CERTIFIED ASSOCIATE IN HEALTHCARE
INFORMATION AND MANAGEMENT SYSTEMS
CAHIMS EXAM REVIEW TEST BANK 2
UPDATED 600 QUESTIONS AND CORRECT ANSWERS
EXAM PREP 2026-2027| GRADED A+
TABLE OF CONTENTS
SECTION 1: HEALTHCARE DELIVERY SYSTEMS AND CLINICAL ROLES
SECTION 2: CLINICAL PRACTICE AND NURSING ROLES
SECTION 3: HEALTHCARE INFORMATION SYSTEMS AND EHR
SECTION 4: GOVERNANCE, REGULATIONS, AND COMPLIANCE
SECTION 5: CARE COORDINATION AND TRANSITIONS
SECTION 6: HEALTHCARE FINANCE AND REIMBURSEMENT
SECTION 7: HEALTHCARE QUALITY AND PERFORMANCE IMPROVEMENT
SECTION 8: HEALTHCARE ORGANIZATIONAL STRUCTURE AND MANAGEMENT
SECTION 9: LEGAL AND ETHICAL ISSUES IN HEALTHCARE
SECTION 10: POPULATION HEALTH AND EPIDEMIOLOGY
SECTION 11: HEALTHCARE FINANCE AND ECONOMICS (ADVANCED)
SECTION 12: HEALTHCARE IT AND HEALTH INFORMATICS (ADVANCED)
SECTION 13: EMERGENCY PREPAREDNESS AND CRISIS MANAGEMENT
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,SECTION 14: LEADERSHIP AND MANAGEMENT IN HEALTHCARE
SECTION 15: EVIDENCE-BASED PRACTICE AND RESEARCH
SECTION 16: HEALTHCARE POLICY AND ADVOCACY
SECTION 17: HEALTHCARE TRENDS AND INNOVATIONS
SECTION 18: HEALTHCARE RISK MANAGEMENT AND PATIENT SAFETY
SECTION 19: HEALTHCARE WORKFORCE AND PROFESSIONAL DEVELOPMENT
SECTION 20: HEALTHCARE ACCESS AND EQUITY
SECTION 21: ADDITIONAL ESSENTIAL QUESTIONS
SECTION 1: HEALTHCARE DELIVERY SYSTEMS AND CLINICAL ROLES
1. A primary care physician typically provides routine care including health maintenance
and management of new and chronic disease. Which specialty was specifically mentioned
as delivering primary care by default?
a. Emergency Medicine
b. Family Medicine
c. Internal Medicine
d. Pediatrics
Answer: a. Emergency Medicine
Rationale: Emergency Medicine is considered the default primary care provider for many
patients who lack established PCPs. These patients frequently visit emergency departments
for non-urgent conditions, making emergency physicians their de facto primary care
providers. This places an additional burden on emergency services and highlights gaps in
ambulatory care access.
2. The typical sequence of education and training required to be a Nephrologist would be:
a. College, Medical School, Graduate School, Fellowship, Residency
Page | 2
,b. College, Medical School, Residency, Fellowship
c. College, Medical School, Fellowship, Licensure
d. College, Graduate School, Medical School, Fellowship, Board Certification
Answer: b. College, Medical School, Residency, Fellowship
Rationale: Nephrology is a subspecialty of internal medicine. After completing a 4-year
college degree and 4-year medical school, physicians complete a 3-year internal medicine
residency followed by a 2-3 year nephrology fellowship. Graduate school is not required for
physicians, and fellowship always precedes board certification.
3. A nurse practitioner typically requires what degree?
a. Associate Degree
b. Bachelor's of Science
c. Master's Degree
d. Doctoral Degree
Answer: c. Master's Degree
Rationale: While some NP programs now offer doctoral degrees (DNP), the minimum
educational requirement for nurse practitioners is a Master's degree. NPs complete
advanced graduate-level education in nursing, including pathophysiology, pharmacology,
and physical assessment, along with clinical hours in their specialty area. This advanced
education allows them to diagnose and treat conditions independently in many states.
4. Most states allow a Licensed Practical Nurse (LPN) to administer an Intravenous push
medication (rapidly infused using a syringe)?
a. True
b. False
Answer: b. False
Rationale: Most state nursing practice acts prohibit LPNs from administering IV push
medications. This restriction exists because IV push medications require advanced
assessment skills, rapid response capabilities, and deep pharmacological knowledge. LPNs
are generally limited to IV maintenance, peripheral line management, and administering IV
piggyback medications, but not direct push medications.
Page | 3
, 5. Medication assistants in many states are restricted to administering medication in:
a. Community hospitals
b. Long-term care facilities
c. Emergency departments
d. Dialysis units
Answer: b. Long-term care facilities
Rationale: Medication assistants (also called medication aides or medication technicians)
are primarily utilized in long-term care facilities, assisted living, and skilled nursing
facilities. They are certified to administer oral and topical medications under the
supervision of licensed nurses but are restricted from more complex settings like hospitals,
emergency departments, and dialysis units where more advanced assessment and
intervention skills are required.
6. Since 2007, new pharmacists are required to have what degree?
a. Bachelor's Degree in Pharmacy
b. Master's Degree in Pharmacy
c. Pharm D
d. PhD in Pharmacology
Answer: c. Pharm D
Rationale: The Accreditation Council for Pharmacy Education mandated that all pharmacy
programs transition to the Doctor of Pharmacy (PharmD) degree by 2000, and by 2007, it
became the standard entry-level degree. The BS in Pharmacy is no longer offered in the US
for new students. This 6-8 year doctoral program includes extensive clinical training.
7. What is the biggest difference between Counselors, MSWs, Psychologists, and
Psychiatrists?
a. Ability to perform individual counseling
b. Ability to perform group counseling
c. Ability to specialize in specific areas
Page | 4
INFORMATION AND MANAGEMENT SYSTEMS
CAHIMS EXAM REVIEW TEST BANK 2
UPDATED 600 QUESTIONS AND CORRECT ANSWERS
EXAM PREP 2026-2027| GRADED A+
TABLE OF CONTENTS
SECTION 1: HEALTHCARE DELIVERY SYSTEMS AND CLINICAL ROLES
SECTION 2: CLINICAL PRACTICE AND NURSING ROLES
SECTION 3: HEALTHCARE INFORMATION SYSTEMS AND EHR
SECTION 4: GOVERNANCE, REGULATIONS, AND COMPLIANCE
SECTION 5: CARE COORDINATION AND TRANSITIONS
SECTION 6: HEALTHCARE FINANCE AND REIMBURSEMENT
SECTION 7: HEALTHCARE QUALITY AND PERFORMANCE IMPROVEMENT
SECTION 8: HEALTHCARE ORGANIZATIONAL STRUCTURE AND MANAGEMENT
SECTION 9: LEGAL AND ETHICAL ISSUES IN HEALTHCARE
SECTION 10: POPULATION HEALTH AND EPIDEMIOLOGY
SECTION 11: HEALTHCARE FINANCE AND ECONOMICS (ADVANCED)
SECTION 12: HEALTHCARE IT AND HEALTH INFORMATICS (ADVANCED)
SECTION 13: EMERGENCY PREPAREDNESS AND CRISIS MANAGEMENT
Page | 1
,SECTION 14: LEADERSHIP AND MANAGEMENT IN HEALTHCARE
SECTION 15: EVIDENCE-BASED PRACTICE AND RESEARCH
SECTION 16: HEALTHCARE POLICY AND ADVOCACY
SECTION 17: HEALTHCARE TRENDS AND INNOVATIONS
SECTION 18: HEALTHCARE RISK MANAGEMENT AND PATIENT SAFETY
SECTION 19: HEALTHCARE WORKFORCE AND PROFESSIONAL DEVELOPMENT
SECTION 20: HEALTHCARE ACCESS AND EQUITY
SECTION 21: ADDITIONAL ESSENTIAL QUESTIONS
SECTION 1: HEALTHCARE DELIVERY SYSTEMS AND CLINICAL ROLES
1. A primary care physician typically provides routine care including health maintenance
and management of new and chronic disease. Which specialty was specifically mentioned
as delivering primary care by default?
a. Emergency Medicine
b. Family Medicine
c. Internal Medicine
d. Pediatrics
Answer: a. Emergency Medicine
Rationale: Emergency Medicine is considered the default primary care provider for many
patients who lack established PCPs. These patients frequently visit emergency departments
for non-urgent conditions, making emergency physicians their de facto primary care
providers. This places an additional burden on emergency services and highlights gaps in
ambulatory care access.
2. The typical sequence of education and training required to be a Nephrologist would be:
a. College, Medical School, Graduate School, Fellowship, Residency
Page | 2
,b. College, Medical School, Residency, Fellowship
c. College, Medical School, Fellowship, Licensure
d. College, Graduate School, Medical School, Fellowship, Board Certification
Answer: b. College, Medical School, Residency, Fellowship
Rationale: Nephrology is a subspecialty of internal medicine. After completing a 4-year
college degree and 4-year medical school, physicians complete a 3-year internal medicine
residency followed by a 2-3 year nephrology fellowship. Graduate school is not required for
physicians, and fellowship always precedes board certification.
3. A nurse practitioner typically requires what degree?
a. Associate Degree
b. Bachelor's of Science
c. Master's Degree
d. Doctoral Degree
Answer: c. Master's Degree
Rationale: While some NP programs now offer doctoral degrees (DNP), the minimum
educational requirement for nurse practitioners is a Master's degree. NPs complete
advanced graduate-level education in nursing, including pathophysiology, pharmacology,
and physical assessment, along with clinical hours in their specialty area. This advanced
education allows them to diagnose and treat conditions independently in many states.
4. Most states allow a Licensed Practical Nurse (LPN) to administer an Intravenous push
medication (rapidly infused using a syringe)?
a. True
b. False
Answer: b. False
Rationale: Most state nursing practice acts prohibit LPNs from administering IV push
medications. This restriction exists because IV push medications require advanced
assessment skills, rapid response capabilities, and deep pharmacological knowledge. LPNs
are generally limited to IV maintenance, peripheral line management, and administering IV
piggyback medications, but not direct push medications.
Page | 3
, 5. Medication assistants in many states are restricted to administering medication in:
a. Community hospitals
b. Long-term care facilities
c. Emergency departments
d. Dialysis units
Answer: b. Long-term care facilities
Rationale: Medication assistants (also called medication aides or medication technicians)
are primarily utilized in long-term care facilities, assisted living, and skilled nursing
facilities. They are certified to administer oral and topical medications under the
supervision of licensed nurses but are restricted from more complex settings like hospitals,
emergency departments, and dialysis units where more advanced assessment and
intervention skills are required.
6. Since 2007, new pharmacists are required to have what degree?
a. Bachelor's Degree in Pharmacy
b. Master's Degree in Pharmacy
c. Pharm D
d. PhD in Pharmacology
Answer: c. Pharm D
Rationale: The Accreditation Council for Pharmacy Education mandated that all pharmacy
programs transition to the Doctor of Pharmacy (PharmD) degree by 2000, and by 2007, it
became the standard entry-level degree. The BS in Pharmacy is no longer offered in the US
for new students. This 6-8 year doctoral program includes extensive clinical training.
7. What is the biggest difference between Counselors, MSWs, Psychologists, and
Psychiatrists?
a. Ability to perform individual counseling
b. Ability to perform group counseling
c. Ability to specialize in specific areas
Page | 4
