RHIT EXAM
RHIT EXAM PREP EXAM PREP 2025/2026
COMPLETE 400 VERIFIED QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||BRAND NEW!!!
Which of the following is characteristic of the legal health record?
a. It must be electronic
b. It includes the designated record set
c. It is the record disclosed upon request
d. It includes a patient's personal health record
c. It is the record disclosed upon request
What type of analysis compares omitted clinical information received from external providers with
the needed clinical information to make a correct diagnosis?
a. Risk management analysis
b. Qualitative analysis
c. Gap analysis
d. Document management analysis
c. Gap analysis
To comply with the Joint Commission standards, the HIM director wants to ensure the history and
physical examinations are documented in the patient's health record no later than 24 hours after
admission. Which of the following would be the best way to ensure the completeness of the health
record?
a. Establish a process to review health records immediately on discharge
b. Review each patient's health record concurrently to ensure the history and physicals are present
c. Retrospectively review each patient's health record to ensure the history and physicals are present
d. Write a memorandum to all physicians relating the Joint Commission requirements for
documenting history and physical examinations
b. Review each patient's health record concurrently to ensure the history and physicals are present
.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 determined the documentation was for
A+ TEST BANK 1
, RHIT EXAM
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
b. Overlay
A new health information management (HIM) director has been asked by the hospital CIO to ensure
data content standards are identified, understood, implemented, and managed for the hospital's
EHR system. Which of the following should be the HIM director's first step in carrying out this
responsibility?
a. Call the EHR vendor and ask to review the system's data dictionary
b. Identify data content requirements for all areas of the organization
c. Schedule a meeting with all department directors to get their input
d. Contact CMS to determine what data sets are required to be collected
b. Identify data content requirements for all areas of the organization
A health record with deficiencies that is not completed within the timeframe specified in the medical
staff rules and regulations is called a(n):
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record
b. Delinquent record
A medical group practice has contracted with an HIM professional to help define the practice's legal
health record. Which of the following should the HIM professional perform first to identify the
components of the legal health record?
a. Develop a list of all data elements referencing patients that are included in both paper and
electronic systems of the practice
b. Develop a list of statutes, regulations, rules, and guidelines that contain requirements affecting
the release of health records
c. Perform a quality check on all health record systems in the practice
d. Develop a listing and categorize all information requests for health information over the past two
years
b. Develop a list of statutes, regulations, rules, and guidelines that contain requirements affecting
the release of health records
Which of the following is the health record component that addresses the patient's current
complaints and symptoms and lists that patient's past medical, personal, and family conditions?
a. Problem list
b. Medical history
A+ TEST BANK 2
, RHIT EXAM
c. Physical examination
d. Clinical observation
b. Medical history
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?
a. Obliterating or deleting errors
b. Leaving existing entries intact
c. Labeling late entries as being late
d. Ensuring the legal signature of an individual making a correction accompanies the correction
a. Obliterating or deleting errors
The following descriptors about the data element ADMISSION_DATE are included in a data
dictionary: definition: date patient admitted to the hospital; data type: date; field length: 15; required
field: yes; default value: none; template: none. For this data element, data integrity would be better
assured if:
a. The template was defined
b. The data type was numeric
c. The field was not required
d. The field length was longer
b. The data type was numeric
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. An audit of the EHR discovers that
the numbers in the date of birth are transposed in reports. This situation reflects a problem in:
a. Data comprehensiveness
b. Data consistency
c. Data currency
d. Data granularity
b. Data consistency
.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
a. Provides oversight for the development, review, and control of forms and computer screens
Which of the following is true regarding the reporting of communicable diseases?
a. They must be reported by the patient to the health department.
b. The diseases to be reported are established by state law.
c. The diseases to be reported are established by HIPAA.
d. They are never reported because it would violate the patient's privacy.
A+ TEST BANK 3
, RHIT EXAM
b. The diseases to be reported are established by state law
Patient care managers use the data documented in the health record to:
a. Determine the extent and effects of occupational hazards
b. Evaluate patterns and trends of patient care
c. Generate patient bills and third-party payer claims for reimbursement
d. Provide direct patient care
b. Evaluate patterns and trends of patient care
Which of the following is a key characteristic of the problem-oriented health record?
a. Allows all providers to document in the health record
b. Uses laboratory reports and other diagnostic tools to determine health problems
c. Provides electronic documentation in the health record
d. Uses an itemized list of the patient's past and present health problems
d. Uses an itemized list of the patient's past and present health problems
A health data analyst has been asked to compile a listing of daily blood pressure readings for patients
with a diagnosis of hypertension who were treated on the medical unit within a two-week period.
What clinical report would be the best source to gather this information?
a. Vital signs record
b. Initial nursing assessment record
c. Physician progress notes
d. Admission record
a. Vital signs record
Hospital documentation related to the delivery of patient care such as health records, x-rays,
laboratory reports, and consultation reports are owned:
a. By the hospital
b. By the patient
c. By the attending and consulting physician
d. Jointly by the hospital, physician, and patient
a. By the hospital
Standardizing medical terminology to avoid differences in naming various health conditions and
procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallux valgus) is
one purpose of:
a. Content and structure standards
b. Security standard
c. Transaction standards
d. Vocabulary standards
d. Vocabulary standards
A+ TEST BANK 4
RHIT EXAM PREP EXAM PREP 2025/2026
COMPLETE 400 VERIFIED QUESTIONS
AND CORRECT ANSWERS WITH
RATIONALES |ALREADY GRADED
A+||BRAND NEW!!!
Which of the following is characteristic of the legal health record?
a. It must be electronic
b. It includes the designated record set
c. It is the record disclosed upon request
d. It includes a patient's personal health record
c. It is the record disclosed upon request
What type of analysis compares omitted clinical information received from external providers with
the needed clinical information to make a correct diagnosis?
a. Risk management analysis
b. Qualitative analysis
c. Gap analysis
d. Document management analysis
c. Gap analysis
To comply with the Joint Commission standards, the HIM director wants to ensure the history and
physical examinations are documented in the patient's health record no later than 24 hours after
admission. Which of the following would be the best way to ensure the completeness of the health
record?
a. Establish a process to review health records immediately on discharge
b. Review each patient's health record concurrently to ensure the history and physicals are present
c. Retrospectively review each patient's health record to ensure the history and physicals are present
d. Write a memorandum to all physicians relating the Joint Commission requirements for
documenting history and physical examinations
b. Review each patient's health record concurrently to ensure the history and physicals are present
.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 determined the documentation was for
A+ TEST BANK 1
, RHIT EXAM
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
b. Overlay
A new health information management (HIM) director has been asked by the hospital CIO to ensure
data content standards are identified, understood, implemented, and managed for the hospital's
EHR system. Which of the following should be the HIM director's first step in carrying out this
responsibility?
a. Call the EHR vendor and ask to review the system's data dictionary
b. Identify data content requirements for all areas of the organization
c. Schedule a meeting with all department directors to get their input
d. Contact CMS to determine what data sets are required to be collected
b. Identify data content requirements for all areas of the organization
A health record with deficiencies that is not completed within the timeframe specified in the medical
staff rules and regulations is called a(n):
a. Suspended record
b. Delinquent record
c. Pending record
d. Illegal record
b. Delinquent record
A medical group practice has contracted with an HIM professional to help define the practice's legal
health record. Which of the following should the HIM professional perform first to identify the
components of the legal health record?
a. Develop a list of all data elements referencing patients that are included in both paper and
electronic systems of the practice
b. Develop a list of statutes, regulations, rules, and guidelines that contain requirements affecting
the release of health records
c. Perform a quality check on all health record systems in the practice
d. Develop a listing and categorize all information requests for health information over the past two
years
b. Develop a list of statutes, regulations, rules, and guidelines that contain requirements affecting
the release of health records
Which of the following is the health record component that addresses the patient's current
complaints and symptoms and lists that patient's past medical, personal, and family conditions?
a. Problem list
b. Medical history
A+ TEST BANK 2
, RHIT EXAM
c. Physical examination
d. Clinical observation
b. Medical history
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?
a. Obliterating or deleting errors
b. Leaving existing entries intact
c. Labeling late entries as being late
d. Ensuring the legal signature of an individual making a correction accompanies the correction
a. Obliterating or deleting errors
The following descriptors about the data element ADMISSION_DATE are included in a data
dictionary: definition: date patient admitted to the hospital; data type: date; field length: 15; required
field: yes; default value: none; template: none. For this data element, data integrity would be better
assured if:
a. The template was defined
b. The data type was numeric
c. The field was not required
d. The field length was longer
b. The data type was numeric
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. An audit of the EHR discovers that
the numbers in the date of birth are transposed in reports. This situation reflects a problem in:
a. Data comprehensiveness
b. Data consistency
c. Data currency
d. Data granularity
b. Data consistency
.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
a. Provides oversight for the development, review, and control of forms and computer screens
Which of the following is true regarding the reporting of communicable diseases?
a. They must be reported by the patient to the health department.
b. The diseases to be reported are established by state law.
c. The diseases to be reported are established by HIPAA.
d. They are never reported because it would violate the patient's privacy.
A+ TEST BANK 3
, RHIT EXAM
b. The diseases to be reported are established by state law
Patient care managers use the data documented in the health record to:
a. Determine the extent and effects of occupational hazards
b. Evaluate patterns and trends of patient care
c. Generate patient bills and third-party payer claims for reimbursement
d. Provide direct patient care
b. Evaluate patterns and trends of patient care
Which of the following is a key characteristic of the problem-oriented health record?
a. Allows all providers to document in the health record
b. Uses laboratory reports and other diagnostic tools to determine health problems
c. Provides electronic documentation in the health record
d. Uses an itemized list of the patient's past and present health problems
d. Uses an itemized list of the patient's past and present health problems
A health data analyst has been asked to compile a listing of daily blood pressure readings for patients
with a diagnosis of hypertension who were treated on the medical unit within a two-week period.
What clinical report would be the best source to gather this information?
a. Vital signs record
b. Initial nursing assessment record
c. Physician progress notes
d. Admission record
a. Vital signs record
Hospital documentation related to the delivery of patient care such as health records, x-rays,
laboratory reports, and consultation reports are owned:
a. By the hospital
b. By the patient
c. By the attending and consulting physician
d. Jointly by the hospital, physician, and patient
a. By the hospital
Standardizing medical terminology to avoid differences in naming various health conditions and
procedures (such as the synonyms bunionectomy, McBride procedure, and repair of hallux valgus) is
one purpose of:
a. Content and structure standards
b. Security standard
c. Transaction standards
d. Vocabulary standards
d. Vocabulary standards
A+ TEST BANK 4
