PMI PMP - Project Management Professional (PMP) July 2026 Update
The project manager is creating a status report to show the progress of completed training artifacts intended for delivery to bank branches for a new project for both
new and existing customers. During the review process, it is discovered that some of the artifacts were duplicated by two project team members.
What should the project manager do?
Health Records Modernization at Hospital Case Study
A project manager led a health records modernization project at a hospital with a project budget of $US5 million and an 18-month timeline. The project involved multiple stakeholder groups including medical, administrative, and IT staff; board members; patients; insurance companies; external vendors; regulatory bodies; and union representatives.
Stakeholder management was complex and a major undertaking for the project manager, but it was critical to achieve a positive project outcome. When the project started, the project manager conducted stakeholder analysis, using the information to create both a power/interest and an influence/impact matrix. The analysis showed that while the hospital board members and regulatory bodies had high power but moderate interest, the medical staff (doctors and nurses) had both high influence and high impact on the project. Administrative staff showed high interest but lower power, while patients and insurance companies had moderate interest and varying levels of influence. Based on the analysis, the project manager created a stakeholder engagement strategy that documented expectations, communication preferences, and influence levels in a stakeholder register. The project manager also made a RACI (responsible, accountable, consulted, informed) chart to show roles and responsibilities; and created communication channels and frequency for each stakeholder group, an issue escalation system, and a feedback system for continuous stakeholder input.
To execute the modernization process of health records, the project manager realized that medical staff members would need to change their daily workflows. To facilitate change management for these stakeholders, the project manager created a clinical advisory committee, appointed department-specific “champions,†created focus groups for requirements gathering, started a training program, and developed key performance indicators (KPIs) to measure satisfaction.
During project execution, several challenges emerged. The doctors expressed concerns about the system’s impact on patient care, the nurses’ union raised workload concerns, the IT department faced resource constraints, the insurance companies requested additional features, and the administrative staff worried about data security. The project manager responded to these challenges by increasing the frequency of stakeholder meetings, implementing a change management program, creating a beta system for stakeholder testing, developing contingency plans for various stakeholder scenarios, and establishing an issue resolution process.
Despite these mitigation efforts, the medical staff required additional training, leading to a change request for a 2-month extension and a 10% budget increase. The board of directors approved this to help ensure high adoption and satisfaction rates among staff members. The project helped establish new good practices in future programs for stakeholder management in the organization’s project management office (PMO). The documented lessons learned became a reference for future projects of similar scope and complexity.
How should the project manager approach managing the regulatory bodies’ requirements for the health records associated with this project?
(Refer to the Health Records Modernization at Hospital Case Study exhibit.)
During the execution phase of a project, a new regulation is published. A subject matter expert (SME) on the project team contacts the project manager and tells them
that the new regulation might heavily impact the project ' s delivery.
What should the project manager do?
A project stakeholder books a meeting to request approval for an urgent change. Another stakeholder submitted a feature change request when the team finished their last iteration. Both stakeholders are impatient, and the project manager learns that one of the stakeholders is inviting team members to join a private chat.
What should the project manager do?
A project team repeatedly misses delivery target dates for the main project releases because of new requests from the client. Client satisfaction is high, even though the project is behind schedule.
What should the project manager do?
A project manager has compared the monthly actual costs with the planned costs and estimated the forecast to complete the remaining part of the project. The project
manager realizes that the project will require additional funding.
What should the project manager do first?
A team lead tells the project manager about a potential issue. Two project teams are working on parts of a project that are highly dependent on each other. The team
lead is concerned that this might create integration issues when the two teams ' outputs are combined.
What should the project manager do?
A project manager is leading an iterative project to develop a very innovative product. However, a group of stakeholders are hesitant because the high complexity of the product involves many business rules.
What should the project manager do?
During the rollout of interactive digital whiteboards to several schools, a project manager is informed there are delays at the customs office that prevent the delivery of
the newest model of whiteboards from the overseas supplier as planned. The project timeline will be impacted.
What should the project manager do?
A project manager is leading an online learning system development project for a government body. The project team is working on a new feature that needs a very
stable video streaming platform. A stakeholder from marketing suggests using a platform that has been used in other marketing projects. Following the endorsement
of senior management, the team soon adopts this platform. Yet during development, the team finds that the platform cannot handle multilanguage subtitles, which are
critical to the online learning system.
What should the project manager have done to avoid this situation?
