Question 1

Which of the following is a liver function test?

Accepted Answer

A)  AST (SGOT). 
B)  BUN 
C)  ECG 
D)  TSH 
A)  AST (SGOT). 
B)  BUN 
C)  ECG 
D)  TSH

Question 2

The technique used to identify patterns in data using fuzzy logic or neural networks is called

Accepted Answer

A)  genetic algorithms. 
B)  data mining. 
C)  online analytical processing. 
D)  clinical data repository. 
A)  genetic algorithms. 
B)  data mining. 
C)  online analytical processing. 
D)  clinical data repository.

Question 3

General Hospital has been in operation for 13 years. It has 6,000 admissions per year. The facility has expanded and will allow for 200 more admissions per year from now on. There are 2,500 linear feet of filing space available and half is being used the facility expects a 30% readmission rate. If a unit number/filing system is used how many file folders will be needed for the next year?

Accepted Answer

A)  1,800 
B)  1,860 
C)  4,340 
D)  6,200 
A)  1,800 
B)  1,860 
C)  4,340 
D)  6,200

Question 4

Spencer has hypercholesterolemia and is treated with medication.

Accepted Answer

A)  272.0 
B)  272.1 
C)  272.3 
D)  272.8 
A)  272.0 
B)  272.1 
C)  272.3 
D)  272.8

Question 5

In preparation for an HER, you are conducting a total facility inventory of all forms currently used. You must name each form for bar coding and indexing into a document management system. The unnamed document in front of you includes a microscopic description of tissue excised during surgery. The document type you are most likely to give to this form is

Accepted Answer

A)  recovery room record. 
B)  pathology report. 
C)  operative report. 
D)  discharge summary. 
A)  recovery room record. 
B)  pathology report. 
C)  operative report. 
D)  discharge summary.

Question 6

Which of the following would be an inappropriate procedure for the custodian of the medical record to perform prior to taking a medical record from a health care facility to court?

Accepted Answer

A)  Number each page of the record in ink. 
B)  Document in the file folder the total number of pages in the record. 
C)  Remove any information that might prove detrimental to the hospital or physician. 
D)  Prepare an itemized list of sheets contained in the medical record. 
A)  Number each page of the record in ink. 
B)  Document in the file folder the total number of pages in the record. 
C)  Remove any information that might prove detrimental to the hospital or physician. 
D)  Prepare an itemized list of sheets contained in the medical record.

Question 7

Jason, an HIM educator, plans to lecture on department design and the legislative act or AGENCY that was created to ensure that workers have a safe and healthy work environment. He describes which of the following?

Accepted Answer

A)  OSHA 
B)  Wagner Act 
C)  Taft-Hartley Law 
D)  Labor Management Relations Act 
A)  OSHA 
B)  Wagner Act 
C)  Taft-Hartley Law 
D)  Labor Management Relations Act

Question 8

Sally is a HIM professional with many years of experience. Unlike some of her colleagues, loves the challenge of adapting to change. She is happy that HIPAA empowers the Secretary DHHS to adopt standards for electronically maintained health information. Sally hopes standardization under HIPAA will make it easier to design safeguards for electronic data, protect against unauthorized access,

Accepted Answer

A)  to make and use copies of the data, and to guard against unauthorized data integration. 
B)  to protect electronic records frdm corruption, and to prosecute hackers under federal law. 
C)  to prevent the corruption of electronically stored data, and to protect the integrity of information itself. 
D)  to submit revisions of claims as they are denied, and to track third-party payers. 
A)  to make and use copies of the data, and to guard against unauthorized data integration. 
B)  to protect electronic records frdm corruption, and to prosecute hackers under federal law. 
C)  to prevent the corruption of electronically stored data, and to protect the integrity of information itself. 
D)  to submit revisions of claims as they are denied, and to track third-party payers.

Question 9

Which of the following technologies work well with automated record-tracking systems to speed the data entry process?

Accepted Answer

A)  discharge lists 
B)  bar codes 
C)  compressible filing units 
D)  computerized chart-out slips 
A)  discharge lists 
B)  bar codes 
C)  compressible filing units 
D)  computerized chart-out slips

Question 10

A patient is admitted is alcohol withdrawal suffering from delirium tremens. The patient is a chronic alcoholic and cocaine addict. Which of the following is the principal diagnosis?

Accepted Answer

A)  alcoholic withdrawal. 
B)  chronic alcoholism. 
C)  cocaine dependence. 
D)  delirium tremens. 
A)  alcoholic withdrawal. 
B)  chronic alcoholism. 
C)  cocaine dependence. 
D)  delirium tremens.

Question 11

Tracheostoma revision with flap rotation

Accepted Answer

A)  31830 
B)  31750 
C)  31614 
D)  31613 
A)  31830 
B)  31750 
C)  31614 
D)  31613

Question 12

Mary is designing a computer screen that will be used to collect patient demographic information. What input design should be utilized for the state field?

Accepted Answer

A)  icon 
B)  dialog box 
C)  menu 
D)  free form text 
A)  icon 
B)  dialog box 
C)  menu 
D)  free form text

Question 13

Patient presents to the emergency room complaining of a severe headache. Work-up revealed a ruptured berry aneurysm.

Accepted Answer

A)  430 
B)  784.0 
C)  784.0, 430 
D)  437.3 
A)  430 
B)  784.0 
C)  784.0, 430 
D)  437.3

Question 14

For each report of care rendered to a patient, the health record entry should include the date plus the provider's name and

Accepted Answer

A)  department. 
B)  discipline. 
C)  initials. 
D)  supervising physician. 
A)  department. 
B)  discipline. 
C)  initials. 
D)  supervising physician.

Question 15

Dermatitis due to prescription topical antibiotic cream used as directed by physician

Accepted Answer

A)  692.4 
B)  692.3, E930.9 
C)  692.3 
D)  692.3, E930.1 
A)  692.4 
B)  692.3, E930.9 
C)  692.3 
D)  692.3, E930.1

Question 16

A patient's history includes the following documentation: Small ulcers (chancres) appeared on the genitalia and disappeared after 4 to 6 weeks Elevated temperature, skin rash, and enlarged lymph nodes Which of the following procedures will be used to initially diagnose the patient?

Accepted Answer

A)  bone marrow test. 
B)  chest x-ray. 
C)  serology test. 
D)  thyroid scan. 
A)  bone marrow test. 
B)  chest x-ray. 
C)  serology test. 
D)  thyroid scan.

Question 17

Your hospital is working toward the implementation of an electronic health record. In the meantime you are using an electronic document management system. The EDMS is an example of a(n):

Accepted Answer

A)  EHR 
B)  bridge technology 
C)  knowledge-based system 
D)  clinical decision support system 
A)  EHR 
B)  bridge technology 
C)  knowledge-based system 
D)  clinical decision support system

Question 18

Laparoscopic tubal ligation utilizing Endoloop

Accepted Answer

A)  58670 
B)  58615 
C)  58671 
D)  58611 
A)  58670 
B)  58615 
C)  58671 
D)  58611

Question 19

The Director of the Health Information Services Department is developing a plan to convert their existing filing system to a terminal digit filing system. The tool that is most useful to the director in displaying the steps and completion schedule for each phase of the conversion is a

Accepted Answer

A)  work distribution chart. 
B)  Gantt chart. 
C)  procedure flowchart. 
D)  flow process chart. 
A)  work distribution chart. 
B)  Gantt chart. 
C)  procedure flowchart. 
D)  flow process chart.

Question 20

Still thinking about Mr. Woodley and his long stay, if you were to graph the LOS for the facility in 2008, which of the following graphs would you expect to see?

Accepted Answer

A)    
B)    
C)    
D)    
A)    
B)    
C)    
D)

Exam 1: Registered Health Information Administrator