 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?
Answer: CMS-1500
Question 13: Which guideline should an HIM professional use for documentation of both paper
and electronic records?
Answer: The original documents should be maintained in the health record
Question 14: Which type of information can be found in a physician's order?
Answer: Written or verbal requests for treatment, tests, procedures, and medications
Question 15: 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?
Answer: Minimum Data Set (MDS)
Question 16: 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?
Answer: Uniform Hospital Discharge Data Set (UHDDS)
Question 17: Which data type is a cardiac catheterization examination note an example of?
Answer: Unstructured data
Page 2
