1|Page
RHIT Exam 1 Practice Questions
With Correct Answers 2026
Which of the following is a true statement about the content of the legal health
record?
a. The legal health record contains only clinical data
b. The legal health record may contain metadata
c. The legal health record should not include e-mail
d. The legal health record should not include diagnostic images - correct-answer -
b. The legal health record may contain metadata
Organizations should develop and maintain an inventory of all documents and
data that could comprise the legal health record, considering all locations in the
organization (for example, separate departments or servers) where such
information could be housed. Organizations should also carefully consider
whether to include data such as pop-up reminders, alerts, and metadata.
,2|Page
Metadata are data about data and include information that track actions such as
when and by whom a document was accessed or changed.
The primary goals of __________ are to improve patient care, streamline
disability benefit claims, and improve public health reporting through secure,
trusted, and interoperable health information exchange.
a. the National Health Information Network
b. the National Committee on Vital and Health Statistics
c. Health Level Seven (HL7) International
d. the EHR Collaborative - correct-answer - a. the National Health Information
Network
The National Health Information Network is a group of federal agencies and no-
federal organizations that came together under a common mission and purpose
to improve patient care, streamline disability benefit claims, and improve public
health reporting through secure, trusted, and interoperable health information
exchange.
,3|Page
The clinical forms committee:
a. Provides oversight for the development, review, and control of forms and
computer screens
b. Is responsible for the EHR implementation and maintenance
c. Is always a subcommittee of the quality improvement committee
d. Is an optional function for the HIM department - correct-answer - a. Provides
oversight for the development, review, and control of forms and computer
screens
Every healthcare facility should have a clinical forms committee to establish
standards for design and to approve new and revised forms. The committee
should also have oversight of computer screens and other data capture tools.
An HIM technician was alerted by registration that the system has a record for
John Smith with two different birthdates. After an investigation the technician
, 4|Page
determined the documentation was for two different patients, both named John
Smith, who have the same health record number in the EHR. This is an example
of:
a. Overlap
b. Overlay
c. Duplicate
d. Purge - correct-answer - b. Overlay
An issue with the quality of the MPI is an overlay, where a patient is erroneously
assigned another person's health record number. When this happens, patient
information from both patients becomes commingled and care providers may
make medical decisions based on erroneous information, increasing the legal risks
to the healthcare organization and quality of care risks to the patient as well.
Erin is an HIM professional. She is teaching a class to clinicians about proper
documentation in the health record. Which of the following is an example of
improper teaching?
RHIT Exam 1 Practice Questions
With Correct Answers 2026
Which of the following is a true statement about the content of the legal health
record?
a. The legal health record contains only clinical data
b. The legal health record may contain metadata
c. The legal health record should not include e-mail
d. The legal health record should not include diagnostic images - correct-answer -
b. The legal health record may contain metadata
Organizations should develop and maintain an inventory of all documents and
data that could comprise the legal health record, considering all locations in the
organization (for example, separate departments or servers) where such
information could be housed. Organizations should also carefully consider
whether to include data such as pop-up reminders, alerts, and metadata.
,2|Page
Metadata are data about data and include information that track actions such as
when and by whom a document was accessed or changed.
The primary goals of __________ are to improve patient care, streamline
disability benefit claims, and improve public health reporting through secure,
trusted, and interoperable health information exchange.
a. the National Health Information Network
b. the National Committee on Vital and Health Statistics
c. Health Level Seven (HL7) International
d. the EHR Collaborative - correct-answer - a. the National Health Information
Network
The National Health Information Network is a group of federal agencies and no-
federal organizations that came together under a common mission and purpose
to improve patient care, streamline disability benefit claims, and improve public
health reporting through secure, trusted, and interoperable health information
exchange.
,3|Page
The clinical forms committee:
a. Provides oversight for the development, review, and control of forms and
computer screens
b. Is responsible for the EHR implementation and maintenance
c. Is always a subcommittee of the quality improvement committee
d. Is an optional function for the HIM department - correct-answer - a. Provides
oversight for the development, review, and control of forms and computer
screens
Every healthcare facility should have a clinical forms committee to establish
standards for design and to approve new and revised forms. The committee
should also have oversight of computer screens and other data capture tools.
An HIM technician was alerted by registration that the system has a record for
John Smith with two different birthdates. After an investigation the technician
, 4|Page
determined the documentation was for two different patients, both named John
Smith, who have the same health record number in the EHR. This is an example
of:
a. Overlap
b. Overlay
c. Duplicate
d. Purge - correct-answer - b. Overlay
An issue with the quality of the MPI is an overlay, where a patient is erroneously
assigned another person's health record number. When this happens, patient
information from both patients becomes commingled and care providers may
make medical decisions based on erroneous information, increasing the legal risks
to the healthcare organization and quality of care risks to the patient as well.
Erin is an HIM professional. She is teaching a class to clinicians about proper
documentation in the health record. Which of the following is an example of
improper teaching?