RHIA CERTIFICATION EXAM ALL 3 VERSIONS 100%
CORRECT ANSWERS GRADED A
Data mapping is used to harmonize data sets or code sets. The code or data set from
which the map originates is the:
a. Source
b. Target
c. Equivalent group
d. Solution - ANSWER: B. Target
Who owns the health records of patients treated in a healthcare facility?
a. The patient
b. The third-party payer
c. The facility
d. The patient's family - ANSWER: C. The facility
In figuring a drug dosage, it is unacceptable to round up to the nearest gram if the
drug is to be dosed in milligrams. Which dimension of data quality is being applied in
this situation?
a. Accuracy
b. Granularity
c. Precision
d. Currency - ANSWER: C. Precision
Using the staff turnover information in the following graph, determine the next
action the quality council at the hospital should take.
a. Do nothing, as the data is below the external benchmark
b. Coordinate a PI team to look into the cause for the high employee turnover rate in
year 3
c. Coordinate a PI team to look into the cause for the drop in employee turnover rate
in year 4
d. Do nothing, as the data is above the internal benchmark - ANSWER: C. Coordinate
a PI team to look into the cause for the high employee turnover rate in year 3
The health information management (HIM) manager is concerned with a backlog in
transcription of surgical reports. The medical staff rules and regulations stipulate
that the surgeon should:
a. Wait for the transcribed report
b. Re-dictate the operative report
c. Write a detailed postoperative progress note about the procedure performed
,d. Write a postoperative progress note that states the operative report has been
dictated - ANSWER: c. Write a detailed postoperative progress note about the
procedure performed
One member of the medical staff reviewed a patient's history, examined the patient,
and wrote findings and recommendations at the request of another member of the
medical staff. The resulting medical report that documents the response of the
reviewing medical staff member is a:
a. Consultation report
b. Discharge report
c. History and physical exam
d. Pathology report - ANSWER: A. consultation report
The Abbreviated Injury Scale is a data element recorded in which of the following
registries?
a. Cancer
b. Trauma
c. Birth defects
d. Immunization - ANSWER: b. Trauma
Which of the following would a data analyst use to locate, retrieve, and use data?
a. Data artifacts
b. Master data
c. Metadata
d. Spreadsheets - ANSWER: c. metadata
In establishing roles and responsibilities within a data governance program, which of
the following would normally be embedded within an organization's business unit
and be responsible for monitoring the data quality of the unit?
a. Data content manager
b. Data governance officer
c. Data stakeholder
d. Data steward - ANSWER: d. Data steward
The director of the health information department wanted to determine the level of
physicians' satisfaction with the department's services. The director surveyed the
physicians who came to the department. What type of sample is this?
a. Direct
b. Positive
c. Guided
d. Convenience - ANSWER: d. Convenience
,Who is responsible for the content, quality, and authentication of the discharge
summary?
a. Attending physician
b. Head nurse
c. Consulting physician
d. Admitting nurse - ANSWER: a. Attending physician
Under which circumstances may an updated entry be added to a patient's health
record in place of a complete history and physical?
a. When the patient is readmitted a second time for the same condition
b. When the patient is readmitted within 30 days of the initial treatment for a
different condition
c. When the patient is readmitted a third time for the same condition
d. When the patient is readmitted within 30 days of the initial treatment for the
same condition - ANSWER: d. When the patient is readmitted within 30 days of the
initial treatment for the same condition
The HIM director wants to ensure that state regulations are being followed with
regard to retention of the health records of minors. Which of the following data
management domains would be responsible for ensuring these regulations are
followed?
a. Data architecture management
b. Metadata management
c. Data life cycle management
d. Master data management - ANSWER: c. Data life cycle management
General Hospital is performing peer reviews of its medical providers for quality
outcomes of care. The hospital has over 500 providers on its medical staff. The
process to review even 10 cases for each provider is quite extensive. The quality
department has concluded that to accomplish this review process, it will review 20
percent of each provider's inpatient admissions to the hospital on an every-other-
year rotation. In this situation, the quality department has applied which of the
following techniques to its review process?
a. Benchmarking
b. Data analysis
c. Sampling
d. Skewing - ANSWER: c. Sampling
The clinical statement "microscopic sections of the gallbladder reveal a surface lined
by tall columnar cells of uniform size and shape" would be documented on which
health record form?
a. Operative report
, b. Pathology report
c. Discharge summary
d. Nursing note - ANSWER: b. Pathology report
Standardizing medical terminology to avoid differences in naming various medical
conditions and procedures (such as the synonyms bunionectomy, McBride
procedure, and repair of hallux valgus) is one purpose of:
a. Content and structure standards
b. Security standards
c. Transaction standards
d. Vocabulary standards - ANSWER: d. Vocabulary standards
As part of the initiative to improve data integrity, the Data Quality Committee
conducted an inventory of all the hospital's databases. The review showed that more
than 70 percent of the identified databases did not have data dictionaries. Given this
data, what should be the committee's first action?
a. Disregard the data
b. Establish a data dictionary policy with associated standards
c. Develop an in-service training program on data dictionary use
d. Distribute a memorandum to all department heads on the value of a data
dictionary - ANSWER: b. Establish a data dictionary policy with associated standards
What relationships is the following entity relationship diagram showing?
a. Each division has one hospital, but each hospital has many divisions.
b. Each hospital has one division, but each division has many hospitals.
c. Each hospital has one division, and each division has one hospital.
d. Each division has one hospital, and each hospital has one division. - ANSWER: a.
Each division has one hospital, but each hospital has many divisions.
Sue Smith has been admitted to Healthwise Hospital with stroke symptoms. Which
professionals on her healthcare team are primarily responsible for documenting
diagnosis and treatment information in her record during her hospital stay?
a. Dr. Helms, her primary physician; and other providers on her care team
b. Mrs. Hunter, the hospital CEO; and Dr. Henry, the medical director
c. Mr. Charles, the HIM director
d. Mr. Berry, the medical archive research director - ANSWER: a. Dr. Helms, her
primary physician; and other providers on her care team
A data element such as "date of birth" in a database is considered which of the
following?
a. Master data
b. Metadata
CORRECT ANSWERS GRADED A
Data mapping is used to harmonize data sets or code sets. The code or data set from
which the map originates is the:
a. Source
b. Target
c. Equivalent group
d. Solution - ANSWER: B. Target
Who owns the health records of patients treated in a healthcare facility?
a. The patient
b. The third-party payer
c. The facility
d. The patient's family - ANSWER: C. The facility
In figuring a drug dosage, it is unacceptable to round up to the nearest gram if the
drug is to be dosed in milligrams. Which dimension of data quality is being applied in
this situation?
a. Accuracy
b. Granularity
c. Precision
d. Currency - ANSWER: C. Precision
Using the staff turnover information in the following graph, determine the next
action the quality council at the hospital should take.
a. Do nothing, as the data is below the external benchmark
b. Coordinate a PI team to look into the cause for the high employee turnover rate in
year 3
c. Coordinate a PI team to look into the cause for the drop in employee turnover rate
in year 4
d. Do nothing, as the data is above the internal benchmark - ANSWER: C. Coordinate
a PI team to look into the cause for the high employee turnover rate in year 3
The health information management (HIM) manager is concerned with a backlog in
transcription of surgical reports. The medical staff rules and regulations stipulate
that the surgeon should:
a. Wait for the transcribed report
b. Re-dictate the operative report
c. Write a detailed postoperative progress note about the procedure performed
,d. Write a postoperative progress note that states the operative report has been
dictated - ANSWER: c. Write a detailed postoperative progress note about the
procedure performed
One member of the medical staff reviewed a patient's history, examined the patient,
and wrote findings and recommendations at the request of another member of the
medical staff. The resulting medical report that documents the response of the
reviewing medical staff member is a:
a. Consultation report
b. Discharge report
c. History and physical exam
d. Pathology report - ANSWER: A. consultation report
The Abbreviated Injury Scale is a data element recorded in which of the following
registries?
a. Cancer
b. Trauma
c. Birth defects
d. Immunization - ANSWER: b. Trauma
Which of the following would a data analyst use to locate, retrieve, and use data?
a. Data artifacts
b. Master data
c. Metadata
d. Spreadsheets - ANSWER: c. metadata
In establishing roles and responsibilities within a data governance program, which of
the following would normally be embedded within an organization's business unit
and be responsible for monitoring the data quality of the unit?
a. Data content manager
b. Data governance officer
c. Data stakeholder
d. Data steward - ANSWER: d. Data steward
The director of the health information department wanted to determine the level of
physicians' satisfaction with the department's services. The director surveyed the
physicians who came to the department. What type of sample is this?
a. Direct
b. Positive
c. Guided
d. Convenience - ANSWER: d. Convenience
,Who is responsible for the content, quality, and authentication of the discharge
summary?
a. Attending physician
b. Head nurse
c. Consulting physician
d. Admitting nurse - ANSWER: a. Attending physician
Under which circumstances may an updated entry be added to a patient's health
record in place of a complete history and physical?
a. When the patient is readmitted a second time for the same condition
b. When the patient is readmitted within 30 days of the initial treatment for a
different condition
c. When the patient is readmitted a third time for the same condition
d. When the patient is readmitted within 30 days of the initial treatment for the
same condition - ANSWER: d. When the patient is readmitted within 30 days of the
initial treatment for the same condition
The HIM director wants to ensure that state regulations are being followed with
regard to retention of the health records of minors. Which of the following data
management domains would be responsible for ensuring these regulations are
followed?
a. Data architecture management
b. Metadata management
c. Data life cycle management
d. Master data management - ANSWER: c. Data life cycle management
General Hospital is performing peer reviews of its medical providers for quality
outcomes of care. The hospital has over 500 providers on its medical staff. The
process to review even 10 cases for each provider is quite extensive. The quality
department has concluded that to accomplish this review process, it will review 20
percent of each provider's inpatient admissions to the hospital on an every-other-
year rotation. In this situation, the quality department has applied which of the
following techniques to its review process?
a. Benchmarking
b. Data analysis
c. Sampling
d. Skewing - ANSWER: c. Sampling
The clinical statement "microscopic sections of the gallbladder reveal a surface lined
by tall columnar cells of uniform size and shape" would be documented on which
health record form?
a. Operative report
, b. Pathology report
c. Discharge summary
d. Nursing note - ANSWER: b. Pathology report
Standardizing medical terminology to avoid differences in naming various medical
conditions and procedures (such as the synonyms bunionectomy, McBride
procedure, and repair of hallux valgus) is one purpose of:
a. Content and structure standards
b. Security standards
c. Transaction standards
d. Vocabulary standards - ANSWER: d. Vocabulary standards
As part of the initiative to improve data integrity, the Data Quality Committee
conducted an inventory of all the hospital's databases. The review showed that more
than 70 percent of the identified databases did not have data dictionaries. Given this
data, what should be the committee's first action?
a. Disregard the data
b. Establish a data dictionary policy with associated standards
c. Develop an in-service training program on data dictionary use
d. Distribute a memorandum to all department heads on the value of a data
dictionary - ANSWER: b. Establish a data dictionary policy with associated standards
What relationships is the following entity relationship diagram showing?
a. Each division has one hospital, but each hospital has many divisions.
b. Each hospital has one division, but each division has many hospitals.
c. Each hospital has one division, and each division has one hospital.
d. Each division has one hospital, and each hospital has one division. - ANSWER: a.
Each division has one hospital, but each hospital has many divisions.
Sue Smith has been admitted to Healthwise Hospital with stroke symptoms. Which
professionals on her healthcare team are primarily responsible for documenting
diagnosis and treatment information in her record during her hospital stay?
a. Dr. Helms, her primary physician; and other providers on her care team
b. Mrs. Hunter, the hospital CEO; and Dr. Henry, the medical director
c. Mr. Charles, the HIM director
d. Mr. Berry, the medical archive research director - ANSWER: a. Dr. Helms, her
primary physician; and other providers on her care team
A data element such as "date of birth" in a database is considered which of the
following?
a. Master data
b. Metadata