RHIT Mock Exam Questions ( ALL
Sections)
In the past, the Joint Commission standards focused on promoting the use of a facility approved
abbreviation list to be used by hospital care providers. With the advent of the Commission's national
patient safety goals, the focus has shifted tocorrect answeruse of prohibited or "dangerous"
abbreviations
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 thecorrect answerincident
report
For continuity of care, ambulatory care providers are more likely than providers of acute care services to
rely on the documentation found in thecorrect answerproblem list
The federally mandated resident assessment instrument used in long term care facilities consists of
three basic components, including the new care area assessments, utilization guidelines, and thecorrect
answerMDS or minimum data set
As Director of HIT program, your community college has been selected to participate in the workforce
develeopment of electronic health specialits as outlined by ARRA and HITECH. In order to keep abreast
of changes in this program, you will need regular access to the Web site of this governmental
agency.correct answerONC
A qualitative review of a health record reveals that the h and p for a patient admitted on June 26 was
performed on June 30 and transcribed on July 1. Which of the following statements regarding the h and
p are true in the situation? Completion and charting of h and p indicatescorrect answernoncompliance
with JC standards. H and P must be completed within 24 hours
The first patient with cancer seen in your facility on January 1, 2012, was diagnosed with colon cancer
with no known history of previous malignancies. The accession number assigned to this patient iscorrect
answer12-0001/00 because in accession number 12 represents the year the patient first entered the
database, 0001 represents the first case entered that year, and 00 indicates no previous known
neoplasm.
Setting a drop down menu to make sure the registration clerk collects gender as male or female is a
method of ensuring datacorrect answerPrecision
Validity refers to the accuracy of data, while reliability refers to the consistency of the data. Timeliness
refers to the data being available when needed, and precision refers to data values that are just large
enough to support the application process.
, In determining your acute care facility's degree of compliance with prospective payment requirements
for Medicare, the best resource to reference for recent certification standards iscorrect answerThe
Federal Register
CMS publishes both proposed and final rules for the Conditions of Participation for hospitals in the daily
Federal Register.
In an acute care hospital, a complete history and physical may not be required for a new admission
whencorrect answerA legible copy of a recent h and p performed in the attending physician's ofice is
available.
An interval h and p can be used when a patient is readmitted for the same or related problem within the
30 days, and no matter how long the patient stays an h and p is required.
The authors of all entries in a health care record should becorrect answerclearly identified
In creating a new form or computer view, the designer should be most driven bycorrect answerneeds of
the users
According to the following data, the most serious record delinquecy problem occurred in which month?
Record Delinquency Mo. April May June
% incomplete records 70% 88% 79%
%delinquent records 51% 43% 61%
% delinquent DT minssing H&P 3% 1.4% .05%correct answerApril, because JC reccommendation for
improvement is indicated if the number of delinquent records is greater than 50% or if the % of
delinquent records DT missing H&P exceeds 2% of average monthly discharges. The % of incomplete
records is irrelevant
An example of objective entry in the health record supplied by a health care practitioner is thecorrect
answerPhysical Assessment.
The medical history, including a review of systems and chief complaint, is information supplied by the
patient.
As Chair of the Health Record Committee you have been asked to reccommend a time limited
documentation standard for inclusion in medical staff bylaws, rules, and regulations. that must meet
standards of both JC and Medicare COP. For H&P you advise the time period for completion should be
set atcorrect answer24 hours after admission or prior to surgery
An example of a primary data source for health care statistics is thecorrect answerhospital census
Sections)
In the past, the Joint Commission standards focused on promoting the use of a facility approved
abbreviation list to be used by hospital care providers. With the advent of the Commission's national
patient safety goals, the focus has shifted tocorrect answeruse of prohibited or "dangerous"
abbreviations
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 thecorrect answerincident
report
For continuity of care, ambulatory care providers are more likely than providers of acute care services to
rely on the documentation found in thecorrect answerproblem list
The federally mandated resident assessment instrument used in long term care facilities consists of
three basic components, including the new care area assessments, utilization guidelines, and thecorrect
answerMDS or minimum data set
As Director of HIT program, your community college has been selected to participate in the workforce
develeopment of electronic health specialits as outlined by ARRA and HITECH. In order to keep abreast
of changes in this program, you will need regular access to the Web site of this governmental
agency.correct answerONC
A qualitative review of a health record reveals that the h and p for a patient admitted on June 26 was
performed on June 30 and transcribed on July 1. Which of the following statements regarding the h and
p are true in the situation? Completion and charting of h and p indicatescorrect answernoncompliance
with JC standards. H and P must be completed within 24 hours
The first patient with cancer seen in your facility on January 1, 2012, was diagnosed with colon cancer
with no known history of previous malignancies. The accession number assigned to this patient iscorrect
answer12-0001/00 because in accession number 12 represents the year the patient first entered the
database, 0001 represents the first case entered that year, and 00 indicates no previous known
neoplasm.
Setting a drop down menu to make sure the registration clerk collects gender as male or female is a
method of ensuring datacorrect answerPrecision
Validity refers to the accuracy of data, while reliability refers to the consistency of the data. Timeliness
refers to the data being available when needed, and precision refers to data values that are just large
enough to support the application process.
, In determining your acute care facility's degree of compliance with prospective payment requirements
for Medicare, the best resource to reference for recent certification standards iscorrect answerThe
Federal Register
CMS publishes both proposed and final rules for the Conditions of Participation for hospitals in the daily
Federal Register.
In an acute care hospital, a complete history and physical may not be required for a new admission
whencorrect answerA legible copy of a recent h and p performed in the attending physician's ofice is
available.
An interval h and p can be used when a patient is readmitted for the same or related problem within the
30 days, and no matter how long the patient stays an h and p is required.
The authors of all entries in a health care record should becorrect answerclearly identified
In creating a new form or computer view, the designer should be most driven bycorrect answerneeds of
the users
According to the following data, the most serious record delinquecy problem occurred in which month?
Record Delinquency Mo. April May June
% incomplete records 70% 88% 79%
%delinquent records 51% 43% 61%
% delinquent DT minssing H&P 3% 1.4% .05%correct answerApril, because JC reccommendation for
improvement is indicated if the number of delinquent records is greater than 50% or if the % of
delinquent records DT missing H&P exceeds 2% of average monthly discharges. The % of incomplete
records is irrelevant
An example of objective entry in the health record supplied by a health care practitioner is thecorrect
answerPhysical Assessment.
The medical history, including a review of systems and chief complaint, is information supplied by the
patient.
As Chair of the Health Record Committee you have been asked to reccommend a time limited
documentation standard for inclusion in medical staff bylaws, rules, and regulations. that must meet
standards of both JC and Medicare COP. For H&P you advise the time period for completion should be
set atcorrect answer24 hours after admission or prior to surgery
An example of a primary data source for health care statistics is thecorrect answerhospital census
