HIM SEMINAR RHIT MOCK EXAM
PREP QUESTIONS AND CORRECT
ANSWERS
Someone suggested that we collect a patient's eye color. This was not implemented. What quality
characteristic would be the justification for not collecting this information? ✅✅CORRECT ANSW-
Relevancy
The admitting form of Mrs. Smith's health record indicated that her birth date was March 21, 1948.
Which quality element is missing from Mrs. Smith's health record? ✅✅CORRECT ANSW-Data
consistency
What is the defining characteristic of an integrated health record format? ✅✅CORRECT ANSW-
Integrated health record components are arranged in strict chronological order.
Which of the following best describes data accessibility? ✅✅CORRECT ANSW-Data are easy to
obtain.
Which of the following best describes data accuracy? ✅✅CORRECT ANSW-Data are correct.
Which of the following best describes data completeness? ✅✅CORRECT ANSW-Data include all
required elements.
Which of the following best describes data completeness? ✅✅CORRECT ANSW-Data include all
required elements.
Which of the following best describes the most important function of the health record?
✅✅CORRECT ANSW-Storing patient care documentation
Which of the following elements is not a component of most patient records? ✅✅CORRECT
ANSW-Financial information
Critique this statement: Paper-based record systems are not flexible enough to meet all of the needs
of every health record user. ✅✅CORRECT ANSW-This is a true statement.
,Data definition refers to the: ✅✅CORRECT ANSW-Meaning of data.
Dr. Jones entered a progress note in a patient's health record 24 hours after he visited the patient.
Which quality element is missing from the progress note? ✅✅CORRECT ANSW-Data currency -
means data should be up-to-date.
It was suggested that we enter the patient's age manually in all of our information systems rather
than having it entered once in one system and interfaced to the other systems. What quality
characteristic would be the justification for not doing this manual entry into each information
system? ✅✅CORRECT ANSW-Consistency
Which of the following is an example of a primary purpose of the medical record? ✅✅CORRECT
ANSW-Patient Care Management
Which of the following in not a characteristics of high-quality healthcare data? ✅✅CORRECT
ANSW-Data accountability
Which of the following represents an example of data granularity? ✅✅CORRECT ANSW-A
numerical measurement carried out to the appropriate decimal place.
Who are the primary users of the health record? ✅✅CORRECT ANSW-Clinical professionals who
provide direct patient care.
I just told my doctor something embarrassing about myself. I told him because I expect him to use
the information for my care only. This concept is called: ✅✅CORRECT ANSW-Confidentiality
Which of the following is not a domain upon which the data quality management model is based
upon? ✅✅CORRECT ANSW-Implementation
________________ is the term used to describe expected data values. ✅✅CORRECT ANSW-Data
precision
___________________ is not an example of an individual user of health records. ✅✅CORRECT
ANSW-Educational facilities
, A major advantage of the source oriented medical record is the: ✅✅CORRECT ANSW-speed at
which individual sheets can be located.
Which type of health record is designed to measure clinical outcomes, collect data at the point of
care, and provide medical alerts? ✅✅CORRECT ANSW-Electronic record
Which of the following is true of computer-based records? ✅✅CORRECT ANSW-Can be accessed
by multiple end users simultaneously.
What is the function of physician's orders? ✅✅CORRECT ANSW-To document the physician's
instructions to other parties involved in providing care to a patient.
In which type of healthcare setting would you find a "PAI" in use? ✅✅CORRECT ANSW-Inpatient
rehabilitation
What is the general name for Medicare standards impacting healthcare organizations?
✅✅CORRECT ANSW-Conditions of Participation
Which of the following groups is the primary accreditation organization for facilities that treat
individuals who have functional disabilities? ✅✅CORRECT ANSW-Commission on Accreditation for
Rehabilitation Facilities
The patient indicates that she is dizzy, nauseous, and feels her throat tightening. This entry would be
recorded in which section of the SOAP note? ✅✅CORRECT ANSW-Subjective
Where would you find the rules of documenting in the health record in a specific hospital?
✅✅CORRECT ANSW-Medical Staff Rules/By-laws
Which of the following contains the physician's findings based on an examination of the patient?
✅✅CORRECT ANSW-Physical exam
Kim, a 78 year old end stage renal cancer patient, is need of palliative care. Which facility would best
met her needs? ✅✅CORRECT ANSW-Hospice
PREP QUESTIONS AND CORRECT
ANSWERS
Someone suggested that we collect a patient's eye color. This was not implemented. What quality
characteristic would be the justification for not collecting this information? ✅✅CORRECT ANSW-
Relevancy
The admitting form of Mrs. Smith's health record indicated that her birth date was March 21, 1948.
Which quality element is missing from Mrs. Smith's health record? ✅✅CORRECT ANSW-Data
consistency
What is the defining characteristic of an integrated health record format? ✅✅CORRECT ANSW-
Integrated health record components are arranged in strict chronological order.
Which of the following best describes data accessibility? ✅✅CORRECT ANSW-Data are easy to
obtain.
Which of the following best describes data accuracy? ✅✅CORRECT ANSW-Data are correct.
Which of the following best describes data completeness? ✅✅CORRECT ANSW-Data include all
required elements.
Which of the following best describes data completeness? ✅✅CORRECT ANSW-Data include all
required elements.
Which of the following best describes the most important function of the health record?
✅✅CORRECT ANSW-Storing patient care documentation
Which of the following elements is not a component of most patient records? ✅✅CORRECT
ANSW-Financial information
Critique this statement: Paper-based record systems are not flexible enough to meet all of the needs
of every health record user. ✅✅CORRECT ANSW-This is a true statement.
,Data definition refers to the: ✅✅CORRECT ANSW-Meaning of data.
Dr. Jones entered a progress note in a patient's health record 24 hours after he visited the patient.
Which quality element is missing from the progress note? ✅✅CORRECT ANSW-Data currency -
means data should be up-to-date.
It was suggested that we enter the patient's age manually in all of our information systems rather
than having it entered once in one system and interfaced to the other systems. What quality
characteristic would be the justification for not doing this manual entry into each information
system? ✅✅CORRECT ANSW-Consistency
Which of the following is an example of a primary purpose of the medical record? ✅✅CORRECT
ANSW-Patient Care Management
Which of the following in not a characteristics of high-quality healthcare data? ✅✅CORRECT
ANSW-Data accountability
Which of the following represents an example of data granularity? ✅✅CORRECT ANSW-A
numerical measurement carried out to the appropriate decimal place.
Who are the primary users of the health record? ✅✅CORRECT ANSW-Clinical professionals who
provide direct patient care.
I just told my doctor something embarrassing about myself. I told him because I expect him to use
the information for my care only. This concept is called: ✅✅CORRECT ANSW-Confidentiality
Which of the following is not a domain upon which the data quality management model is based
upon? ✅✅CORRECT ANSW-Implementation
________________ is the term used to describe expected data values. ✅✅CORRECT ANSW-Data
precision
___________________ is not an example of an individual user of health records. ✅✅CORRECT
ANSW-Educational facilities
, A major advantage of the source oriented medical record is the: ✅✅CORRECT ANSW-speed at
which individual sheets can be located.
Which type of health record is designed to measure clinical outcomes, collect data at the point of
care, and provide medical alerts? ✅✅CORRECT ANSW-Electronic record
Which of the following is true of computer-based records? ✅✅CORRECT ANSW-Can be accessed
by multiple end users simultaneously.
What is the function of physician's orders? ✅✅CORRECT ANSW-To document the physician's
instructions to other parties involved in providing care to a patient.
In which type of healthcare setting would you find a "PAI" in use? ✅✅CORRECT ANSW-Inpatient
rehabilitation
What is the general name for Medicare standards impacting healthcare organizations?
✅✅CORRECT ANSW-Conditions of Participation
Which of the following groups is the primary accreditation organization for facilities that treat
individuals who have functional disabilities? ✅✅CORRECT ANSW-Commission on Accreditation for
Rehabilitation Facilities
The patient indicates that she is dizzy, nauseous, and feels her throat tightening. This entry would be
recorded in which section of the SOAP note? ✅✅CORRECT ANSW-Subjective
Where would you find the rules of documenting in the health record in a specific hospital?
✅✅CORRECT ANSW-Medical Staff Rules/By-laws
Which of the following contains the physician's findings based on an examination of the patient?
✅✅CORRECT ANSW-Physical exam
Kim, a 78 year old end stage renal cancer patient, is need of palliative care. Which facility would best
met her needs? ✅✅CORRECT ANSW-Hospice
