Question 1

Patient presented to the operating room where an incision was made in the epigastric region for a repair of ureterovisceral fistula.

Accepted Answer

A)  50526 
B)  50930 
C)  50520 
D)  50525

Question 2

Which of the following would NOT be considered secondary data?

Accepted Answer

A)  disease index 
B)  implant registry. 
C)  X-ray 
D)  incident report

Question 3

The diagnosis reads "first-, second-, and third-degree burns of the right arm." You would code

Accepted Answer

A)  the first degree only. 
B)  the second degree only. 
C)  the third degree only. 
D)  each degree of burn separately.

Question 4

After a work sampling study was completed, it was found that 20% of a coder's time was devoted to pulling records for physicians with missing diagnoses. How many minutes of a 7-hour day are taken up with this activity?

Accepted Answer

A)  140 
B)  84 
C)  2 1 
D)  5 6

Question 5

Which one of the following describes the electronic health record's impact on the record retrieval function?

Accepted Answer

A)  This function will be eliminated except for historical files maintained in paper or on microform. 
B)  There will be more online management through computer-generated reports using logic rules. 
C)  This function will remain the same as the paper record function. 
D)  There will be increased  record pulling as records are scanned or online documents become available.

Question 6

Patient undergoes construction of apical aortic conduit with an insertion of a single-ventricle ventricular assist device.

Accepted Answer

A)  33400 
B)  33975 
C)  33977 
D)  33975; 33404

Question 7

Sarah is the director of HIM at a Brandon Community Hospital. This is a small hospital that does not have an alcohol or drug abuse unit, nor does it treat patients of this type. Last night in the ER a patient came in who was diagnosed with acute alcoholism and was transferred to another facility for treatment. Does Brandon Community Hospital have to follow the regulations on the confidentiality of alcohol and drug abuse patients?

Accepted Answer

A)  yes, if the patient was in withdrawal and any treatment was provided to him 
B)  yes, since they treated the patient 
C)  no, since they do not have a program and there is no staff whose primary function is to treat these patients 
D)  no, since they immediately transferred the patient from the emergency room

Question 8

You are responsible for calculating and reporting average length of stay (ALOS) for your hospital each month. This month, there were 92 discharges and the total discharge days equal 875. One of the patients discharged this month had a total of 428 discharge days, so the ALOS is distorted by this unusually long stay. In this situation, you should report an ALOS of

Accepted Answer

A)  9.51 days; no further information is necessary. 
B)  9.61 days and make a note that the one patient with an unusually long LOS was subtracted prior to making the calculation. 
C)  4.86 days and make a note that one unusually long LOS was subtracted prior to making the calculation. 
D)  4.91 days and make a note that the data on one patient with an unusually long LOS was subtracted prior to making the calculation.

Question 9

A study found that liver cancer rates per 100,000 males among cigarette smokers and nonsmokers in a major U.S. city were 48.0 and 25.4, respectively. The relative risk of developing liver cancer for male smokers compared to nonsmokers is

Accepted Answer

A)  1.89. 
B)  15.6. 
C)  22.6. 
D)  48.0.

Question 10

Full-term infant born in hospital. Birth complicated by cord compression which affected newborn.

Accepted Answer

A)  V30.00, 762.5 
B)  V30.00 
C)  762.5 
D)  762.6, V30.00

Question 11

Which interdisciplinary committee is most likely to be charged with the responsibility for monitoring trends in delinquent health record percentages?

Accepted Answer

A)  Health Record Committee. 
B)  Utilization Review Committee. 
C)  Risk Management Committee. 
D)  Joint Conference Committee.

Question 12

Which of the following is NOT a diagnostic or screening test for colorectal cancer?

Accepted Answer

A)  double contrast barium enema 
B)  sigmoidoscopy 
C)  stool occult blood 
D)  upper GI x-ray

Question 13

As Director of the HIM department, you are asked to chair a committee that will recommend pharmacy information system. The information has been collected, and you bring your committee together to prioritize their suggestions. This method of working with information known as

Accepted Answer

A)  force field analysis. 
B)  Delphi process. 
C)  nominal group process. 
D)  correlation analysis.

Question 14

The number of births in the facility in October is.

Accepted Answer

A)  53. 
B)  55. 
C)  56. 
D)  58

Question 15

Which of the following is a congenital condition that is the most severe neural tube defect?

Accepted Answer

A)  meningocele. 
B)  myelomeningocele 
C)  severe combined immunodeficiency 
D)  spina bifida occulta

Question 16

Patricia is processing a request for medical records. The record contains an operative note and a discharge summary from another hospital. The records are going to another physician for patient care. What should Patricia do?

Accepted Answer

A)  Notify the requester that redisclosure is illegal and so he must get the operative and; discharge summary records from the original source hospital. 
B)  Include the documents from the other hospital. 
C)  Redisclose when necessary for patient care.

Question 17

Patient is admitted to the hospital following an ultrasound at 25 weeks which revealed fetal pleural effusion. A fetal thoracentesis was performed.

Accepted Answer

A)  59074 
B)  32421 
C)  32422 
D)  76815

Question 18

A health record analyst needs to quickly compare all lab values during one hospitalization. The paper-based health record format best suited for this purpose is

Accepted Answer

A)  problem-oriented. 
B)  source-oriented. 
C)  reverse chronological. 
D)  integrated.

Question 19

Obstructed labor due to breech presentation; single liveborn delivered via Cesarean section

Accepted Answer

A)  660.81, 74.1 
B)  660.01, 652.21, V27.0, 74.99 
C)  660.01, V27.0, 74.1 
D)  660.81, 652.21, 74.99

Question 20

Postage charges for Health Information Services have increased over the last quarter. As t Director, you have seen mail envelopes that have been meter-stamped that did not appear to official hospital business. The best course of action is to

Accepted Answer

A)  remove the postage meter from the department. 
B)  keep a watchful eye to see who is using the postage meter improperly. 
C)  call a department meeting and issue employee warnings. 
D)  put one person in charge of the meter.

Exam 1: Registered Health Information Administrator