RHIT EXAMINATION SOLUTIONS GUIDE 2026
FULL ANSWERS GRADED A+
◍ Outpt clinic reviews functionality of EHR it is considering
purchasing, so what should the clinic consult that ensure all fed
recommended data elements for Medicare, Medicaid outpts are
collected by system? Answer: Uniform Ambulatory Care Data Set
(UACDS)
◍ Standard med term to avoid diff in naming various health conds
and procedures is one purpose of: Answer: Vocabulary standards
◍ Pt care mgrs use data and info doc'd in health record to: Answer:
Evaluate patterns and trends of patient care
◍ Active storage area for health records at a hosp is almost full, so to
create more space, what should they do: Answer: Purge oldest records
to another location
◍ As part of initiative to imp data integrity, Data Quality Committee
(DQC) conducted inventory of all hosp's databases and found that
70%+ of ID'd databases did not have dictionaries. What should be
committee's first action? Answer: Establish a data dictionary policy
with associated standards
◍ Hosp has 100+ clinical databases and DQC is studying
comparability among databases (DB). Data elements and definitions
,are cataloged for each DB, so what should their next step be to
determine the degree of data comparability among DBs? Answer:
Select rep set of data elements and track these across the databases to
ID consistencies and differences.
◍ New HIM director has been asked by hosp to ensure data content
standards are ID'd, understood, implemented, and managed for hosp's
planned EHR system, so what should be the HIM director's first step
in carrying out responsibility? Answer: Identify data content
requirements for all areas of the organization
◍ At adm, pt's DOB is 3/25/48, but audit of EHR shows the numbers
in DOB are transposed in reports. This situation reflects a problem in:
Answer: Data consistency
◍ Family pract req's opinion of phys specialist, who reviews pt's
health record and examines pt. Phys specialist would record findings,
impressions, and recommendations in what type of report: Answer:
Consultation report
◍ What are key characteristics of the problem-oriented health record?
Answer: Uses an itemized list of patient's past and present health
problems?
◍ Data elements collected on large populations of individuals and
stored in DBs are referred to as: Answer: Aggregate data
, ◍ Health data analyst has been asked to compile a report of the
percentage of pts who had baseline PTT tests performed prior to
rec'ing heparin, so what clinical reports in the health record would the
analyst consult to prepare this report? Answer: Medication record and
clinical lab reports
◍ ABC Hosp wants to compare it's HAC UTI rate for Medicare pts
w/nat'l avg and is using MEDPAR DB for comparison. MEDPAR DB
contains 13M discharges, with 200K adm'd w/PD of UTI, 300K
adm'd w/PD of infectious dz, and 700K had dx of hypertension. What
would be the best comparison data for ABC Hosp? Answer: All
individuals in MEDPAR DB except those admitted with principal
diagnosis of UTI or infection disease
◍ Health data analyst is asked to compile listing of daily BP readings
for pts w/dx of hypertension who were tx on medicine unit within a
2wk period, so what clinical report would be best to gather this info?
Answer: Vital signs record
◍ What is the median of 47, 20,11, 33, 30, 35, and 50? Answer: 11,
20, 30, 33, 35, 47, 50 mean that the median would be 33, but the
answer say to take the avg of 30 and 33 and therefore = 31.5
WRONG!!!!
◍ ABC Hosp had 250 pts in hosp at midnight on 5/, admitted 30 pts
on 5/2, discharged 40 pts (incl deaths) on 5/2, 2 pts adm'd and
discharged on 5/2, so what was the total number of inpt service days
for 5/2? Answer: 242
FULL ANSWERS GRADED A+
◍ Outpt clinic reviews functionality of EHR it is considering
purchasing, so what should the clinic consult that ensure all fed
recommended data elements for Medicare, Medicaid outpts are
collected by system? Answer: Uniform Ambulatory Care Data Set
(UACDS)
◍ Standard med term to avoid diff in naming various health conds
and procedures is one purpose of: Answer: Vocabulary standards
◍ Pt care mgrs use data and info doc'd in health record to: Answer:
Evaluate patterns and trends of patient care
◍ Active storage area for health records at a hosp is almost full, so to
create more space, what should they do: Answer: Purge oldest records
to another location
◍ As part of initiative to imp data integrity, Data Quality Committee
(DQC) conducted inventory of all hosp's databases and found that
70%+ of ID'd databases did not have dictionaries. What should be
committee's first action? Answer: Establish a data dictionary policy
with associated standards
◍ Hosp has 100+ clinical databases and DQC is studying
comparability among databases (DB). Data elements and definitions
,are cataloged for each DB, so what should their next step be to
determine the degree of data comparability among DBs? Answer:
Select rep set of data elements and track these across the databases to
ID consistencies and differences.
◍ New HIM director has been asked by hosp to ensure data content
standards are ID'd, understood, implemented, and managed for hosp's
planned EHR system, so what should be the HIM director's first step
in carrying out responsibility? Answer: Identify data content
requirements for all areas of the organization
◍ At adm, pt's DOB is 3/25/48, but audit of EHR shows the numbers
in DOB are transposed in reports. This situation reflects a problem in:
Answer: Data consistency
◍ Family pract req's opinion of phys specialist, who reviews pt's
health record and examines pt. Phys specialist would record findings,
impressions, and recommendations in what type of report: Answer:
Consultation report
◍ What are key characteristics of the problem-oriented health record?
Answer: Uses an itemized list of patient's past and present health
problems?
◍ Data elements collected on large populations of individuals and
stored in DBs are referred to as: Answer: Aggregate data
, ◍ Health data analyst has been asked to compile a report of the
percentage of pts who had baseline PTT tests performed prior to
rec'ing heparin, so what clinical reports in the health record would the
analyst consult to prepare this report? Answer: Medication record and
clinical lab reports
◍ ABC Hosp wants to compare it's HAC UTI rate for Medicare pts
w/nat'l avg and is using MEDPAR DB for comparison. MEDPAR DB
contains 13M discharges, with 200K adm'd w/PD of UTI, 300K
adm'd w/PD of infectious dz, and 700K had dx of hypertension. What
would be the best comparison data for ABC Hosp? Answer: All
individuals in MEDPAR DB except those admitted with principal
diagnosis of UTI or infection disease
◍ Health data analyst is asked to compile listing of daily BP readings
for pts w/dx of hypertension who were tx on medicine unit within a
2wk period, so what clinical report would be best to gather this info?
Answer: Vital signs record
◍ What is the median of 47, 20,11, 33, 30, 35, and 50? Answer: 11,
20, 30, 33, 35, 47, 50 mean that the median would be 33, but the
answer say to take the avg of 30 and 33 and therefore = 31.5
WRONG!!!!
◍ ABC Hosp had 250 pts in hosp at midnight on 5/, admitted 30 pts
on 5/2, discharged 40 pts (incl deaths) on 5/2, 2 pts adm'd and
discharged on 5/2, so what was the total number of inpt service days
for 5/2? Answer: 242
