Question 1

Six-year-old Alex attended a birthday party where hot dogs and potato salad were served for lunch. Several hours after returning home, Alex began vomiting and having severe diarrhea. Alex was admitted to the hospital for treatment of his vomiting and diarrhea and was diagnosed with Salmonella food poisoning. Alex was given IV fluids for dehydration. Alex

Accepted Answer

A)  003.9, 276.51, 493.90 
B)  005.9, 003.9, 276.51, 493.90 
C)  005.9, 276.51, 493.90 
D)  005.9, 003.9, 267.51, 787.03, 787.91, 493.90

Question 2

If the budgeted payroll expense was $24,300 and the actual payroll expense was $25,800, what the percentage of cost variance?

Accepted Answer

A)  6.0% 
B)  0.58% 
C)  6.17% 
D)  6.7%

Question 3

Chronic kidney disease due to hypertension and type I diabetes mellitus

Accepted Answer

A)  250.41, 403.90, 585.9 
B)  250.40, 403.10, 585.1 
C)  40.90, 250.41, 585.9 
D)  403.10, 250.41, 585.2

Question 4

Strong lateral relationships within a facility are most likely when

Accepted Answer

A)  vertical relationships are less than adequate. 
B)  individual departments cooperate together to achieve organizational goals. 
C)  individual departments are only interested in their internal goals. 
D)  individual departments avoid one another.

Question 5

The old practice of flagging records for deficiencies and requiring retrospective documentation add little or no value to patient care. You try to convince the entire health care team to consistently enter data into the patient's record at the time and location of service instead of waiting for retrospective analysis to alert them to complete the record. You are proposing

Accepted Answer

A)  quantitative record review. 
B)  clinical pertinence review. 
C)  concurrent record analysis. 
D)  point-of-care documentation.

Question 6

Codes from category 655, known or suspected fetal abnormality affecting the mother, should

Accepted Answer

A)  be assigned if the fetal conditions are documented. 
B)  be assigned at the discretion of the physician. 
C)  be assigned when they affect the management of the mother. 
D)  never be assigned.

Question 7

This means that the service or procedure is reasonable and necessary for the diagnosis or treatment of illness or injury consistent with generally accepted standards of care.

Accepted Answer

A)  peer review 
B)  optimization 
C)  benchmarking 
D)  medical necessity

Question 8

Patient with a diagnosis of aortic valve stenosis and mitral valve regurgitation is admitted for aortic valve replacement. Patient is also under treatment for congestive heart failure. Patient undergoes placement of aortic valve prosthesis with cardiopulmonary bypass.

Accepted Answer

A)  396.2, 398.91, 35.22, 39.61 
B)  424.1, 424.0, 428.0, 35.22 
C)  396.2, 428.0, 35.22, 39.61 
D)  424.1, 424.0, 428.0, 35.21, 39.61

Question 9

In a negligence or malpractice case, all of the following elements must be present in order to shift the burden of proof onto the defendant EXCEPT the

Accepted Answer

A)  event would not normally have occurred in the absence of negligence. 
B)  health care facility does not have a risk management program. 
C)  defendant had exclusive control over the instrumentality that caused the injury. 
D)  plaintiff did not contribute to the injury.

Question 10

The HIM Department at General Hospital has been experiencing an average 30- minute delay in the retrieval of records requested by the Emergency Department. Which one of the following corrective actions would be most effective in reducing the delay in retrieval of requested records?

Accepted Answer

A)  offer a prize to the employee who locates the requested records first 
B)  review and possibly re-engineer the retrieval process to decrease retrieval time 
C)  allow the requesters to retrieve the record themselves 
D)  increase file area staff to include on additional file clerk devoted to pulling records for the emergency room

Question 11

Elderly man was admitted through the emergency department for severe urinary retention. Upon study, it was determined that his hypertension was uncontrolled (215/108). Prior medical records show admission 8 weeks ago for the same problem. As per conditions on previous admission, his BPH is complicated by acute cystitis. He is noncompliant with medications. Medication for the hypertension was immediately started and his hypertension was quickly brought under control. Urinary retention was relieved by placement of a Foley

Accepted Answer

A)  600.01, 595.0, 788.20, 401.9, V15.81, 57.94, 60.29 
B)  600.3, 595.0, 401.0, V15.81, 57.92, 60.61 
C)  600.00, 595.9, 788.20, 401.9, V15.81, 57.94, 60.61 
D)  600.3, 595.0, 788.20, 401.0, V15.81, 57.94, 60.61

Question 12

You have been assigned to code the cases listed below. Which one will you appropriately assign to Category 402, Hypertensive Heart Disease?

Accepted Answer

A)  Mallory 
B)  Emma 
C)  Taylor 
D)  Trevor

Question 13

Surgical case review includes all the following EXCEPT

Accepted Answer

A)  determination of surgical justification based on clinical indication(s) in cases where no tissue has been removed. 
B)  cases with elements missing in the preoperative anesthesia consultation. 
C)  cases where there is a significant discrepancy between preoperative, postoperative, and pathological diagnoses. 
D)  cases with serious surgical complications or surgical mortalities.

Question 14

An acute care facility is installing a new computer system in the chart-tracking area. Du implementation, the current existing system will continue to operate while bringing up the system, allowing a comparison of the outputs from both systems for accuracy over a 1-mon period. This process describes what type of conversion?

Accepted Answer

A)  history processing 
B)  direct conversion 
C)  phased-in conversion 
D)  parallel conversion

Question 15

You are planning a prospective study to try to prove a cause and effect relationship between dipping snuff and throat cancer. First, you identify subjects who regularly dip snuff and who are free of any signs of throat cancer. Next, you need to identify subjects who

Accepted Answer

A)  dip snuff regularly and who currently have throat cancer. 
B)  dip snuff regularly and who currently have significant signs of throat cancer. 
C)  do not dip snuff and who currently have significant signs of throat cancer. 
D)  do not dip snuff and who are free of any signs of throat cancer.

Question 16

What HIM health record function would best benefit from the use of bar coding?

Accepted Answer

A)  correspondence/ROI control 
B)  record completion 
C)  record location/tracking 
D)  transcription

Question 17

Your Community Hospital utilizes a WAN that transports data across the Internet by using a private tunnel. This is a

Accepted Answer

A)  WLAN 
B)  LAN 
C)  VPN 
D)  FDDI

Question 18

Which one of the following cells produces antibodies?

Accepted Answer

A)  A cells 
B)  cytotoxic T cells 
C)  helper T cells 
D)  plasma cells

Question 19

The Central Officer on ICD-9-CM, which publishes Coding Clinic, is maintained by the

Accepted Answer

A)  National Center for Health Statistics. 
B)  Centers for Medicare and Medicaid Services. 
C)  American Hospital Association. 
D)  American Health Information Management Associations

Question 20

Ralph is a 96-year-old nursing home resident who is admitted for malnutrition. Ralph has suffered a previous stroke that has left him with dysphagia. Ralph is treated for malnutritio_tij with hyperalimentation. Ralph was also found to have hypokalemia that was treated with IVY potassium replacement. On the day prior to discharge, Ralph underwent a PEG tube insertion.

Accepted Answer

A)  438.82, 263.9, 787.20, 43.11 
B)  787.20, 276.8, 43.11 
C)  263.9, 276.8, 438.82, 43.11 
D)  263.9, 787.20, 276.8, 43.11

Exam 1: Registered Health Information Administrator