Question 1

Mr. Beasley determined that the rate of absenteeism with three of his employees was 15%. He felt that this was unacceptable and decided that there were two different ways he could handle this situation. He evaluated these alternatives and thought the best thing to do would be to suspend all three for 2 days. Once he implemented this idea, he analyzed the consequences. How would you label this process?

Accepted Answer

A)  decision making 
B)  planning 
C)  crisis management 
D)  communicating

Question 2

Patient is admitted to St. Mary's Hospital with hyperthermia, tachycardia, hypoxemia, and altered mental status. Urinalysis is positive for E. coli and blood cultures are negative. Patient is immediately started on broad-spectrum IV antibiotics. Physician documents urosepsis as the final diagnosis. The coder should

Accepted Answer

A)  report 599.0 (UT!) and 041.4 (E . coli). 
B)  report 038.42 (septicemia due to E . coli) and 995.91 (SIRS-sepsis). 
C)  report 038.42 (septicemia due to E . cob), 599.0 (UTI) and 995.91 (SIRS-sepsis). 
D)  confer with physician for reporting 038.9 (unspecified septicemia) based upon the clinical findings with 041.4 (E . coli) and 995.91 (SIRS-sepsis).

Question 3

The ER staff has collected the data on the number of visits and wait times in the ER and has displayed the data on the chart shown. Based on this information, what kind of correlation do you see between the number of visits (Variable X) and the wait times (Variable Y)?

Accepted Answer

A)  a positive correlation between Variable X and Variable Y 
B)  a negative correlation between Variable X and Variable Y 
C)  a conjunctive correlation between Variable X and Variable Y 
D)  a causative correlation between Variable X and Variable Y

Question 4

Patient underwent anoscopy followed by colonoscopy. The physician examined to colon to 60 cm.

Accepted Answer

A)  46600; 45378 
B)  46600; 45378-59 
C)  45378 
D)  45999

Question 5

WORM technology is useful in storing medical information on optical disks or platters because

Accepted Answer

A)  it does not require that information be digitally scanned into the computer. 
B)  records may be modified as needed to update the patient's medical record. 
C)  the write-once, read-many feature permanently stores information without the ability to alter or modify the original documentation. 
D)  only authorized personnel are allowed to make changes in the medical record.

Question 6

As supervisor of the cancer registry, you report the registry's annual caseloads to administration. The most efficient way to retrieve this information would be to use

Accepted Answer

A)  patient abstracts. 
B)  patient index. 
C)  accession register. 
D)  follow-up files.

Question 7

The childhood viral disease that unvaccinated pregnant women should avoid because it may be passed to the fetus, causing congenital anomalies such as mental retardation, blindness, and deafness, is

Accepted Answer

A)  rickets. 
B)  rubeola 
C)  rubella 
D)  tetanus

Question 8

Left carotid artery excision for tumor of carotid body

Accepted Answer

A)  60650 
B)  60600 
C)  60605 
D)  60699

Question 9

The Quality Improvement Organizations (QIO) are given hospital-specific data from the Hospital Payment Monitoring Program (HPMP). Hospital data is provided to the QIOs for fourteen target areas on a quarterly basis. This report is called the

Accepted Answer

A)  Program for Evaluation Payment Patterns Electronic Report (PEPPER). 
B)  Payment Error Prevention program (PEP). 
C)  Office of Inspector General (OIG) Workplan. 
D)  National Correct Coding Initiative (NCCI).

Question 10

Newborn, born in hospital with tetralogy of Fallot

Accepted Answer

A)  745.8 
B)  V30.01, 746.09 
C)  745.2 
D)  V30.00, 745.2

Question 11

Patient Jamey Smith has been seen at Oceanside Hospital three times prior to this current encounter. Unfortunately, because of clerical errors, Jamey's information was entered into the MPI incorrectly on the three previous admissions and consequently has three different medical record numbers. The unit numbering system is used at Oceanside Hospital. Jamey's previous entries into the MPI are as follows: 09/03/04 Jamey Smith MR# 10361 03/10/05 Jamey Smith Doe MR# 33998 07/23/06 Jamie Smith Doe MR# 36723 The next available number to be assigned at Oceanside Hospital is 41369. Duplicate entries in the MPI should be scrubbed and all of Jamey's medical records should be filed under medical record number

Accepted Answer

A)  10361. 
B)  33998. 
C)  36723. 
D)  41369.

Question 12

Basic metabolic panel (calcium, total) and total bilirubin

Accepted Answer

A)  80048; 82247 
B)  80053 
C)  80100 
D)  82239; 80400; 80051

Question 13

Pain is a symptom of which of the following conditions?

Accepted Answer

A)  first-degree burn (superficial) 
B)  second-degree burn (partial thickness) 
C)  third-degree burn (full thickness) 
D)  A and B

Question 14

As a prerequisite to phasing in a new imaging system, what process would facilitate automatic indexing?

Accepted Answer

A)  redesigning forms to include bar codes 
B)  removing portions of the patient record that will not be scanned 
C)  converting all microfilm to optical disk format 
D)  scanning only emergency room records initially

Question 15

The primary goal of a hospital-based cancer registry is to

Accepted Answer

A)  improve patient care. 
B)  Allocate hospital resources appropriately. 
C)  determine the need for professional and public education programs. 
D)  monitor cancer incidence.

Question 16

Procedures on bony pelvis

Accepted Answer

A)  00400 
B)  01170 
C)  01120 
D)  01190

Question 17

Roberta Little Eagle is the new HIM supervisor at a large South Dakota reservation clinic. In order to become familiar with the specific steps currently used in record processing, she uses which graphic tool?

Accepted Answer

A)  force field analysis 
B)  histogram 
C)  fishbone analysis 
D)  flowchart

Question 18

Jennifer presents to the emergency department with severe chest pain and shortness of breath. Chest x-ray revealed a spontaneous pneumothorax. Jennifer also has acute bronchitis. The emergency department physician inserts a chest tube and Jennifer is admitted.

Accepted Answer

A)  512.8, 466.0, 34.04 
B)  512.0, 491.21, 34.01 
C)  466.0, 491.21, 512.1, 34.04 
D)  491.20, 466.0, 512.8, 34.01

Question 19

Johnston City was set upon by a swarm of killer bees. All 5,000 residents are at risk of a bee attack. If 25 residents were attacked by the bees, the incidence of bee attacks

Accepted Answer

A)  is 5 in 1,000. 
B)  is 5 in 5,000. 
C)  is 25 in 1,000 
D)  cannot be determined at this time.

Question 20

When designing a computer view for information capture, all of the following should be considered except for which one?

Accepted Answer

A)  external standards such as those developed by HL7 and NCVHS 
B)  standardized vocabularies 
C)  size of the document 
D)  forms committee membership

Exam 1: Registered Health Information Administrator

The ER staff has collected the data on the number of visits and wait times in the ER and has displayed the data on the chart shown. Based on this information, what kind of correlation do you see between the number of visits (Variable X) and the wait times (Variable Y) ?