RHIA Practice Exam 1 Domain 1 with 41
Questions and Answers
The data elements in a patient's automated laboratory result are examples of:
a. Unstructured data
b. Free-text data
c. Financial data
d. Structured data
d. Structured data
What type of information makes it easy for hospitals to compare and combine the contents of
multiple patient health records?
a. Administrative information
b. Demographic information
c. Progress notes
d. Uniform data sets
d. Uniform data sets
According to Joint Commission Accreditation Standards, which document must be placed in the
patient's record before a surgical procedure may be performed?
a. Admission record
b. Physician's order
c. Report of history and physical examination
d. Discharge summary
c. Report of history and physical examination
, Which of the following materials are required elements in an emergency care record?
a. Patient's instructions at discharge and a complete medical history
b. Time and means of the patient's arrival, treatment rendered, and instructions at discharge
c. Time and means of the patient's arrival, patient's complete medical history, and instructions at
discharge
d. Treatment rendered, instructions at discharge, and the patient's complete medical history
b. Time and means of the patient's arrival, treatment rendered, and instructions at discharge
A patient is admitted with right diabetic cataract, and extracapsular cataract extraction with
simultaneous insertion of intraocular lens.
a. H25.9, E11.36, 08DJ3ZZ
b. E11.36, 08RJ3JZ
c. E11.9, E11.36, H26.9, 08DJ3ZZ
d. E25.9, E11.9, 08RJ3JZ
b. E11.36, 08RJ3JZ
Dr. Collins admitted Mr. Smith to University Hospital. Blue Cross Insurance will pay Mr. Smith's
hospital bill. Upon discharge from the hospital, who owns the health record of Mr. Smith?
a. Mr. Smith
b. Blue Cross
c. University Hospital
d. Dr. Collins
c. University Hospital
What is the principal function of health records?
Questions and Answers
The data elements in a patient's automated laboratory result are examples of:
a. Unstructured data
b. Free-text data
c. Financial data
d. Structured data
d. Structured data
What type of information makes it easy for hospitals to compare and combine the contents of
multiple patient health records?
a. Administrative information
b. Demographic information
c. Progress notes
d. Uniform data sets
d. Uniform data sets
According to Joint Commission Accreditation Standards, which document must be placed in the
patient's record before a surgical procedure may be performed?
a. Admission record
b. Physician's order
c. Report of history and physical examination
d. Discharge summary
c. Report of history and physical examination
, Which of the following materials are required elements in an emergency care record?
a. Patient's instructions at discharge and a complete medical history
b. Time and means of the patient's arrival, treatment rendered, and instructions at discharge
c. Time and means of the patient's arrival, patient's complete medical history, and instructions at
discharge
d. Treatment rendered, instructions at discharge, and the patient's complete medical history
b. Time and means of the patient's arrival, treatment rendered, and instructions at discharge
A patient is admitted with right diabetic cataract, and extracapsular cataract extraction with
simultaneous insertion of intraocular lens.
a. H25.9, E11.36, 08DJ3ZZ
b. E11.36, 08RJ3JZ
c. E11.9, E11.36, H26.9, 08DJ3ZZ
d. E25.9, E11.9, 08RJ3JZ
b. E11.36, 08RJ3JZ
Dr. Collins admitted Mr. Smith to University Hospital. Blue Cross Insurance will pay Mr. Smith's
hospital bill. Upon discharge from the hospital, who owns the health record of Mr. Smith?
a. Mr. Smith
b. Blue Cross
c. University Hospital
d. Dr. Collins
c. University Hospital
What is the principal function of health records?
