RHIT EXAM PREP PRACTICE QUESTIONS (Data Analysis and Management), Exams of Advanced Education

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RHIT EXAM PREP PRACTICE QUESTIONS (Data Analysis

and Management)

(1) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of each data element are defined. A) Accreditation manual B) Core content C) Continuity of care record D) Data dictionary - D) Data dictionary (2) Once hospital discharge abstract systems were developed and their ability to provide comparative data to hospitals was established, it became necessary to develop: A) Data sets B) Data elements C) Electronic data interchange D) Bills of mortality - A) Data sets (3) In healthcare, data sets serve two purposes. The first is to identify data elements to be collected about each patient. The second is to: A) Provide uniform data definitions B) Guide efforts toward computerization C) Determine statistical formulas D) Provide a research database - A) Provide uniform data defintions (4) A health information technician is responsible for designing a data collection form to collect data on patients in an acute-care hospital. The first resource that she should use is:

A) UHDDS

B) UACDS

C) MDS

D) ORYX - A) UHDDS

(5) Which of the following is NOT a characteristic of the common healthcare data sets such as UHDDS and UACDS? A) They define minimum data elements to be collected B) They provide a complete and exhaustive list of data elements that must be collected C) They provide a framework for data collection to which an individual facility can add data items D) The federal government recommends, but does not mandate, implementation of most of the data sets - B) They provide a complete and exhaustive list of data elements that must be collected (6) In a paper-based system, the completion of the chart is monitored in a special area of the HIM department called the ______ file. A) Incomplete record B) Permanent C) Temporary D) Remote storage - A) Incomplete record (7) Consider the following sequence of numbers. What filing system is being used if these numbers represent the health record numbers of three records filed together within the filing system? 36-45- 37-45- 38-45- A) Straight numerical B) Terminal digit

C) Middle digit D) Unit - B) Terminal digit (8) The MPI is necessary to physically locate health records within the paper-based storage system for all types of filing systems, EXCEPT: A) Alphabetical B) Middle digit C) Terminal digit D) Straight numerical - A) Alphabetical (9) The RHIT supervisor for the filing and retrieval section of Community Clinic is developing a staffing schedule for the year. The clinic is open 260 days per year and has an average of 600 clinic visits per day. The standard for filing records is 60 per hour. The standard for retrieval of records is 40 records per hour. Given these standards, how many filing hours will be required daily to retrieve and file records for each clinic day? A) 6 hours per day B) 10 hours per day C) 15 hours per day D) 25 hours per day - D) 25 hours per day (10) In which of the following systems are all encounters or patient visits filed or linked together? A) Serial numbering system B) Unit numbering system C) Straight numerical filing system D) Middle-digit filing system - B) Unit numbering system (11) Which of the following is a disadvantage of alphabetical filing?

A) Easy to train new personnel to file B) Uneven expansion of file shelves or cabinets C) Ease of creation D) Relies on an index or authority key - B) Uneven expansion of file shelves or cabinets (12) Which of the following is a request from a clinical area to check out a health record? A) Outguide folder B) Requisition C) MPI D) Patient registry - B) Requisition (13) Which of the following statements describes alphabetic filing? A) File the record alphabetically by the first name, then the last name and the middle initial B) FIle the record alphabetically by the last name, then the first name and the middle initial C) File the record alphabetically by the last name, then the middle initial an the first name D) File the record alphabetically by last name only - B) File the record alphabetically by the last name, then the first name and the middle initial (14) In analyzing the reason for changes in a hospital's Medicare case-mix index over time, the analyst should start with which of the following levels of detail? A) Account level B) MS-DRG level C) MDC level D) MS-DRG triples, pairs and singles - D) MS-DRG triples, pairs and singles

(15) Which of the following tools is usually used to track health records that have been removed from their permanent storage locations? A) Deficiency slips B) Master patient indexes C) Outguides D) Requisition slips - C) Outguides (16) What is the term that is used to mean ensuring that data are not altered during transmission across a network or during storage? A) Media control B) Integrity C) Mitigation D) Audit controls - B) Integrity (17) Which of the following filing methods is considered the most efficient? A) Alphabetical B) Alphanumeric C) Straight numeric D) Terminal digit - D) Terminal digit (18) The primary purpose of a minimum data set in healthcare is to: A) Recommend common data elements to be collected in health records B) Mandate all data that must be contained in a health record C) Define reportable data for federally funded programs D) Standardize medical vocabulary - A) Recommend common data elements to be collected in health records

(19) In long-term care, the resident's care plan is based on data collected in the: A) UHDDS B) OASIS C) MDS D) HEDIS - C) MDS (20) Incorporating a workflow function in an electronic information system would help support: A) Tasks that need to be performed in a specific sequence B) Moving patients from point to point C) Registration of patients D) Making computer output available on a laser disk - A) Tasks that need to be performed in a specific sequence (21) An audit of a hospital's electronic health system shows that diagnostic codes are not being reported at the correct level of detail. This indicates a problem with data: A) Granularity B) Consistency C) Comprehensiveness D) Relevancy - A) Granularity (22) In which of the following examples does the gender of the patient constitute information rather than a data element? A) As an entry to be completed on the face sheet of the health record B) In the note "50-year-old white male" in the patient history

C) In a study comparing the incidence of myocardial infarctions in black males as compared to white females D) In a study of the age distribution of lung cancer patients - C) In a study comparing the incidence of myocardial infarctions in black males as compared to white females (23) A core data set developed by ASTM to communicate a patient's past and current health information as the patient transitions from one health care setting to another is: A) Continuity of care record B) Minimum data set C) Ambulatory Care Data Set D) Uniform Hospital Discharge Data Set - A) Continuity of Care Record (24) The home health prospective payment system uses the ________ data set for patient assessments. A) HEDIS B) OASIS C) MDS D) UHDDS - B) OASIS (25) The data set designed to organize data for public release about the outcomes of care is: A) UHDDS B) DEEDS C) MDS D) HEDIS - D) HEDIS (26) Which of the following allows a user to insert, update, delete, and query data from a database? A) C++ B) C

C) Java D) SQL - D) SQL (27) Which of the following indexes and databases includes patient-identifiable information? A) MEDLINE B) Clinical trials database C) Master patient/population index D) UMLS - C) Master patient/population index (28) A notation for a diabetic patient in a physician progress note reads: " Occasionally gets hungry. No insulin reactions. She says she is following her diabetic diet." In which part of a problem-oriented health progress note would this be written? A) Subjective B) Objective C) Assessment D) Plan - A) Subjective (29) A notation for a hypertensive patient in a physician ambulatory care progress note reads: "Blood pressure adequately controlled." In which part of a problem-oriented health record progress note should this be written? A) Subjective B) Objective C) Assessment D) Plan - C) Assessment (30) Which of the following provides a standardized vocabulary for facilitating the development of computer-based patient records?

A) Current Procedural Terminology B) Healthcare Common Procedure Coding System C) "International Classification of Diseases, Ninth Revision, Clinical Modification" D) Systematized Nomenclature of Medicine Clinical Terminology - D) Systematized Nomenclature of Medicine Clinical Terminology (31) Which of the following provides a system for classifying morbidity and mortality information for statistical purposes? A) Current Procedural Terminology B) "Diagnostic and Statistical Manual of Mental Disorders, Fourth Revision C) Healthcare Common Procedure Coding System D) International Classification of Diseases, Tenth Revision, Clinical Modification" - D) "International Classification of Diseases, Tenth Revision, Clinical Modification" (32) What is the difference between data and information? A) Data represent basic facts, whereas information represents meaning B) Data are expressed in numbers, whereas information is expressed in words C) Information must be kept confidential, whereas data are meant to be shared D) Information is about people, whereas data are about things - A) Data represent basic facts, whereas information represents meaning (33) Information standards that provide clear descriptors of data elements to be included in computer- based patient record systems are called ______ standards A) Vocabulary B) Structure of content C) Transaction

D) Security - B) Structure and content

(35) Dr, Jones entered a progress note in a patient's health record 24 hours after he visited the patient. Which quality element is missing from the progress note? A) Data completeness

• A) 43-42- (34) Given the following file numbers, which are arranged correctly in terminal-digit filing order?
  • 52-43-
  • 64-55-
  • 70-41-
• B) 43-42-
  • 64-55-
  • 70-41-
  • 52-43-
• C) 70-41-
  • 43-42-
  • 64-55-
  • 52-43-
• D) 52-43-
  • 43-42-
  • 64-55-
  • 70-41-00 - C) 70-41-
  • 43-42-
  • 64-55-
  • 52-43-

C) Data currency D) Data precision - C) Data currency (36) Mrs. Smith's admitting data indicates that her birth date is March 21, 1948. On the discharge summary, Mrs. Smith's birth date is recorded as July 21, 1948. Which quality element is missing from Mrs. Smith's health record? A) Data completeness B) Data consistency C) Data accessibility D) Data comprehensiveness - B) Data consistency (37) Which of the following is used to plot the points for two variables that may be related to each other in some way? A) Force-field analysis B) Pareto-chart C) Root cause analysis D) Scatter diagram - D) Scatter diagram (39) Which of the following is a primary weakness of the paper-based health record? A) Difficult to provide availability to a number of providers at the same time B) Poor communication tool C) Difficulty in documenting healthcare processes D) Lack of available resources - A) Difficult to provide availability to a number of providers at the same time (40) Which of the following elements is NOT a component of most patient records?

A) Patient identification B) Clinical history C) Invoice for services D) Test results - C) Invoice for services (41) Which of the following is NOT a characteristic of high-quality healthcare data? A) Data relevancy B) Data currency C) Data consistency D) Data accountability - D) Data accountability (43) Which of the following represents an example of data granularity? A) A progress note recorded at or near the time of the observation B) An acceptable range of values defined for a clinical characteristic C) A numerical measurement carried out to the appropriate decimal place D) A health record that includes all of the required components - A) A numerical measurement carried out to the appropriate decimal place (44) Which of the following is a primary purpose of the health record? A) Document patient care delivery B) Regulation of healthcare facilities C) Aid in education of nurses and physicians D) Assist in process redesign - A) Document patient care delivery (45) Which of the following best describes data comprehensiveness?

A) Data are correct B) Data are very easy to obtain C) Data include all required elements D) Data are reliable - C) Data include all required elements (46) Which of the following best describes data accessibility? A) Data are correct B) Data are easy to obtain C) Data include all required elements D) Data are reliable - B) Data are easy to obtain (47) In which department or unit is the health record number typically assigned? A) HIM B) Patient registration C) Nursing D) Billing - B) Patient registration (48) Identify where the following information would be found in the acute-care record: "Following induction of an adequate general anesthesia, and with the patient supine on the padded table, the left upper extremity was prepped and draped in the standard fashion." A) Anesthesia report B) Physician progress notes C) Operative report D) Recovery room record - C) Operative report (49) Identify where the following information would be found in the acute-care record: "CBC: WBC 12.0, RBC 4.65, HGB 14.8, HCT 43.3, MCV 93."

A) Medical laboratory report B) Pathology report C) Physical examination D) Physician orders - A) Medical laboratory report (50) The attending physician is responsible for which of the following types of acute-care documentation? A) Consultation discharge B) Discharge summary C) Laboratory report D) Pathology report - B) Discharge summary (51) A nurse is responsible for which of the following types of acute-care documentation? A) Operative report B) Medication report C) Radiology report D) Therapy assessment - B) Medication report (52) Which of the following is an example of clinical data? A) Admitting diagnosis B) Date and time of admission C) Insurance information D) Health record number - A) Admitting diagnosis

(53) The following is documented in an acute-care record: "HHENT: Reveals the tympanic membranes, nares and pharynx to be clear. No obvious head trauma. CHEST: Good bilateral chest sounds." In which of the following would this documentation appear? A) History B) Pathology report C) Physical examination D) Operation report - C) Physical examination (54) A hospital is concerned about the difficulty in retrieving health records for patient care and legal purposes. Some of its data are stored electronically, while the remainder are stored on paper. The hospital knows it will be several years before it will be able to implement an entire EHR system and go paperless. Given this information, which of the following would be the best solution for the hospital to ensure that all of the data for a patient are retrieved when needed? A) Continue with the current system B) Implement a document scanning system for storage of the paper record C) Implement a microfilm system for storage and retrieval of the paper records D) Implement a document scanning system for the paper records and interface data created in the current EHR with the document scanning system - D) Implement a document scanning system for the paper records and interface data created in the current EHR with the document scanning system (55) The following is documented in an acute-care record: "Atrial fibrillation with rapid ventricular response, left axis deviation, left bundle branch block." In which of the following would this document appear? A) Admission order B) Clinical laboratory report C) ECG report D) Radiology report - C) ECG report

(56) The following is documented in an acute-care record: "Spoke to the attending re: my assessment. Provided adoption and counseling information. Spoke to CPS re: referral. Case manager to meet with patient and family." In which of the following would this documentation appear? A) Admission note B) Dietary note C) Physician progress note D) Social service note - D) Social service note (57) Which of the following materials is NOT documented in an emergency care record? A) Patient's instructions at discharge B) Time and means of the patient's arrival C) Patient's complete medical history D) Emergency care administered before arrival at the facility - C) Patient's complete medical history (58) In a problem-oriented health record, problems are organized: A) In alphabetical order B) In numeric order C) In alphabetical order by body system D) By date of onset - B) In numeric order (59) Which of the following best describes an integrated health record format? A) Each section of the record is maintained by the patient care department that provided the care B) Integrated health records are intended to be used in ambulatory settings C) Documentation is integrated and arranged in alphabetical order by documentation type D) Documentation from various sources are integrated and arranged in strict chronological order - D) Documentation from various sources are integrated and arranged in strict chronological order

(60) Which of the following represents documentation of the patient's current an past health status? A) Physical exam B) Medical history C) Physician order D) Patient consent - B) Medical History (61) Which of the following contains the physician's findings based on an examination of the patient? A) Physical exam B) Discharge summary C) Medical history D) Patient instructions - A) Physical exam (62) What is the function of the consultation report? A) Provides a chronological summary of the patient's medical history and illness B) Documents options about the patient's condition from the perspective of a physician not previously involved in the patient's care C) Concisely summarizes the patient's treatment and stay in the hospital D) Documents the physician's instructions to other parties involved in providing care to a patient - B) Documents options about the patient's conditions from the perspective of a physician not previously involved in the patient's care (63) A secondary purpose of the health record is to provide support for which of the following? A) Provider reimbursement B) Patient self-management activities C) Research

D) Patient care delivery - C) Research (64) Use of the health record by a clinician to facilitate quality patient care is considered: A) A primary purpose of the health care record B) Patient care support C) A secondary purpose of the health record D) Policy making and support - A) A primary purpose of the health record (65) In designing an electronic health record, one of the best resources to use in helping to define the content of the record as well as to standardize data definitions are standards promulgated by the: A) Centers for Medicare and Medicaid Services B) American Society for Testing and Measurement C) Joint Commission D) National Center for Health Statistics - B) American Society for Testing and Measurement (66) Messaging standards for electronic data interchange in healthcare have been developed by: A) HL B) HEDIS C) The Joint Commission D) CMS - A) HL (67) The HIM department is planning to scan nonelectronic medical record documents. The project includes scanning health records documents such as patient history and physicals, physician orders, operative reports, and nursing notes. Which of the following methods would be best to help HIM professionals monitor the completeness of health records during a patient's hospitalization? A) Ad hoc scanning

B) Concurrent scanning C) Retrospective scanning D) Post-discharge scanning - B) Concurrent scanning (68) Using a hospital discharge database, a physician does a study of diabetes mellitus comparing age of onset with response to a specific drug regimen. The physical has gathered _______ from the database A) Data elements B) Information C) Informatics standards D) Data sets - B) Information (69) Two clerks are abstracting data for the same case for a registry. When their work is checked, discrepancies are found. Which data quality component is lacking? A) Completeness B) Validity C) Reliability D) Timeliness - C) Reliability (70) Which of the following terms refers to incidence of death? A) Classification B) Morbidity C) Mortality D) Vital statistics - C) Mortality (71) Review of disease indexes, pathology reports, and radiation therapy reports are parts of which function in the cancer registry?

A) Case definition B) Case finding C) Follow-up D) Reporting - B) Case finding (72) Cancer registries receive approval as part of the facility cancer program from which of the following agencies? A) American Cancer Society B) National Cancer Registrar's Association C) National Cancer Institute D) American College of Surgeons - D) American College of Surgeons (73) Which of the following is a database from the National Health Care Survey that uses the patient health record as a data source> A) National Health Provider Inventory B) National Ambulatory Medical Care Survey C) National Employer Health Insurance Survey D) National Infectious Disease Inventory - B) National Ambulatory Medical Care Survey (74) Which one of the following indices contains a list maintained in diagnosis code number order for patients who are discharged from a facility during a particular time period? A) Physician B) Master patient C) Disease D) Operation - C) Disease

(75) Which one of the following indices contains a list maintained in procedure code number order for patients who are discharged from a facility during a particular time period? A) Physician B) Master patient C) Disease D) Operation - D) Operation (76) Case finding is a method used to: A) Identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry B) Define which cases are to be included in a registry C) Identify trends and changes in the incidence of disease D) Identify facility-based trends - A) Identify patients who have been seen or treated in a facility for a particular disease or condition for inclusion in a registry (77) In a cancer registry, the accession number: A) Identifies all the cases of cancer treated in a given year B) Is the number assigned to each case as it is entered in a cancer registry C) Identifies the pathologic diagnosis of an individual cancer D) Is the number assigned for the diagnosis of a cancer patient that is entered into the cancer registry treatments and at different stages of cancer - B) Is the number assigned to each case as it is entered into a cancer registry (78) Vital statistics include data on: A) Research projects in which new treatments and tests are investigated to determine whether they are safe and effective B) Births, deaths, fetal deaths, marriages and divorces

C) Medicare claims D) ICD diagnoses codes - B) Births, deaths, fetal deaths, marriages and divorces (79) The most prevalent trend in the collection of secondary databases is: A) Increased use of encryption technology B) Increased use of encoders C) Increased use of automated data entry D) Widespread implementation of electronic medical records - C) Increased use of automated data entry (80) A record is considered a primary data source when it: A) Contains information about a patient and has been documented by the professionals who provided care to the patient B) Contains data abstracted from a patient record C) Includes data stored in a computer system D) Contains data that are entered into a disease-oriented database - A) Contains information about a patient and has been documented by the professionals who provided care to the patient (82) Suppose that 6 males and 14 females are in a class of 20 students with the data reported as 3/1. What erm could be used to describe the comparison? A) Ratio B) Percentage C) Proportion D) Rate - C) Proportion (83) In a frequency distribution, the lowest value is 5, and the highest value is 20. What is the range? A) 5 to 20

B) 15

C) 7.5

D) 20 to 5 - B) 15 (84) What is the mean for the following frequency distribution: 10, 15, 20, 25, 25? A) 47.5 B) 20 C) 19 D) 95 - C) 19 (85) Suppose that five patients stayed in the hospital for a total of 27 days. Which term would be used to describe the result of the calculation 27 divided by 5? A) Average length of stay B) Total length of stay C) Patient length of stay D) Average patient census - A) Average length of stay (86) Which of the following statements best describes the difference between a hospital inpatient and a hospital outpatient? A) Outpatients are treated in the emergency department; inpatients receive services in the regular clinical departments of the hospital B) Inpatients always stay in the hospital overnight; outpatients never do C) In patients receive room, board and continuous nursing services in areas of the hospital where patients generally stay overnight; outpatients receive ambulatory diagnostic and therapeutic services D) Outpatients primarily receive diagnostic services; inpatients receive mostly therapeutic services - C) Inpatients receive room, board, and continuous nursing services in areas of the hospital where patients generally stay overnight; outpatients receive ambulatory diagnostic and therapeutic services

(87) Given the numbers 47, 20, 11, 33, 30, 30, 35, and 50, what is the mode? A) 30 B) 32 C) 32.5 D) 35 - A) 30 (89) Mr. Jones was admitted to the hospital on March 21 and discharged on April 1. What was the length of stay for Mr. Jones? A) 5 days B) 10 days C) 11 days D) 15 days - C) 11 days (90) Community Hospital discharged nine patients on April 1. The length of stay for each of the patients was as follows: for patient A, 1 day; for patient B, 5 days; for patient C, 3 days; for patient D, 3 days; for patient E, 8 days; for patient F, 8 days;; for patient G, 8 days; for patient H, 9 days; for patient I, 9 days. What was the median length of stay? A) 5 days B) 6 Days C) 8 days D) 9 days - C) 8 days (91) Community Hospital had 25 inpatient deaths, including newborns, for the month of June. The hospital performed five autopsies for the same period. What was the gross autopsy rate for the hospital for June? A) 0.02% B) 5%

C) 20%

D) 200% - C) 20%

(92) If you want to display the parts of a whole in graphic form, what graphic technique would you use? A) Table B) Histogram C) Line graph D) Pie chart - D) Pie chart (93) Which rate describes the probability of risk of illness in a population over a period of time? A) Mortality B) Incidence C) Morbidity D) Prevalence - B) Incidence (94) Which term is used to describe the number of inpatients present at the census-taking time each day plus the number of inpatients who were both admitted and discharged after the census-taking time the previous day? A) Inpatient bed occupancy rate B) Bed count C) Average daily census D) Daily inpatient census - D) Daily inpatient census (95) Which unit of measure is used to indicated the services received by one inpatient in a 24-hour period? A) Inpatient service day