NHA CEHRS (National Healthcareer Association Certified
Electronic Health Records Specialist)Practice Exam Question
And Correct Answers With Explanation.
.
Domain 1: Non-Clinical Operations (28 items)
1. An EHR specialist is verifying patient identity. Which secondary identifier should
be used after confirming the patient's first and last name?
A. ZIP code
B. Room number
C. Insurance carrier
D. Date of birth
Correct Answer: D
Rationale: Date of birth is the standard secondary identifier for patient verification.
Room number and insurance carrier are not reliable identifiers.
2. Which document is required to verify that correct patient accounts were
submitted to a collection agency?
A. Encounter form
B. Patient aging report
C. Assignment of benefits
D. Advance beneficiary notice
Correct Answer: B
Rationale: The patient aging report shows how long patients have owed money and is
used to verify accounts sent to collections.
3. A patient signs a document authorizing the health care facility to receive
payment directly from the insurance company. What is this document called?
A. Informed consent
,B. Notice of Privacy Practices
C. Assignment of Benefits
D. Advance Beneficiary Notice
Correct Answer: C
Rationale: Assignment of Benefits (AOB) authorizes direct payment from the insurer to
the provider.
4. An EHR specialist is assisting a nurse in gathering weight data to share with a
patient. Which format best helps the patient visualize weight fluctuations over
time?
A. Graph sheet
B. Table
C. Progress note template
D. Physical exam template
Correct Answer: A
Rationale: A graph sheet provides visual representation of trends over time, which is
most useful for patient education.
5. What is the primary benefit of documenting a patient encounter at the point of
care?
A. Increased number of referrals
B. Decreased supply cost
C. Improved patient outcomes
D. Diminished wait times
Correct Answer: C
Rationale: Point-of-care documentation enhances patient outcomes by ensuring timely
and accurate recording of clinical information.
6. Which network connection should be used to securely transmit patient
information to an emergency department in another state?
A. Public Wi-Fi
B. Virtual private network (VPN)
C. Standard email
D. Fax machine
Correct Answer: B
Rationale: VPN creates a secure, encrypted connection for transmitting protected health
information.
,7. In which section of the EHR should an EHR specialist look to find a patient's
most recent height, blood pressure, and weight?
A. Past medical history
B. Physical examination
C. Problem list
D. Flow sheet
Correct Answer: B
Rationale: The physical examination section contains objective findings including vital
signs and measurements.
8. What method of data collection is demonstrated when a staff member scans a
faxed imaging report into the patient's record?
A. Manual
B. Automatic
C. Interface
D. Direct entry
Correct Answer: A
Rationale: Scanning documents into the EHR is a manual data collection method.
9. Which patient statement indicates a history of present illness?
A. "I had my appendix removed in 2015."
B. "I came because I've been coughing for several days."
C. "My mother has diabetes."
D. "I take lisinopril daily."
Correct Answer: B
Rationale: History of present illness describes the current complaint and its duration.
10. Which specific patient identifiers are required for the patient demographic
section of the EHR?
A. Name, date of birth, and address
B. Insurance ID, group number, and policy holder
C. Diagnosis codes and procedure codes
D. Provider NPI and tax ID
Correct Answer: A
Rationale: Name, date of birth, and address are core demographic identifiers.
, Domain 2: Clinical Operations (32 items)
11. What is the purpose of Computerized Provider Order Entry (CPOE)?
A. To generate patient statements
B. To enter prescriptions and orders for diagnostic purposes
C. To scan insurance cards
D. To schedule patient appointments
Correct Answer: B
Rationale: CPOE allows providers to enter prescriptions and diagnostic orders
electronically at the point of care.
12. An EHR specialist is reviewing a postoperative record. Which entry signals a
data discrepancy?
A. Patient's partner is visiting
B. Patient requests pain medication
C. Staples intact to right hip incision
D. Abduction pillow placed as prescribed
Correct Answer: C
Rationale: The patient is 2 days postoperative following left hip arthroplasty.
Documentation of "right hip incision" is a discrepancy.
13. Which component of the EHR allows providers to enter prescriptions and
orders for diagnostic purposes?
A. Patient portal
B. Computerized provider order entry (CPOE)
C. Practice management system
D. Clinical decision support system
Correct Answer: B
Rationale: CPOE is the specific EHR component for entering prescriptions and diagnostic
orders.
14. Where should a medical assistant document ongoing temperature
measurements for a patient?
A. Progress note
B. Flow sheet
C. Problem list
D. Discharge summary
Electronic Health Records Specialist)Practice Exam Question
And Correct Answers With Explanation.
.
Domain 1: Non-Clinical Operations (28 items)
1. An EHR specialist is verifying patient identity. Which secondary identifier should
be used after confirming the patient's first and last name?
A. ZIP code
B. Room number
C. Insurance carrier
D. Date of birth
Correct Answer: D
Rationale: Date of birth is the standard secondary identifier for patient verification.
Room number and insurance carrier are not reliable identifiers.
2. Which document is required to verify that correct patient accounts were
submitted to a collection agency?
A. Encounter form
B. Patient aging report
C. Assignment of benefits
D. Advance beneficiary notice
Correct Answer: B
Rationale: The patient aging report shows how long patients have owed money and is
used to verify accounts sent to collections.
3. A patient signs a document authorizing the health care facility to receive
payment directly from the insurance company. What is this document called?
A. Informed consent
,B. Notice of Privacy Practices
C. Assignment of Benefits
D. Advance Beneficiary Notice
Correct Answer: C
Rationale: Assignment of Benefits (AOB) authorizes direct payment from the insurer to
the provider.
4. An EHR specialist is assisting a nurse in gathering weight data to share with a
patient. Which format best helps the patient visualize weight fluctuations over
time?
A. Graph sheet
B. Table
C. Progress note template
D. Physical exam template
Correct Answer: A
Rationale: A graph sheet provides visual representation of trends over time, which is
most useful for patient education.
5. What is the primary benefit of documenting a patient encounter at the point of
care?
A. Increased number of referrals
B. Decreased supply cost
C. Improved patient outcomes
D. Diminished wait times
Correct Answer: C
Rationale: Point-of-care documentation enhances patient outcomes by ensuring timely
and accurate recording of clinical information.
6. Which network connection should be used to securely transmit patient
information to an emergency department in another state?
A. Public Wi-Fi
B. Virtual private network (VPN)
C. Standard email
D. Fax machine
Correct Answer: B
Rationale: VPN creates a secure, encrypted connection for transmitting protected health
information.
,7. In which section of the EHR should an EHR specialist look to find a patient's
most recent height, blood pressure, and weight?
A. Past medical history
B. Physical examination
C. Problem list
D. Flow sheet
Correct Answer: B
Rationale: The physical examination section contains objective findings including vital
signs and measurements.
8. What method of data collection is demonstrated when a staff member scans a
faxed imaging report into the patient's record?
A. Manual
B. Automatic
C. Interface
D. Direct entry
Correct Answer: A
Rationale: Scanning documents into the EHR is a manual data collection method.
9. Which patient statement indicates a history of present illness?
A. "I had my appendix removed in 2015."
B. "I came because I've been coughing for several days."
C. "My mother has diabetes."
D. "I take lisinopril daily."
Correct Answer: B
Rationale: History of present illness describes the current complaint and its duration.
10. Which specific patient identifiers are required for the patient demographic
section of the EHR?
A. Name, date of birth, and address
B. Insurance ID, group number, and policy holder
C. Diagnosis codes and procedure codes
D. Provider NPI and tax ID
Correct Answer: A
Rationale: Name, date of birth, and address are core demographic identifiers.
, Domain 2: Clinical Operations (32 items)
11. What is the purpose of Computerized Provider Order Entry (CPOE)?
A. To generate patient statements
B. To enter prescriptions and orders for diagnostic purposes
C. To scan insurance cards
D. To schedule patient appointments
Correct Answer: B
Rationale: CPOE allows providers to enter prescriptions and diagnostic orders
electronically at the point of care.
12. An EHR specialist is reviewing a postoperative record. Which entry signals a
data discrepancy?
A. Patient's partner is visiting
B. Patient requests pain medication
C. Staples intact to right hip incision
D. Abduction pillow placed as prescribed
Correct Answer: C
Rationale: The patient is 2 days postoperative following left hip arthroplasty.
Documentation of "right hip incision" is a discrepancy.
13. Which component of the EHR allows providers to enter prescriptions and
orders for diagnostic purposes?
A. Patient portal
B. Computerized provider order entry (CPOE)
C. Practice management system
D. Clinical decision support system
Correct Answer: B
Rationale: CPOE is the specific EHR component for entering prescriptions and diagnostic
orders.
14. Where should a medical assistant document ongoing temperature
measurements for a patient?
A. Progress note
B. Flow sheet
C. Problem list
D. Discharge summary
