Question 1

Patient mortality, infection and complication rates, adherence to living will requiremen adequate pain control, and other documentation that describe end results of care or a measura change in the patient's health are examples of

Accepted Answer

A)  outcome measures. 
B)  threshold level. 
C)  sentinel events. 
D)  incident reports.

Question 2

Infant with clubfoot. Correction by Evans operation

Accepted Answer

A)  754.70, 83.84 
B)  754.71, 83.84 
C)  736.71, 83.84 
D)  736.79, 83.84

Question 3

Who is legally responsible for obtaining the patient's informed consent for surgery?

Accepted Answer

A)  the admissions clerk 
B)  the surgeon performing the surgery 
C)  the nurse 
D)  medical record personnel

Question 4

HIM professionals have a duty to maintain health information that complies with

Accepted Answer

A)  state statutes. 
B)  federal statutes. 
C)  accreditation standards. 
D)  all of the above.

Question 5

The first step is

Accepted Answer

A)  cases are differentiated based on the presence or absence of complications/comorbidites (CCs) or major complications/comorbidites (MCCs). 
B)  cases are divided into either a surgical partition or a medical partition. 
C)  the principal diagnosis determines the MDC assignment. 
D)  diagnoses and procedures are coded using ICD-9-CM.

Question 6

Take a look at the comparison of the two life cycles below:  Look at the cell in the Information Systems Life Cycle that is filled with question marks. Which of the following should replace those question marks to make a complete, correct comparison?

Accepted Answer

A)  growth 
B)  installation 
C)  implementation 
D)  reevaluation

Question 7

Patient comes in through the emergency room with a wound that was caused by an electric saw. Patient is taken to the operating room where two ulna nerves are sutured.

Accepted Answer

A)  64837 
B)  64892; 69990 
C)  64836; 64837 
D)  64856; 64859

Question 8

As Directory of the HIM Department you have become aware of instances of unauthorized access to the record file area. After considering several options to limit or restrict access to the area, you decide to

Accepted Answer

A)  install a computerized access panel. 
B)  hire a security guard to monitor entrance to the file area. 
C)  convert from a terminal digit filing system to serial unit filing. 
D)  utilize a sign-in and sign-out log for admittance to the file area.

Question 9

The physician who performed the highest number of services overall last Tuesday was Doctor The physicians at Sunset Shore Clinic reported the following statistics last Tuesday.

Accepted Answer

A)  Truba. 
B)  Wooley. 
C)  Howe. 
D)  Masters.

Question 10

Bonnie's work performance has diminished over the last 2 weeks. In addition, she has uncharacteristic mood swings and has exhibited difficulty concentrating. She is also having difficulties with tardiness and attendance. As her supervisor, you meet with Bonnie to discuss your concerns. She reveals that she is struggling financially. What action should you take?

Accepted Answer

A)  Tell her that as long as she can perform her job acceptably, her personal life is none of your concern. 
B)  Put her on probation. 
C)  Refer her to the Employee Assistance Program. 
D)  Terminate her.

Question 11

Patient care can be improved through the use of technology. Which of the following is an example of how this happens?

Accepted Answer

A)  elimination of illegible orders 
B)  scanning of medical record image 
C)  redundant testing 
D)  voice recognition

Question 12

Patient has been diagnosed with metastatic laryngeal carcinoma. Patient underwent subtotal supraglottic laryngectomy with radical neck dissection.

Accepted Answer

A)  31540 
B)  31367 
C)  31365 
D)  31368

Question 13

Which of the four distinct components of the problem-oriented record serves to help index documentation throughout the record?

Accepted Answer

A)  database. 
B)  problem list. 
C)  initial plan. 
D)  progress notes.

Question 14

How can Gravews' disease be treated?

Accepted Answer

A)  antithyroid drugs. 
B)  radioactive iodine therapy 
C)  surgery 
D)  all of the above

Question 15

Jeff was in a car accident when he was 25 years old and suffered a spinal cord injury. As a result, he is a paraplegic and has neurogenic bladder. Jeff also has chronic ulcers of the buttocks. He is being seen for evaluation of his paraplegia.

Accepted Answer

A)  344.1, 907.2, 596.54, 707.8 
B)  344.60, 596.53, 707.00, 907.2 
C)  344.1, 596.53, 907.2 
D)  344.1, 596.54, 707.8

Question 16

The steps from project identification to implementation and support of an information system called

Accepted Answer

A)  systems analysis. 
B)  information system life cycle. 
C)  project management. 
D)  data model.

Question 17

Allen is addicted to Vicodin. He has stopped taking the drug and is now having withdrawal symptoms. Allen has chronic back pain for which he has been prescribed the medication. Allen is admitted for treatment of his withdrawal symptoms.

Accepted Answer

A)  292.2, 724.5 
B)  292.11, 292.2, 304.91 
C)  292.0, 304.00, 724.5 
D)  292.11, 304.91, 724.5

Question 18

Sophia has been diagnosed with metastatic carcinoma of lung, primary site breast. Simple mastectomy performed 2 years ago. What is the principal diagnosis?

Accepted Answer

A)  metastatic carcinoma of lung 
B)  carcinoma of breast 
C)  history of carcinoma of breast 
D)  status post mastectomy

Question 19

Ureterolithotomy completed laparoscopically

Accepted Answer

A)  52352 
B)  52325 
C)  50600 
D)  50945

Question 20

Joe is being admitted for treatment of chronic alcoholism. As a result of Joe's drinking he also has chronic alcoholic gastritis for which he receives medication. Joe is scheduled to spend 30 days in the inpatient rehab unit of Sunshine Hospital.

Accepted Answer

A)  303.01, 535.00, 94.63 
B)  303.91, 535.00, 94.63 
C)  303.91, 535.30, 94.61 
D)  303.01, 303.91, 535.30, 94.63

Exam 1: Registered Health Information Administrator