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AMLS Final Exam questions with correct answers

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A 45-year-old patient is found supine on the floor. Healthcare providers note pinpoint pupils, shallow respirations, and vomitus in and around the mouth. What course of action should be taken next? Supplemental oxygen and suction Patients with a history of COPD that present with an acute onset of shortness of breath are likely to have which condition? Pulmonary embolism During compensatory shock, the renin-angiotensine-aldosterone system is activated to cause a/an: Increase in preload, afterload, and re-absorption of sodium What clinical findings are most commonly associated with a pulmonary embolus? Clear breath sounds with tachypnea What condition is most likely to cause respiratory acidosis? Narcotic overdose A 55-year-old complains of an "aching" chest discomfort that persists over several days. The patient has a temperature of 101F (38.3C). Which finding will help narrow the diagnosis to pericarditis? ST-segment elevation in all leads Anaphylaxis is most associated with which physiological event? Vasodilation Acute Respiratory Distress Syndrome (ARDS) is characterized by what pathologic change? Breakdown of the alveolar-capillary membrane Continuous positive airway pressure would be most beneficial in treating which patient? A 22-year-old with severe asthma who is not responding to nebulizer treatments What is the initial treatment for a patient experiencing hyperosmolar hyperglycemic nonketotic coma (HHNC)? Crystalloid IV fluid administration Your patient has had a seizure secondary to a nerve agent exposure. What medication would be best to diminish the seizure? Midazolam Respiratory alkalosis may occur as a result of: Fever and anxiety An age-related change that increases the risk of respiratory compromise is: Decrease in lung compliance Paroxysmal nocturnal dyspnea is most common in patients with a history of: Left-sided heart failure The patient presents with a history of fever and an upper respiratory infection. Historical information reveals increasing water intake, orthostatic hypotension, and an increase in urination. You suspect these symptoms are caused by: Hyperglycemia You are dispatched to the home of a 32-year-old patient with a history of Graves' disease. The patient was in the ER earlier today for some "tests for my ulcers." He received contrast and was discharged. He is now complaining of not feeling well, chest pain, and palpitations. You note an anxious patient with fine tremors. He is diaphoretic and has a temperature of 101.5*F, BP 100/62, P 156 (sinus tachycardia), R 30, glucose level 133. Which of the following are management considerations for this patient? Beta Blockers Metabolic acidosis is best described by which arterial blood gas interpretation? pH decreased, pCO2 decreased, H2CO3 low

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RHIT EXAM PREP PRACTICE
QUESTIONS (Data Analysis and
Management)
(1) A critical early step in designing an EHR is to develop a(n) ________in which the characteristics of
each data element are defined.



A) Accreditation manual

B) Core content

C) Continuity of care record

D) Data dictionarycorrect answerD) Data dictionary

(2) Once hospital discharge abstract systems were developed and their ability to provide comparative
data to hospitals was established, it became necessary to develop:



A) Data sets

B) Data elements

C) Electronic data interchange

D) Bills of mortalitycorrect answerA) Data sets

(3) In healthcare, data sets serve two purposes. The first is to identify data elements to be collected
about each patient. The second is to:



A) Provide uniform data definitions

B) Guide efforts toward computerization

C) Determine statistical formulas

D) Provide a research databasecorrect answerA) Provide uniform data defintions

(4) A health information technician is responsible for designing a data collection form to collect data on
patients in an acute-care hospital. The first resource that she should use is:



A) UHDDS

,B) UACDS

C) MDS

D) ORYXcorrect answerA) UHDDS

(5) Which of the following is NOT a characteristic of the common healthcare data sets such as UHDDS
and UACDS?



A) They define minimum data elements to be collected

B) They provide a complete and exhaustive list of data elements that must be collected

C) They provide a framework for data collection to which an individual facility can add data items

D) The federal government recommends, but does not mandate, implementation of most of the data
setscorrect answerB) They provide a complete and exhaustive list of data elements that must be
collected

(6) In a paper-based system, the completion of the chart is monitored in a special area of the HIM
department called the ______ file.



A) Incomplete record

B) Permanent

C) Temporary

D) Remote storagecorrect answerA) Incomplete record

(7) Consider the following sequence of numbers. What filing system is being used if these numbers
represent the health record numbers of three records filed together within the filing system?

36-45-99

37-45-99

38-45-99



A) Straight numerical

B) Terminal digit

C) Middle digit

D) Unitcorrect answerB) Terminal digit

(8) The MPI is necessary to physically locate health records within the paper-based storage system for all
types of filing systems, EXCEPT:

, A) Alphabetical

B) Middle digit

C) Terminal digit

D) Straight numericalcorrect answerA) Alphabetical

(9) The RHIT supervisor for the filing and retrieval section of Community Clinic is developing a staffing
schedule for the year. The clinic is open 260 days per year and has an average of 600 clinic visits per day.
The standard for filing records is 60 per hour. The standard for retrieval of records is 40 records per
hour. Given these standards, how many filing hours will be required daily to retrieve and file records for
each clinic day?



A) 6 hours per day

B) 10 hours per day

C) 15 hours per day

D) 25 hours per daycorrect answerD) 25 hours per day

(10) In which of the following systems are all encounters or patient visits filed or linked together?



A) Serial numbering system

B) Unit numbering system

C) Straight numerical filing system

D) Middle-digit filing systemcorrect answerB) Unit numbering system

(11) Which of the following is a disadvantage of alphabetical filing?



A) Easy to train new personnel to file

B) Uneven expansion of file shelves or cabinets

C) Ease of creation

D) Relies on an index or authority keycorrect answerB) Uneven expansion of file shelves or cabinets

(12) Which of the following is a request from a clinical area to check out a health record?



A) Outguide folder

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