Question 1

The drug commonly used to treat bipolar mood swings is

Accepted Answer

A)  Lanoxin. 
B)  Lasix. 
C)  lithium carbonate. 
D)  lorazepam.

Question 2

A piece of objective data collected upon initial assessment of the patient is the

Accepted Answer

A)  review of systems. 
B)  history of present illness. 
C)  chief complaint. 
D)  vital signs.

Question 3

Melissa is an RHIA who has just been hired as systems analysts in Information Technology. At Orientation she receives her Employee Handbook. All of the following information about the Employee Handbook is true, EXCEPT:

Accepted Answer

A)  it provides a contractual obligation to continued employment. 
B)  it provides policies and procedures developed by management. 
C)  a receipt must be documented in writing. 
D)  it must be reviewed periodically by legal counsel to avoid legal risk.

Question 4

Medicare's Conditions of Participation for Hospitals requires that patient health records be retained for at least __________ years unless a longer period is required by state or local laws.

Accepted Answer

A)  3 
B)  5 
C)  7 
D)  10

Question 5

Anemia due to end-stage renal disease, patient treated for anemia

Accepted Answer

A)  285.8 
B)  285.21, 585.6 
C)  285.22, 585.6 
D)  285.9

Question 6

Agnes is admitted with cough, fever, and dysphagia. Chest x-ray shows infiltrates in both lower lobes. Sputum culture is positive for Staph aureus. Swallow study indicates that Agnes aspirates. Physician documents aspiration pneumonia and Staph aureus pneumonia. As a coder, you would assign codes for the following and with correct sequencing order.

Accepted Answer

A)  Staph aureus pneumonia, dysphagia 
B)  Staph aureus pneumonia, aspiration pneumonia 
C)  Aspiration pneumonia, dysphagia 
D)  Aspiration pneumonia, Staph aureus pneumonia, dysphagia

Question 7

Oxygen is carried in the blood

Accepted Answer

A)  bound to hemoglobin. 
B)  in the form of carbonic acid 
C)  plasma 
D)  serum

Question 8

You will be choosing the type of encryption to be used for the new EHR. What are your choices?

Accepted Answer

A)  symmetric and conventional 
B)  asymmetric and public key 
C)  symmetric and asymmetric 
D)  public key and integrity

Question 9

__________ causes of softening of the bone in children.

Accepted Answer

A)  Raynaud's disease. 
B)  Reye's syndrome 
C)  Rickets 
D)  Rubella

Question 10

Byron is helping his supervisor solve a computer problem. He said that it is a primar y storage problem. He must mean that it deals with

Accepted Answer

A)  RAM 
B)  CD 
C)  imaging. 
D)  Magnetic storage.

Question 11

Impetigo can

Accepted Answer

A)  spread through autoinoculation. 
B)  be caused by Streptococcus 
C)  be caused by Staphlococcus aureus. 
D)  all of the above.

Question 12

Excision of Cowper's gland

Accepted Answer

A)  53250 
B)  3450 
C)  53260 
D)  53220

Question 13

Surf Side Hospital has conducted extensive privacy training for their employees. They trust their employees because it is a small community. There have not been any breaches in the past. They feel that monitoring compliance through an audit trail is not necessary. In this circumstance would it be reasonable to forgo keeping an audit trail?

Accepted Answer

A)  yes, since it is a small community 
B)  no 
C)  yes, if there is a hotline where violations can be reported 
D)  yes, if employees are well trained

Question 14

Patient is brought to the emergency room following a shark attack. The paramedics have the patient's amputated foot. The patient is taken directly to the operating room to reattach the patient's foot.

Accepted Answer

A)  28800 
B)  28200; 28208 
C)  28110 
D)  20838

Question 15

Which of the following steps would NOT be taken when bringing all patient health information together in a complete record, regardless of media output from?

Accepted Answer

A)  Look at the past composition of records in the facility. 
B)  Determine storage requirements for information currently not filed in the medical record. 
C)  Decide if all patient health information is  being collected  and managed uniformly. 
D)  Evaluate what patient data, if any, is not incorporated in the medical record.

Question 16

Laparoscopic gastric banding

Accepted Answer

A)  43842 
B)  43843 
C)  43770 
D)  43771

Question 17

One of the major functions of the cancer registry is to ensure that patients receive regular and continued observation and management. How long should patient follow- up be continued?

Accepted Answer

A)  until remission occurs. 
B)  10 years. 
C)  for the life of the patient. 
D)  1 year.

Question 18

Patient has a Bartholin's gland cyst that was marsupialized.

Accepted Answer

A)  54640 
B)  10060 
C)  58999 
D)  56440

Question 19

A computer software program that assigns appropriate MS-DRGs according to the information provided for each episode of care is called a(n)

Accepted Answer

A)  encoder. 
B)  case-mix analyzer. 
C)  grouper. 
D)  DRG creeper.

Question 20

In a manual record-tracking system, no record should be removed from the file without being replaced by a(n)

Accepted Answer

A)  81/2x11-inch charge-out slip. 
B)  empty file folder. 
C)  paddle. 
D)  outguide.

Exam 1: Registered Health Information Administrator