CPHIMS STUDY GUIDE 2026/2027 QUESTIONS AND
SOLUTIONS RATED A+
✔✔A nurse manager in a cardiology care unit, which uses bar code medication
administration (BCMA) with inpatients with congestive heart failure, is preparing for a
regulatory review of the facility. Staff have informed the nurse manager that the BCMA
information system is inaccessible due to a network failure. The nurse manager should
ask the nurses to:
A. administer medications manually.
B. postpone medication administration.
C. wait until the regulatory review is completed.
D. wait until a meeting is held with network administrators. - ✔✔A. administer
medications manually.
medication administration timing cannot vary. In case of system failure, there should be
policies and procedures in place for contingency management. Manual administration
and recording is one of the alternatives.
✔✔A medical group has purchased a physician billing system from a small vendor. The
group then contracted with an IT consultant to manage the installation and
implementation of the system. During the testing phase, the third party clearinghouse
used by the group could not process transactions received from the billing package. An
initial investigation revealed that acknowledgements were sent and received for each
transaction between the billing system and clearinghouse. In addition, each transaction
contained the necessary data for processing by the clearinghouse. Which of the
following would be a likely area for the IT consultant to consider NEXT?
A. Ensure that the appropriate DICOM standard is being used to transmit each bill print
image transaction.
B. Ensure that the appropriate IEEE standard is being used to support transmissions of
billing transaction data.
C. Ensure that the appropriate ANSI standard is be - ✔✔C. Ensure that the appropriate
ANSI standard is being used in the transmission of each transaction.
"C" is correct because this is the only standard that could impact the data itself, rather
than just the transmission. "A" is not correct because print images are not used in this
example. Further, DICOM is a standard typically used for storage of medical images,
especially radiology images. "B" is not correct because this is a network transmission
protocol. In addition, the scenario indicated that the clearinghouse successfully received
the transactions. However, it could not process the data. "D" is not correct because the
scenario indicated that the clearinghouse successfully received the transaction.
However, it could not process the data.
✔✔Which of the following tools BEST determines the ability of a vendor application to fit
into an organization's unique processes?
A. request for proposal
B. scripted demonstration
,C. on-site visit
D. reference call - ✔✔B. scripted demonstration
A scripted presentation is a live example of a future model integrated into the
organizational structure. "A" is not correct because an RFP is a proposal for supplying
the product or service. "C" is not correct because while an on-site visit provides an
opportunity to witness the application involved, it is difficult to find sites with similar
operational characteristics so it is not the best answer. "D" is not correct because it is
difficult to determine the veracity and objectivity of the information provided on a
reference call.
✔✔Six months after implementing an electronic nurse documentation system, chart
audits show increasing numbers of undocumented elements in the medical record. To
improve system compliance, which of the following should be considered FIRST?
A. Re-educate users on the proper use of the system.
B. Re-evaluate hardware for ease of use.
C. Suspend the system usage while its effectiveness is investigated.
D. Survey the users on their specific issues. - ✔✔D. Survey the users on their specific
issues.
Defining the issues from users' perspectives can provide important information to assist
in discerning the cause of the problem (e.g. training requirements, system issues,
environment).The future solution and alternative should be developed based on the
finding of the survey.
✔✔A large healthcare organization has narrowed its list of potential hospital information
systems (HIS) to four. The new solution will require a complete change out of the
hardware processing platform for the organization. The CIO is concerned about overall
system performance because the healthcare system's transaction volume is large.
Which of the following should the CIO do FIRST to assess each of the vendor's
capability to handle the system's volume?
A. Ask each vendor to perform an audited LoadRunner test
B. Obtain benchmark information on the database engine used by the application
system.
C. Ask each vendor for references from similar healthcare systems.
D. Schedule a scripted demo with each vendor. - ✔✔C. Ask each vendor for references
from similar healthcare systems.
Witnessing a software performance in the production environment within a similar
healthcare system is the best way to evaluate performance.
✔✔A parallel testing phase has been written into the hospital information system
implementation project plan that involves end-users. In preparing for this phase, the
project manager should:
A. contact the vendor for additional resources for this phase so as not to disrupt daily
operations.
, B. schedule temporary resources to manage day-to-day operations while staff conduct
testing of the new system.
C. hire experienced third-party assistance familiar with testing application software for
the unbiased approach to the system.
D. negotiate overtime for IT staff to manage testing due to their expertise in this area. -
✔✔B. schedule temporary resources to manage day-to-day operations while staff
conduct testing of the new system.
Parallel testing is an exercise to test the new system against the old system to compare
results. This involves operating two systems and does require additional resources.
Ideally, staff that are going to be end-users should participate to gain familiarity with the
new system.
✔✔Technology assessment within a project is used to:
A. consider the effect of technology when it is introduced, extended, or modified.
B. develop a format of inquiry to evaluate product features or functions.
C. implement compliance with regulatory requirements for information technology.
D. determine weaknesses or gaps in a system after design and implementation. - ✔✔A.
consider the effect of technology when it is introduced, extended, or modified.
B" is not correct, as this is usually done during a selection process. "C" is not correct
because this is a required maintenance activity. And, "D" is not correct because this is
an applied technique of option "A."
✔✔When sold a pharmacy application, the selection team was assured the system
would print IV labels as specifically defined in the request for proposal. To ensure this
capability, the team defined specifications and formats that were included in the
contract. However, during testing the vendor could not print labels using the font
specified in the contract. Labels that were printed were difficult for older staff to read
without using reading glasses. To resolve this issue, the project manager should:
A. use in-house staff to develop a translation interface to reformat the data being sent
to the label printer.
B. contact the printer manufacturer to have the correct font programmed into the
device.
C. escalate the issue using the established escalation procedure holding payment until
the problem is resolved.
D. send an email to the project team, including the vendor project manager, letting
them know the labels co - ✔✔C. escalate the issue using the established escalation
procedure holding payment until the problem is resolved.
✔✔Which of the following is the BEST method to minimize misuse and ensure the
privacy of electronic clinical information?
A. Set up role-based access for users.
B. Use biometric systems for authentication
C. Force periodic password changes
SOLUTIONS RATED A+
✔✔A nurse manager in a cardiology care unit, which uses bar code medication
administration (BCMA) with inpatients with congestive heart failure, is preparing for a
regulatory review of the facility. Staff have informed the nurse manager that the BCMA
information system is inaccessible due to a network failure. The nurse manager should
ask the nurses to:
A. administer medications manually.
B. postpone medication administration.
C. wait until the regulatory review is completed.
D. wait until a meeting is held with network administrators. - ✔✔A. administer
medications manually.
medication administration timing cannot vary. In case of system failure, there should be
policies and procedures in place for contingency management. Manual administration
and recording is one of the alternatives.
✔✔A medical group has purchased a physician billing system from a small vendor. The
group then contracted with an IT consultant to manage the installation and
implementation of the system. During the testing phase, the third party clearinghouse
used by the group could not process transactions received from the billing package. An
initial investigation revealed that acknowledgements were sent and received for each
transaction between the billing system and clearinghouse. In addition, each transaction
contained the necessary data for processing by the clearinghouse. Which of the
following would be a likely area for the IT consultant to consider NEXT?
A. Ensure that the appropriate DICOM standard is being used to transmit each bill print
image transaction.
B. Ensure that the appropriate IEEE standard is being used to support transmissions of
billing transaction data.
C. Ensure that the appropriate ANSI standard is be - ✔✔C. Ensure that the appropriate
ANSI standard is being used in the transmission of each transaction.
"C" is correct because this is the only standard that could impact the data itself, rather
than just the transmission. "A" is not correct because print images are not used in this
example. Further, DICOM is a standard typically used for storage of medical images,
especially radiology images. "B" is not correct because this is a network transmission
protocol. In addition, the scenario indicated that the clearinghouse successfully received
the transactions. However, it could not process the data. "D" is not correct because the
scenario indicated that the clearinghouse successfully received the transaction.
However, it could not process the data.
✔✔Which of the following tools BEST determines the ability of a vendor application to fit
into an organization's unique processes?
A. request for proposal
B. scripted demonstration
,C. on-site visit
D. reference call - ✔✔B. scripted demonstration
A scripted presentation is a live example of a future model integrated into the
organizational structure. "A" is not correct because an RFP is a proposal for supplying
the product or service. "C" is not correct because while an on-site visit provides an
opportunity to witness the application involved, it is difficult to find sites with similar
operational characteristics so it is not the best answer. "D" is not correct because it is
difficult to determine the veracity and objectivity of the information provided on a
reference call.
✔✔Six months after implementing an electronic nurse documentation system, chart
audits show increasing numbers of undocumented elements in the medical record. To
improve system compliance, which of the following should be considered FIRST?
A. Re-educate users on the proper use of the system.
B. Re-evaluate hardware for ease of use.
C. Suspend the system usage while its effectiveness is investigated.
D. Survey the users on their specific issues. - ✔✔D. Survey the users on their specific
issues.
Defining the issues from users' perspectives can provide important information to assist
in discerning the cause of the problem (e.g. training requirements, system issues,
environment).The future solution and alternative should be developed based on the
finding of the survey.
✔✔A large healthcare organization has narrowed its list of potential hospital information
systems (HIS) to four. The new solution will require a complete change out of the
hardware processing platform for the organization. The CIO is concerned about overall
system performance because the healthcare system's transaction volume is large.
Which of the following should the CIO do FIRST to assess each of the vendor's
capability to handle the system's volume?
A. Ask each vendor to perform an audited LoadRunner test
B. Obtain benchmark information on the database engine used by the application
system.
C. Ask each vendor for references from similar healthcare systems.
D. Schedule a scripted demo with each vendor. - ✔✔C. Ask each vendor for references
from similar healthcare systems.
Witnessing a software performance in the production environment within a similar
healthcare system is the best way to evaluate performance.
✔✔A parallel testing phase has been written into the hospital information system
implementation project plan that involves end-users. In preparing for this phase, the
project manager should:
A. contact the vendor for additional resources for this phase so as not to disrupt daily
operations.
, B. schedule temporary resources to manage day-to-day operations while staff conduct
testing of the new system.
C. hire experienced third-party assistance familiar with testing application software for
the unbiased approach to the system.
D. negotiate overtime for IT staff to manage testing due to their expertise in this area. -
✔✔B. schedule temporary resources to manage day-to-day operations while staff
conduct testing of the new system.
Parallel testing is an exercise to test the new system against the old system to compare
results. This involves operating two systems and does require additional resources.
Ideally, staff that are going to be end-users should participate to gain familiarity with the
new system.
✔✔Technology assessment within a project is used to:
A. consider the effect of technology when it is introduced, extended, or modified.
B. develop a format of inquiry to evaluate product features or functions.
C. implement compliance with regulatory requirements for information technology.
D. determine weaknesses or gaps in a system after design and implementation. - ✔✔A.
consider the effect of technology when it is introduced, extended, or modified.
B" is not correct, as this is usually done during a selection process. "C" is not correct
because this is a required maintenance activity. And, "D" is not correct because this is
an applied technique of option "A."
✔✔When sold a pharmacy application, the selection team was assured the system
would print IV labels as specifically defined in the request for proposal. To ensure this
capability, the team defined specifications and formats that were included in the
contract. However, during testing the vendor could not print labels using the font
specified in the contract. Labels that were printed were difficult for older staff to read
without using reading glasses. To resolve this issue, the project manager should:
A. use in-house staff to develop a translation interface to reformat the data being sent
to the label printer.
B. contact the printer manufacturer to have the correct font programmed into the
device.
C. escalate the issue using the established escalation procedure holding payment until
the problem is resolved.
D. send an email to the project team, including the vendor project manager, letting
them know the labels co - ✔✔C. escalate the issue using the established escalation
procedure holding payment until the problem is resolved.
✔✔Which of the following is the BEST method to minimize misuse and ensure the
privacy of electronic clinical information?
A. Set up role-based access for users.
B. Use biometric systems for authentication
C. Force periodic password changes
