Health Information Management Midterm
Exam– HIM Professional Studies |
Questions and Answers | Graded A+
Health Information Management (HIM)
Midterm – PRACTICE Exam
Professional Studies | Multiple Choice | NCLEX-style clarity
🟦 HIM Fundamental
Q1. The primary purpose of Health Information Management is to:
a) Provide direct patient care
b) Ensure accurate, secure health data
c) Perform billing only
✅
d) Diagnose diseases
Answer: b
Q2. The legal health record is best defined as:
a) All data ever collected
b) Records used to make patient care decisions
c) Billing records only
✅
d) Personal notes
Answer: b
Q3. HIM professionals are responsible for ensuring records are:
a) Brief
b) Entertaining
c) Accurate, complete, and timely
,✅
d) Confidential only
Answer: c
Q4. Which format is MOST common for documenting patient care?
a) Narrative only
b) SOAP
c) Problem-oriented medical record
✅
d) Multimedia
Answer: c
Q5. Data integrity means data is:
a) Easy to access
b) Free from error and alteration
c) Stored digitally
✅
d) Encrypted only
Answer: b
Q6. The HIM department collaborates MOST with:
a) Marketing
b) Clinical and administrative teams
c) Cafeteria services
✅
d) Security only
Answer: b
Q7. Which document is created at patient admission?
a) Operative report
b) Discharge summary
c) Registration record
✅
d) Progress note
Answer: c
Q8. Secondary data is used primarily for:
a) Direct care
b) Research and statistics
c) Patient interviews
✅
d) Diagnosis
Answer: b
Q9. An example of secondary data is:
a) Physician notes
b) Lab results
c) Cancer registry data
✅
d) Medication orders
Answer: c
, Q10. The HIM professional must comply with:
a) Hospital preference
b) Federal and state regulations
c) Physician choice
✅
d) Patient opinion only
Answer: b
🟦 Legal & Ethical Issues (11–20)
Q11. HIPAA primarily protects:
a) Providers
b) Insurance companies
c) Patient health information
✅
d) Employers
Answer: c
Q12. PHI includes:
a) Name only
b) Diagnosis only
c) Any identifiable health information
✅
d) Billing codes only
Answer: c
Q13. Unauthorized disclosure of PHI is a:
a) Minor error
b) HIPAA violation
c) Billing issue
✅
d) Coding error
Answer: b
Q14. The minimum necessary rule means:
a) Share all data
b) Share only needed information
c) Share verbally only
✅
d) Share after discharge
Answer: b
Q15. Informed consent ensures the patient:
a) Pays the bill
b) Understands risks and benefits
c) Signs all forms
Exam– HIM Professional Studies |
Questions and Answers | Graded A+
Health Information Management (HIM)
Midterm – PRACTICE Exam
Professional Studies | Multiple Choice | NCLEX-style clarity
🟦 HIM Fundamental
Q1. The primary purpose of Health Information Management is to:
a) Provide direct patient care
b) Ensure accurate, secure health data
c) Perform billing only
✅
d) Diagnose diseases
Answer: b
Q2. The legal health record is best defined as:
a) All data ever collected
b) Records used to make patient care decisions
c) Billing records only
✅
d) Personal notes
Answer: b
Q3. HIM professionals are responsible for ensuring records are:
a) Brief
b) Entertaining
c) Accurate, complete, and timely
,✅
d) Confidential only
Answer: c
Q4. Which format is MOST common for documenting patient care?
a) Narrative only
b) SOAP
c) Problem-oriented medical record
✅
d) Multimedia
Answer: c
Q5. Data integrity means data is:
a) Easy to access
b) Free from error and alteration
c) Stored digitally
✅
d) Encrypted only
Answer: b
Q6. The HIM department collaborates MOST with:
a) Marketing
b) Clinical and administrative teams
c) Cafeteria services
✅
d) Security only
Answer: b
Q7. Which document is created at patient admission?
a) Operative report
b) Discharge summary
c) Registration record
✅
d) Progress note
Answer: c
Q8. Secondary data is used primarily for:
a) Direct care
b) Research and statistics
c) Patient interviews
✅
d) Diagnosis
Answer: b
Q9. An example of secondary data is:
a) Physician notes
b) Lab results
c) Cancer registry data
✅
d) Medication orders
Answer: c
, Q10. The HIM professional must comply with:
a) Hospital preference
b) Federal and state regulations
c) Physician choice
✅
d) Patient opinion only
Answer: b
🟦 Legal & Ethical Issues (11–20)
Q11. HIPAA primarily protects:
a) Providers
b) Insurance companies
c) Patient health information
✅
d) Employers
Answer: c
Q12. PHI includes:
a) Name only
b) Diagnosis only
c) Any identifiable health information
✅
d) Billing codes only
Answer: c
Q13. Unauthorized disclosure of PHI is a:
a) Minor error
b) HIPAA violation
c) Billing issue
✅
d) Coding error
Answer: b
Q14. The minimum necessary rule means:
a) Share all data
b) Share only needed information
c) Share verbally only
✅
d) Share after discharge
Answer: b
Q15. Informed consent ensures the patient:
a) Pays the bill
b) Understands risks and benefits
c) Signs all forms
