Epic Skills Assessment Role-Based Scenario Problems Questions and Answers

Question 1

An analyst is building a report of pediatric patients with recent asthma-related encounters.
The criteria for inclusion are: (Patient Age is less than 18) AND (Encounter Diagnosis is 'Asthma' OR Encounter Diagnosis is 'Wheezing') AND (Encounter Date is within the last 90 days).
Which of the following patients would be EXCLUDED from the report?

Accepted Answer

A 10-year-old with an 'Asthma' diagnosis from an encounter 100 days ago.

Answer

A 12-year-old with an 'Asthma' diagnosis from an encounter 30 days ago.

Answer

A 17-year-old with a 'Wheezing' diagnosis from an encounter 85 days ago.

Answer

A 5-year-old with a 'Wheezing' diagnosis from an encounter 10 days ago.

Question 2

An implementation specialist is configuring a clinical decision support rule for a new medication. The rule states: "An alert will fire if the ordered medication is a 'High-Risk' drug AND the patient's age is over 65 OR the patient has a 'Kidney Disease' diagnosis on their problem list." For which of the following patients will the alert fire?

Accepted Answer

A 55-year-old patient with a 'Kidney Disease' diagnosis is ordered a 'High-Risk' drug.

Answer

A 70-year-old patient with no 'Kidney Disease' diagnosis is ordered a 'Low-Risk' drug.

Answer

A 50-year-old patient with a 'Kidney Disease' diagnosis is ordered a 'Low-Risk' drug.

Answer

A 60-year-old patient with no 'Kidney Disease' diagnosis is ordered a 'High-Risk' drug.

Question 3

A support analyst receives the following ticket from a physician: "The system is slow when I open patient charts. Please fix it." Which of the following is the most effective initial question for the analyst to ask to begin troubleshooting?

Accepted Answer

"Is this happening with all patient charts or only specific ones?"

Answer

"When did you first notice this issue?"

Answer

"Have you tried restarting your computer?"

Answer

"What version of the application are you using?"

Question 4

A project manager is overseeing a system upgrade with four key tasks and the following dependencies:
- Task 1: Build Server (3 days)
- Task 2: Install Software (2 days) - Depends on Task 1
- Task 3: Configure Database (4 days) - Depends on Task 1
- Task 4: User Testing (5 days) - Depends on Task 2 AND Task 3
The project starts on a Monday. The 'Configure Database' (Task 3) is delayed and takes 1 day longer than planned. What is the earliest day User Testing (Task 4) can now begin?

Accepted Answer

The following Thursday

Answer

The following Monday

Answer

The following Tuesday

Answer

The following Wednesday

Question 5

A clinical informaticist is validating the logic for a new sepsis alert. The alert is designed to trigger if ALL of the following conditions are met simultaneously: (1) Temperature is greater than 100.4°F, (2) Heart Rate is greater than 90 bpm, AND (3) White Blood Cell (WBC) count is greater than 12,000/mcL. For which patient would the sepsis alert NOT trigger?

Accepted Answer

Patient B: Temp: 100.2°F, Heart Rate: 110 bpm, WBC: 15,000/mcL

Answer

Patient A: Temp: 101.0°F, Heart Rate: 95 bpm, WBC: 13,500/mcL

Answer

Patient C: Temp: 100.8°F, Heart Rate: 92 bpm, WBC: 12,100/mcL

Answer

Patient D: Temp: 101.5°F, Heart Rate: 105 bpm, WBC: 18,000/mcL

Question 6

A system administrator is assigning permissions based on the hospital's security policy:
- All clinical staff (roles: 'Physician', 'Nurse') get 'Patient Chart' access.
- Only staff in the 'Cardiology' department get 'EKG Viewer' access.
- Only staff with the 'Physician' role get 'Order Entry' access.
- All staff in the 'Billing' department get 'Insurance Verification' access.
Which of the following sets of permissions is appropriate for a new user hired as a 'Nurse' in the 'Cardiology' department?

Accepted Answer

Patient Chart, EKG Viewer

Answer

EKG Viewer, Insurance Verification

Answer

Patient Chart, Order Entry

Answer

Order Entry, EKG Viewer