WGU C810 Foundations in Healthcare Data Management-Advance
Exam Prep Questions with Verified Answers (Correct Update)
Question 1: History and Physical (H&P)
Answer: Must be completed within 24 hours of admission.
Question 2: Documentation issue
Answer: Absence of objective measurable information.
Question 3: Agency citation
Answer: CMS is most likely to cite the facility for a forgotten signature on an
order.
Question 4: Advance Directive (DNR)
Answer: Best document to support a patient's decision to refuse CPR.
Question 5: Consultation report
Answer: Contains detailed assessments from specialists.
Question 6: Hybrid record
Answer: Primary classification for records that include both paper and electronic
formats.
Question 7: Patient safety concern
Answer: Incorrect drug administration is the most immediate concern when
documentation is missing from the MAR.
Question 8: History and Physical
Answer: Document that must include the patient's chief complaint, past
medical history, and review of systems.
Question 9: Documentation standards
Answer: First correct action for an incorrect blood pressure entry is to
draw a line through the error and initial/date it.
Page 1
, Question 10: Approved-abbreviation policy
Answer: Requirement likely violated if confusing and inconsistent
abbreviations are used in MAR entries.
Question 11: Patient/member web portal
Answer: Feature that supports patients accessing their lab results.
Question 12: SOAP notes
Answer: The Assessment portion contains the provider's clinical judgment.
Question 13: Documentation requirement
Answer: Completeness and dating requirements are violated when
daily progress notes are missing timestamps.
Question 14: Inpatient discharge summary
Answer: Must include final diagnoses and outcome to meet
documentation standards.
Question 15: Scanned faxes
Answer: Classified as secondary data once stored electronically.
Question 16: EMR artifacts
Answer: Part of the electronic content management system
Question 17: Unreviewable external documentation
Answer: Documentation that cannot be reviewed for
accuracy or compliance
Question 18: Late entry
Answer: An entry made after the event has occurred, which must be clearly identified
Question 19: H&P
Answer: History and Physical, a document that records a patient's medical history and
physical examination findings
Page 2
Exam Prep Questions with Verified Answers (Correct Update)
Question 1: History and Physical (H&P)
Answer: Must be completed within 24 hours of admission.
Question 2: Documentation issue
Answer: Absence of objective measurable information.
Question 3: Agency citation
Answer: CMS is most likely to cite the facility for a forgotten signature on an
order.
Question 4: Advance Directive (DNR)
Answer: Best document to support a patient's decision to refuse CPR.
Question 5: Consultation report
Answer: Contains detailed assessments from specialists.
Question 6: Hybrid record
Answer: Primary classification for records that include both paper and electronic
formats.
Question 7: Patient safety concern
Answer: Incorrect drug administration is the most immediate concern when
documentation is missing from the MAR.
Question 8: History and Physical
Answer: Document that must include the patient's chief complaint, past
medical history, and review of systems.
Question 9: Documentation standards
Answer: First correct action for an incorrect blood pressure entry is to
draw a line through the error and initial/date it.
Page 1
, Question 10: Approved-abbreviation policy
Answer: Requirement likely violated if confusing and inconsistent
abbreviations are used in MAR entries.
Question 11: Patient/member web portal
Answer: Feature that supports patients accessing their lab results.
Question 12: SOAP notes
Answer: The Assessment portion contains the provider's clinical judgment.
Question 13: Documentation requirement
Answer: Completeness and dating requirements are violated when
daily progress notes are missing timestamps.
Question 14: Inpatient discharge summary
Answer: Must include final diagnoses and outcome to meet
documentation standards.
Question 15: Scanned faxes
Answer: Classified as secondary data once stored electronically.
Question 16: EMR artifacts
Answer: Part of the electronic content management system
Question 17: Unreviewable external documentation
Answer: Documentation that cannot be reviewed for
accuracy or compliance
Question 18: Late entry
Answer: An entry made after the event has occurred, which must be clearly identified
Question 19: H&P
Answer: History and Physical, a document that records a patient's medical history and
physical examination findings
Page 2
