Question 1

When using stationary open-shelf files, _________ inches are recommended for aisles between file units.

Accepted Answer

A)  24 
B)  32 
C)  60 
D)  72

Question 2

A risk manager needs to locate a full report of a patient's fall from his bed, including witness reports and probable reasons for the fall. She would most likely find this information in the

Accepted Answer

A)  doctors' progress notes. 
B)  integrated progress notes. 
C)  incident report. 
D)  nurses' notes.

Question 3

The primary source document used in quality assessment monitoring is the

Accepted Answer

A)  admission and discharge register. 
B)  procedure index. 
C)  medical record. 
D)  diagnosis index.

Question 4

Organizations collect statistics to increase their knowledge of a specified population. knowledge doesn't come automatically - it is developed in the following sequence:

Accepted Answer

A)  data → facts → information → knowledge. 
B)  data → information → facts → knowledge. 
C)  facts → data → information → knowledge. 
D)  facts information → data knowledge.

Question 5

HIPAA requires that certain covered entities provide every patient a Notice of Privacy Practices that sets forth all of the following EXCEPT

Accepted Answer

A)  covered entities provide every patient with its annual business report. 
B)  how covered entities may use and disclose PHI. 
C)  patient's rights regarding the covered entities' uses and disclosures. 
D)  covered entities' obligations for protecting the patient's PHI.

Question 6

A serum potassium level of 2.8 would indicate

Accepted Answer

A)  Addison disease. 
B)  anemia 
C)  diabetic ketoacidosis. 
D)  hyperkalemia.

Question 7

Ty Ngynn is Assistant Director in Information Services. He has made an appointment with the Director of Human Resources to discuss his recent trip to the state HIM meeting with his Director, Wendy Richard. During the trip, Wendy repeatedly, asked Ty to her room, suggested it might not be worthwhile for him to attend future state meetings. The HR Director should

Accepted Answer

A)  explain that off-site events are outside the scope of the HR Department. 
B)  provide Ty with additional training on resisting unwanted advances. 
C)  take the complaint seriously and begin a sexual harassment investigation. 
D)  explain that it's Director's right to select who attends professional meetings.

Question 8

A quality control measure that should be established for the filing, storage, and retrieval of health records includes criteria for the

Accepted Answer

A)  accuracy of analyzing records. 
B)  number of incomplete records. 
C)  filing of loose materials 
D)  tracking of release of information requests.

Question 9

A patient is seen in the emergency room of an acute care hospital with tachycardia and hypotension. The patient had received an injection of tetanus toxoid (correct dosage) earlier at his primary care physician's office. Which of the following is the appropriate sequencing for this encounter?

Accepted Answer

A)  hypotension; tachycardia; accidental poisoning E code (tetanus toxoid) 
B)  unspecified adverse reaction to tetanus toxoid; undetermined cause E code (tetanus toxoid) 
C)  hypotension; tachycardia; therapeutic use E code (tetanus toxoid) 
D)  poisoning code (tetanus toxoid); hypotension; tachycardia; accidental poisoning E code (tetanus toxoid)

Question 10

Patient comes into his physician's office complaining of wrist pain. Physician sends the patient to the hospital for an arthrography. Code the complete procedure.

Accepted Answer

A)  73115 
B)  73100 
C)  73110 
D)  25246; 73115

Question 11

Patient has been diagnosed with carcinoma of the vagina and she has a radical vaginectomy with complete removal of the vaginal wall.

Accepted Answer

A)  57107 
B)  57110 
C)  58150 
D)  57111

Question 12

Which of the following is a risk factor involved in the etiology of gallstones?

Accepted Answer

A)  being overweight. 
B)  being an adolescent 
C)  low-fat diets 
D)  presence of peptic ulcer

Question 13

Patient is 6 weeks' pregnant and complains of left-sided abdominal pains. Patient is suspected of having an ectopic pregnancy. Patient has a laparoscopic salpingectomy with removal of the ectopic tubal pregnancy.

Accepted Answer

A)  59120 
B)  59200 
C)  59121 
D)  59151

Question 14

Huhner test and semen analysis

Accepted Answer

A)  89325 
B)  89258 
C)  89310 
D)  89300

Question 15

Patient presents to the operating room for fulguration of bladder tumors. The cystoscope was inserted and entered the urethra which was normal. Bladder tumors measuring approximately 1.5 cm were removed.

Accepted Answer

A)  52234 
B)  50957 
C)  52214 
D)  51530

Question 16

You need a system that will provide information on your census, update your master patient index, and distribute demographic data. What type of system would you purchase?

Accepted Answer

A)  ADT 
B)  executive information system 
C)  clinical information system 
D)  financial information system

Question 17

Under the Patient Self-Determination Act of 1990, advance directives

Accepted Answer

A)  are required to be included in the patient chart. 
B)  are not required to be included in the patient chart. 
C)  require a doctor's approval. 
D)  must be prepared by an attorney.

Question 18

Bilateral sensorineural conductive hearing loss

Accepted Answer

A)  389.22 
B)  389.21 
C)  389.9 
D)  389.20

Question 19

A rare malignant tumor often associated with AIDS is

Accepted Answer

A)  Kaposi's sarcoma. 
B)  glioblastoma multiforme. 
C)  pheochromocytoma. 
D)  melanoma.

Question 20

Four HIT students are working on a LOS project at their clinical site. To describe the variability of the data, Smithson suggests using range because it is the most exact; Donaldson wants to use the mean because it is easy to calculate; Franklin recommends variance because it is the most popular measure of variability; and Howell proposes the use of standard deviation because it is the most easily understood. Who made the best suggestion?

Accepted Answer

A)  Smithson 
B)  Donaldson 
C)  Franklin 
D)  Howell

Exam 1: Registered Health Information Administrator