HIT FINAL STUDY GUIDE QUESTIONS
WITH ACCURATE ANSWERS
And advanced directive and informed consent are considered clinical data
True
False - ANSWERSFalse
And admission note documented by the attending physician can replace a dictated
history and physical examination
True
False - ANSWERSFalse
Dr. Smith has 10 delinquent patient records. Actions that could be taken by the hospital
include: - ANSWERSSuspension of physician privileges
The patient was admitted with chronic obstructive pulmonary disease or April 15. The
patient has an exacerbation of COPD it on June 1 the physician needs to document an:
- ANSWERSInterval history and physical examination
A pre-existing condition that causes an increase in the patient's length of stay by at least
one day in 75% of the cases is known as a: - ANSWERSComorbidity
The patient is admitted for congestive heart failure her and hypertension. During the
admission the patient is also treated for uncontrolled diabetes. The uncontrolled
diabetes is a: - ANSWERSComorbidity
Dr. Smith enters the following information as part of a progress note 2/3/YYYY. Patient
complains of upper right abdominal pain of four days duration. This information
represents the: - ANSWERSChief complaint
A licensed nurse is required to have a public license to deliver care to patients.
True
False - ANSWERSTrue
Every report and every page green in a manual for computerized patient records must
include patientrecordsmust include must include: - ANSWERSPatients name and
identification number
Dr. Cook records the following as part of the history and physical examination: patient
presents with abdominal pain for seven days duration. Fever and chills for the last three
days. Diagnosis at the time of admission: rolled out appendicitis versus obstruction of
colon the diagnosis records are: - ANSWERSDifferential diagnosis
,Dr. Bably writes the following note: onset of contractions started at 4 AM patient refuses
medication. Normal person Tatian. Outcome of delivery: single male infant. This
information would document as part of the - ANSWERSLabor and delivery record
A discharge progress note can be documented in the patient's record instead discharge
summary if the patient has an uncomplicated hospital stay of less than 48 hours:
True
False - ANSWERSFalse
All orders must be authenticated by the responsible provider
True
False - ANSWERSTrue
Dr. Smith documents in a patient's record that the patient may be released from the
recovery room. This would be documented as part of the: - ANSWERSPost anesthesia
notes
A complication is a pre-existing condition that will cause an increase in the Patients stay
state at least one day:
True
False - ANSWERSFalse
A patient's record contains the following order: Mary Black is stable and has no
complaints of pain. One is healing. No fever or chills. No medication given and no
restrictions. She can be released home in the morning. To be seen and by my office in
two weeks. This is an example of: - ANSWERSDischarge order
As Mr. RHIT assembles and analyzes a discharge obstetrical patient record, he finds
the forms listed below which should be pulled from the discharge patient record: -
ANSWERSIncident and antepartum record copy
All ancillary report should be filed in the patient's record within 24 hours after
interpretation of text results:
True
False - ANSWERSTrue
Dr. helps sees jack in her office to monitor his blood chemistry. She completes an
examination and orders his blood test for medical assisting completes the venipuncture.
Charges for the service would be recorded on a: - ANSWERSFace sheet
Dr. Jones is the attending physician for Mary Smith, who was admitted for colitis. During
her hospitalization Mary experiences chest pains. Dr. Jones ask Dr. Hart, a cardiologist,
to evaluate Mary's chest pains. Dr. hard wood document his examination of the patient,
pertinent findings, recommendations, and opinions on the: - ANSWERSReport of
consultation
, Dr. Jones reviews the following information located in the patient's record. In which
report is the information documented: - ANSWERSVital signs record
A living will is a written document that informs a healthcare provider of a patient desires
regarding life-sustaining treatment
True
False - ANSWERSTrue
Dr. Smith wants to implement a new form of record post operative complications. They
should be reviewed to be approved for use in the medical record FIVVY -
ANSWERSMedical director
EKG reports include a graphic print out of measurements of the electrical activity of the
brain
True
False - ANSWERSTrue
Every report in the patient records must contain patient identification data
True
False - ANSWERSTrue
AOA requirements state that a patient records must be maintained for each patient
treated in the emergency department:
True
False - ANSWERSTrue
A consent to admission documents a patient's consent for all medical treatment
including procedures and surgeries:
True
False - ANSWERSFalse
A principal procedure is performed for definitive for therapeutic reasons:
True
False - ANSWERSTrue
A document that informs a healthcare provider of the patient's desire regarding various
life-sustaining treatments is a: - ANSWERSLiving will
An APGAR score is documented in the: - ANSWERSNewborn record
A post operative progress note summarizes The patient's response to surgery and
______ - ANSWERSVital signs
A delinquent record can result in suspension of physicians medical staff privileges:
True
WITH ACCURATE ANSWERS
And advanced directive and informed consent are considered clinical data
True
False - ANSWERSFalse
And admission note documented by the attending physician can replace a dictated
history and physical examination
True
False - ANSWERSFalse
Dr. Smith has 10 delinquent patient records. Actions that could be taken by the hospital
include: - ANSWERSSuspension of physician privileges
The patient was admitted with chronic obstructive pulmonary disease or April 15. The
patient has an exacerbation of COPD it on June 1 the physician needs to document an:
- ANSWERSInterval history and physical examination
A pre-existing condition that causes an increase in the patient's length of stay by at least
one day in 75% of the cases is known as a: - ANSWERSComorbidity
The patient is admitted for congestive heart failure her and hypertension. During the
admission the patient is also treated for uncontrolled diabetes. The uncontrolled
diabetes is a: - ANSWERSComorbidity
Dr. Smith enters the following information as part of a progress note 2/3/YYYY. Patient
complains of upper right abdominal pain of four days duration. This information
represents the: - ANSWERSChief complaint
A licensed nurse is required to have a public license to deliver care to patients.
True
False - ANSWERSTrue
Every report and every page green in a manual for computerized patient records must
include patientrecordsmust include must include: - ANSWERSPatients name and
identification number
Dr. Cook records the following as part of the history and physical examination: patient
presents with abdominal pain for seven days duration. Fever and chills for the last three
days. Diagnosis at the time of admission: rolled out appendicitis versus obstruction of
colon the diagnosis records are: - ANSWERSDifferential diagnosis
,Dr. Bably writes the following note: onset of contractions started at 4 AM patient refuses
medication. Normal person Tatian. Outcome of delivery: single male infant. This
information would document as part of the - ANSWERSLabor and delivery record
A discharge progress note can be documented in the patient's record instead discharge
summary if the patient has an uncomplicated hospital stay of less than 48 hours:
True
False - ANSWERSFalse
All orders must be authenticated by the responsible provider
True
False - ANSWERSTrue
Dr. Smith documents in a patient's record that the patient may be released from the
recovery room. This would be documented as part of the: - ANSWERSPost anesthesia
notes
A complication is a pre-existing condition that will cause an increase in the Patients stay
state at least one day:
True
False - ANSWERSFalse
A patient's record contains the following order: Mary Black is stable and has no
complaints of pain. One is healing. No fever or chills. No medication given and no
restrictions. She can be released home in the morning. To be seen and by my office in
two weeks. This is an example of: - ANSWERSDischarge order
As Mr. RHIT assembles and analyzes a discharge obstetrical patient record, he finds
the forms listed below which should be pulled from the discharge patient record: -
ANSWERSIncident and antepartum record copy
All ancillary report should be filed in the patient's record within 24 hours after
interpretation of text results:
True
False - ANSWERSTrue
Dr. helps sees jack in her office to monitor his blood chemistry. She completes an
examination and orders his blood test for medical assisting completes the venipuncture.
Charges for the service would be recorded on a: - ANSWERSFace sheet
Dr. Jones is the attending physician for Mary Smith, who was admitted for colitis. During
her hospitalization Mary experiences chest pains. Dr. Jones ask Dr. Hart, a cardiologist,
to evaluate Mary's chest pains. Dr. hard wood document his examination of the patient,
pertinent findings, recommendations, and opinions on the: - ANSWERSReport of
consultation
, Dr. Jones reviews the following information located in the patient's record. In which
report is the information documented: - ANSWERSVital signs record
A living will is a written document that informs a healthcare provider of a patient desires
regarding life-sustaining treatment
True
False - ANSWERSTrue
Dr. Smith wants to implement a new form of record post operative complications. They
should be reviewed to be approved for use in the medical record FIVVY -
ANSWERSMedical director
EKG reports include a graphic print out of measurements of the electrical activity of the
brain
True
False - ANSWERSTrue
Every report in the patient records must contain patient identification data
True
False - ANSWERSTrue
AOA requirements state that a patient records must be maintained for each patient
treated in the emergency department:
True
False - ANSWERSTrue
A consent to admission documents a patient's consent for all medical treatment
including procedures and surgeries:
True
False - ANSWERSFalse
A principal procedure is performed for definitive for therapeutic reasons:
True
False - ANSWERSTrue
A document that informs a healthcare provider of the patient's desire regarding various
life-sustaining treatments is a: - ANSWERSLiving will
An APGAR score is documented in the: - ANSWERSNewborn record
A post operative progress note summarizes The patient's response to surgery and
______ - ANSWERSVital signs
A delinquent record can result in suspension of physicians medical staff privileges:
True
