Question 1

You are determining the sample size for a quality study. Which of the following factors should you consider first?

Accepted Answer

A)  cost 
B)  personnel 
C)  size of the target population 
D)  confidentiality of the record

Question 2

Mark Beck is a new graduate preparing for an interview. In school, he had the opportunity to role-play a technique which requires applicants to give specific examples of how they have performed a specific task or handled a specific problem in the past. This technique is becoming more popular, and is known as:

Accepted Answer

A)  audition interview. 
B)  behavioral interview. 
C)  structured interview. 
D)  targeted interview.

Question 3

Ingrid Anderson presents with a skin infection that began as a raised itchy bump, resembling an insect bite Within 1 to 2 days it developed into a vesicle. Now it is a painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During the history, her doctor learns that she may has recently returned from an overseas vacation and becomes concerned that she may have become infected with anthrax. He will prescribe an

Accepted Answer

A)  antibiotic 
B)  antineoplastic 
C)  antiparasitic 
D)  antiviral

Question 4

Ultimate responsibility for the quality and completion of entries in patient health records belongs to the

Accepted Answer

A)  chief of staff. 
B)  attending physician. 
C)  HIM director. 
D)  risk manager.

Question 5

The most common cause of dementia in the United States is

Accepted Answer

A)  autism. 
B)  supplies. 
C)  alcohol abuse. 
D)  anxiety disorder.

Question 6

Radial keratotomy

Accepted Answer

A)  92070 
B)  65855 
C)  65767 
D)  65771

Question 7

The coding supervisor notices that the coders are routinely failing to code all possible diagnoses and procedures for a patient encounter. This indicates to the supervisor that there is a problem with

Accepted Answer

A)  reliability. 
B)  validity. 
C)  completeness. 
D)  timeliness.

Question 8

Total hip replacement

Accepted Answer

A)  01210 
B)  01402 
C)  01230 
D)  01214

Question 9

Joint Commission does not approve of auto authentication of entries in a health record. The primary objection to this practice is that

Accepted Answer

A)  it is too easy to delegate use of computer passwords. 
B)  evidence cannot be provided that the physician actually reviewed and approved each report. 
C)  electronic signatures are not acceptable in every state. 
D)  tampering too often occurs with this method of authentication.

Question 10

Parker is a type I diabetic with hypertension that is currently controlled with medication. Parker was admitted through the ED for an emergency appendectomy. Following surgery, the patient developed an infection at the wound site that was treated with antibiotics. Parker's principal diagnosis is the

Accepted Answer

A)  complications of hypertension 
B)  co-morbidity of the wound infection 
C)  co-morbidity of type 1 diabetes 
D)  acute appendicitis

Question 11

Acute inferior wall myocardial infarction with unstable angina. Patient also has coronary artery disease and atrial fibrillation.

Accepted Answer

A)  410.41, 411.1, 414.01, 427.31 
B)  410.41, 414.00, 411.1, 427.31 
C)  410.40, 414.00, 427.31 
D)  410.41, 414.01, 427.31

Question 12

Which classification system was developed to standardize terminology and codes for use in clinical laboratories?

Accepted Answer

A)  Systematized Nomenclature of Human and Veterinary Medicine International (SNOME
D)  
B)  Systematized Nomenclature of Pathology (SNOP) 
C)  Read Codes 
D)  Logical Observation Identifiers, Names and Codes (LOIN
C)

Question 13

Patient presents with complaint of gross hematuria. Diagnosis of benign prostatic hypertrophy is made and patient undergoes transurethral prostatectomy.

Accepted Answer

A)  600.01, 60.21 
B)  600.00, 60.29 
C)  600.00, 599.71, 60.29 
D)  600.00, 599.71, 60.21

Question 14

The department director is responsible for budget following costs would be out of the director's control?

Accepted Answer

A)  equipment purchases 
B)  fringe benefit cost per employee 
C)  supply requisitions 
D)  overtime authorizations

Question 15

Joseph Woodley has been on a third floor nursing unit since October of 2007 and was finally discharged to a nursing home in December of 2008. When the average length of stay is calculated for the year 2008, this very long length of stay will.

Accepted Answer

A)  have little impact on the average length of stay. 
B)  result in a special cause variation in the average length of stay. 
C)  result in a small variation in the average length of stay. 
D)  result in a common cause variation in the average length of stay.

Question 16

Patient has ovarian vein syndrome and has ureterolysis performed.

Accepted Answer

A)  58679 
B)  58660 
C)  52351 
D)  50722

Question 17

Full-blown AIDS sets in as

Accepted Answer

A)  CD4 receptors increase. 
B)  Helper T-cell concentration decreases. 
C)  HIV virus concentration decreases. 
D)  Immunity to HIV increases.

Question 18

Your transcription system utilizes disk mirroring. This is an example of a technology called

Accepted Answer

A)  RAID 
B)  HL-7. 
C)  DASD 
D)  CPOE

Question 19

Julia is an 80-year-old female with osteoporosis. She presents to the emergency department complaining of severe back pain. X-rays revealed pathological compression fractures of several vertebrae.

Accepted Answer

A)  733.13, 733.00 
B)  805.8, 733.00 
C)  721.90, 733.13 
D)  733.00, 733.13

Question 20

When merging or overwriting demographic information for duplicate and overlap master patient index entries, AHIMA recommends converting all but which one of the following minimum data elements?

Accepted Answer

A)  encounter type 
B)  alias/previous name 
C)  attending physician 
D)  facility identification

Exam 1: Registered Health Information Administrator