MED 118:TEST 3 AN ULTIMATE A+ QUESTIONS AND
ANSWERS BREAKDOWN
Medical records are
A.legal documents.
B.not legal documents if kept electronically.
C.Always the property of the patient.
D.Never the property of the patient.
A
To correct an error discovered after the patient's written copy of his or her
medical records has been recorded, a medical assistant should
A.erase the mistake and type in the correction.
B.get written consent from the patient to correct the error.
C.Draw a line through the mistake, make and label it as a correction, initial and
date it.
D.Draw a line through the error and enter the new information.
C
An addendum to an electronic health record (EHR) is a
A.note made after the patient's visit which is entered into the EHR.
B.significant change or addition to the EHR.
C.part of the financial information for payment of services.
D.lab report added to the EHR.
B
Which of the following observations should not be included in a patient's medical
record?
A.Notes regarding reaction to anesthesia.
B.Change of marital status.
C.Change in weight.
D.Notes regarding patient's participation in a rally.
D
, A plastic surgeon routinely photographs patients to document care. Which of the
following accurately describes information that should be included on the
consent form for this type of photography?
A.The patient understands that ownership rights to the photos belong to the
patient.
B.The patient understands that the photos will be kept for an undetermined time
period.
C.The patient understands that he or she cannot view the photographs.
D.The patient understands that authorization must be given to release photos
outside the facility.
D
The five Cs are used to describe the attributes of entries into patients' medical
records. Which of the following is not one of the five Cs?
A.Clean
B.Complete
C.Clear
D.Correct
A
Allison is required to have a physical before starting her job as a nurse. Her
employer pays for the physical. The employer should
A.keep the physical exam records in Allison's personnel records.
B.keep the physical exam records in a separate file from general personnel
records.
C.review the physical exam records and destroy them.
D.review the physical exam records and return them to the provider.
B
A hospital maintains medical records on all patients treated in the hospital. Who
owns the information in the hospital records?
A.The treating physician.
B.The patient.
ANSWERS BREAKDOWN
Medical records are
A.legal documents.
B.not legal documents if kept electronically.
C.Always the property of the patient.
D.Never the property of the patient.
A
To correct an error discovered after the patient's written copy of his or her
medical records has been recorded, a medical assistant should
A.erase the mistake and type in the correction.
B.get written consent from the patient to correct the error.
C.Draw a line through the mistake, make and label it as a correction, initial and
date it.
D.Draw a line through the error and enter the new information.
C
An addendum to an electronic health record (EHR) is a
A.note made after the patient's visit which is entered into the EHR.
B.significant change or addition to the EHR.
C.part of the financial information for payment of services.
D.lab report added to the EHR.
B
Which of the following observations should not be included in a patient's medical
record?
A.Notes regarding reaction to anesthesia.
B.Change of marital status.
C.Change in weight.
D.Notes regarding patient's participation in a rally.
D
, A plastic surgeon routinely photographs patients to document care. Which of the
following accurately describes information that should be included on the
consent form for this type of photography?
A.The patient understands that ownership rights to the photos belong to the
patient.
B.The patient understands that the photos will be kept for an undetermined time
period.
C.The patient understands that he or she cannot view the photographs.
D.The patient understands that authorization must be given to release photos
outside the facility.
D
The five Cs are used to describe the attributes of entries into patients' medical
records. Which of the following is not one of the five Cs?
A.Clean
B.Complete
C.Clear
D.Correct
A
Allison is required to have a physical before starting her job as a nurse. Her
employer pays for the physical. The employer should
A.keep the physical exam records in Allison's personnel records.
B.keep the physical exam records in a separate file from general personnel
records.
C.review the physical exam records and destroy them.
D.review the physical exam records and return them to the provider.
B
A hospital maintains medical records on all patients treated in the hospital. Who
owns the information in the hospital records?
A.The treating physician.
B.The patient.
