Question 1

Brandon has an infected ingrown toenail that his physician removes.

Accepted Answer

A)  703.0, 86.23 
B)  681.11, 86.23 
C)  681.11, 86.27 
D)  703.0, 86.23, 77.89

Question 2

Under traditional rules of evidence, a medical/health record is considered __________ and is into evidence.

Accepted Answer

A)  hearsay; admissible 
B)  hearsay; inadmissible 
C)  reliable; admissible 
D)  reliable; inadmissible

Question 3

To compute the reimbursement to a particular hospital for a particular MS-DRG, multiply the hospital's base payment rate by the

Accepted Answer

A)  conversion factor. 
B)  case-mix index. 
C)  geographic price index. 
D)  relative weight for the MS-DRG.

Question 4

Infertility secondary to pelvic peritoneal adhesions. Surgery performed is laparoscopic lysis of adhesions.

Accepted Answer

A)  628.2, 614.6, 65.81 
B)  628.2, 54.21, 65.81 
C)  614.6, 65.81, 54.21 
D)  614.6, 54.21

Question 5

George is a type II diabetic who is admitted in a coma with a blood glucose of 876. He is diagnosed with diabetic ketoacidosis. George also has a diabetic cataract.

Accepted Answer

A)  250.11, 250.31, 366.9 
B)  250.10, 250.30, 250.50, 366.9 
C)  250.30, 250.50, 366.41 
D)  250.31, 250.51, 366.41

Question 6

In reviewing the policies on release of information in respect to the privacy rules, you note is still acceptable to allow release of protected health information without patient permission

Accepted Answer

A)  the patient's spouse. 
B)  a health care provider interested in the case. 
C)  the quality assurance committee for review purposes. 
D)  a third-party payer with a direct interest in the case.

Question 7

Hysterotomy for hydatidifom mole and tubal ligation

Accepted Answer

A)  58285; 58600 
B)  58150; 58605 
C)  51900; 58605 
D)  59100; 58611

Question 8

Diverticulitis large bowel with abscess; right hemicolectomy with colostomy performed

Accepted Answer

A)  562.10, 45.74, 46.03 
B)  562.11, 45.73, 46.10 
C)  562.11, 569.5, 45.73, 46.10 
D)  562.11, 569.5, 45.74, 46.11

Question 9

You are performing the final review of the RFP that is to be sent out to prospective vendors. Uf review, you see content that should not be included in the operational requirement section ofl document, so you delete this information. Which of the following would you delete?

Accepted Answer

A)  response time 
B)  data architecture 
C)  data conversion 
D)  data analysis tools

Question 10

What type of filing system is being used if records are filed in the following order: 12-23-75, 12-34-29, 12-35-71, 13-42-14, 14-32-79?

Accepted Answer

A)  terminal digit. 
B)  straight numeric. 
C)  social security number. 
D)  middle digit.

Question 11

When the National Health care Information Network is fully implemented, plans are to allow for electronic communication among providers using

Accepted Answer

A)  Large mainframe technology with router connections to individual providers. 
B)  distributed technology using existing LANs connected by fiber optic cable lines. 
C)  Internet technology that emphasizes data security and confidentiality. 
D)  distributed technology using WANs and telephone-based communication.

Question 12

Etiologies of dementia include

Accepted Answer

A)  brain tumors. 
B)  trauma. 
C)  ischemia. 
D)  all of the above.

Question 13

Elizabeth has a history of von Willebrand's disease and frequently requires transfusions for chronic blood loss anemia associated with her condition. She presents to the outpatient department for routine blood transfusion.

Accepted Answer

A)  285.1, 286.4 
B)  286.7, 286.4 
C)  286.4, 280.1 
D)  280.0, 286.4

Question 14

The researchers in the previous question wonder if there is any relationship between patient age and average fasting blood sugar. The best data display tool the researchers could use to look for a possible relationship would be a

Accepted Answer

A)  pareto diagram. 
B)  line graph. 
C)  scatter diagram. 
D)  cause and effect diagram.

Question 15

A population-based cancer registry that is designed to determine rates and trends in a defined population is a (an)

Accepted Answer

A)  incidence-only population-based registry. 
B)  cancer control population-based registry. 
C)  research-oriented population-based registry. 
D)  patient care population-based registry.

Question 16

Yanique is a new supervisor at Park Ridge Pavilion, a mental health facility. She discovers that one of her employees has shared her password with a co-worker. This action violates policies and procedures and is the first occasion of difficulty with this employee. Disciplinary action should be taken by

Accepted Answer

A)  waiting for another occurrence to act. 
B)  referring the action to Human Resources. 
C)  asking for guidance from Human Resources and then acting. 
D)  immediately dismissing the employee.

Question 17

The chart above shows a normal distribution. What percentage of the cases fall within the two lines showing the standard distribution between -1 and +1 on either side of the mean?

Accepted Answer

A)  68% 
B)  75% 
C)  95% 
D)  99%

Question 18

A new Health Information Department has purchased 200 units of 6-shelf files and plants to implement a terminal digit filing system. How many shelves should be allocated to each primary number?

Accepted Answer

A)  6 
B)  8 
C)  10 
D)  12

Question 19

When checking the census data at South Beach Women's Center, you see that just yesterday, there were four sets of triplets, five sets of twins and eight single births. Yesterday, South Beach Women's Center had

Accepted Answer

A)  17 deliveries. 
B)  25 deliveries. 
C)  30 deliveries. 
D)  39 deliveries.

Question 20

Which one of the following is NOT a strategy when purchasing an electronic health record system?

Accepted Answer

A)  Identify stakeholders from different organizational levels and engage them appropriately. 
B)  Identify return on investment or cost-benefit analysis. 
C)  Identify system requirements. 
D)  Broaden the vendor field and select several vendors of choice.

Exam 1: Registered Health Information Administrator