RHIT exam 1

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RHIT exam 1
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2013-06-03 17:14:41
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RHIT exam 1
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  1. In the number 10-0001 listed in a tumor registry accession register, what does the prefix "10" represent
    A. the number of primary cancer reported for that patient
    B. They sequence number of the case
    C. The stage of the tumor based upon the TNM system staging
    D. They year the case was entered into the datebase registry
    D. They year the case was entered into the database registry
    (this multiple choice question has been scrambled)
  2. You have been asked to identify every reportable case of cancer reported in your facility form the previous year. A key resource will be the:
    A. Disease index 
    B. Number Control index
    C. Physicians's index
    D. Patient index
    A. Disease index
    (this multiple choice question has been scrambled)
  3. For continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the:
    A. Problem List
    B. Transfer record
    C. Interdisciplinary patient care plan
    D. Discharge summary
    A. Problem List
    (this multiple choice question has been scrambled)
  4. When developing a data collection system, the most effect approach first considers
    A. the needs of the end user
    B. Application accreditation standards
    C. Hardware requirements
    D. Facility Preferences
    A. the needs of the end user
    (this multiple choice question has been scrambled)
  5. Which of the following is a secondary data source that would be used to quickly gather the health records of all juvenile patients treated for diabetes
    A. Pediatric census sheet
    B. Disease index
    C. Patient register
    D. Procedure index
    B. Disease index
    (this multiple choice question has been scrambled)
  6. In determining the degree of compliance with prospective payment requirements for medicare at an acute care facility , the best resource to reference for recent certification.
    A Hospital Bylaws
    B Federal register
    C CARF manual
    D Joint Commission accreditation manual
    B Federal register
    (this multiple choice question has been scrambled)
  7. In preparation for an upcoming site visit by the Joint Commission , you discover that the number of delinquent records for the preceding month exceeded 50% of discharged patients. Even more alarming was the pattern you noticed in the type of delinquencies. Fifteen person of delinquent records show
    A. Absence of SOAP format in progress notes
    B. Mission signature on progress notes
    C. Missing discharge summaries
    D. Missing operative reports
    D. Missing operative reports
    (this multiple choice question has been scrambled)
  8. The use of personal signature stamps for authentication of entries in a paper-based record requires special measures to guard against delegated use of the stamp. In a completely computerized patient record system similar measures might be govern the use of
    A. Electronic signatures
    B. Expert systems
    C. Fingerprint signatures
    D. Voice recognition systems
    A. Electronic signatures
    (this multiple choice question has been scrambled)
  9. In the past, Joint Commission standards have focused on promoting the use of a facility-approved abbreviation list to be used by hospital care providers. With the advent of National Patient Safety Goals, the focus has shifted to the
    A. Flagrant use of specialty-specific abbreviations
    B. Prohibited use of any abbreviations
    C. Use of abbreviations used in the final diagnosis
    D. Use of prohibited or dangerous abbreviations
    D. Use of prohibited or dangerous abbreviations
    (this multiple choice question has been scrambled)
  10. Setting up a dropdown menu to make sure that the registration clerk collects "gender" as either "male, female or unknow" is an example of
    A. Reliability
    B. Precision
    C. timeliness
    D. Validity
    B. Precision
    (this multiple choice question has been scrambled)
  11. In preparation for an EHR, you are conduction a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document managment system. The unnamed doucments in front of you includes a microscopic description of tissue excised is
    A. Discharge summary
    B. Pathology report
    C. recovery room record
    D. operative report
    B. Pathology report
    (this multiple choice question has been scrambled)
  12. Gerda Smith has presented to the ER in a coma with injuries sustained in a motor vehicle accident. According to her sister. Gerda has had a recent medical history taken at the public health department. The physician on call is greatful that she can access this patient information using
    A. A experty system
    B. A EDMS system
    C. the cpoe
    D. the area RHIO
    D. the area RHIO
    (this multiple choice question has been scrambled)
  13. Medicare rules state that the use of verbal orders cannot be written or gievn electronically. In addition, verbal orders must be:
    A. Written withing 24 housr admission of the patient
    B. Co-signed by the attending pshysician within 4 hours of giving orders
    C. Accepted by a charge nurse only
    D. Recorded by the person autthorization by hospital regulation and procedures
    D. Recorded by the person autthorization by hospital regulation and procedures
    (this multiple choice question has been scrambled)
  14. For Continuity of care, ambulatory care providers are more likely than providers of acute care services to rely on the documentation found in the
    A. Problems LIst
    B. Transfer record
    C. Interdisciplinary patient care plan
    D. Discharge summary
    A. Problems LIst
    (this multiple choice question has been scrambled)
  15. The performance of qualitative analysis is an important tool in ensuring data quality. These reviews evaluate
    A. the overall quality of document
    B. Adverse effects and contraindications of drugs utilized during hospitalization
    C. potentially compensate events
    D. Quality of care through the use of pre-established criteria
    A. the overall quality of document
    (this multiple choice question has been scrambled)
  16. Ultimately responsibility for the quality and completion of entries in patient health records belongs to the
    A. Risk Manager
    B. Attending Physician
    C. HIM Director
    D. Chief of Staff
    B. Attending Physician
    (this multiple choice question has been scrambled)
  17. As the director of a Health Information Technology Program, your community college has been selected to participate in the workforce development of electronic health record specialist as outlined by ARRA and HITECH. In order to keep abreast of changes in this program, you will need to regularly access the website of this governmental agency.
    A. OSHA
    B. CDC
    C. ONC
    D. CMS
    C. ONC
    (this multiple choice question has been scrambled)
  18. As Part of the Joint Commissions National Safety Goal Initiative, acute care hospitals are now required to use preoperative verification process to confirm the patient's true identity and to confirm the necessary documentation such as x-ray or medical records are available. They also develop and use a process for 
    A. marking the surgical site
    B. Apprising the patient of all complications that might occur
    C. including the surgeon in the pre-anesthesia assessment
    D. Including the primary caregiver in surgery consults
    A. marking the surgical site
    (this multiple choice question has been scrambled)
  19. The First Patient with cancer seen in your facility on Jan 1, 2012, was diagnosed with colon cancer with no known history of previous malignancies. The accession number assigned to this patient
    A. 12-0000/00
    B. 12-0000/01
    C. 12-0001/00
    D. 12-0001/01
    • C. 12-0001/00
    • Johns 487
  20. Setting up a drop down menu to make sure that the registration clerk collects "gender" as male, female or unknown" is an example of ensuring data
    A. Precision
    B. Reliability
    C. Validity
    D. Timeliness
    A. Precision
    (this multiple choice question has been scrambled)
  21. In determining you acute care facility's degree of compliance with prospective payment requirements for medicare, the best resource to reference for recent certification standards is the for Medicare, the best resource to reference for recent certifications standards is the 
    A. Joint Commission accreditation manual
    B. Hospital Bylaws
    C. Federal Register
    D. CARF manual
    C. Federal Register
    (this multiple choice question has been scrambled)
  22. In an acute care hospital, a complete history and physical may not be required for a new admission when
    A. the patient is readmitted for a similar problem within 1 year
    B. a legible copy of the recent H&P in the attending physician's office is available
    C. The patient has an uneventful course in the hospital 
    D. the patient's stay is less than 24 hours.
    B. a legible copy of the recent H&P in the attending physician's office is available
    (this multiple choice question has been scrambled)
  23. The authors of all  entries in a healthcare record should be:
    A. Clearly identified
    B. Approved by the HIM director
    C. identified by a PIN
    D. identified by bio-metrics
    D. identified by bio-metrics
    (this multiple choice question has been scrambled)
  24. which is the most serious type of delinquent record problems
    A. Delinquent due to missing H&P
    B. Delinquent
    C. incomplete
    A. Delinquent due to missing H&P
    (this multiple choice question has been scrambled)
  25. Using the SOAP style of documenting progress notes, choose the subjective statement from the following:
    A. Adjust pain medication; begin physical therapy tomorrow
    B. patient states low back pain is as severe as it was on admission
    C. sciatica unimproved with hot pack therapy
    D. Patient moving about very cautiously, appears to be in pain
    B. patient states low back pain is as severe as it was on admission
    (this multiple choice question has been scrambled)
  26. In 1987. OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment data elements are collected on each SNF resident  defined in the 
    A. MDS
    B. Uniform Ambulatory Core Data
    C. UHDDS
    D. Uniform Clinical Data Set
    A. MDS
    (this multiple choice question has been scrambled)

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