RHIT Domain 5&6 EXAM PREP TEST BANK
RHIT DOMAIN 5&6 EXAM PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
A provider's office calls to retrieve emergency room records for a patient's follow-
up appointment. The HIM professional refused to release the emergency room
records without a written authorization from the patient. Was this action in
compliance?
a. No; the records are needed for continued care of the patient, so no
authorization is required
b. Yes; the release of all records requires written authorization from the patient
c. No; permission of the ER physician was not obtained
d. Yes; one covered entity cannot request the records from another covered entity
- Correct Answer-a
Treatment, payment, and operations (TPO) is an important concept because the
Privacy Rule provides a number of exceptions for PHI that is being used or
disclosed for TPO purposes. Treatment means providing, coordinating, or
managing healthcare or healthcare-related services by one or more healthcare
providers (Rinehart-Thompson 2016b, 223).
A notice that suspends the process or destruction of paper or electronic records is
called:
a. Subpoena
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, RHIT Domain 5&6 EXAM PREP TEST BANK
b. Consent form
c. Rule
d. Legal hold - Correct Answer-d
A legal hold (also known as a preservation order, preservation notice, or litigation
hold) basically suspends the processing or destruction of paper or electronic
records. It may be initiated by a court if there is concern that information may be
destroyed in cases of current or anticipated litigation, audit, or government
investigation. Or, it may be initiated by the organization as part of their pre-
litigation planning and duty to preserve information in anticipation of litigation
(Klaver 2017a, 86-87).
Which type of identity theft occurs when a patient uses another person's name
and insurance information to receive healthcare benefits?
a. Medical
b. Financial
c. Criminal
d. Health - Correct Answer-a
Medical identity theft occurs when a patient uses another person's name and
insurance information to receive healthcare benefits. Most often this is done so a
person can receive healthcare with an insurance benefit and pay less or nothing
for the care received (Rinehart- Thompson 2016b, 247).
Which of the following situations is considered a breach of PHI?
a. A nurse sees the record of a patient that she is not caring for
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, RHIT Domain 5&6 EXAM PREP TEST BANK
b. A patient's attorney is sent records not authorized by that patient
c. A nurse starts to place PHI in a public area where a patient is standing and
immediately picks it up
d. An HIM employee keys in the wrong health record number but closes it out as
soon as it is realized - Correct Answer-b
There are three exceptions to a breach. All of these answers fall into one of these
categories with the exception of the records sent to the patient's attorney. He does
not work for the covered entity and an authorization is required (Rinehart-
Thompson 2016b, 240).
Coding policies should include which of the following elements?
a. Lunch or break schedule
b. How to access the computer system
c. AHIMA Standards of Ethical Coding
d. Nonofficial coding guidelines - Correct Answer-c
Coding policies should include the following components: AHIMA Code of Ethics,
AHIMA Standards of Ethical Coding, Official Coding Guidelines, applicable federal
and state regulations, internal documentation policies requiring the presence of
physician documentation to support all coded diagnosis and procedure code
assignments (Schraffenberger and Kuehn 2011, 384).
A postoperative patient was prescribed Lortab prn. Nurse Jones documented in
the patient record that she administered one dose of Lortab to the patient, but
never actually administered this medication. Nurse Jones then took the Lortab
herself. This action would be called?
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, RHIT Domain 5&6 EXAM PREP TEST BANK
a. Drug prescribing
b. Adverse drug reaction
c. Sentinel event
d. Drug diversion - Correct Answer-d
Drug diversion is the removal of a medication from its usual stream of
preparation, dispensing, and administration by personnel involved in those steps in
order to use or sell the medication in non-healthcare settings. An individual might
take the medication for personal use, to sell on the street, to sell directly to a user
as a dealer or to sell to others who will redistribute for the diverting individual
(Shaw and Carter 2015, 253).
The leaders of a healthcare organization are expected to select an organization-
wide performance improvement approach and to clearly define how all levels of
the organization will monitor and address improvement issues. The Joint
Commission requires ongoing data collection that might require improvement for
which of the following areas?
a. Operative and other invasive procedures, medication management, and blood
and blood product use
b. Blood and blood product use, medication management, and appointment to
the board of directors
c. Medication management, marketing strategy, and blood use
d. Operative and other invasive procedures, appointments to the board of
directors, and restraint and seclusion use - Correct Answer-a
Appointments to the Board of Directors is important information, but the Joint
Commission requires detailed information on the responsibilities and actions of the
4|Page
RHIT DOMAIN 5&6 EXAM PREP TEST BANK LATEST 2025/2026
ACTUAL EXAM COMPLETE 350 QUESTIONS AND CORRECT
ANSWERS WITH DETAILED RATIONALES GRADED A+
GUARANTEED PASS- ACE YOUR EXAM
A provider's office calls to retrieve emergency room records for a patient's follow-
up appointment. The HIM professional refused to release the emergency room
records without a written authorization from the patient. Was this action in
compliance?
a. No; the records are needed for continued care of the patient, so no
authorization is required
b. Yes; the release of all records requires written authorization from the patient
c. No; permission of the ER physician was not obtained
d. Yes; one covered entity cannot request the records from another covered entity
- Correct Answer-a
Treatment, payment, and operations (TPO) is an important concept because the
Privacy Rule provides a number of exceptions for PHI that is being used or
disclosed for TPO purposes. Treatment means providing, coordinating, or
managing healthcare or healthcare-related services by one or more healthcare
providers (Rinehart-Thompson 2016b, 223).
A notice that suspends the process or destruction of paper or electronic records is
called:
a. Subpoena
1|Page
, RHIT Domain 5&6 EXAM PREP TEST BANK
b. Consent form
c. Rule
d. Legal hold - Correct Answer-d
A legal hold (also known as a preservation order, preservation notice, or litigation
hold) basically suspends the processing or destruction of paper or electronic
records. It may be initiated by a court if there is concern that information may be
destroyed in cases of current or anticipated litigation, audit, or government
investigation. Or, it may be initiated by the organization as part of their pre-
litigation planning and duty to preserve information in anticipation of litigation
(Klaver 2017a, 86-87).
Which type of identity theft occurs when a patient uses another person's name
and insurance information to receive healthcare benefits?
a. Medical
b. Financial
c. Criminal
d. Health - Correct Answer-a
Medical identity theft occurs when a patient uses another person's name and
insurance information to receive healthcare benefits. Most often this is done so a
person can receive healthcare with an insurance benefit and pay less or nothing
for the care received (Rinehart- Thompson 2016b, 247).
Which of the following situations is considered a breach of PHI?
a. A nurse sees the record of a patient that she is not caring for
2|Page
, RHIT Domain 5&6 EXAM PREP TEST BANK
b. A patient's attorney is sent records not authorized by that patient
c. A nurse starts to place PHI in a public area where a patient is standing and
immediately picks it up
d. An HIM employee keys in the wrong health record number but closes it out as
soon as it is realized - Correct Answer-b
There are three exceptions to a breach. All of these answers fall into one of these
categories with the exception of the records sent to the patient's attorney. He does
not work for the covered entity and an authorization is required (Rinehart-
Thompson 2016b, 240).
Coding policies should include which of the following elements?
a. Lunch or break schedule
b. How to access the computer system
c. AHIMA Standards of Ethical Coding
d. Nonofficial coding guidelines - Correct Answer-c
Coding policies should include the following components: AHIMA Code of Ethics,
AHIMA Standards of Ethical Coding, Official Coding Guidelines, applicable federal
and state regulations, internal documentation policies requiring the presence of
physician documentation to support all coded diagnosis and procedure code
assignments (Schraffenberger and Kuehn 2011, 384).
A postoperative patient was prescribed Lortab prn. Nurse Jones documented in
the patient record that she administered one dose of Lortab to the patient, but
never actually administered this medication. Nurse Jones then took the Lortab
herself. This action would be called?
3|Page
, RHIT Domain 5&6 EXAM PREP TEST BANK
a. Drug prescribing
b. Adverse drug reaction
c. Sentinel event
d. Drug diversion - Correct Answer-d
Drug diversion is the removal of a medication from its usual stream of
preparation, dispensing, and administration by personnel involved in those steps in
order to use or sell the medication in non-healthcare settings. An individual might
take the medication for personal use, to sell on the street, to sell directly to a user
as a dealer or to sell to others who will redistribute for the diverting individual
(Shaw and Carter 2015, 253).
The leaders of a healthcare organization are expected to select an organization-
wide performance improvement approach and to clearly define how all levels of
the organization will monitor and address improvement issues. The Joint
Commission requires ongoing data collection that might require improvement for
which of the following areas?
a. Operative and other invasive procedures, medication management, and blood
and blood product use
b. Blood and blood product use, medication management, and appointment to
the board of directors
c. Medication management, marketing strategy, and blood use
d. Operative and other invasive procedures, appointments to the board of
directors, and restraint and seclusion use - Correct Answer-a
Appointments to the Board of Directors is important information, but the Joint
Commission requires detailed information on the responsibilities and actions of the
4|Page
