Question 1

Sheila has paranoid alcoholic psychosis with chronic alcoholism, continuous. She is admitted for treatment of her psychosis.

Accepted Answer

A)  291.5, 303.91 
B)  303.91, 291.5 
C)  V57.89, 303.91 
D)  291.5, 303.91, V57.89

Question 2

Katie understands that employee turnover is expensive and stressful on staff. The best defense against employee dissatisfaction is

Accepted Answer

A)  the employee handbook. 
B)  open and honest communication. 
C)  written policies and procedures. 
D)  weekly departmental meetings.

Question 3

Which of the following anatomical parts is involved in both the respiratory and digestive systems?

Accepted Answer

A)  larynx. 
B)  nasal cavity 
C)  pharynx 
D)  trachea

Question 4

Provide the CPT code for anesthesia services for the transvenous insertion of a pacemaker.

Accepted Answer

A)  00560 
B)  33202, 00530 
C)  00530 
D)  33206, 00560

Question 5

Which of the following statements demonstrates a violation of protected health information?

Accepted Answer

A)  "Yes, Mr. Smith is in room 222. I will transfer your call." 
B)  Physician's office staff calls centralized scheduling and says, "Dr. Smith wants to perform a bunionectomy on Mary Jones next Tuesday." 
C)  "Mary, at work yesterday I saw that Susan had a hysterectomy." 
D)  Dr. Jones tells a nurse on the floor to give Ms. Brown Demerol for her pain.

Question 6

Which method of identification of authorship or authentication of entries would be in appropriate to use in a patient's health record?

Accepted Answer

A)  written signature of the provider of care 
B)  identifiable initials of a nurse writing a nursing note 
C)  a unique identification code entered by the person making the report 
D)  delegated use of computer key by radiology secretary

Question 7

Unilateral partial thyroidectomy

Accepted Answer

A)  60252 
B)  60210 
C)  60220 
D)  60520

Question 8

Joseph has had cough, fever, and painful respirations for 2 days. He also has congestive heart failure and COPD. Joseph presents to the emergency department with severe shortness of breath, using accessory muscles to assist with breathing. Upon examination, Joseph is diagnosed with acute respiratory failure, congestive heart failure, pneumonia, and exacerbation of COPD. Joseph is intubated and placed on mechanical ventilation. He is weaned from the ventilator on the third day of admission. Two days later, he again goes into respiratory failure, requiring reintubation and placement on the ventilator. Fortunately, he is able to breath on his own the following day, so was extubated.

Accepted Answer

A)  428.0, 486, 496, 518.81, 96.04, 96.71 
B)  518.81, 428.0, 491.21, 96.04, 96.71 
C)  486, 428.0, 518.81, 491.21, 96.04, 96.72 
D)  518.81, 486, 428.0, 491.21, 96.04, 96.71, 96.04, 96.71

Question 9

Which of the following conditions is NOT a predisposing risk associated with essentials hypertension?

Accepted Answer

A)  age. 
B)  cigarette smoking. 
C)  low dietary sodium intake. 
D)  obesity.

Question 10

Upper lobectomy of the right lung with repair of the bronchus

Accepted Answer

A)  32480 
B)  32486 
C)  32320 
D)  32480, 32501

Question 11

Many of the departments in your facility create and modify forms often. A major key to forms control in this setting is

Accepted Answer

A)  consistent formatting of each page of each form. 
B)  capturing every data item required by UHDDS. 
C)  giving each form or view an identifiable name, number, and revision date. 
D)  providing instructions when necessary for appropriate data fields.

Question 12

If the file clerks are having trouble locating the terminal digit sections quickly, the filing supervisor could add more

Accepted Answer

A)  outguides. 
B)  file guides. 
C)  requisitions. 
D)  file maintenance staff.

Question 13

Graves' disease

Accepted Answer

A)  is an autoimmune disease. 
B)  most commonly affects males. 
C)  usually cannot be treated. 
D)  usually affects the elderly.

Question 14

Recurrent internal derangement of the left knee; diagnostic arthroscopy of the knee.

Accepted Answer

A)  715.96, 80.26 
B)  718.36, 80.26 
C)  836.2, 80.26 
D)  718.36, 80.6

Question 15

Epilepsy and paraplegia as residuals of a head injury suffered 5 years ago

Accepted Answer

A)  345.90, 344.1, 907.0 
B)  345.91, 344.1, 907.0 
C)  959.01, 345.90, 344.1 
D)  345.81, 344.2, 907.0

Question 16

As manager of record processing, you supervise a 55-year-old employee who has worked as correspondence clerk for many years. Her performance has gradually diminished and has become unsatisfactory. This employee is not interested in further education or in learning a new job. method would most likely prove to be INEFFECTIVE in assisting this employee in improving performance?

Accepted Answer

A)  threatening to fire the employee 
B)  asking the employee to cross-train with other employees 
C)  delegation of special assignments 
D)  consulting the employee on various filing problems

Question 17

Using terminal digit filing, the record number on the folders immediately in front of and behind the number 24-31-83 would be

Accepted Answer

A)  23-31-83 and 25-31-83. 
B)  24-31-82 and 23-31-83. 
C)  25-31-83 and 23-41-83. 
D)  24-32-83 and 24-33-83.

Question 18

A patient is admitted for a total hip replacement because of rheumatoid arthritis. Following admission, but prior to surgery, the patient develops congestive heart failure, which necessitates transfer to ICU. The hip replacement is canceled and the patient is treated for the heart failure. What is the principal diagnosis?

Accepted Answer

A)  congestive heart failure 
B)  rheumatoid arthritis 
C)  hip replacement 
D)  canceled surgical procedure

Question 19

Partial thromboplastin time utilizing whole blood

Accepted Answer

A)  85732 
B)  85730 
C)  85245 
D)  85246

Question 20

Screening examination for lung cancer

Accepted Answer

A)  V72.82 
B)  162.9 
C)  - V72.5 
D)  V76.0

Exam 1: Registered Health Information Administrator