Management | OA |Objective Assessment|
100 Actual Questions and Answers Latest
Updated 2025/2026 (Graded A+)
1. The construct that reflects a record about an individual with the ability to share
information is:
A. Electronic Health Record (EHR)
B. Electronic Medical Record (EMR)
C. Personal Health Record (PHR)
D. Health Information Exchange (HIE)
Correct Answer – B. Electronic Medical Record (EMR)
Expert Rationale: An EMR is a digital record of an individual’s medical history
maintained by a provider. While EHRs are designed for interoperability across
organizations, the EMR remains provider-centric but contains the capability to
share information within the same system.
2. According to HIMSS Analytics, what percentage of hospitals have more
health IT than what is required for MU?
A. 15%
B. 20%
C. 30%
D. 45%
Correct Answer – C. 30%
, Expert Rationale: HIMSS Analytics surveys indicate that nearly one-third of
hospitals exceed the minimum requirements for Meaningful Use (MU),
implementing advanced IT tools to enhance decision support, analytics, and
patient engagement beyond compliance.
3. According to ONC, what percentage of nonfederal acute care hospitals have
implemented an EHR of some kind?
A. 50%
B. 60%
C. About 75%
D. Over 90%
Correct Answer – C. About 75%
Expert Rationale: ONC reports reflect widespread adoption, with
approximately three-fourths of nonfederal acute care hospitals having
implemented EHRs. This benchmark was pivotal for national health IT
adoption prior to recent expansions under interoperability rules.
4. EHRs were first conceived in:
A. 1940s
B. 1950s
C. 1960s
D. 1970s
Correct Answer – C. 1960s
Expert Rationale: The concept of electronic health records originated in the
1960s as part of early medical informatics efforts. Large academic centers
such as Mayo Clinic and Loma Linda pioneered digital record systems for
research and clinical data storage.
5. In the MU incentive program, which body establishes standards for what is
required in an EHR?
, A. Centers for Medicare & Medicaid Services (CMS)
B. Office of the National Coordinator for Health Information Technology
(ONC)
C. HIMSS Analytics
D. Institute of Medicine (IOM)
Correct Answer – B. ONC
Expert Rationale: The ONC sets the certification criteria for EHR
functionality under MU. CMS enforces compliance and provides incentives,
but the ONC ensures EHRs meet national standards for interoperability,
privacy, and safety.
6. In the MU incentive program, what describes EHR functionality?
A. Certification
B. Criteria
C. Metrics
D. Outcomes
Correct Answer – B. Criteria
Expert Rationale: “Criteria” refers to the detailed requirements EHRs must
demonstrate to qualify as certified technology under MU. These criteria
define essential capabilities such as clinical decision support, data exchange,
and quality reporting.
7. Which of the following EHR functions supports the goal to improve patient
safety?
A. Context-sensitive reminders and alerts
B. Predictive modeling
C. Secure data exchange
D. Tailored instructions
Correct Answer – A. Context-sensitive reminders and alerts
Expert Rationale: Real-time alerts for drug interactions, allergies, and
contraindications directly improve patient safety by reducing preventable
, errors at the point of care. Predictive modeling and secure exchange
support broader goals but not immediate safety.
8. According to an IOM study conducted in 2009, new forms of medical errors
are arising from:
A. Lack of standard terminology
B. Not addressing human-computer interactions
C. Limited interoperability
D. Poor hardware design
Correct Answer – B. Not addressing human-computer interactions
Expert Rationale: The IOM emphasized that poorly designed interfaces and
workflow mismatches create new error risks. Usability issues, alert fatigue,
and misinterpretation of displays highlight the importance of human factors
engineering in EHRs.
Match the term with the appropriate description:
9. Bar-code medication administration record
Correct Answer – Part of medication management
Expert Rationale: BCMA systems integrate with EHRs to scan patient
wristbands and medications, ensuring the “five rights” of medication safety.
10.Clinical data repository
Correct Answer – Supporting infrastructure
Expert Rationale: A CDR aggregates patient data from multiple systems into
a unified database, enabling reporting and decision support.
11.Connectivity system
Correct Answer – Consolidated Clinical Document Architecture (C-CDA)
Expert Rationale: Connectivity solutions use standards like C-CDA for
sharing structured clinical documents across systems and providers.