WGU HIT 215: HEALTH INFORMATION MANAGEMENT REAL
QUESTIONS + DETAILED ANSWERS - LATEST VERSION - TOP
RATED (2026/2027)
1. What is the primary purpose of health information management (HIM)?
A. Billing patients for services rendered
B. Managing the collection, analysis, and protection of health information
✓
C. Scheduling patient appointments
D. Performing clinical procedures
2. Which federal law established the privacy rule for protected health information?
A. Medicare Act
B. HITECH Act
C. HIPAA ✓
D. Affordable Care Act
3. The medical record is primarily a communication tool for:
A. Insurance companies only
B. All healthcare providers involved in patient care ✓
C. Hospital administrators
D. Government regulators
4. Which organization accredits healthcare organizations in the United States?
A. AMA
B. AHIMA
C. The Joint Commission ✓
D. CMS
5. What does AHIMA stand for?
A. American Health Information Management Association ✓
, B. Allied Health Information Medical Agency
C. American Hospital Insurance Management Authority
D. Association for Health Information and Medical Affairs
6. The legal health record (LHR) is defined by:
A. State law exclusively
B. Federal mandates
C. Each healthcare organization based on applicable law and policy ✓
D. The Joint Commission standards
7. Which type of healthcare record is considered the 'gold standard' for patient care
documentation?
A. Electronic health record (EHR) ✓
B. Paper-based record
C. Hybrid record
D. Personal health record (PHR)
8. In health information management, 'data integrity' refers to:
A. Keeping data secret from unauthorized users
B. Ensuring data is accurate, complete, and consistent ✓
C. Backing up data to prevent loss
D. Sharing data across systems
9. A personal health record (PHR) is maintained by:
A. The treating physician
B. The hospital's HIM department
C. The patient or their designee ✓
D. The insurance company
10. Which of the following is a secondary purpose of the health record?
A. Patient care delivery
B. Clinical decision support
C. Research and public health reporting ✓
D. Care coordination
11. The history and physical (H&P) must be completed within how many hours of
inpatient admission?
, A. 12 hours
B. 24 hours ✓
C. 48 hours
D. 72 hours
12. Which component of the SOAP note format contains the clinician's
interpretation of the data?
A. Subjective
B. Objective
C. Assessment ✓
D. Plan
13. Operative reports must be completed:
A. Before the operation begins
B. Immediately or shortly after the surgical procedure ✓
C. Within 30 days post-surgery
D. At the time of discharge
14. A discharge summary is required for hospitalizations exceeding:
A. 24 hours
B. 48 hours ✓
C. 72 hours
D. 30 days
15. Which of the following is NOT typically included in an admission history?
A. Chief complaint
B. Present illness
C. Billing information ✓
D. Social history
16. The 'reason for visit' in an outpatient record is equivalent to what in an
inpatient record?
A. Discharge diagnosis
B. Chief complaint ✓
C. Assessment
D. Plan of care
, 17. Informed consent documents are primarily used to:
A. Bill for services rendered
B. Document that the patient understood and agreed to a procedure ✓
C. Track medication administration
D. Record vital signs
18. Which of the following is considered part of the administrative data in a health
record?
A. Lab results
B. Patient demographics ✓
C. Physical examination findings
D. Radiology reports
19. A medication administration record (MAR) documents:
A. Prescriptions written by the physician
B. Medications ordered and their administration schedule ✓
C. Pharmacy inventory
D. Medication errors only
20. Advance directives in the health record include which of the following?
A. Insurance authorization forms
B. Living wills and healthcare proxies ✓
C. Patient billing statements
D. Physician credentialing documents
21. The minimum retention period for adult patient health records is typically:
A. 5 years
B. 10 years
C. 7–10 years, varying by state ✓
D. Permanently
22. Which method of record filing uses a combination of numbers for
identification?
A. Alphabetic filing
B. Serial numbering
C. Unit numbering
QUESTIONS + DETAILED ANSWERS - LATEST VERSION - TOP
RATED (2026/2027)
1. What is the primary purpose of health information management (HIM)?
A. Billing patients for services rendered
B. Managing the collection, analysis, and protection of health information
✓
C. Scheduling patient appointments
D. Performing clinical procedures
2. Which federal law established the privacy rule for protected health information?
A. Medicare Act
B. HITECH Act
C. HIPAA ✓
D. Affordable Care Act
3. The medical record is primarily a communication tool for:
A. Insurance companies only
B. All healthcare providers involved in patient care ✓
C. Hospital administrators
D. Government regulators
4. Which organization accredits healthcare organizations in the United States?
A. AMA
B. AHIMA
C. The Joint Commission ✓
D. CMS
5. What does AHIMA stand for?
A. American Health Information Management Association ✓
, B. Allied Health Information Medical Agency
C. American Hospital Insurance Management Authority
D. Association for Health Information and Medical Affairs
6. The legal health record (LHR) is defined by:
A. State law exclusively
B. Federal mandates
C. Each healthcare organization based on applicable law and policy ✓
D. The Joint Commission standards
7. Which type of healthcare record is considered the 'gold standard' for patient care
documentation?
A. Electronic health record (EHR) ✓
B. Paper-based record
C. Hybrid record
D. Personal health record (PHR)
8. In health information management, 'data integrity' refers to:
A. Keeping data secret from unauthorized users
B. Ensuring data is accurate, complete, and consistent ✓
C. Backing up data to prevent loss
D. Sharing data across systems
9. A personal health record (PHR) is maintained by:
A. The treating physician
B. The hospital's HIM department
C. The patient or their designee ✓
D. The insurance company
10. Which of the following is a secondary purpose of the health record?
A. Patient care delivery
B. Clinical decision support
C. Research and public health reporting ✓
D. Care coordination
11. The history and physical (H&P) must be completed within how many hours of
inpatient admission?
, A. 12 hours
B. 24 hours ✓
C. 48 hours
D. 72 hours
12. Which component of the SOAP note format contains the clinician's
interpretation of the data?
A. Subjective
B. Objective
C. Assessment ✓
D. Plan
13. Operative reports must be completed:
A. Before the operation begins
B. Immediately or shortly after the surgical procedure ✓
C. Within 30 days post-surgery
D. At the time of discharge
14. A discharge summary is required for hospitalizations exceeding:
A. 24 hours
B. 48 hours ✓
C. 72 hours
D. 30 days
15. Which of the following is NOT typically included in an admission history?
A. Chief complaint
B. Present illness
C. Billing information ✓
D. Social history
16. The 'reason for visit' in an outpatient record is equivalent to what in an
inpatient record?
A. Discharge diagnosis
B. Chief complaint ✓
C. Assessment
D. Plan of care
, 17. Informed consent documents are primarily used to:
A. Bill for services rendered
B. Document that the patient understood and agreed to a procedure ✓
C. Track medication administration
D. Record vital signs
18. Which of the following is considered part of the administrative data in a health
record?
A. Lab results
B. Patient demographics ✓
C. Physical examination findings
D. Radiology reports
19. A medication administration record (MAR) documents:
A. Prescriptions written by the physician
B. Medications ordered and their administration schedule ✓
C. Pharmacy inventory
D. Medication errors only
20. Advance directives in the health record include which of the following?
A. Insurance authorization forms
B. Living wills and healthcare proxies ✓
C. Patient billing statements
D. Physician credentialing documents
21. The minimum retention period for adult patient health records is typically:
A. 5 years
B. 10 years
C. 7–10 years, varying by state ✓
D. Permanently
22. Which method of record filing uses a combination of numbers for
identification?
A. Alphabetic filing
B. Serial numbering
C. Unit numbering
