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

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?

Accepted Answer

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

Answer

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?

Accepted Answer

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

Answer

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?

Accepted Answer

The following Thursday

Answer

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?

Accepted Answer

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

Answer

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.

Epic Skills Assessment Practice Test

Epic Skills Assessment Practice Test

Epic Skills Assessment Role-Based Scenario Problems Questions and Answers