RHIA EXAM QUESTIONS WITH ALL
CORRECT DETAILED ANSWERS A+
PASS
As the corporate director of HIM Services and enterprise privacy officer, you are asked
to review a patient's health record in preparation for a legal proceeding for a malpractice
case. The lawsuit was brought by the patient 72 days after the procedure. Health
information contains a summary of two procedures that were dictated 95 days after the
procedure. The physician in question has a longstanding history of being lackadaisical
with record completion practices. Previous concerns regarding this physician's record
maintenance practices had been reported to the facility's Credentialing Committee. Are
the summaries of the two procedures admissible in court?
A. This information could be rejected since the physician dictated the procedure note
after the malpractice suit was filed.
B. This information will be admissible in court because it is part of the patient's health
record.
C. This information could be rejected becau - Answer - ✔ A
n a recent coding audit, the coding manager discovered the following issue: A skin
lesion was removed from a patient's cheek in the dermatologist's office. The
dermatologist documented skin lesion, probable basal cell carcinoma. Which of the
following actions should the coding professional take in order to correctly code this
encounter?
A. Code skin lesion
B. Code benign skin lesion
C. Code basal cell carcinoma
D. Query the dermatologist - Answer - ✔ A
Which of the following statements is true regarding HIPAA security?
A. All institutions must implement the same security measures.
B. HIPAA allows flexibility in the way an institution implements the security standards.
C. All institutions must implement all HIPAA implementation specifications.
D. A security risk assessment must be performed every year. - Answer - ✔ D
Which of the following is an example of a 1:M relationship?
A. Patients to hospital admissions
B. Patients to consulting physicians
C. Patients to hospital health records
D. Primary care physicians to patients - Answer - ✔ A
What information might be displayed on a histogram?
A. Discharges by age
B. Discharges by sex
,C. Discharges by third-party payer
D. Discharges by service - Answer - ✔ A
The Joint Commission requires a varying number of safety functions and plans
depending on the license or services provided by an organization. The standards
require the assessment of safety features for patients, staff, and visitors. Which of the
following lists are required safety standard plans for the environment of care?
A. Emergency management, security management, and patient management
B. Medical equipment management, life safety management, and emergency
management
C. Employment management, hazardous materials and waste management, and life
safety management
D. Utilities management, employment management, and medical equipment
management - Answer - ✔ B
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of
Escherichia coli per cc of urine. The attending physician documents "urosepsis." How
should the coder proceed to code this case?
A. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as
secondary diagnosis.
B. Code urinary tract infection with sepsis as the principal diagnosis.
C. Query the physician to ask if the patient has septicemia because of the
symptomatology.
D. Query the physician to ask if the patient had septic shock so that this may be used as
the principal diagnosis. - Answer - ✔ C
A database rule that states "patient gender must be recorded as M=male, F=female,
and U= unknown" is referred to as:
A. Integrity constraint
B. Authorization management
C. Knowledge management
D. Data map - Answer - ✔ A
A medical staff committee wants to compare long-term survival rates for breast cancer
by comparing outcomes for the mastectomy versus lumpectomy approaches. The best
source of this information is the:
A. Disease index
B. Operative index
C. Cancer registry
D. Master patient index - Answer - ✔ C
Which RFP component would fit the following description?
Describe the EHR product's data architecture, analytical processes supported,
necessary interfaces, reliability and security features, system capacity, expansion
, capabilities, response time, downtime, and other issues associated with system
maintenance.
A. Functional specifications
B. Operational requirements
C. Organizational profile
D. Vendor information - Answer - ✔ B
If a patient is readmitted to a facility after a recent admission, Joint Commission allows
the facility to use the existing history and physical from the first admission if it is for a
related condition and was completed within _____ of the second admission and if an
interval note updating any changes to the patient's condition has been documented.
A. 48 hours
B. 72 hours
C. 7 days
D. 30 days - Answer - ✔ D
The IT department of an academic medical center has created a project management
office (PMO) in order to help manage the many projects relating to implementing an
EHR that have been underway for a few years already. After a few months, the chief
information officer is concerned that many tasks the PMO was expected to perform
have not been accomplished. In addition, the chairs of the domain teams continue to
work independently and directly with the vendor. The project management mistake
illustrated in this scenario is:
A. Lack of sponsorship
B. Lack of ownership
C. Lack of project manager
D. Lack of project management software - Answer - ✔ B
What information does not have to be included in a covered entity's notice of privacy
practice?
A. A description with one example of disclosures made for treatment, payment, and
healthcare operations
B. A description of all the other purposes for which a covered entity is permitted or
required to disclose PHI without consent or authorization
C. A statement of individual's rights with respect to PHI and how the individual can
exercise these rights
D. The signature of the patient and date the notice was given to the patient - Answer - ✔
D
The director of Health Information Services is allowed access to the health record
tracking system when providing the proper login and password. Under what kind of
access security mechanism is the director allowed access to the system?
A. Role-based
B. User-based
C. Context-based
D. Situation-based - Answer - ✔ B
CORRECT DETAILED ANSWERS A+
PASS
As the corporate director of HIM Services and enterprise privacy officer, you are asked
to review a patient's health record in preparation for a legal proceeding for a malpractice
case. The lawsuit was brought by the patient 72 days after the procedure. Health
information contains a summary of two procedures that were dictated 95 days after the
procedure. The physician in question has a longstanding history of being lackadaisical
with record completion practices. Previous concerns regarding this physician's record
maintenance practices had been reported to the facility's Credentialing Committee. Are
the summaries of the two procedures admissible in court?
A. This information could be rejected since the physician dictated the procedure note
after the malpractice suit was filed.
B. This information will be admissible in court because it is part of the patient's health
record.
C. This information could be rejected becau - Answer - ✔ A
n a recent coding audit, the coding manager discovered the following issue: A skin
lesion was removed from a patient's cheek in the dermatologist's office. The
dermatologist documented skin lesion, probable basal cell carcinoma. Which of the
following actions should the coding professional take in order to correctly code this
encounter?
A. Code skin lesion
B. Code benign skin lesion
C. Code basal cell carcinoma
D. Query the dermatologist - Answer - ✔ A
Which of the following statements is true regarding HIPAA security?
A. All institutions must implement the same security measures.
B. HIPAA allows flexibility in the way an institution implements the security standards.
C. All institutions must implement all HIPAA implementation specifications.
D. A security risk assessment must be performed every year. - Answer - ✔ D
Which of the following is an example of a 1:M relationship?
A. Patients to hospital admissions
B. Patients to consulting physicians
C. Patients to hospital health records
D. Primary care physicians to patients - Answer - ✔ A
What information might be displayed on a histogram?
A. Discharges by age
B. Discharges by sex
,C. Discharges by third-party payer
D. Discharges by service - Answer - ✔ A
The Joint Commission requires a varying number of safety functions and plans
depending on the license or services provided by an organization. The standards
require the assessment of safety features for patients, staff, and visitors. Which of the
following lists are required safety standard plans for the environment of care?
A. Emergency management, security management, and patient management
B. Medical equipment management, life safety management, and emergency
management
C. Employment management, hazardous materials and waste management, and life
safety management
D. Utilities management, employment management, and medical equipment
management - Answer - ✔ B
An 80-year-old female is admitted with fever, lethargy, hypotension, tachycardia,
oliguria, and elevated WBC. The patient has more than 100,000 organisms of
Escherichia coli per cc of urine. The attending physician documents "urosepsis." How
should the coder proceed to code this case?
A. Code sepsis as the principal diagnosis with urinary tract infection due to E. coli as
secondary diagnosis.
B. Code urinary tract infection with sepsis as the principal diagnosis.
C. Query the physician to ask if the patient has septicemia because of the
symptomatology.
D. Query the physician to ask if the patient had septic shock so that this may be used as
the principal diagnosis. - Answer - ✔ C
A database rule that states "patient gender must be recorded as M=male, F=female,
and U= unknown" is referred to as:
A. Integrity constraint
B. Authorization management
C. Knowledge management
D. Data map - Answer - ✔ A
A medical staff committee wants to compare long-term survival rates for breast cancer
by comparing outcomes for the mastectomy versus lumpectomy approaches. The best
source of this information is the:
A. Disease index
B. Operative index
C. Cancer registry
D. Master patient index - Answer - ✔ C
Which RFP component would fit the following description?
Describe the EHR product's data architecture, analytical processes supported,
necessary interfaces, reliability and security features, system capacity, expansion
, capabilities, response time, downtime, and other issues associated with system
maintenance.
A. Functional specifications
B. Operational requirements
C. Organizational profile
D. Vendor information - Answer - ✔ B
If a patient is readmitted to a facility after a recent admission, Joint Commission allows
the facility to use the existing history and physical from the first admission if it is for a
related condition and was completed within _____ of the second admission and if an
interval note updating any changes to the patient's condition has been documented.
A. 48 hours
B. 72 hours
C. 7 days
D. 30 days - Answer - ✔ D
The IT department of an academic medical center has created a project management
office (PMO) in order to help manage the many projects relating to implementing an
EHR that have been underway for a few years already. After a few months, the chief
information officer is concerned that many tasks the PMO was expected to perform
have not been accomplished. In addition, the chairs of the domain teams continue to
work independently and directly with the vendor. The project management mistake
illustrated in this scenario is:
A. Lack of sponsorship
B. Lack of ownership
C. Lack of project manager
D. Lack of project management software - Answer - ✔ B
What information does not have to be included in a covered entity's notice of privacy
practice?
A. A description with one example of disclosures made for treatment, payment, and
healthcare operations
B. A description of all the other purposes for which a covered entity is permitted or
required to disclose PHI without consent or authorization
C. A statement of individual's rights with respect to PHI and how the individual can
exercise these rights
D. The signature of the patient and date the notice was given to the patient - Answer - ✔
D
The director of Health Information Services is allowed access to the health record
tracking system when providing the proper login and password. Under what kind of
access security mechanism is the director allowed access to the system?
A. Role-based
B. User-based
C. Context-based
D. Situation-based - Answer - ✔ B
