Epic Skills Assessment Clinical Workflow Fundamentals 2 — Questions and Answers
Question 1: A nurse needs to document a medication given outside the scheduled administration window. What is the correct Epic approach?
- Skip documentation since it was off-schedule
- Document in the MAR with the actual administration time and a comment (Correct answer)
- Create a new order for the medication
- Flag the chart for pharmacy review only
Correct answer: Document in the MAR with the actual administration time and a comment
Documenting the actual administration time in the MAR with a comment ensures accurate medication reconciliation and legal compliance.
Question 2: Which Epic tool is used to see all pending orders, results, and tasks for a patient in one consolidated view?
- Storyboard (Correct answer)
- Chart Review
- Order Entry
- Patient Snapshots
Correct answer: Storyboard
The Storyboard provides a longitudinal summary of a patient's care including pending items, diagnoses, and recent results.
Question 3: When a provider places an order using 'Order with Details,' what is the primary advantage over standard ordering?
- It auto-approves the order without nursing verification
- It allows modification of order parameters before signing (Correct answer)
- It sends the order directly to billing
- It bypasses clinical decision support alerts
Correct answer: It allows modification of order parameters before signing
'Order with Details' opens the order composer, allowing the provider to customize frequency, route, and other parameters before finalizing.
Question 4: A care coordinator needs to track whether a patient completed a referral to a specialist. Which Epic feature is most appropriate?
- Referral tracking in the Referrals activity (Correct answer)
- In Basket message to the specialist
- Problem list annotation
- Chart Review filter
Correct answer: Referral tracking in the Referrals activity
The Referrals activity in Epic tracks referral status, authorization, and completion across the care continuum.
Question 5: What happens when a clinician uses the 'Pend' function on an order in Epic?
- The order is immediately sent to pharmacy
- The order is saved but not yet active, awaiting co-signature or review (Correct answer)
- The order is cancelled pending patient consent
- The order routes to the billing department
Correct answer: The order is saved but not yet active, awaiting co-signature or review
Pending an order saves it in a draft state so another provider (e.g., an attending) can review and co-sign before the order becomes active.
Question 6: In Epic, which term describes the structured list of a patient's active health issues maintained across encounters?
- Reason for Visit
- Chief Complaint
- Problem List (Correct answer)
- Assessment and Plan
Correct answer: Problem List
The Problem List is a persistent, longitudinal record of a patient's diagnosed conditions that carries forward across all encounters.
Question 7: A patient is transferred from the ED to an inpatient unit. Which Epic action ensures the admitting team receives the patient's current medication list?
- Perform medication reconciliation at the transition of care (Correct answer)
- Re-enter all medications manually from memory
- Print the ED notes for the admitting team
- Place a new order for each medication
Correct answer: Perform medication reconciliation at the transition of care
Medication reconciliation at care transitions compares the existing medication list with new orders to prevent omissions and duplications.
Epic Skills Assessment Clinical Workflow Fundamentals 2
A nurse needs to document a medication given outside the scheduled administration window.
What is the correct Epic approach?