Knowledge Activity: Introductory Evaluation

Learning objectives
1. Navigate essential areas of an electronic patient chart.
2. Interpret details within the EHR.
3. Evaluate data entry in the EHR.

Student instructions
1. If you have questions about this activity, please contact your instructor for
assistance.
2. You will review the chart of Louis Lutz to complete this activity. Your instructor
has provided you with a link to the Introductory Evaluation activity. Click on
2: Launch EHR to review the patient chart and begin this activity.
3. Refer to the patient chart and any suggested resources to complete this
activity.
4. Document your answers directly on this activity document as you complete the
activity. When you are finished, you will save this activity document to your
device and upload this activity document with your answers to your Learning
Management System (LMS).

The activity
Review the EHR of Louis Lutz in detail to answer the multiple-choice questions below.
Highlight the correct answer.

Questions
1. Who is listed as the current rendering provider for Mr. Lutz’s current inpatient
stay?
a. Kim Anderson, RN
b. Kenneth Wong, MD
c. David Collins, Radiologist
d. Joseph Martinez, MD

2. Mr. Lutz is admitted to:

a. Central Clinic
b. City Center Urgent Care
c. General Hospital

EHR Go1 Knowledge Activity: Introductory Evaluation AK1011.1

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 d. General Hospital ER

3. Who is listed as Mr. Lutz’s emergency contact?

a. Erika Lutz
b. Joseph Martinez
c. Dwayne Lutz
d. LaVerne Jensen

4. What is the oldest active problem in Mr. Lutz’s record?

a. Secondary malignant neoplasm of liver and intrahepatic bile duct
b. Chronic obstructive pulmonary disease, unspecified
c. Malignant neoplasm of upper lobe, right bronchus or lung
d. S Nausea/Vomiting, Abdominal Pain
5. Which of the below orders for Mr. Lutz has not been marked as complete?
a. Chest X Ray
b. EKG/ECG
c. Admit to Medical Unit
d. Consult: Oncology

6. What is Mr. Lutz’s BMI?

a. 25.3
b. 61
c. 33.14
d. 175

7. What did Mr. Lutz indicate as his level of pain?

a. 6
b. 0
c. 10
d. 3

8. What is Mr. Lutz’s employment status?

a. Retired
b. Full-time student
c. Unemployed
d. Part-time student

EHR Go2 Knowledge Activity: Introductory Evaluation AK1011.1

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 9. What type of insurance coverage does Mr. Lutz have?
a. No insurance
b. BlueCross BlueShield
c. Medicare
d. Medicaid

10.What lab test is listed under the Labs tab for Mr. Lutz?
a. CBC
b. CMP
c. Alpha-1-Fetoprotein
d. MRSA screen

11.Which note in Mr. Lutz’s chart does not include an image?

a. Chest X-Ray
b. ECHO Report
c. EKG/ECG
d. Admission Assessment

12. Does Mr. Lutz have an advance directive?

a. Yes
b. No

13.What is Mr. Lutz’s Braden score?

a. 23
b. 19
c. 4
d. 3

14.What surgical procedure did Mr. Lutz most recently undergo?

a. Left lobectomy
b. Endoscopy
c. Right Lobectomy
d. Colonoscopy

15.ASA is listed as a/n ___ of Mr. Lutz.

a. Vital
b. Lab
c. Problem
d. Adverse Reaction/Allergy

EHR Go3 Knowledge Activity: Introductory Evaluation AK1011.1

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 16. Who authored Mr. Lutz’s Admission Assessment note?
a. D'Angelo Carter, RN
b. David Collins
c. Kenneth Wong
d. Tammy Burton

17.What category does Mr. Lutz’s order for Oxygen fall under?
a. Diagnostics
b. Care
c. Laboratory
d. Screening/Measurements

18.What is Mr. Lutz’s respiration rate?

a. 94
b. 130/81
c. 92%
d. 19

19.What is Mr. Lutz’s Medical Record Number?

a. 100-01-0000
b. 0001-4587121
c. MR2447
d. MRN66

20.The medications ordered for Mr. Lutz are found under both the Medications tab
and the ____ tab.
a. Vitals
b. Orders
c. Problems
d. Care Plan

Submit your work

Document your answers directly on this activity document as you complete the
activity. When you are finished, save this activity document to your device and upload
this activity document with your answers to your Learning Management System (LMS).
If you have any questions about submitting your work to your LMS, please contact your
instructor.

EHR Go4 Knowledge Activity: Introductory Evaluation AK1011.1

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