2025 HEALTH DATA CONTENT AND STANDARDS FINAL QUIZ
(RHIA/RHIT) ACTUAL QUESTIONS & CORRECT DETAILED
ANSWERS GRADED A+
CONTAINS 50 ACTUAL QUESTIONS & CORRECT
VERIFIED ANSWERS
1. Which of the following is a form or view that is typically seen in the health record of a long-term care
patient but is rarely seen in records of acute care patients?
medical consultation
pharmacy consultation
emergency record
physical exam
2. The health care providers at your hospital do a very thorough job of periodic open record review to
ensure the completeness of record documentation. A qualitative review of surgical records would likely
include checking for documentation regarding
the quality of follow-up care.
whether a postoperative infection occurred and how it was treated.
whether the severity of illness and/or intensity of service warranted acute level care.
the presence or absence of such items as preoperative and postoperative diagnosis, description of
findings, and specimens removed.
3. For inpatients, the first data item collected of a clinical nature is usually
admitting diagnosis.
review of systems.
expected payer.
, principal diagnosis.
4. You have been asked to identify every reportable case of cancer from the previous year. A key resource
will be the facility's
disease index.
(RHIA/RHIT) ACTUAL QUESTIONS & CORRECT DETAILED
ANSWERS GRADED A+
CONTAINS 50 ACTUAL QUESTIONS & CORRECT
VERIFIED ANSWERS
1. Which of the following is a form or view that is typically seen in the health record of a long-term care
patient but is rarely seen in records of acute care patients?
medical consultation
pharmacy consultation
emergency record
physical exam
2. The health care providers at your hospital do a very thorough job of periodic open record review to
ensure the completeness of record documentation. A qualitative review of surgical records would likely
include checking for documentation regarding
the quality of follow-up care.
whether a postoperative infection occurred and how it was treated.
whether the severity of illness and/or intensity of service warranted acute level care.
the presence or absence of such items as preoperative and postoperative diagnosis, description of
findings, and specimens removed.
3. For inpatients, the first data item collected of a clinical nature is usually
admitting diagnosis.
review of systems.
expected payer.
, principal diagnosis.
4. You have been asked to identify every reportable case of cancer from the previous year. A key resource
will be the facility's
disease index.
