RHIT Practice Exam Questions with Verified
Answers
Question 1
In designing input by clinicians for an EHR system, which of the following would be
effective for a clinician when the data are repetitive and the vocabulary used is fairly
limited?
a. Drop-down menus
b. Point and click fields
c. Speech recognition
d. Structured templates
Correct Answer
c. Speech recognition
Speech recognition can be very effective in certain situations when data entry is
fairly repetitive and the vocabulary used is fairly limited. As speech recognition
improves, it is becoming a replacement for other forms of dictation. In some cases,
the user reviews the speech as it is being converted to type and makes any needed
corrections; in other cases, the speech is sent to a special device where it generates
type for another individual to review and edit.
Page 1 of 89
,Question 2
A health data analyst has been asked to compile a report of the percentage of
patients who had a baseline partial thromboplastin time (PTT) test performed prior to
receiving heparin. What clinical reports in the health record would the health data
analyst need to consult in order to prepare this report?
a. Physician progress notes and medication record
b. Nursing and physician progress notes
c. Medication administration record and clinical laboratory reports
d. Physician orders and clinical laboratory reports
Correct Answer
c. Medication administration record and clinical laboratory reports
Clinical laboratory reports should be reviewed to determine if a partial
thromboplastin time (PTT) test was performed. Medication Administration Records
(MAR) should be reviewed to determine if heparin was given after the PTT test was
performed.
Question 3
In CPT, if a patient has two lacerations of the arm that are repaired with simple
closures, which of the following would apply for correct coding?
a. Two CPT codes, one for each laceration
b. One CPT code for the largest laceration
c. One CPT code for the most complex closure
d. One CPT code, adding the lengths of the lacerations together
Correct Answer
d. One CPT code, adding the lengths of the lacerations together
The length of multiple laceration repairs located in the same classification are added
together and one code is assigned.
Page 2 of 89
,Question 4
Which of the following best represents the definition of the term data?
a. Patient's laboratory value is 50.
b. Patient's SGOT is higher than 50 and outside of normal limits.
c. Patient's resting heartbeat is 70, which is within normal range.
d. Patient's laboratory value is consistent with liver disease.
Correct Answer
a. Patient's laboratory value is 50.
Although sometimes used interchangeably, the terms data and information do not
mean the same thing. Data represent the basic facts about people, processes,
measurements, conditions, and so on. They can be collected in the form of dates,
numerical measurements and statistics, textual descriptions, checklists, images, and
symbols. After data have been collected and analyzed, they are converted into a
form that can be used for a specific purpose. This useful form is called information.
In other words, data represent facts and information represents meaning.
Question 5
An employee views a patient's electronic health record. It is a trigger event if:
a. The employee and patient have the same last name
b. The patient was admitted through the emergency department
c. The patient is over 89 years old
d. A dietitian views a patient's nutrition care plan
Correct Answer
a. The employee and patient have the same last name
With appropriate policies and procedures in place, it is the responsibility of the
organization and its managers, directors, CSO, and employees with audit
responsibilities to review access logs, audit trails, failed logins, and other reports.
One type of event that would be a trigger event would include employees viewing
records of patients with the same last name or address of the employee.
Page 3 of 89
, Question 6
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
Correct Answer
b. Review each patient's health record concurrently to ensure the history and
physicals are present.
The quantitative analysis or record content review process can be handled in a
number of ways. Some acute-care facilities conduct record review on a continuing
basis during a patient's hospital stay. Using this method, personnel from the HIM
department go to the nursing unit daily (or periodically) to review each patient's
record. This type of process is usually referred to as a concurrent review because
review occurs concurrently with the patient's stay in the hospital.
Question 7
The Department of Health and Human Services has identified that Community
Hospital is guilty of fraud. It was determined that the facility tried to comply with
standards, but their efforts failed. What category of fraud and abuse prevention does
this fall into?
a. Reasonable cause
b. Reasonable diligence
c. Willful neglect
d. Willful defiance
Correct Answer
b. Reasonable diligence
Reasonable diligence is when the healthcare provider has taken reasonable actions
to comply with the legislative requirements.
Page 4 of 89
Answers
Question 1
In designing input by clinicians for an EHR system, which of the following would be
effective for a clinician when the data are repetitive and the vocabulary used is fairly
limited?
a. Drop-down menus
b. Point and click fields
c. Speech recognition
d. Structured templates
Correct Answer
c. Speech recognition
Speech recognition can be very effective in certain situations when data entry is
fairly repetitive and the vocabulary used is fairly limited. As speech recognition
improves, it is becoming a replacement for other forms of dictation. In some cases,
the user reviews the speech as it is being converted to type and makes any needed
corrections; in other cases, the speech is sent to a special device where it generates
type for another individual to review and edit.
Page 1 of 89
,Question 2
A health data analyst has been asked to compile a report of the percentage of
patients who had a baseline partial thromboplastin time (PTT) test performed prior to
receiving heparin. What clinical reports in the health record would the health data
analyst need to consult in order to prepare this report?
a. Physician progress notes and medication record
b. Nursing and physician progress notes
c. Medication administration record and clinical laboratory reports
d. Physician orders and clinical laboratory reports
Correct Answer
c. Medication administration record and clinical laboratory reports
Clinical laboratory reports should be reviewed to determine if a partial
thromboplastin time (PTT) test was performed. Medication Administration Records
(MAR) should be reviewed to determine if heparin was given after the PTT test was
performed.
Question 3
In CPT, if a patient has two lacerations of the arm that are repaired with simple
closures, which of the following would apply for correct coding?
a. Two CPT codes, one for each laceration
b. One CPT code for the largest laceration
c. One CPT code for the most complex closure
d. One CPT code, adding the lengths of the lacerations together
Correct Answer
d. One CPT code, adding the lengths of the lacerations together
The length of multiple laceration repairs located in the same classification are added
together and one code is assigned.
Page 2 of 89
,Question 4
Which of the following best represents the definition of the term data?
a. Patient's laboratory value is 50.
b. Patient's SGOT is higher than 50 and outside of normal limits.
c. Patient's resting heartbeat is 70, which is within normal range.
d. Patient's laboratory value is consistent with liver disease.
Correct Answer
a. Patient's laboratory value is 50.
Although sometimes used interchangeably, the terms data and information do not
mean the same thing. Data represent the basic facts about people, processes,
measurements, conditions, and so on. They can be collected in the form of dates,
numerical measurements and statistics, textual descriptions, checklists, images, and
symbols. After data have been collected and analyzed, they are converted into a
form that can be used for a specific purpose. This useful form is called information.
In other words, data represent facts and information represents meaning.
Question 5
An employee views a patient's electronic health record. It is a trigger event if:
a. The employee and patient have the same last name
b. The patient was admitted through the emergency department
c. The patient is over 89 years old
d. A dietitian views a patient's nutrition care plan
Correct Answer
a. The employee and patient have the same last name
With appropriate policies and procedures in place, it is the responsibility of the
organization and its managers, directors, CSO, and employees with audit
responsibilities to review access logs, audit trails, failed logins, and other reports.
One type of event that would be a trigger event would include employees viewing
records of patients with the same last name or address of the employee.
Page 3 of 89
, Question 6
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
Correct Answer
b. Review each patient's health record concurrently to ensure the history and
physicals are present.
The quantitative analysis or record content review process can be handled in a
number of ways. Some acute-care facilities conduct record review on a continuing
basis during a patient's hospital stay. Using this method, personnel from the HIM
department go to the nursing unit daily (or periodically) to review each patient's
record. This type of process is usually referred to as a concurrent review because
review occurs concurrently with the patient's stay in the hospital.
Question 7
The Department of Health and Human Services has identified that Community
Hospital is guilty of fraud. It was determined that the facility tried to comply with
standards, but their efforts failed. What category of fraud and abuse prevention does
this fall into?
a. Reasonable cause
b. Reasonable diligence
c. Willful neglect
d. Willful defiance
Correct Answer
b. Reasonable diligence
Reasonable diligence is when the healthcare provider has taken reasonable actions
to comply with the legislative requirements.
Page 4 of 89
