Question 1

Which of the following is NOT an identified risk factor for colorectal cancer?

Accepted Answer

A)  alcohol use. 
B)  physical inactivity 
C)  high- fiber diet 
D)  obesity

Question 2

If there are 150,000 medical records and the Health Information Department receives 3,545 requests for records in a week, what percentage of the records are requested weekly?

Accepted Answer

A)  2.4% 
B)  3.5% 
C)  4.6% 
D)  5.1%

Question 3

Your new release of information system has part of the computing on the workstation and part on the file server. What type of technology is being used?

Accepted Answer

A)  Internet 
B)  client server 
C)  LAN 
D)  operating system

Question 4

Most of the digestion of food and absorption of nutrients occurs in the

Accepted Answer

A)  ascending colon. 
B)  esophagus. 
C)  small intenstine. 
D)  stomach.

Question 5

Dale is admitted with emphysematous nodules. He undergoes, without complication, a wedge resection of the right upper lobe. Dale developed atelectasis post-operatively that required monitoring with portable chest x-rays and extended his length of stay.

Accepted Answer

A)  518.89, 997.3, 32.3 
B)  997.3, 518.0, 518.89, 32.29 
C)  492.8, 997.3, 518.0, 32.29 
D)  518.89, 518.0, 32.29

Question 6

A clerk's work performance has diminished dramatically during the past 2 weeks. supervisor initiates a discussion with the clerk, during which the clerk reveals that he rece accepted that he has an alcohol addiction. The clerk states an intention to quit d completely. The supervisor should

Accepted Answer

A)  terminate the clerk if it can be proved alcohol was used on the job. 
B)  suspend the clerk if alcohol has diminished the clerk's job performance. 
C)  give the clerk a leave of absence until these problems can be resolved. 
D)  refer the clerk to the facility's Employee Assistance Program.

Question 7

A national HIM publication routinely requests that practitioners submit statistics from their facility regarding department functions. These are then summarized and published in graphic form, providing a tool for which of the following activities?

Accepted Answer

A)  benchmarking 
B)  work standards 
C)  job evaluation 
D)  job redesign

Question 8

The primary advantage of concurrent quality data collection is that

Accepted Answer

A)  multiple chart reviews eliminate collector bias. 
B)  patient care problems can be remedied immediately. 
C)  practitioners receive immediate feedback about patient processes and outcomes. 
D)  staffing is decreased.

Question 9

Accounts Receivable (A/R) refers to

Accepted Answer

A)  cases that have not yet been paid. 
B)  the amount the hospital was paid. 
C)  cases that have been paid. 
D)  denials that have been returned to the hospital.

Question 10

As the privacy officer of your facility, you have been charged with developing policies and procedures for protecting the confidentiality and security of the clinical data collected in your computerized system. One of the first steps you will take is to judge the value of information processed by your system and classify it. Another step you will need to take is to

Accepted Answer

A)  authorize access to information collected based on level of data sensitivity. 
B)  prevent all nonclinicians' access to any confidential information in the system. 
C)  establish firewalls to protect aggregate data collected within your facility. 
D)  establish passwords for all customers, both internal and external, who request access to the information in your system.

Question 11

Phyllis saw Dr. Holland during a scheduled office visit. Dr. Holland prescribed a new medication; Jean called Dr. Holland with a question about her medication. Dr. Holland returned the telephone call and answered Jean's question; Howard was seen by Dr. Holland in the hospital emergency department after having a reaction to his medication; the pharmacy got telephone approval from Dr. Horton for a refill on Jackson's prescription. Which of these interactions fit the definition of a patient encounter?

Accepted Answer

A)  Phyllis, Jean, Howard, and Jackson 
B)  Jackson, Howard, and Jean 
C)  Jean, Phyllis, and Howard 
D)  Phyllis and Howard

Question 12

Patient with a history of cancer of the colon and status post-colostomy is admitted for closure of the colostomy. Patient is also being treated for chronic obstructive pulmonary disease and diastolic heart failure. Patient has a takedown of the colostomy.

Accepted Answer

A)  153.2, 496, 428.30, 46.52 
B)  V55.3,496, V10.05, 428.30, 46.52 
C)  V55.3,496, V10.05, 428.0, 46.52, 45.79 
D)  V10.05, 492.8, 428.30, 46.52

Question 13

During the month of September, Superior Health Care Center had 1,382 inpatient discharge including 48 deaths. There were 38 deaths over 48 hours. Statistics also show 4 fetal deaths, DOAs, and 4 inpatient coroner's cases. Which of the following calculations is correct to figure net death rate?

Accepted Answer

A)  (48 x 100)/(1382 - 10) 
B)  (48-10 x 100)/(1382-10) 
C)  (1382 x 100)/(48 - 10) 
D)  (1382 - 10) x 100/(48 - 10)

Question 14

In a court of law, Attorney A, the attorney for Sun City Hospital, introduces the medical record from the hospital as evidence. However, Attorney B, the attorney for the defendant, objects on the grounds that the medical record is subject to the hearsay rule which prohibits its admission as evidence. Attorney B's objection is overridden. Why?

Accepted Answer

A)  The medical record does not belong to the hospital; therefore, the hospital has no right to release the medical record as evidence. 
B)  It would violate physician-patient privilege, even though the patient signed a proper release of information form. 
C)  The doctrine of res ipsa loquitur prevails; therefore, reference to the medical record is moot. 
D)  The medical record may be admitted as business records or as an explicit exception to hearsay rule.

Question 15

If you want to begin with the type of material that has the highest error rate, you will start by working on problems with

Accepted Answer

A)  consultation reports. 
B)  lab slips. 
C)  correspondence. 
D)  other.

Question 16

As the HIM Director at the Pediatric Clinic, you have just contracted with a firm that will scan your retired paper records to disk. You tell the administrator you would like to have retired records currently on microfilm scanned to disk, too. The administrator would like to keep those records on roll film to save the cost of the extra scanning. You tell the administrator you don't recommend this because

Accepted Answer

A)  roll microfilm is an outdated medium that is no longer accepted in most courts. 
B)  agencies with more than four rolls of microfilm must store them in fire-safe cabinets. 
C)  keeping the old film will require maintaining an old reader-printer for access. 
D)  roll microfilm is such an old technology that the clinic should be ashamed to use it.

Question 17

A data use agreement allows the organization receiving the data to

Accepted Answer

A)  use the non-PHI data any way they want. 
B)  use PHI data any way they want. 
C)  use data only within the bounds of the agreement. 
D)  conduct business for the organization.

Question 18

Hypoglycemia in infant with diabetic mother

Accepted Answer

A)  251.2 
B)  775.1 
C)  775.0 
D)  251.1

Question 19

A coder notes that a patient is taking prescription Pilocarpine.; The final diagnoses on the discharge summary are congestive heart failure and diabetes mellitus. The coder should query the physician about adding a diagnosis of

Accepted Answer

A)  arthritis. 
B)  glaucoma. 
C)  bronchitis. 
D)  laryngitis.

Question 20

Farside Hospital collected the following data on patients discharged on January 1, 2008. measure of central tendency would be most affected by Mallory's extremely long LOS?

Accepted Answer

A)  variance 
B)  median 
C)  mean 
D)  mode

Exam 1: Registered Health Information Administrator