CAHIMS FINAL EXAM QUESTIONS AND CORRECT
ANSWERS WITH RATIONALES GRADED A+ LATEST
1. Health IT Governance
1. Which of the following is the MOST important role of IT governance in
healthcare organizations?
A. Managing IT staffing schedules
B. Ensuring IT investments align with strategic goals
C. Training end users on software
D. Installing network hardware
Answer: B
Rationale: IT governance ensures that IT investments support organizational
strategy and deliver value.
2. A hospital’s IT steering committee is reviewing a new EHR proposal. Which
factor is MOST critical for decision-making?
A. Vendor brand popularity
B. Alignment with clinical workflows
C. Length of the vendor’s website
D. Number of sales representatives
Answer: B
Rationale: EHR success depends on alignment with clinical workflows and
usability.
3. Which governance model emphasizes shared decision-making between IT and
clinical leadership?
A. Centralized
B. Decentralized
C. Federal
D. Anarchy
Answer: C
Rationale: Federal governance balances centralized standards with decentralized
clinical input.
,4. What is the primary purpose of an IT strategic plan?
A. To detail every software update
B. To outline long-term IT goals aligned with organizational objectives
C. To assign daily IT help desk tasks
D. To list every employee’s passwords
Answer: B
Rationale: Strategic plans provide direction and priorities for IT investments and
initiatives.
2. Health IT Operations & Support
5. Which is the BEST indicator that a help desk is operating effectively?
A. The number of tickets created
B. Average time to resolve incidents
C. The color of the help desk uniforms
D. Number of printers in the office
Answer: B
Rationale: Resolution time is a key metric for help desk effectiveness.
6. A health system experiences frequent EHR downtime. What is the MOST
effective long-term solution?
A. Increase staff overtime
B. Implement redundant systems and disaster recovery planning
C. Reduce the number of users
D. Disable all updates
Answer: B
Rationale: Redundancy and recovery planning improve uptime and resilience.
7. What is the PRIMARY benefit of ITIL-based incident management in
healthcare?
A. Eliminating all system outages
B. Standardizing response and reducing downtime
C. Removing the need for documentation
D. Reducing clinical staff
Answer: B
,Rationale: ITIL incident management standardizes handling of incidents to restore
service quickly.
3. Clinical Systems
8. Which system is primarily used for documenting patient care at the point of
care?
A. HRIS
B. EHR
C. CRM
D. ERP
Answer: B
Rationale: EHRs capture clinical documentation and patient care information.
9. Clinical decision support (CDS) is MOST effective when it is:
A. Interruptive and frequent
B. Relevant and integrated into workflow
C. Only available after hours
D. Manual and paper-based
Answer: B
Rationale: CDS works best when it provides timely, relevant information within
workflow.
10. Which of the following is a key benefit of computerized provider order entry
(CPOE)?
A. Increasing paper charting
B. Reducing medication errors
C. Slowing clinical workflows
D. Removing clinical decision support
Answer: B
Rationale: CPOE reduces errors by standardizing orders and adding safety checks.
, 4. Privacy & Security
11. Which law primarily governs the protection of patient health information in the
U.S.?
A. FERPA
B. HIPAA
C. SOX
D. ADA
Answer: B
Rationale: HIPAA sets standards for protecting PHI.
12. What is the MOST effective method to prevent unauthorized access to patient
data?
A. Using strong passwords and multi-factor authentication
B. Allowing shared passwords
C. Disabling audit logs
D. Printing patient records
Answer: A
Rationale: Strong authentication reduces unauthorized access.
13. A hospital’s security team detects unusual access patterns in the EHR. What is
the BEST next step?
A. Ignore it
B. Conduct an investigation and initiate incident response
C. Delete audit logs
D. Post the patient record publicly
Answer: B
Rationale: Unusual access may indicate a breach and requires immediate
response.
ANSWERS WITH RATIONALES GRADED A+ LATEST
1. Health IT Governance
1. Which of the following is the MOST important role of IT governance in
healthcare organizations?
A. Managing IT staffing schedules
B. Ensuring IT investments align with strategic goals
C. Training end users on software
D. Installing network hardware
Answer: B
Rationale: IT governance ensures that IT investments support organizational
strategy and deliver value.
2. A hospital’s IT steering committee is reviewing a new EHR proposal. Which
factor is MOST critical for decision-making?
A. Vendor brand popularity
B. Alignment with clinical workflows
C. Length of the vendor’s website
D. Number of sales representatives
Answer: B
Rationale: EHR success depends on alignment with clinical workflows and
usability.
3. Which governance model emphasizes shared decision-making between IT and
clinical leadership?
A. Centralized
B. Decentralized
C. Federal
D. Anarchy
Answer: C
Rationale: Federal governance balances centralized standards with decentralized
clinical input.
,4. What is the primary purpose of an IT strategic plan?
A. To detail every software update
B. To outline long-term IT goals aligned with organizational objectives
C. To assign daily IT help desk tasks
D. To list every employee’s passwords
Answer: B
Rationale: Strategic plans provide direction and priorities for IT investments and
initiatives.
2. Health IT Operations & Support
5. Which is the BEST indicator that a help desk is operating effectively?
A. The number of tickets created
B. Average time to resolve incidents
C. The color of the help desk uniforms
D. Number of printers in the office
Answer: B
Rationale: Resolution time is a key metric for help desk effectiveness.
6. A health system experiences frequent EHR downtime. What is the MOST
effective long-term solution?
A. Increase staff overtime
B. Implement redundant systems and disaster recovery planning
C. Reduce the number of users
D. Disable all updates
Answer: B
Rationale: Redundancy and recovery planning improve uptime and resilience.
7. What is the PRIMARY benefit of ITIL-based incident management in
healthcare?
A. Eliminating all system outages
B. Standardizing response and reducing downtime
C. Removing the need for documentation
D. Reducing clinical staff
Answer: B
,Rationale: ITIL incident management standardizes handling of incidents to restore
service quickly.
3. Clinical Systems
8. Which system is primarily used for documenting patient care at the point of
care?
A. HRIS
B. EHR
C. CRM
D. ERP
Answer: B
Rationale: EHRs capture clinical documentation and patient care information.
9. Clinical decision support (CDS) is MOST effective when it is:
A. Interruptive and frequent
B. Relevant and integrated into workflow
C. Only available after hours
D. Manual and paper-based
Answer: B
Rationale: CDS works best when it provides timely, relevant information within
workflow.
10. Which of the following is a key benefit of computerized provider order entry
(CPOE)?
A. Increasing paper charting
B. Reducing medication errors
C. Slowing clinical workflows
D. Removing clinical decision support
Answer: B
Rationale: CPOE reduces errors by standardizing orders and adding safety checks.
, 4. Privacy & Security
11. Which law primarily governs the protection of patient health information in the
U.S.?
A. FERPA
B. HIPAA
C. SOX
D. ADA
Answer: B
Rationale: HIPAA sets standards for protecting PHI.
12. What is the MOST effective method to prevent unauthorized access to patient
data?
A. Using strong passwords and multi-factor authentication
B. Allowing shared passwords
C. Disabling audit logs
D. Printing patient records
Answer: A
Rationale: Strong authentication reduces unauthorized access.
13. A hospital’s security team detects unusual access patterns in the EHR. What is
the BEST next step?
A. Ignore it
B. Conduct an investigation and initiate incident response
C. Delete audit logs
D. Post the patient record publicly
Answer: B
Rationale: Unusual access may indicate a breach and requires immediate
response.
