Epic Amb400 Exam

Front 1

1. You find an existing row in the Foundation System titled R ASTHMA IMPACT ON ACTIVITY. It’s currently in use in the Asthma Pulmonary Function flowsheet template. It has exactly the same display name and custom list choices you want to use for a row in your MS template.

True or False: If you use this same row record for your flowsheet, the responses made by end users on your flowsheet will appear only in your flowsheet.

Back 1

False

Front 2

2. You plan to build a group that will have rows for recording the recommended amount, type, and intensity of exercise. The group should appear as “Recommended Exercise” to end users.

When you create it, which would be appropriate settings? (Select all that apply.)

A) Record Name: PT RECOMMENDED EXERCISE

B) Display Name: Recommended Exercise

C) Row Type: Flowsheet Group

D) Value Type: Custom List

Back 2

B and C

Front 3

You’re building a row to record the type of exercise recommended to the patient. There are more than ten possible values, and they are specific to patients with MS. Any patient might have more than one exercise prescribed. When you create it, which would be appropriatesettings? (Select all that apply.)

A) Record Name: R PT EXERCISE TYPE

B) Display Name: R EXERCISE TYPE

C) Row Type: Data

D) Value Type: Numeric

Back 3

A and C

Front 4

4. The Recommended Exercise group from questions 2 and 3 is complete,and you want to include it in your template. But, it should not appear by default. For the Treatments row, if a user chooses “Exercise” as a value, then the group should automatically appear.

Front 5

Part I: In which record(s) would you configure the system so that the group doesn’t appear automatically in the flowsheet? (Select one.)

A) In the MS Assessments and Treatments template

B) In the Treatments row

C) In the Recommended Exercise group

D) In each of the Recommended Exercise rows

Back 5

A) In the MS Assessments and Treatments template

Front 6

Part II: In which record(s) would you configure the system to automatically add the Recommended Exercise group when a user chooses “Exercise” in the Treatments row? (Select one.)

A) In the MS Assessments and Treatments template

B) In the Treatments row

C) In the Recommended Exercise group

D) In each of the Recommended Exercise rows

Back 6

B) In the Treatments row

Front 7

1. You built a review flowsheet for a group of specialists to be used in the Review Flowsheets activity. However, when the specialists go to that activity, the flowsheet is not there. Which of these explains why? (Select one.)

A) You didn’t link the view (report) record to an appropriate profile.

B) You didn’t link the review flowsheet record to a print grouprecord.

C) You assigned type = Review FS to the review flowsheet record.

D) You didn’t release the review flowsheet

Back 7

D) You didn’t release the review flowsheet

Front 8

What is one reason a clinician would want to use a review flowsheet?

Back 8

2. They offer a convenient way to look at disparate information from thepatient’s chart over time.

Front 9

True or False: Review flowsheets must be specified in a profile in order to be available to users.

Back 9

False

Front 10

4. Refer to the following screen shot and identify the master files in which A, B, and C are built.

Back 10

4. A = Report, B = Print Group, C = Review Flowsheet

Front 11

Back 11

4. A = Report, B = Print Group, C = Review Flowsheet

Front 12

5. Refer to the following screen shot and identify in which master files D,E, F, and G are set up.

Back 12

5. D and E: Profile F and G: Review flowsheet (Min/Max and Low/High respectively)

Front 13

Back 13

5. D and E: ProfileF and G: Review flowsheet (Min/Max and Low/High respectively)

Front 14

1. The question “Is the patient pregnant?” should appear for any imaging orderables. What type of question record needs to be built?

Back 14

Order-specific question

Front 15

2. Describe the most efficient way to have the same question appear forall the diagnostic imaging procedures.

Back 15

Link the procedure category for those imaging tests to the question.

Front 16

3. Dr. Mica orders a procedure called Amb Referral to Dermatology.Would this be an orderable, performable, chargeable, or combination? Explain.

Back 16

The referral would be an orderable because it is like saying,“Somebody please do this” and isn’t actually being performed or charged now.

Front 17

4. I created a SmartText with functional type MR Orders. Why am I unable to use it for a process instruction in a procedure?

Back 17

You cannot use it because MR Orders is the functional type for SmartText used as comments.

Front 18

5. True or False: Procedures that are orderables should be marked asactive for billing.

Back 18

False

Front 19

6. True or False: Lab-related SmartLinks can look to result components.

Back 19

True

Front 20

7. If you list Glucose as a result component in a Glucose Accucheck procedure record, how does that affect the end user who results this test?

Back 20

In the Enter/Edit Results activity, the end user sees the component by default, thus saving her time.

Front 21

8. In the procedure category for Lab Send Outs, two buttons were set up for the Class field. However, whenever Dr. Mica orders an iron assay (which is a procedure linked to the Lab Send Outs procedure category), she sees four buttons for the Class field. Explain why.

Back 21

The system searches for details using the procedure > procedurecategory hierarchy, so it found the four buttons defined in theprocedure record and displayed them.

Front 22

9. Dr. Quartz complains that whenever he orders any diagnostic imaging test for any patient, the question “Is the patient pregnant?” appears. What setup is wrong?

Back 22

The linked question record should have been limited to females of a certain age

Front 23

10. There is a special lab test for which you do not want users to be able to change the order class (it will have a default value specified). What must you do to prevent users from even seeing the Class field in the Order Composer?

Back 23

Create an OCC record that does not include Class as a display item, and link the procedure to that OCC.

Front 24

11. If you choose a display item that has “Collapsed” in its name (like Comment Collapsed), how does that appear in the Order Composer?

Back 24

It appears as a hyperlink.

Front 25

12. Dr. Quartz complains that whenever he orders any outpatient referral, a default department specialty of Obstetrics and Gynecology appears.What did an administrator do incorrectly, and what should have been done?

Back 25

The administrator defined that department specialty in the referral procedure category. She should have defined it only in appropriate referral procedure records.

Front 26

13. True or False: Additional order detail display items can only be set up in an OCC record that you link to System Definitions.

Back 26

False

Front 27

1. What is the purpose of the Dispensable Product field in a medication record?

Back 27

The system automatically looks to the linked dispensable product medication record for information.

Front 28

2. Why would you link a medication to a SmartText?

Back 28

For instructions that will appear in the Order Composer

Front 29

3. To what type of questions can you link a medication?

Back 29

Order-specific

Front 30

4. For Amoxicillin 250 mg/5 mL suspension, how many rows would be in the equivalency table, and what would be in them?

Back 30

2 rows: 250 mg in one row and 5 mL in the other

Front 31

5. Clinicians are complaining that 25 particular medications offer inappropriate choices when they click the Selection button in the Frequency field. Describe how you would fix that.

Back 31

In each medication record, set up allowed frequencies.

Front 32

6. True or False: Dose buttons (for example, 50 mg or 100 mg) are set upon the same screen on which you set up other item buttons.

Back 32

False

Front 33

7. I need to set up administration instructions stating “Refrigerate and shake well before administering” for 15 medications. What is the most efficient way to set this up?

Back 33

Create a SmartText for administration instructions. Link the 15 medications to that SmartText.

Front 34

8. True or False: If you set up a Use Free Text button for dose, then administration instructions automatically appear as a display item.

Back 34

False

Front 35

9. True or False: The presence of item buttons for the Route field has no impact on whether the Route field is a display item in the Order Composer.

Back 35

True

Front 36

10. Five display items are defined in the system-level OCC record for medications. For a particular medication, you need those same display items and one more. In your medication-level OCC record, do you list the six display items in total, or just the extra one? Explain.

Back 36

List all six items. Reason: The system searches in a hierarchy, so if youjust listed the one item in the medication-level OCC record, only thatone would show as a display item.

Front 37

11. True or False: The display items that appear when the Additional OrderDetails hyperlink is clicked in the Order Composer are not set up in an OCC of context = Ambulatory.

Back 37

True

Front 38

1. True or False: In a procedure preference list record, you must create atleast one section

Back 38

True

Front 39

2. As you add orders to a preference list record, those items are from: (Choose all that apply.)

A) Preference List Editor

B) Preference List Composer

C) Medication master file

D) Procedure master file

Back 39

C) Medication master file

D) Procedure master file

Front 40

3. Nurse Memphis is unable to add anything to her user preference lists,but all the other nurses in her group can add to theirs. A possible reason is: (Select one.)

A) Her user record is set to OFF for all the user preference lists.

B) The nurses’ EpicCare security class is set to OFF for all the user preference lists.

C) User preference lists are disabled in System Definitions.

Back 40

A) Her user record is set to OFF for all the user preference lists.

Front 41

4. You make a system preference list. To make this preference listavailable to users in a particular department when they go to the PrefList tab in the order lookup window, specify this preference list in:(Select one.)

A) The department record for their login department

B) The profile that affects their department

C) Their user records

D) The facility record

Back 41

B) The profile that affects their department

Front 42

5. True or False: When you enter override details for a procedure in the Preference List Composer, end users see those override details when they select that procedure from both the Pref List and Database Lookup tabs.

Back 42

False

Front 43

1. Which of the following would use the set directive? (Choose all that apply.)

A) Make a blue dot appear on the appointment slot on the schedule.

B) Cause charge triggering for this order to happen now.

C) Transmit information about the order through the lab interface.

D) Change the priority of the order from Routine to STAT.

E) Cause an order to print at a label printer.

Back 43

B) Cause charge triggering for this order to happen now.

D) Change the priority of the order from Routine to STAT.

Front 44

2. Which of the following would use the send directive? (Choose all that apply.)

A) Make a blue dot appear on the appointment slot on the schedule.

B) Cause charge triggering for this order to happen now.

C) Transmit information about the order through the lab interface.

D) Change the priority of the order from Routine to STAT.

E) Cause an order to print at a label printer.

Back 44

C) Transmit information about the order through the lab interface.

E) Cause an order to print at a label printer.

Front 45

3. True or False: For the Send, Do, and Set directives, the final step order transmittal does is to consult the Destination Map master file.

Back 45

False

Front 46

4. If Dr. Mica signs five orders for a patient during one visit, how many order records are created? (Select one.)

A) 1

B) 5

C) 6

Back 46

B) 5

Front 47

5. True or False: “Order type” and “Priority” are properties that order transmittal can be told to evaluate in a condition statement

Back 47

True

Front 48

6. In the destination mapping hierarchy for a particular order:Department map has: printer_line -> Printer A

Location map has: printer_line -> Printer B

For an order placed in that department that sends to printer_line, what will happen? (Select one.)

A) It will go to Printer A.

B) It will go to Printer B.

C) It will go to both Printer A and B.

Back 48

A) It will go to Printer A.

Front 49

7. The nurses in North Pediatrics complain that point of care (POC) lab orders are going to the department printer instead of as a message to their pool. Which of the following would explain why? (Select one.)

A. For the condition statement that is being matched, a Do directive is used instead of a Send directive.

B. The facility rule has “If order type = all else, then send to pool_error.”

C. The matched rule has “If order type = POC, then send to printer_line.”

D. The matched rule has “If order type = POC, then send to pool_nurse.”

Back 49

C. The matched rule has “If order type = POC, then send to printer_line.”

Front 50

1. Results routing consults a results routing scheme record. None of its condition statement rows are perfect matches.

True or False: Results routing will move to the next results routing scheme record in the hierarchy.

Back 50

False

Front 51

2. Resident Roxanne places an order and lists Dr. Mica as the authorizing provider. Which provider record will results routing check as it looks for a linked results routing scheme record? (Select one.)

A) Resident Roxanne’s

B) Dr. Mica’s

C) Both A and B

Back 51

B) Dr. Mica's

Front 52

3. Result routing is suppressed for “inpatient pre-discharge.” This kind of suppression is based on: (Select one.)

A) Patient status

B) Order status

Back 52

3. A) Patient status

Front 53

4. Refer to the following screen shot.

Part I: True or False: If an order from the LAB BLOOD ORDERABLES procedure category is resulted, results routing takes place when the status is Final.

Front 54

Part II: True or False: If an order from the IMG CT ORDERABLES procedure category with an order class of Hospital Performed is resulted, results routing takes place when the status is Final

Back 54

Part I: False

Part II: True

Front 55

5. Dr. Lenite works in an outpatient department that will go live three months from now. What field in his provider record would you affect to prevent him from getting a build-up of result messages? (Select one.)

A) Hospitalist?

B) Orders Authorizing Provider?

C) Recipient Type

Back 55

C) Recipient Type

Front 56

6. True or False: You must use an administrative login to be able to enable the Support Report view.

Back 56

False

Front 57

7. In results routing, when does the error pool specified in System Definitions get notified? (Choose all that apply.)

A) When there is an issue with a pool recipient.

B) When there is an issue with a provider recipient.

C) When there are no results routing schemes linked into the hierarchy.

Back 57

A) When there is an issue with a pool recipient.

B) When there is an issue with a provider recipient.

Front 58

8. True or False: One reason why a patient will not see a final test result in MyChart is because the provider did not release it to MyChart.

Back 58

True

Front 59

1. Which of the following can be set up in a message type definition record? (Choose all that apply.)

A) Command buttons

B) Columns

C) The presence of the Reply button

D) Message type

Back 59

1. A, B, C and D are correct.

Front 60

2. ED Physicians need to have special setup in for Deficiency Update Errors message types. What level in the message type hierarchy would be most appropriate for accommodating their need?

A) User

B) Profile

C) In Basket security class

D) Epic-Wide Settings

Back 60

B) Profile

Front 61

3. True or False: For all users, the system-level profile is the most global level at which you can specify message type setup.

Back 61

False

Front 62

4. True or False: End users can override message type column setup by rearranging the column order in their In Basket folders.

Back 62

True

Front 63

5. True or False: In a message type definition, you can change the name of a report button without also changing the report that will show.

Back 63

True

Front 64

6. In a message type definition record (HIS), the administrator set Enable responsibility? to Yes. The new HIS is linked into the hierarchy correctly. Upon testing, the folder is not responsibility enabled. Why?(Select one.)A) The administrator did not list the Responsibility column in the HIS.

B) The administrator did not list the responsibility command buttons for Reviewed and Take.

C) Only certain message types are programmed for responsibility.

Back 64

C) Only certain message types are programmed for responsibility.

Front 65

7. If Auto Advance is turned on, what is the effect on end users? (Select one.)

A) The top most In Basket folder opens automatically.

B) When an end user completes a message, the next message in the list is automatically selected and displayed.

C) When an end user double-clicks on a message, the left most command button is automatically selected.

Back 65

B) When an end user completes a message, the next message in the listis automatically selected and displayed.

Front 66

8. Based on the screen shot of a user record below and assuming all message types are defined in Epic-Wide Settings, which of the following are true? (Choose all that apply.)

A) This user will have a Results folder based on the message type definition in his user record.

B) This user will have a Results folder based on what is in Epic-Wide Settings.

C) This user will only get In Basket folders that are specified in his user record.

D) This user will have all other In Basket folders as defined in Epic-Wide Settings.

Back 66

A) This user will have a Results folder based on the message type definition in his user record.

D) This user will have all other In Basket folders as defined in Epic-Wide Settings.

Front 67

Back 67

A) This user will have a Results folder based on the message type definition in his user record. D) This user will have all other In Basket folders as defined in Epic- Wide Settings.

Front 68

1. Which controls In Basket settings for all users? (Select one.):

A) Epic-Wide Settings

B) System Definitions

Back 68

A) Epic-Wide Settings

Front 69

2. Your organization would like to have a special message type called “Tips and Tricks” that can be chosen when users click the arrow next to the New Msg button. Where would you list this special message type?(Select one.)

A) Epic-Wide Settings

B) Profile

C) System Definitions

D) Facility

Back 69

A) Epic-Wide Settings

Front 70

3. Where do you set the number of days that must elapse before a message is sent regarding an office visit encounter being left open too long? (Select one.)

A) Epic-Wide Settings

B) Profile

C) System Definitions

D) Facility

Back 70

C) System Definitions

Front 71

4. Dr. Coal marked a message as Done 50 days ago. He tries to search for it, but there are no search results.

True or False: The setting that controls the number of days before “Doned” messages are purged was set to 50 or fewer days ago.

Back 71

True

Front 72

5. Continuing from the preceding question, where is that set up? (Selectone.)

A) Epic-Wide Settings

B) Profile

C) System Definitions

D) Facility

Back 72

A) Epic-Wide Settings

Front 73

6. The delegate for Dr. Mica’s Out of Contact Occasion reads a message and clicks the Done button. Dr. Mica sees a message about this in a Covered Work folder because marking a message as Done is listed as a_______ in ________: (Select one.)

A) Personalization feature, Epic-Wide Settings

B) Message type definition, Epic-Wide Settings

C) Covered work action, Epic-Wide Settings

D) Covered work action, System Definitions

Back 73

C) Covered work action, Epic-Wide Settings

Front 74

7. You can have certain groups of users prompted to copy In Basket message notes into their telephone encounters. The reason you can affect some users but not all is because: (Select one.)

A) Telephone encounters are created by users.

B) This is a System Definitions setting, and System Definitions affects only clinical users.

C) This is a profile setting, so the profile hierarchy can be used.

Back 74

C) This is a profile setting, so the profile hierarchy can be used.

Front 75

8. If the top-down order of In Basket folders is configured in Epic-Wide Settings, why are Dr. Smith’s folders not identical in top-down order to Dr. Jones (assume they have the exact same folders with messages)?(Select one.)

A) One of them did a user override (personalization) on the In Basket folder order setup.

B) They are affected by different profiles.

C) Message type definition overrides have been set up for one of them.

Back 75

A) One of them did a user override (personalization) on the In Basketfolder order setup.

Front 76

9. A certain physician often forgets to close encounters. What is a possible reason that different supervisors are being notified about his open encounters? (Choose all that apply.)

A) Different supervisors to notify are specified in various department records.

B) A list of supervisors to notify per department are listed in a table in the facility record.

C) This physician has encounters in different departments.

D) The physician is choosing a different supervisor when placing orders in each encounter.

Back 76

A) Different supervisors to notify are specified in various departmentrecords.

C) This physician has encounters in different departments.