Question 1

The manager of the Quality Department is listing various sources of data. Which of the following data sources would be an example of an external source?

Accepted Answer

A)  emergency room logs 
B)  incident reports 
C)  patient registration and admission, discharge, transfer (ADT) information 
D)  quality improvement organization information

Question 2

Lucy is admitted because of diabetic coma. She is a type II diabetic with nephritic syndrome and gangrene of her toes, all due to her diabetes.

Accepted Answer

A)  250.30, 250.40, 581.81, 250.70, 785.4 
B)  250.31, 581.81, 785.4 
C)  250.30, 250.40, 581.131 
D)  250.30 250.41, 785.4

Question 3

You are developing a plan that shows the fields that a database will contain, the operations that the database will exhibit, and the types of relationships. You are developing the

Accepted Answer

A)  data model. 
B)  database design. 
C)  database manager. 
D)  data dictionary.

Question 4

Which of the organs listed below has endocrine and exocrine functions?

Accepted Answer

A)  kidney. 
B)  liver 
C)  lung 
D)  pancreas

Question 5

A surgeon left a clamp in a patient, resulting in a return to the operating room. In an integrated organizational quality management model, all of the following entities would receive data about the investigation EXCEPT the

Accepted Answer

A)  Tissue Committee. 
B)  Credentials Committee. 
C)  Risk Management Program. 
D)  Pharmacy and Therapeutics Committee.

Question 6

One of your first tasks as the new Manager of Health Information Services is to review the department policy and procedure manual. You have determined that several policy statements are incongruent with appropriate current employee practices. Proper management conventions require

Accepted Answer

A)  leaving the policy as written in the manual. 
B)  contacting the hospital attorney to decide what action to take. 
C)  enforcing the existing policy. 
D)  revising the policy appropriately and documenting the date of the change.

Question 7

The manager of the utilization review department wants to monitor and evaluate the preventia of inappropriate admissions. When would the manager need to collect data?

Accepted Answer

A)  prospectively 
B)  concurrently 
C)  retrospectively 
D)  long-term care review

Question 8

Eighty (80) requests for records to be pulled for the emergency room were processed in January. From the histogram provided, what was the most frequent amount of time taken to process a request?

Accepted Answer

A)  1-10 minutes 
B)  11-20 minutes 
C)  21-30 minutes 
D)  31-40 minutes

Question 9

As the Director of Health Information Services, you manage the department with the assistance of four supervisors. One day you observe a coder coding charts from the face sheet without reviewing the record for additional documentation. The most appropriate course of action would be to

Accepted Answer

A)  discuss your concerns with the Supervisor of Coding and direct her to address this issue immediately. 
B)  discuss the problem with the CFO. 
C)  discuss the matter directly with the coder and instruct him to review the entire record for correct assignment of codes. 
D)  do nothing because the coding area is extremely productive.

Question 10

A patient authorizes Hospital A to send a copy of a discharge summary for the latest hospitalization to Hospital B. Hospital B uses the discharge summary in the patient's care and files it in the medical record. When Hospital B receives a request for records, a copy of Hospital A's discharge summary is sent. This is an example of:

Accepted Answer

A)  a privacy violation 
B)  redisclosure 
C)  satisfactory assurance 
D)  inappropriate release

Question 11

The cause of aplastic anemia is

Accepted Answer

A)  acute blood loss.. 
B)  bone marrow failure. 
C)  chronic blood loss. 
D)  inadequate iron intake.

Question 12

Laparoscopic repair of umbilical hernia

Accepted Answer

A)  49580 
B)  49564 
C)  49585 
D)  49562

Question 13

Which of the following is coded as an adverse effect in ICD-9-CM?

Accepted Answer

A)  mental retardation due to intracranial abscess 
B)  rejection of transplanted kidney 
C)  tinnitus due to allergic reaction after administration of eardrops 
D)  nonfunctioning pacemaker due to defective soldering

Question 14

In general, which of the following statements is correct?

Accepted Answer

A)  When federal and state laws conflict, valid federal laws supersede state laws. 
B)  When federal and state laws conflict, valid state laws supersede federal laws. 
C)  When federal and state laws conflict, valid local laws supersede federal and state laws. 
D)  When federal and state laws conflict, valid corporate policies supersede federal and state laws.

Question 15

Patient had been diagnosed with a bunion. Patient was taken to the operating room where a simple resection of the base of the proximal phalanx along with the medial eminence was performed. Kirschner wire was placed to hold the joint in place.

Accepted Answer

A)  28292 
B)  28290 
C)  28293 
D)  28298

Question 16

Tachycardia after taking a correct dosage of prescribed Lortab would be reported as a(n)

Accepted Answer

A)  poisoning. 
B)  adverse reaction to a drug. 
C)  late effect of a poisoning. 
D)  late effect of an adverse reaction.

Question 17

A HIPPS (Health insurance Prospective Payment System) code is a five-character alphanumeric code. A HIPPS code is used by

Accepted Answer

A)  ambulatory surgery centers (ASCs). 
B)  home health agencies (HHAs). 
C)  inpatient rehabilitation facilities (IRFs). 
D)  both B & C.

Question 18

In preparation for an upcoming site visit by Joint Commission, you discover that the number of delinquent records for the preceding month exceeded 50% of discharged patients. Even more alarming was the pattern you noticed in the type of delinquencies. Which of the following represents the most serious pattern of delinquencies? Fifteen percent of delinquent records show.

Accepted Answer

A)  missing signatures on progress notes 
B)  missing discharge summaries 
C)  absence of SOAP format in progress notes 
D)  missing operative reports

Question 19

Jessica has been diagnosed with hyperthyroidism due to toxic multinodular goiter with cris She also has hypertension and has a history of sick sinus syndrome with pacemaker insertio Jessica has a partial thyroidectomy on this admission.

Accepted Answer

A)  240.9, 401.0, 427.81, 06.4 
B)  242.21, 401.9, 427.81, V45.01, 06.39 
C)  240.9, 242.21, 401.9. V45.01, 06.4 
D)  242.21, 401.9. V45.01, 06.39

Question 20

When submitting the cost of training, how much should the training staff request in the budget for doing the computer-based training? The training staff in the Human Resources Department is proposing a computer-based training program for 200 employees and needs to prepare a budget for the time and cost of the training. The training program will be 30 minutes in length. The employees can take the training online at any time. There are 200 employees to be trained. The rate of pay for 50 of the employees is $15.50 per hour. The rate of pay for 50 employees is $12.00 per hour. The rate of pay for the other 100 employees is $18.00.

Accepted Answer

A)  $3,175.00 
B)  $1,975.00 
C)  $1,887.50 
D)  $1,587.50

Exam 1: Registered Health Information Administrator