HIMT 1100 Midterm UPDATED Exam
Questions and CORRECT Answers
False - Correct Answer- A complication is a preexisting condition that will cause an increase
in the patient's length of stay by at least one day.
False - Correct Answer- A consent to admission documents a patient's consent for all medical
treatment including procedures and surgeries to be completed during the current admission.
True - Correct Answer- A consultation includes the examination of a patient by a specialist,
who also provides an opinion or advice
True - Correct Answer- A delinquent record can result in a suspension of a physician's
medical staff privileges.
True - Correct Answer- A discharge progress note can be documented in a patient record
instead of a discharge summary if a patient had an uncomplicated hospital stay of less than 48
hours
True - Correct Answer- A licensed nurse is required to have a public license to deliver care to
patients
True - Correct Answer- A living will is a written document that informs a health care provider
of a patient's desires regarding life-sustaining treatment
Comorbidity - Correct Answer- A patient is admitted for congestive heart failure and
hypertension. During the admission, the patient is also treated for uncontrolled diabetes. The
uncontrolled diabetes is a:
History and Physical examination - Correct Answer- A patient was admitted with chronic
obstructive pulmonary disease (COPD) on April 15 (this year). The patient has an
exacerbation of COPD and was readmitted on June 1 (this year). The physician needs to
document a(n):
, Discharge order - Correct Answer- A patient's record contains the following order, "Mary
Black is stable and has no complaint of pain. Wound is healing. No fever or chills. No
medications given and no restrictions. She can be release home in the morning. To be seen in
my office in two weeks." This is an example of a:
Comorbidity - Correct Answer- A preexisting condition that causes an increase in the patient's
length of stay by at least one day in 75% of the cases is known as a:
True - Correct Answer- A principal procedure is performed for definitive or therapeutic
reasons.
True - Correct Answer- All ancillary reports should be filed in the patient's record within 24
hours after interpretation of test results.
True - Correct Answer- All orders must be authenticated by the responsible provider.
True - Correct Answer- American Osteopathic Association (AOA) requirements state that a
patient record must be maintained for each patient treated in the emergency department.
Newborn record - Correct Answer- An APGAR score is documented in the:
False - Correct Answer- An admission note documented by the attending physician can
replace a dictated history and physical examination .
False - Correct Answer- An advance directive and an informed consent are considered clinical
data.
Review of Systems (ROS) - Correct Answer- An inventory of body systems to reveal
subjective symptoms stated by the patient is called the __________.
state departments of health or offices of vital statistics - Correct Answer- Birth certificate
information is usually submitted to the ______ within 10 days of birth.
Questions and CORRECT Answers
False - Correct Answer- A complication is a preexisting condition that will cause an increase
in the patient's length of stay by at least one day.
False - Correct Answer- A consent to admission documents a patient's consent for all medical
treatment including procedures and surgeries to be completed during the current admission.
True - Correct Answer- A consultation includes the examination of a patient by a specialist,
who also provides an opinion or advice
True - Correct Answer- A delinquent record can result in a suspension of a physician's
medical staff privileges.
True - Correct Answer- A discharge progress note can be documented in a patient record
instead of a discharge summary if a patient had an uncomplicated hospital stay of less than 48
hours
True - Correct Answer- A licensed nurse is required to have a public license to deliver care to
patients
True - Correct Answer- A living will is a written document that informs a health care provider
of a patient's desires regarding life-sustaining treatment
Comorbidity - Correct Answer- A patient is admitted for congestive heart failure and
hypertension. During the admission, the patient is also treated for uncontrolled diabetes. The
uncontrolled diabetes is a:
History and Physical examination - Correct Answer- A patient was admitted with chronic
obstructive pulmonary disease (COPD) on April 15 (this year). The patient has an
exacerbation of COPD and was readmitted on June 1 (this year). The physician needs to
document a(n):
, Discharge order - Correct Answer- A patient's record contains the following order, "Mary
Black is stable and has no complaint of pain. Wound is healing. No fever or chills. No
medications given and no restrictions. She can be release home in the morning. To be seen in
my office in two weeks." This is an example of a:
Comorbidity - Correct Answer- A preexisting condition that causes an increase in the patient's
length of stay by at least one day in 75% of the cases is known as a:
True - Correct Answer- A principal procedure is performed for definitive or therapeutic
reasons.
True - Correct Answer- All ancillary reports should be filed in the patient's record within 24
hours after interpretation of test results.
True - Correct Answer- All orders must be authenticated by the responsible provider.
True - Correct Answer- American Osteopathic Association (AOA) requirements state that a
patient record must be maintained for each patient treated in the emergency department.
Newborn record - Correct Answer- An APGAR score is documented in the:
False - Correct Answer- An admission note documented by the attending physician can
replace a dictated history and physical examination .
False - Correct Answer- An advance directive and an informed consent are considered clinical
data.
Review of Systems (ROS) - Correct Answer- An inventory of body systems to reveal
subjective symptoms stated by the patient is called the __________.
state departments of health or offices of vital statistics - Correct Answer- Birth certificate
information is usually submitted to the ______ within 10 days of birth.
