RHIT Practice Exam 1 questions with verified
solutions
1. DOMAIN 1 Data Content,
N/A
Structure, and Information
Governance
UHDDS
2. A health record technician has
been asked to review the
The Uniform Hospital Discharge Data
discharge patient abstracting
Set (UHDDS) data characteristics
module of a proposed new EHR.
include pa- tient-specific items on
Which of the following data sets
every inpatient.
would the technician consult to
en- sure the system collects all CARF: Commission on Accreditation of
federally required discharge Rehabili- tation Facilities
Medicare and Medicaid
data elements for inpatients in an
DEEDS: Data Elements for
Emergency Depart-
acute-care hospital? A. Content and structure
standards
A. CARF B. Security standard
B. DEEDS c. Transaction standards
C. UACDS d. Vocabulary standards
D. UHDDS
4. Patient care managers
3. Standardizing medical terminology use the data
to avoid differences in naming documented in the
vari- health record to:
ous health conditions and
procedures (such as the
synonyms bunionectomy,
McBride procedures, and repair
of the hallux valgus) is one
purpose of:
,RHIT Practice Exam 1 questions with verified
solutions
ment System
UACDS: Uniform Ambulatory Care Data Set
Vocabulary Standards
Vocabulary Standards are a list or collection of clinical
words or phrases with their meanings; also the set of
words used by an individual or group within a particular
subject field, such as to provide consistent descriptions of
medical terms for an individual's condition in the health
record.
Evaluate patterns and trends of patient care Patient
care managers are responsible for the
,RHIT Practice Exam 1 questions with verified
solutions
a. Determine the extent and overall evaluation of services rendered for
effects of occupational hazards their particular area of responsibility. To
b. Evaluate patterns and trends of identify pat- terns and trends, they take
pa- tient care details from individ- ual health records
and put all the information
c.Generate patient bills and third-party together in one place.
payer claims for reimbursement
d. Provide direct patient care
5. At admission, Mrs. Smith's date of birth Data consistency
is recorded as 3/25/1948. An audit of
the EHR discovers that the Consistency means ensuring the patient
numbers in the date of birth are data is reliable and the same across the
transposed in re- ports. This entire patient encounter. In other words,
situation reflects a problem in: patient data within the record should be
the same and should not contradict other
a. Data comprehensiveness data also in the patient record.
b. Date of consistency
c. Data currency
d. Data granularity
6. A health data analyst has been asked to Vital Signs record
compile a listing of daily blood pressure
readings for patients with a b. Initial nursing
diagnosis of hypertension that assessment record
were treated on the medical unit c. Physician progress
within a two-week pe- riod. What notes
clinical report would be the best d. Admission record
source to gather this information?
a. Vital Signs record
, RHIT Practice Exam 1 questions with verified
solutions
The vital signs record is comprised of blood pressure
readings, temperature, respiration, and pulse, making it
the best source to gather this type of information.
solutions
1. DOMAIN 1 Data Content,
N/A
Structure, and Information
Governance
UHDDS
2. A health record technician has
been asked to review the
The Uniform Hospital Discharge Data
discharge patient abstracting
Set (UHDDS) data characteristics
module of a proposed new EHR.
include pa- tient-specific items on
Which of the following data sets
every inpatient.
would the technician consult to
en- sure the system collects all CARF: Commission on Accreditation of
federally required discharge Rehabili- tation Facilities
Medicare and Medicaid
data elements for inpatients in an
DEEDS: Data Elements for
Emergency Depart-
acute-care hospital? A. Content and structure
standards
A. CARF B. Security standard
B. DEEDS c. Transaction standards
C. UACDS d. Vocabulary standards
D. UHDDS
4. Patient care managers
3. Standardizing medical terminology use the data
to avoid differences in naming documented in the
vari- health record to:
ous health conditions and
procedures (such as the
synonyms bunionectomy,
McBride procedures, and repair
of the hallux valgus) is one
purpose of:
,RHIT Practice Exam 1 questions with verified
solutions
ment System
UACDS: Uniform Ambulatory Care Data Set
Vocabulary Standards
Vocabulary Standards are a list or collection of clinical
words or phrases with their meanings; also the set of
words used by an individual or group within a particular
subject field, such as to provide consistent descriptions of
medical terms for an individual's condition in the health
record.
Evaluate patterns and trends of patient care Patient
care managers are responsible for the
,RHIT Practice Exam 1 questions with verified
solutions
a. Determine the extent and overall evaluation of services rendered for
effects of occupational hazards their particular area of responsibility. To
b. Evaluate patterns and trends of identify pat- terns and trends, they take
pa- tient care details from individ- ual health records
and put all the information
c.Generate patient bills and third-party together in one place.
payer claims for reimbursement
d. Provide direct patient care
5. At admission, Mrs. Smith's date of birth Data consistency
is recorded as 3/25/1948. An audit of
the EHR discovers that the Consistency means ensuring the patient
numbers in the date of birth are data is reliable and the same across the
transposed in re- ports. This entire patient encounter. In other words,
situation reflects a problem in: patient data within the record should be
the same and should not contradict other
a. Data comprehensiveness data also in the patient record.
b. Date of consistency
c. Data currency
d. Data granularity
6. A health data analyst has been asked to Vital Signs record
compile a listing of daily blood pressure
readings for patients with a b. Initial nursing
diagnosis of hypertension that assessment record
were treated on the medical unit c. Physician progress
within a two-week pe- riod. What notes
clinical report would be the best d. Admission record
source to gather this information?
a. Vital Signs record
, RHIT Practice Exam 1 questions with verified
solutions
The vital signs record is comprised of blood pressure
readings, temperature, respiration, and pulse, making it
the best source to gather this type of information.
