Epic Skills Assessment Role-Based Scenario Problems Questions and Answers — 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?
- A 12-year-old with an 'Asthma' diagnosis from an encounter 30 days ago.
- A 17-year-old with a 'Wheezing' diagnosis from an encounter 85 days ago.
- A 10-year-old with an 'Asthma' diagnosis from an encounter 100 days ago. (Correct answer)
- A 5-year-old with a 'Wheezing' diagnosis from an encounter 10 days ago.
Correct answer: A 10-year-old with an 'Asthma' diagnosis from an encounter 100 days ago.
The report criteria require the encounter date to be within the last 90 days. The patient in option C had an encounter 100 days ago, which falls outside this required range and therefore would be excluded. The other patients meet all three criteria: age, diagnosis, and encounter date.
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?
- A 70-year-old patient with no 'Kidney Disease' diagnosis is ordered a 'Low-Risk' drug.
- A 50-year-old patient with a 'Kidney Disease' diagnosis is ordered a 'Low-Risk' drug.
- A 60-year-old patient with no 'Kidney Disease' diagnosis is ordered a 'High-Risk' drug.
- A 55-year-old patient with a 'Kidney Disease' diagnosis is ordered a 'High-Risk' drug. (Correct answer)
Correct answer: A 55-year-old patient with a 'Kidney Disease' diagnosis is ordered a 'High-Risk' drug.
The rule requires the medication to be 'High-Risk' AND one of two other conditions to be true (Age > 65 OR Kidney Disease diagnosis). Option D is the only scenario that meets the mandatory 'High-Risk' drug condition and also meets one of the secondary conditions (the patient has 'Kidney Disease').
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?
- "When did you first notice this issue?"
- "Is this happening with all patient charts or only specific ones?" (Correct answer)
- "Have you tried restarting your computer?"
- "What version of the application are you using?"
Correct answer: "Is this happening with all patient charts or only specific ones?"
The most critical first step in troubleshooting a vague issue like "slowness" is to determine its scope. Asking if the problem affects all charts or just specific ones helps differentiate between a widespread system/network issue and a problem potentially caused by a specific patient's large or complex data. This information dictates the entire troubleshooting path.
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?
- The following Monday
- The following Tuesday
- The following Wednesday
- The following Thursday (Correct answer)
Correct answer: The following Thursday
Task 1 finishes at the end of Wednesday. Task 2 starts Thursday and finishes Friday. Task 3 also starts Thursday, but now takes 5 days (4+1), finishing at the end of the following Wednesday. Since Task 4 depends on both Task 2 and Task 3 being complete, it cannot begin until the latest predecessor (Task 3) is finished. Therefore, Task 4 can begin on Thursday of the following week.
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?
- Patient A: Temp: 101.0°F, Heart Rate: 95 bpm, WBC: 13,500/mcL
- Patient B: Temp: 100.2°F, Heart Rate: 110 bpm, WBC: 15,000/mcL (Correct answer)
- Patient C: Temp: 100.8°F, Heart Rate: 92 bpm, WBC: 12,100/mcL
- Patient D: Temp: 101.5°F, Heart Rate: 105 bpm, WBC: 18,000/mcL
Correct answer: Patient B: Temp: 100.2°F, Heart Rate: 110 bpm, WBC: 15,000/mcL
The alert requires all three conditions to be met for it to trigger. For Patient B, the temperature is 100.2°F, which is not greater than the 100.4°F threshold. Since this condition is not met, the entire rule evaluates to false, and the alert will not trigger, even though the other two conditions are met.
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?
- Patient Chart, EKG Viewer (Correct answer)
- EKG Viewer, Insurance Verification
- Patient Chart, Order Entry
- Order Entry, EKG Viewer
Correct answer: Patient Chart, EKG Viewer
According to the policy, as a 'Nurse', the user gets 'Patient Chart' access. As a member of the 'Cardiology' department, the user also gets 'EKG Viewer' access. They do not qualify for 'Order Entry' (role is not 'Physician') or 'Insurance Verification' (department is not 'Billing'). Therefore, the correct combination of permissions is 'Patient Chart' and 'EKG Viewer'.
