RHIT Exam Practice Test 1- Purple Book with
Complete Solutions
A health record technician has been asked to review the discharge patient
abstracting module of proposed new EHR. Which of the following data sets would
the tech consult to ensure the system collects all federally required discharge data
elements for Medicare and Medicaid inpatients in a acute-care hospital? - ANS-
UHDDS- Uniform Hospital Discharge Data Set
Standardizing medical terminology to avoid differences in naming various health
conditions and procedures is one purpose of? - ANS-Vocabulary Standards
Patient care managers use the data documented in the health record to? - ANS-
Evaluate patterns and trends of patient care
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. A audit of the
EHR discovers that the numbers in the date of birth are transposed in reports. This
situation reflects a problem in? - ANS-Data consistency
A health data analyst has been asked to compile a listing of daily blood pressure
readings for patients with a dx of hypertension who were treated on the medical
unit within a two-week period. What clinical report would be the best source to
gather this information? - ANS-Vital signs record
Which of the following is a key characteristic of the problem-oriented health record?
- ANS-Uses an itemized list of the patient's past and present health problems
Which of the following is true regarding the reporting of communicable diseases? -
ANS-The diseases to be reported are established by state law
A new health information management director has been asked by the hospital CIO
to ensure data content standards are identified, understood, implemented, and
managed for the hospital's EHR system. Which of the following should be a HIM
director's first step in carrying out this responsibility? - ANS-Identify data content
requirements for all areas of the organization
A health data analyst has been asked to complete a report of the percentages of
patients who had a baseline partial thromboplastin time test preformed 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? - ANS-Medication
administration record and clinical laboratory reports.
Which of the following is considered the authoritative resource in locating a health
record? - ANS-MPI- Master patient index
The HIM manager is conducting a study in which she is comparing the current
, year's dx codes to the proposed new codes for the next fiscal year and documenting
variations in order to assess the impacts on the organization. The process creates a
? - ANS-Data map
A family practitioner requests the opinion of a physician specialist who reviews the
patient's health record and examines the patient. In what type of report would the
physician specialist record findings, impressions, and recommendations? - ANS-
Consultation
The master patient index (MPI) manager has identified a pattern of duplicate health
record numbers from the specimen processing area of the hospital. The MPI
manager merged the patient information and corrected duplicates in the patient
information system. After this merging process, which department should the MPI
manager notify to correct the source system data? - ANS-Laboratory
What type analysis compares omitted clinical information received from the external
providers with the needed clinical information to make a correct diagnosis? - ANS-
Gap analysis
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? - ANS-Review each patient's
health record concurrently to ensure the history and physicals are present.
The HIM director is having difficulty with emergency services on-call physicians
completing their health records. Currently three deficiency notices are sent to the
physicians through the EHR system including an initial notice, a second reminder,
and final notification. Which of the following would be the best first step in trying to
rectify the current situation? - ANS-Consult with the medical director who has
authority over the on call physicians for suggestions on how to improve response to
current notices.
Valley High a skilled nursing facility, wants to become certified to take part in a
federal government reimbursement programs such as Medicare and Medicaid. What
standards must the facility meet to become certified for these programs? - ANS-
Conditions of Participation
A health record with deficiencies that is not completed within the timeframe
specified in the medical staff rules and regulations is called? - ANS-Delinquent
record
How do accreditation organizations such as Joint Commission use the health
record? - ANS-To determine whether standards of care are being met
Which of the following specialized patient assessment tools must be used by
Medicare-certified home care providers? - ANS-Outcomes and Assessment
Information Set
Complete Solutions
A health record technician has been asked to review the discharge patient
abstracting module of proposed new EHR. Which of the following data sets would
the tech consult to ensure the system collects all federally required discharge data
elements for Medicare and Medicaid inpatients in a acute-care hospital? - ANS-
UHDDS- Uniform Hospital Discharge Data Set
Standardizing medical terminology to avoid differences in naming various health
conditions and procedures is one purpose of? - ANS-Vocabulary Standards
Patient care managers use the data documented in the health record to? - ANS-
Evaluate patterns and trends of patient care
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. A audit of the
EHR discovers that the numbers in the date of birth are transposed in reports. This
situation reflects a problem in? - ANS-Data consistency
A health data analyst has been asked to compile a listing of daily blood pressure
readings for patients with a dx of hypertension who were treated on the medical
unit within a two-week period. What clinical report would be the best source to
gather this information? - ANS-Vital signs record
Which of the following is a key characteristic of the problem-oriented health record?
- ANS-Uses an itemized list of the patient's past and present health problems
Which of the following is true regarding the reporting of communicable diseases? -
ANS-The diseases to be reported are established by state law
A new health information management director has been asked by the hospital CIO
to ensure data content standards are identified, understood, implemented, and
managed for the hospital's EHR system. Which of the following should be a HIM
director's first step in carrying out this responsibility? - ANS-Identify data content
requirements for all areas of the organization
A health data analyst has been asked to complete a report of the percentages of
patients who had a baseline partial thromboplastin time test preformed 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? - ANS-Medication
administration record and clinical laboratory reports.
Which of the following is considered the authoritative resource in locating a health
record? - ANS-MPI- Master patient index
The HIM manager is conducting a study in which she is comparing the current
, year's dx codes to the proposed new codes for the next fiscal year and documenting
variations in order to assess the impacts on the organization. The process creates a
? - ANS-Data map
A family practitioner requests the opinion of a physician specialist who reviews the
patient's health record and examines the patient. In what type of report would the
physician specialist record findings, impressions, and recommendations? - ANS-
Consultation
The master patient index (MPI) manager has identified a pattern of duplicate health
record numbers from the specimen processing area of the hospital. The MPI
manager merged the patient information and corrected duplicates in the patient
information system. After this merging process, which department should the MPI
manager notify to correct the source system data? - ANS-Laboratory
What type analysis compares omitted clinical information received from the external
providers with the needed clinical information to make a correct diagnosis? - ANS-
Gap analysis
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? - ANS-Review each patient's
health record concurrently to ensure the history and physicals are present.
The HIM director is having difficulty with emergency services on-call physicians
completing their health records. Currently three deficiency notices are sent to the
physicians through the EHR system including an initial notice, a second reminder,
and final notification. Which of the following would be the best first step in trying to
rectify the current situation? - ANS-Consult with the medical director who has
authority over the on call physicians for suggestions on how to improve response to
current notices.
Valley High a skilled nursing facility, wants to become certified to take part in a
federal government reimbursement programs such as Medicare and Medicaid. What
standards must the facility meet to become certified for these programs? - ANS-
Conditions of Participation
A health record with deficiencies that is not completed within the timeframe
specified in the medical staff rules and regulations is called? - ANS-Delinquent
record
How do accreditation organizations such as Joint Commission use the health
record? - ANS-To determine whether standards of care are being met
Which of the following specialized patient assessment tools must be used by
Medicare-certified home care providers? - ANS-Outcomes and Assessment
Information Set
