RHIA Exam with Complete Solutions
The health information services department at Medical Center Hospital has identified
problems with its work processes. Too much time is spent on unimportant tasks, there is
duplication of effort, and task assignment is uneven in quality and volume among
employees. What should the manager do? - ANS-The manager should have each
employee complete a work distribution chart.
Aaron's workspace is filled with notes posted to the walls regarding coding rules. He has
even created file folders for coding tips according to body system. Aaron is most likely
what type of sensory learner? - ANS-Visual
Pam is a nursing supervisor in the newborn intensive care unit. During her shift, several
parents of newborns in the unit are visiting. The neonatologist has also recently been in
and has provided orders for several of the newborns. Because of the current workload,
another nurse in the unit, Jackie, has asked Pam to help her complete the orders. Pam
is asked to administer a medication to one of the newborns that Jackie has already
retrieved for the patient. Jackie tells Pam that she has double checked the medication
both through bar coding and with the order. Before Pam administers the medication,
she scans both the medication and the newborn's patient ID band and learns that she
has the incorrect medication for this patient. Pam does not administer that medication
but goes back to the order and, through the proper steps, administers the correct
medication. Based on this scenario, which of the following occurred? - ANS-Near Miss
A hospital employee destroyed a health record so that its contents—which would be
damaging to the employee—could not be used at trial. In legal terms, the employee's
action constitutes: - ANS-Spoliation
A hospital is conducting an analysis of its existing health information systems and is
looking at potential areas that need attention. This step is typically referred to as: - ANS-
Monitor Results
Assume you are the manager of a 10-physician group primary care practice. The
physicians are interested in contracting with an application service provider to develop
and manage patient records electronically. Which of the following statements is an
indication that an application service provider (ASP) may be a good idea for this
practice? - ANS-The practice does not have the up-front capital or IT staff needed to
purchase and implement a system from a health information systems vendor
The best way to ensure that elements of a health information system work together is
to: - ANS-Ensure standards are applied to software development that support
interoperability
, A coding manager wants to display the patient types that have the most coding errors in
relationship to coder years of service. The desire of the coding manager is to display
how coder years of service is responsible for coding errors. The type of graph or chart
best suited for this is a: - ANS-Pareto Chart
The process by which a person or entity who authored an EHR entry or document
seeks to validate that they are responsible for the data contained within it is called: -
ANS-Authentication
What is the implication regarding the confidentiality of incident reports in a legal
proceeding when a staff member documents in the health record that an incident report
was completed about a specific incident? - ANS-The incident report likely becomes
discoverable because it is mentioned in a discoverable document.
What type of data display tool is used to display discrete categories? - ANS-Bar graph
In assessing the quality of care given to patients with diabetes mellitus, the quality team
collects data regarding blood sugar levels on admission and on discharge. These data
are called a(n): - ANS-Indicator
Sally Mitchell was treated for kidney stones at Graham Hospital last year. She now
wants to review her medical record in person. She has requested to review it by herself
in a closed room. - ANS-Sally's request does not have to be granted because the
hospital is responsible for the integrity of the medical record.
Anywhere Hospital has mandated that the Social Security number will be displayed in
the XXX-XX-XXXX format for their patients. This is an example of the use of a: - ANS-
Mask
In the HIM department at Memorial Hospital, each newly hired coder spends an
afternoon with a medical biller. The coder follows the biller around as they complete job
tasks to get an idea of how coding and billing impact one another. This is an example of
what type of on-the-job training? - ANS-Job Shadowing
Which of the following best differentiates the role of strategic management and strategic
thinking as compared to other management tools and approaches? - ANS-A component
of each of the major functions of management
If an analyst wishes to predict future ancillary charges for hip replacement patients
based on the age of the patient, which of the following is a correct statement? - ANS-
Age is the independent variable; ancillary charges is the dependent variable.
In a relational database, which of the following is an example of a many-to-many
relationship? - ANS-Patients to consulting physicians
The health information services department at Medical Center Hospital has identified
problems with its work processes. Too much time is spent on unimportant tasks, there is
duplication of effort, and task assignment is uneven in quality and volume among
employees. What should the manager do? - ANS-The manager should have each
employee complete a work distribution chart.
Aaron's workspace is filled with notes posted to the walls regarding coding rules. He has
even created file folders for coding tips according to body system. Aaron is most likely
what type of sensory learner? - ANS-Visual
Pam is a nursing supervisor in the newborn intensive care unit. During her shift, several
parents of newborns in the unit are visiting. The neonatologist has also recently been in
and has provided orders for several of the newborns. Because of the current workload,
another nurse in the unit, Jackie, has asked Pam to help her complete the orders. Pam
is asked to administer a medication to one of the newborns that Jackie has already
retrieved for the patient. Jackie tells Pam that she has double checked the medication
both through bar coding and with the order. Before Pam administers the medication,
she scans both the medication and the newborn's patient ID band and learns that she
has the incorrect medication for this patient. Pam does not administer that medication
but goes back to the order and, through the proper steps, administers the correct
medication. Based on this scenario, which of the following occurred? - ANS-Near Miss
A hospital employee destroyed a health record so that its contents—which would be
damaging to the employee—could not be used at trial. In legal terms, the employee's
action constitutes: - ANS-Spoliation
A hospital is conducting an analysis of its existing health information systems and is
looking at potential areas that need attention. This step is typically referred to as: - ANS-
Monitor Results
Assume you are the manager of a 10-physician group primary care practice. The
physicians are interested in contracting with an application service provider to develop
and manage patient records electronically. Which of the following statements is an
indication that an application service provider (ASP) may be a good idea for this
practice? - ANS-The practice does not have the up-front capital or IT staff needed to
purchase and implement a system from a health information systems vendor
The best way to ensure that elements of a health information system work together is
to: - ANS-Ensure standards are applied to software development that support
interoperability
, A coding manager wants to display the patient types that have the most coding errors in
relationship to coder years of service. The desire of the coding manager is to display
how coder years of service is responsible for coding errors. The type of graph or chart
best suited for this is a: - ANS-Pareto Chart
The process by which a person or entity who authored an EHR entry or document
seeks to validate that they are responsible for the data contained within it is called: -
ANS-Authentication
What is the implication regarding the confidentiality of incident reports in a legal
proceeding when a staff member documents in the health record that an incident report
was completed about a specific incident? - ANS-The incident report likely becomes
discoverable because it is mentioned in a discoverable document.
What type of data display tool is used to display discrete categories? - ANS-Bar graph
In assessing the quality of care given to patients with diabetes mellitus, the quality team
collects data regarding blood sugar levels on admission and on discharge. These data
are called a(n): - ANS-Indicator
Sally Mitchell was treated for kidney stones at Graham Hospital last year. She now
wants to review her medical record in person. She has requested to review it by herself
in a closed room. - ANS-Sally's request does not have to be granted because the
hospital is responsible for the integrity of the medical record.
Anywhere Hospital has mandated that the Social Security number will be displayed in
the XXX-XX-XXXX format for their patients. This is an example of the use of a: - ANS-
Mask
In the HIM department at Memorial Hospital, each newly hired coder spends an
afternoon with a medical biller. The coder follows the biller around as they complete job
tasks to get an idea of how coding and billing impact one another. This is an example of
what type of on-the-job training? - ANS-Job Shadowing
Which of the following best differentiates the role of strategic management and strategic
thinking as compared to other management tools and approaches? - ANS-A component
of each of the major functions of management
If an analyst wishes to predict future ancillary charges for hip replacement patients
based on the age of the patient, which of the following is a correct statement? - ANS-
Age is the independent variable; ancillary charges is the dependent variable.
In a relational database, which of the following is an example of a many-to-many
relationship? - ANS-Patients to consulting physicians
