C810 Pre-Assessment Foundations of
Healthcare Data Management Exam Questions
With Correct Answers
A |physician |group |is |updating |its |electronic |database |system |to |allow |patients |to |create |
profiles |and |provide |access |to |necessary |individuals. |Patients |have |the |opportunity |to |access |
their |personal |health |information |electronically |from |remote |locations. |The |patients |like |being |
able |to |see |the |doctor's |open |times |to |coordinate |their |schedules |before |requesting |an |office |
visit.
Which |component |of |the |patient |portal |is |the |ability |to |see |a |doctor's |availability?
A. |Scheduling
B. |Online |Visits
C. |Medication |Tracking
D. |Appointment |Reminders
A. |Scheduling
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 |he |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
B. |Medication |history
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
C. |Closed-record-review
A |hospital |uses |a |filing |system |for |permanent |storage |of |paper-based |health |records. |The |
records |are |filed |according |to |a |three-part |number |made |up |of |two-digit |pairs.
Which |type |of |system |is |this?
A. |Unit |numbering |system
B. |Terminal-digit |filing |system
C. |Serial-unit |numbering |system
D. |Straight |numeric |filing |system
B. |Terminal-digit |filing |system
A |patient |goes |to |an |emergency |room |complaining |of |chest |pain |and |is |released |home |four |
hours |later.
Which |type |of |documentation |is |required |in |this |scenario?
A. |Plan |of |care
B. |Time |of |admission
C. |Discharge |orders
D. |Mental |assessment
C. |Discharge |orders
A |patient |is |ready |to |leave |the |emergency |room |but |will |need |discharge |orders |before |leaving.
How |should |the |discharge |orders |be |communicated |to |this |patient?
A. |A |nurse |should |issue |the |order |verbally.
B. |A |physician |should |issue |the |order |verbally.
C. |A |physician |should |issue |the |order |in |writing.
D. |A |nurse |should |issue |the |order |in |writing
C. |A |physician |should |issue |the |order |in |writing.
Which |component |of |the |medical |record |do |the |Centers |for |Medicare |and |Medicaid |Services |
(CMS) |Conditions |of |Participation |require |to |be |completed |no |more |than |30 |days |before |or |24 |
hours |after |admission?
, A. |Focus |charting
B. |Progress |notes
C. |Discharge |summary
D. |History |and |physical
D. |History |and |physical
Which |type |of |consent |is |a |patient |asked |to |sign |before |undergoing |a |scheduled |gallbladder |
surgery?
A. |Implied |consent
B. |Informed |consent
C. |Consent |to |treatment
D. |Notice |of |Privacy |Practices
B. |Informed |consent
Where |does |a |nurse |document |that |a |patient |is |given |an |oral |dose |of |Coumadin |1 |mg |while |
hospitalized?
A. |Nursing |notes
B. |Progress |notes
C. |Nursing |flowsheet
D. |Medication |administration |record
D. |Medication |administration |record
Which |person's |signature |must |be |included |on |a |consent |form?
A. |Physician
B. |Privacy |officer
C.Nurse
D. |Patient
D. |Patient
In |a |physician's |practice, |a |doctor |is |attempting |to |submit |a |claim |to |Medicare, |but |the |system
|is |experiencing |an |outage.
Which |form |should |this |doctor |use |to |submit |a |paper |claim?
A. |Original |documents |should |be |maintained |in |the |health |record.
Healthcare Data Management Exam Questions
With Correct Answers
A |physician |group |is |updating |its |electronic |database |system |to |allow |patients |to |create |
profiles |and |provide |access |to |necessary |individuals. |Patients |have |the |opportunity |to |access |
their |personal |health |information |electronically |from |remote |locations. |The |patients |like |being |
able |to |see |the |doctor's |open |times |to |coordinate |their |schedules |before |requesting |an |office |
visit.
Which |component |of |the |patient |portal |is |the |ability |to |see |a |doctor's |availability?
A. |Scheduling
B. |Online |Visits
C. |Medication |Tracking
D. |Appointment |Reminders
A. |Scheduling
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 |he |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
B. |Medication |history
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
C. |Closed-record-review
A |hospital |uses |a |filing |system |for |permanent |storage |of |paper-based |health |records. |The |
records |are |filed |according |to |a |three-part |number |made |up |of |two-digit |pairs.
Which |type |of |system |is |this?
A. |Unit |numbering |system
B. |Terminal-digit |filing |system
C. |Serial-unit |numbering |system
D. |Straight |numeric |filing |system
B. |Terminal-digit |filing |system
A |patient |goes |to |an |emergency |room |complaining |of |chest |pain |and |is |released |home |four |
hours |later.
Which |type |of |documentation |is |required |in |this |scenario?
A. |Plan |of |care
B. |Time |of |admission
C. |Discharge |orders
D. |Mental |assessment
C. |Discharge |orders
A |patient |is |ready |to |leave |the |emergency |room |but |will |need |discharge |orders |before |leaving.
How |should |the |discharge |orders |be |communicated |to |this |patient?
A. |A |nurse |should |issue |the |order |verbally.
B. |A |physician |should |issue |the |order |verbally.
C. |A |physician |should |issue |the |order |in |writing.
D. |A |nurse |should |issue |the |order |in |writing
C. |A |physician |should |issue |the |order |in |writing.
Which |component |of |the |medical |record |do |the |Centers |for |Medicare |and |Medicaid |Services |
(CMS) |Conditions |of |Participation |require |to |be |completed |no |more |than |30 |days |before |or |24 |
hours |after |admission?
, A. |Focus |charting
B. |Progress |notes
C. |Discharge |summary
D. |History |and |physical
D. |History |and |physical
Which |type |of |consent |is |a |patient |asked |to |sign |before |undergoing |a |scheduled |gallbladder |
surgery?
A. |Implied |consent
B. |Informed |consent
C. |Consent |to |treatment
D. |Notice |of |Privacy |Practices
B. |Informed |consent
Where |does |a |nurse |document |that |a |patient |is |given |an |oral |dose |of |Coumadin |1 |mg |while |
hospitalized?
A. |Nursing |notes
B. |Progress |notes
C. |Nursing |flowsheet
D. |Medication |administration |record
D. |Medication |administration |record
Which |person's |signature |must |be |included |on |a |consent |form?
A. |Physician
B. |Privacy |officer
C.Nurse
D. |Patient
D. |Patient
In |a |physician's |practice, |a |doctor |is |attempting |to |submit |a |claim |to |Medicare, |but |the |system
|is |experiencing |an |outage.
Which |form |should |this |doctor |use |to |submit |a |paper |claim?
A. |Original |documents |should |be |maintained |in |the |health |record.
