250 Practice Questions with Verified Answers & Detailed Rationales
Domain 1: Healthcare Data Fundamentals (Questions 1–50)
1. A hospital uses a filing system for permanent storage of paper-
based records. The records are ordered according to a three-part
number containing two-number parts. What type of scheme is this?
A) Terminal-digit filing
B) Middle-digit filing
C) Straight-numeric filing
D) Alphabetic filing
Answer A: — Terminal-digit filing
,Rationale: Terminal-digit filing arranges records using the last digits
of the record number as the primary sorting unit. This distributes
records evenly and reduces filing congestion. ---
2. Which component of the patient portal allows patients to view a
doctor's availability and schedule appointments?
A) Scheduling
B) Online visits
C) Medication tracking
D) Appointment reminders
Answer A: — Scheduling
Rationale: The scheduling component of a patient portal allows
patients to view provider availability and schedule appointments. The
scenario describes patients seeing the doctor's open times to
coordinate their schedules before requesting a visit, which is a
scheduling function. ---
3. A patient is admitted to an acute care facility while on vacation,
but records from his physician's office cannot be immediately
,obtained. The patient has difficulty remembering his insulin dosage
but recalls being enrolled in a patient portal. Where would
information about the patient's insulin dosage be found within this
portal?
A) Appointment history
B) Medication history
C) Laboratory results
D) Problem list
Answer B: — Medication history
Rationale: The medication history section of a patient portal contains
information about prescribed medications, including dosages. ---
4. Which form of review is conducted after a patient is discharged
from an acute care facility in order to obtain information about
trends and patterns of documentation?
A) Open-record review
B) Point-of-care review
C) Closed-record review
D) Ongoing-record review
Answer C: — Closed-record review
, Rationale: A closed-record review is performed after a patient has
been discharged. It is used to analyze documentation completeness,
quality, and patterns for the entire stay. ---
5. A patient is ready to leave the emergency department but will
need discharge orders before leaving. How many days before
admission must the H&P be completed, and within how many hours
must the H&P be placed in the patient's record after admission?
A) 30 days; 24 hours
B) 7 days; 48 hours
C) 14 days; 12 hours
D) 30 days; 48 hours
Answer A: — 30 days; 24 hours
Rationale: The H&P must be completed within 30 days before
admission and placed in the patient's record within 24 hours after
admission. ---
6. Which of the following is a primary data source in healthcare?
A) The health record