HIM CHAPTER 5 QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
In an electronic environment, changes to a patient's record should be
tracked in:
a. A duplicate file
b. An audit trail
c. An exception file
d. Nowhere, electronic changes completely wipe out prior entries
Ans✓✓✓b. An audit trail
Which of the following is a detective control?
a. A coder reviews a record in order to assign a clinical code
b. The nursing supervisor reviews a chart to ensure that medication
administration notes were properly entered
c. The HIM department sends a physician a list of the physician's
incomplete charts
d. A nurse alerts a physician that a patient is allergic to an ordered
medication Ans✓✓✓b. The nursing supervisor reviews a chart to ensure
that medication administration notes were properly entered
Which of the following processes will not be performed for electronic
health records?
, a. Chart assembly
b. Error corrections
c. Retrospective review
d. Chart analysis Ans✓✓✓a. Chart assembly
What is the most common problem associated with paper records that
isn't found when managing electronic health records?
a. Loose sheets management
b. Missing documentation
c. Disorganized patient records
d. Lack of documentation Ans✓✓✓a. Loose sheets management
The data quality characteristic associated withe the capture of data
concurrently with its observation is Ans✓✓✓timeliness
The data quality characteristic associated with the collection of data in
its entirety is:
a. Validity
b. Reliability
c. Timeliness
d. Completeness Ans✓✓✓d. Completeness
ANSWERS (VERIFIED ANSWERS) ALREADY GRADED A+
In an electronic environment, changes to a patient's record should be
tracked in:
a. A duplicate file
b. An audit trail
c. An exception file
d. Nowhere, electronic changes completely wipe out prior entries
Ans✓✓✓b. An audit trail
Which of the following is a detective control?
a. A coder reviews a record in order to assign a clinical code
b. The nursing supervisor reviews a chart to ensure that medication
administration notes were properly entered
c. The HIM department sends a physician a list of the physician's
incomplete charts
d. A nurse alerts a physician that a patient is allergic to an ordered
medication Ans✓✓✓b. The nursing supervisor reviews a chart to ensure
that medication administration notes were properly entered
Which of the following processes will not be performed for electronic
health records?
, a. Chart assembly
b. Error corrections
c. Retrospective review
d. Chart analysis Ans✓✓✓a. Chart assembly
What is the most common problem associated with paper records that
isn't found when managing electronic health records?
a. Loose sheets management
b. Missing documentation
c. Disorganized patient records
d. Lack of documentation Ans✓✓✓a. Loose sheets management
The data quality characteristic associated withe the capture of data
concurrently with its observation is Ans✓✓✓timeliness
The data quality characteristic associated with the collection of data in
its entirety is:
a. Validity
b. Reliability
c. Timeliness
d. Completeness Ans✓✓✓d. Completeness
