ATI 2026 | FROM QUESTION TO PERFECTION| STUDY WITH
CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is teaching a newly licensed nurse about using a computer to document findings in a
client's health record. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
a.) "I should remain aware of my surroundings when documenting on the computer."
b.) "I should share my computer password with the nurse who is orienting me."
c.) "I can step away from the computer for a short time if I am logged on and no one is around."
d.) "I can review the health records of other clients on the unit who are not assigned to me."
Answer: a.) "I should remain aware of my surroundings when documenting on the computer."
The nurse should protect the screen from being visible to others. Maintaining an awareness of
who is near the computer and able to see the screen promotes confidentiality and compliance
with HIPAA regulations.
Which of the following federal statutes establishes the authority and responsibilities of the
federal agencies who manage the Health Care Fraud and Abuse Control (HCFAC) program?
a.) False Claims Act
b.) Stark Law
c.) Patient Protection and Affordable Care Act
d.) Heath Insurance Portability and Accountability Act (HIPAA) Answer: d.) Heath Insurance
Portability and Accountability Act (HIPAA)
HIPAA specifies the authority and responsibilities of the agencies the US Department of Health
and Human Services' Office of the Inspector General (OIG), the Attorney General, and the DOJ,
which together manage the HCFAC program.
A group of nurses on a clinical unit are planning to research the incidence of falls among clients
following joint replacement surgery. Which of the following actions should the nurses take to
ensure the study complies with the HIPAA Privacy Rule?
a.) Contact the medical record department to obtain permission to access clients' charts.
b.) Submit their proposal to the institutional review board for review and describe how they will
de-identify client information
c.) Notify the clients who will be included in the study to submit a written request if they choose
not to participate
d.) Obtain permission from the risk management department to gain access to incident reports
that were filed due to client falls. Answer: b.) Submit their proposal to the institutional review
board for review and describe how they will de-identify client information
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,Research using client records can be done if client information is de-identified. It is the
responsibility of institutional review boards to determine if a study meets this criterion.
Which of the following agencies of the US government has the authority to exclude individuals
and entities from participating in federal health care programs?
a.) Medicare Recovery Audit Contractors (RACs)
b.) Health Care Fraud Prevention and Enforcement Action Team (HEAT)
c.) Office of Inspector General (OIG)
d.) Department of Justice (DOJ) Answer: c.) Office of Inspector General (OIG)
The OIG has the authority to exclude individuals and entities from federal health care programs
for fraud and abuse that affects these programs or their beneficiaries.
A newly hired nurse is reviewing information about the HIPAA Privacy Rule during facility
orientation. Which of the following statements by the nurse indicates an understanding of the
Privacy Rule?
a.) "Client do not have the right to read their charts."
b.) "I can read the charts of other clients on my floor."
c.) "I will expect a list of clients and their admitting diagnoses to be posted on my unit."
d.) "I can give information about a client over the phone if the client gives permission."
Answer: d.) "I can give information about a client over the phone if the client gives
permission."
Information about a client can be given over the phone to someone if the client has granted
permission for that person to receive information. Many facilities have implemented an access
code system that requires the person asking for information to provide the code.
Which of the following methods of information exchange can occur without client
authorization?
a.) Walking rounds that involve two nurses discussing an assigned client at the client's bedside
in a private room.
b.) Recording shift report on a device for all oncoming staff to access information about all
clients on the unit
c.) Talking about a client's information during a staff in-service with all levels of unit staff
present
d.) Providing an employer with confirmation that their employee is currently being treated in the
facility Answer: a.) Walking rounds that involve two nurses discussing an assigned client at the
client's bedside in a private room.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, This practice is acceptable if the two nurses are both assigned to this client and no one else is in
the room. It is within the client's rights to hear information about their own care and treatment.
A nurse in a pediatrician's office is speaking on the telephone with the guardian of a school-age
child who will become a new client at the office. The nurse should instruct the guardian to call
the child's previous provider's office to request which of the following?
a.) The child's original medical records, which the guardian will make photocopies of for the
new pediatrician's office
b.) The child's original medical records, which will be given to the new pediatrician's office
c.) A form authorizing a release of copies of the child's medical records, which will be signed by
the guardian
d.) A form authorizing release of the child's medical records, which will be signed by the new
pediatrician and sent back to the previous provider. Answer: c.) A form authorizing a release of
copies of the child's medical records, which will be signed by the guardian
A written authorization by the responsible party, in this case the guardian, must be provided to
the previous provider's office prior to making copies of the health care records available to the
new pediatrician.
According to recent estimates, which of the following sources of health care waste has had the
largest financial impact?
a.) Lack of care coordination
b.) Preventable conditions and avoidable care
c.) Administrative system inefficiencies
d.) Unwarranted use of medical resources or services Answer: d.) Unwarranted use of medical
resources or services
Unwarranted use of medical resources and services, including overutilization of testing or
inappropriate treatments, consumes an estimated $250 billion to $325 billion per year of health
care expenditures. It carries the largest financial burden compared with other sources of fraud,
waste, and abuse.
The Health Insurance Portability and Accountability Act (HIPAA) mandates that health care
entities implement which of the following in order to help reduce the Medicare fee-for-services
error rate and prevent payment for potentially fraudulent activity?
a.) Balance billing
b.) Electronic health records
c.) Unbundling
d.) Whistle blower procedures Answer: b.) Electronic health records
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
CONFIDENCE!
Course Code:
Course Title:
Programme:
Academic Year: 2026/2027
Duration: 2 Hours
Total Marks: 70%
Candidate Instructions:
1) Write your Registration Number on every answer booklet used.
2) Answer ALL questions in Section A and ANY TWO (2) questions in Section B.
3) Read each question carefully before answering.
4) Begin each question on a new page.
5) The marks for each question are indicated in brackets.
6) This paper consists of several printed pages, including this page.
7) Ensure your copy is complete before the examination begins.
8) Unauthorized materials and communication with other candidates are not permitted.
Turn Over.
APPHIA – Crafted with Care and Precision for Academic Excellence.
1
,A nurse is teaching a newly licensed nurse about using a computer to document findings in a
client's health record. Which of the following statements by the newly licensed nurse indicates
an understanding of the teaching?
a.) "I should remain aware of my surroundings when documenting on the computer."
b.) "I should share my computer password with the nurse who is orienting me."
c.) "I can step away from the computer for a short time if I am logged on and no one is around."
d.) "I can review the health records of other clients on the unit who are not assigned to me."
Answer: a.) "I should remain aware of my surroundings when documenting on the computer."
The nurse should protect the screen from being visible to others. Maintaining an awareness of
who is near the computer and able to see the screen promotes confidentiality and compliance
with HIPAA regulations.
Which of the following federal statutes establishes the authority and responsibilities of the
federal agencies who manage the Health Care Fraud and Abuse Control (HCFAC) program?
a.) False Claims Act
b.) Stark Law
c.) Patient Protection and Affordable Care Act
d.) Heath Insurance Portability and Accountability Act (HIPAA) Answer: d.) Heath Insurance
Portability and Accountability Act (HIPAA)
HIPAA specifies the authority and responsibilities of the agencies the US Department of Health
and Human Services' Office of the Inspector General (OIG), the Attorney General, and the DOJ,
which together manage the HCFAC program.
A group of nurses on a clinical unit are planning to research the incidence of falls among clients
following joint replacement surgery. Which of the following actions should the nurses take to
ensure the study complies with the HIPAA Privacy Rule?
a.) Contact the medical record department to obtain permission to access clients' charts.
b.) Submit their proposal to the institutional review board for review and describe how they will
de-identify client information
c.) Notify the clients who will be included in the study to submit a written request if they choose
not to participate
d.) Obtain permission from the risk management department to gain access to incident reports
that were filed due to client falls. Answer: b.) Submit their proposal to the institutional review
board for review and describe how they will de-identify client information
APPHIA – Crafted with Care and Precision for Academic Excellence.
2
,Research using client records can be done if client information is de-identified. It is the
responsibility of institutional review boards to determine if a study meets this criterion.
Which of the following agencies of the US government has the authority to exclude individuals
and entities from participating in federal health care programs?
a.) Medicare Recovery Audit Contractors (RACs)
b.) Health Care Fraud Prevention and Enforcement Action Team (HEAT)
c.) Office of Inspector General (OIG)
d.) Department of Justice (DOJ) Answer: c.) Office of Inspector General (OIG)
The OIG has the authority to exclude individuals and entities from federal health care programs
for fraud and abuse that affects these programs or their beneficiaries.
A newly hired nurse is reviewing information about the HIPAA Privacy Rule during facility
orientation. Which of the following statements by the nurse indicates an understanding of the
Privacy Rule?
a.) "Client do not have the right to read their charts."
b.) "I can read the charts of other clients on my floor."
c.) "I will expect a list of clients and their admitting diagnoses to be posted on my unit."
d.) "I can give information about a client over the phone if the client gives permission."
Answer: d.) "I can give information about a client over the phone if the client gives
permission."
Information about a client can be given over the phone to someone if the client has granted
permission for that person to receive information. Many facilities have implemented an access
code system that requires the person asking for information to provide the code.
Which of the following methods of information exchange can occur without client
authorization?
a.) Walking rounds that involve two nurses discussing an assigned client at the client's bedside
in a private room.
b.) Recording shift report on a device for all oncoming staff to access information about all
clients on the unit
c.) Talking about a client's information during a staff in-service with all levels of unit staff
present
d.) Providing an employer with confirmation that their employee is currently being treated in the
facility Answer: a.) Walking rounds that involve two nurses discussing an assigned client at the
client's bedside in a private room.
APPHIA – Crafted with Care and Precision for Academic Excellence.
3
, This practice is acceptable if the two nurses are both assigned to this client and no one else is in
the room. It is within the client's rights to hear information about their own care and treatment.
A nurse in a pediatrician's office is speaking on the telephone with the guardian of a school-age
child who will become a new client at the office. The nurse should instruct the guardian to call
the child's previous provider's office to request which of the following?
a.) The child's original medical records, which the guardian will make photocopies of for the
new pediatrician's office
b.) The child's original medical records, which will be given to the new pediatrician's office
c.) A form authorizing a release of copies of the child's medical records, which will be signed by
the guardian
d.) A form authorizing release of the child's medical records, which will be signed by the new
pediatrician and sent back to the previous provider. Answer: c.) A form authorizing a release of
copies of the child's medical records, which will be signed by the guardian
A written authorization by the responsible party, in this case the guardian, must be provided to
the previous provider's office prior to making copies of the health care records available to the
new pediatrician.
According to recent estimates, which of the following sources of health care waste has had the
largest financial impact?
a.) Lack of care coordination
b.) Preventable conditions and avoidable care
c.) Administrative system inefficiencies
d.) Unwarranted use of medical resources or services Answer: d.) Unwarranted use of medical
resources or services
Unwarranted use of medical resources and services, including overutilization of testing or
inappropriate treatments, consumes an estimated $250 billion to $325 billion per year of health
care expenditures. It carries the largest financial burden compared with other sources of fraud,
waste, and abuse.
The Health Insurance Portability and Accountability Act (HIPAA) mandates that health care
entities implement which of the following in order to help reduce the Medicare fee-for-services
error rate and prevent payment for potentially fraudulent activity?
a.) Balance billing
b.) Electronic health records
c.) Unbundling
d.) Whistle blower procedures Answer: b.) Electronic health records
APPHIA – Crafted with Care and Precision for Academic Excellence.
4
