HEALTH INFORMATION SYSTEMS EXAM 6 |
HEALTH IT SPECIALIST| LATEST 2025-2026
QUESTION AND CORRECT ANSWER WITH
EXPLANATION WEST COAST UNIVERSITY
1. A hospital experiences simultaneous failure of EHR, LIS, and
PACS after a cyberattack. What is the FIRST action?
A. Restart all systems immediately
B. Activate incident response and isolate affected networks
C. Continue using EHR offline
D. Notify billing department only
Correct Answer: B
Rationale: Cyber incidents require containment before restoration.
2. What is the MOST critical function of a Hospital Incident
Response Team (HIRT)?
A. Process billing claims
B. Restore clinical system functionality safely
C. Update ICD codes
D. Manage payroll
Correct Answer: B
Rationale: HIRT restores systems while maintaining safety and security.
3. A ransomware attack encrypts patient data. What should NOT be
done?
A. Isolate infected systems
B. Activate downtime procedures
C. Pay ransom immediately
D. Notify cybersecurity team
Correct Answer: C
Rationale: Paying ransom is not standard recommended protocol.
,4. Which system is MOST critical for maintaining patient identity
during system outages?
A. PACS
B. MPI
C. RIS
D. CDSS
Correct Answer: B
Rationale: Master Patient Index ensures identity continuity.
5. HL7 messages are not reaching downstream systems after an
update. What is MOST likely cause?
A. Imaging failure
B. Interface engine version mismatch
C. Billing system overload
D. Network cable replacement
Correct Answer: B
Rationale: Interface version mismatch breaks message flow.
6. What is the PRIMARY role of data encryption in healthcare
systems?
A. Improve workflow speed
B. Protect data confidentiality during storage and transmission
C. Increase storage capacity
D. Reduce documentation time
Correct Answer: B
Rationale: Encryption protects PHI from unauthorized access.
7. A clinician reports duplicate lab results from LIS. What is MOST
likely issue?
A. CDSS failure
B. HL7 message duplication
, C. Imaging compression error
D. Billing system glitch
Correct Answer: B
Rationale: Interface duplication causes duplicate results.
8. What is the MAIN purpose of a failover system?
A. Improve billing accuracy
B. Provide backup functionality during system outage
C. Compress medical images
D. Reduce documentation
Correct Answer: B
Rationale: Failover ensures continuity during failure.
9. What is the MOST important principle during downtime
documentation?
A. Speed over accuracy
B. Complete and accurate manual documentation
C. Skipping non-critical data
D. Billing priority first
Correct Answer: B
Rationale: Clinical accuracy is critical during downtime.
10. A system upgrade breaks interoperability between EHR and
pharmacy system. What is the MOST likely cause?
A. Improved security
B. API version incompatibility
C. Faster processing
D. Hardware upgrade
Correct Answer: B
Rationale: API mismatches disrupt integration.
HEALTH IT SPECIALIST| LATEST 2025-2026
QUESTION AND CORRECT ANSWER WITH
EXPLANATION WEST COAST UNIVERSITY
1. A hospital experiences simultaneous failure of EHR, LIS, and
PACS after a cyberattack. What is the FIRST action?
A. Restart all systems immediately
B. Activate incident response and isolate affected networks
C. Continue using EHR offline
D. Notify billing department only
Correct Answer: B
Rationale: Cyber incidents require containment before restoration.
2. What is the MOST critical function of a Hospital Incident
Response Team (HIRT)?
A. Process billing claims
B. Restore clinical system functionality safely
C. Update ICD codes
D. Manage payroll
Correct Answer: B
Rationale: HIRT restores systems while maintaining safety and security.
3. A ransomware attack encrypts patient data. What should NOT be
done?
A. Isolate infected systems
B. Activate downtime procedures
C. Pay ransom immediately
D. Notify cybersecurity team
Correct Answer: C
Rationale: Paying ransom is not standard recommended protocol.
,4. Which system is MOST critical for maintaining patient identity
during system outages?
A. PACS
B. MPI
C. RIS
D. CDSS
Correct Answer: B
Rationale: Master Patient Index ensures identity continuity.
5. HL7 messages are not reaching downstream systems after an
update. What is MOST likely cause?
A. Imaging failure
B. Interface engine version mismatch
C. Billing system overload
D. Network cable replacement
Correct Answer: B
Rationale: Interface version mismatch breaks message flow.
6. What is the PRIMARY role of data encryption in healthcare
systems?
A. Improve workflow speed
B. Protect data confidentiality during storage and transmission
C. Increase storage capacity
D. Reduce documentation time
Correct Answer: B
Rationale: Encryption protects PHI from unauthorized access.
7. A clinician reports duplicate lab results from LIS. What is MOST
likely issue?
A. CDSS failure
B. HL7 message duplication
, C. Imaging compression error
D. Billing system glitch
Correct Answer: B
Rationale: Interface duplication causes duplicate results.
8. What is the MAIN purpose of a failover system?
A. Improve billing accuracy
B. Provide backup functionality during system outage
C. Compress medical images
D. Reduce documentation
Correct Answer: B
Rationale: Failover ensures continuity during failure.
9. What is the MOST important principle during downtime
documentation?
A. Speed over accuracy
B. Complete and accurate manual documentation
C. Skipping non-critical data
D. Billing priority first
Correct Answer: B
Rationale: Clinical accuracy is critical during downtime.
10. A system upgrade breaks interoperability between EHR and
pharmacy system. What is the MOST likely cause?
A. Improved security
B. API version incompatibility
C. Faster processing
D. Hardware upgrade
Correct Answer: B
Rationale: API mismatches disrupt integration.
