RHIT EXAM PREP PRACTICE QUESTIONS |GUARANTEED ACCURATE ANSWERS |ALREADY PASSED!!, Exams of Nursing

Download RHIT EXAM PREP PRACTICE QUESTIONS |GUARANTEED ACCURATE ANSWERS |ALREADY PASSED!! and more Exams Nursing in PDF only on Docsity! RHIT EXAM PREP PRACTICE QUESTIONS RHIT EXAM PREP PRACTICE QUESTIONS |GUARANTEED ACCURATE ANSWERS |ALREADY PASSED!! (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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 B) Middle digit C) Terminal digit D) Straight numerical - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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? (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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ C) Assessment 64-55-00 70-41-00 52-43-01 C) 70-41-00 43-42-00 64-55-00 52-43-01 D) 52-43-01 43-42-00 64-55-00 70-41-00 - ACCURATE ANSWERS✔✔ C) 70-41-00 43-42-00 64-55-00 52-43-01 (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 B) Data relevancy C) Data currency D) Data precision - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 (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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ C) ECG report (56) The following is documented in an acute-care record: "Spoke to the attending re: my assessment. Provided adoption and counseling A) Physical exam B) Discharge summary C) Medical history D) Patient instructions - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ B) American Society for Testing and Measurement (66) Messaging standards for electronic data interchange in healthcare have been developed by: A) HL7 B) HEDIS C) The Joint Commission D) CMS - ACCURATE ANSWERS✔✔ A) HL7 (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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ B) Information D) Operation - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 D) 15 days - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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% - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 - ACCURATE ANSWERS✔✔ 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 B) Volume of services C) Average occupancy services D) Length of stay - ACCURATE ANSWERS✔✔ A) Inpatient service day (96) Which rate is used to compare the number of inpatient deaths to the total number of inpatient deaths and discharges? A) Net hospital death rate B) Fetal/newborn/maternal hospital death rate C) Gross hospital death rate D) Adjusted hospital death rate - ACCURATE ANSWERS✔✔ C) Gross hospital death rate (97) Which term is used to describe the number of calendar days that a patient is hospitalized? A) Average length of stay B) Length of stay C) Occupancy rate D) Level of service - ACCURATE ANSWERS✔✔ B) Length of stay