RHIT Practice Exam ACTUAL QUESTIONS
AND CORRECT ANSWERS
A laparoscopic tubal ligation is undertaken. Which of the following is the correct CPT code
assignment?
49320 - Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without
collection of specimen(s) by brushing or washing (separate procedure)
58662 - Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
viscera, or peritoneal surface by any method
58670 - Laparoscopy, surgical; with fulguration of oviducts (with or without transection)
58671 - Laparoscopy, surgical; with occlusion of oviducts by device (e.g., band, clip, or Falope
ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - Correct answers✔b. 58670
No mention is made of biopsy, excision of lesion, or occlusion, so following proper steps for
coding in CPT, the correct code is 58670.
A quality goal for the hospital is that 98 percent of the heart attack patients receive aspirin within
24 hours of arrival at the hospital. In conducting an audit of heart attack patients, the data
,showed that 94 percent of the patients received aspirin within 24 hours of arriving at the hospital.
Given this data, which of the following actions would be best?
a. Alert the Joint Commission that the hospital has not met its quality goal
b. Determine whether there was a medical or other reason why patients were not given aspirin
c. Institute an in-service training program for clinical staff on the importance of administering
aspirin within 24 hours
d. Determine which physicians did not order aspirin - Correct answers✔b. Determine whether
there was a medical or other reason why patients were not given aspirin
Patient care outcomes are reviewed to improve the safety and quality of care as well as to
identify issues related to medical necessity for treatment and appropriateness of care. Accrediting
and licensing entities expect that healthcare organizations will choose appropriate measures for
the services they offer. In this situation is it important to determine whether there was a medical
or other reason why patients b. Determine whether there was a medical or other reason why
patients were not given aspirin
Patient care outcomes are reviewed to improve the safety and quality of care as well as to
identify issues related to medical necessity for treatment and appropriateness of care. Accrediting
and licensing entities expect that healthcare organizations will choose appropriate measures for
the services they offer. In this situation is it important to determine whether there was a medical
or other reason why patients were not given aspirin within 24 hours of arrival at the hospital.
This determination is critical to assess compliance with the quality goal.were not given aspirin
within 24 hours of arrival at the hospital. This determination is critical to assess compliance with
the quality goal.
A health record technician has been asked to review the discharge patient abstracting module of a
proposed new electronic health record (EHR). Which of the following data sets would the
technician consult to ensure the system collects all federally required discharge data elements for
Medicare and Medicaid inpatients in an acute-care hospital?
a. CARF
,b. DEEDS
c. UACDS
d. UHDDS - Correct answers✔d. UHDDS (Uniform Hospital Discharge Data Set)
The Uniform Hospital Discharge Data Set (UHDDS) data characteristics include patient-specific
items on every inpatient.
Standardizing medical terminology to avoid differences in naming various health 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 standard
c. Transaction standards
d. Vocabulary standards - Correct answers✔d. 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.
Patient care managers use the data documented in the health record to:
a. Determine the extent and effects of occupational hazards
b. Evaluate patterns and trends of patient care
c. Generate patient bills and third-party payer claims for reimbursement
, d. Provide direct patient care - Correct answers✔b. Evaluate patterns and trends of patient care
Patient care managers are responsible for the overall evaluation of services rendered for their
particular area of responsibility. To identify patterns and trends, they take details from
individual health records and put all the information together in one place.
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. An audit of the EHR discovers
that the numbers in the date of birth are transposed in reports. This situation reflects a problem
in:
a. Data comprehensiveness
b. Data consistency
c. Data currency
d. Data granularity - Correct answers✔b. Data consistency
Consistency means ensuring the patient data is reliable and the same across the entire patient
encounter. In other words, patient data within the record should be the same and should not
contradict other data also in the patient record.
A health data analyst has been asked to compile a listing of daily blood pressure readings for
patients with a diagnosis of hypertension who were treated on the medical unit within a twoweek
period. What clinical report would be the best source to gather this information?
a. Vital signs record
b. Initial nursing assessment record
c. Physician progress notes
d. Admission record - Correct answers✔a. Vital signs record
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.
AND CORRECT ANSWERS
A laparoscopic tubal ligation is undertaken. Which of the following is the correct CPT code
assignment?
49320 - Laparoscopy, abdomen, peritoneum, and omentum, diagnostic, with or without
collection of specimen(s) by brushing or washing (separate procedure)
58662 - Laparoscopy, surgical; with fulguration or excision of lesions of the ovary, pelvic
viscera, or peritoneal surface by any method
58670 - Laparoscopy, surgical; with fulguration of oviducts (with or without transection)
58671 - Laparoscopy, surgical; with occlusion of oviducts by device (e.g., band, clip, or Falope
ring)
a. 49320, 58662
b. 58670
c. 58671
d. 49320 - Correct answers✔b. 58670
No mention is made of biopsy, excision of lesion, or occlusion, so following proper steps for
coding in CPT, the correct code is 58670.
A quality goal for the hospital is that 98 percent of the heart attack patients receive aspirin within
24 hours of arrival at the hospital. In conducting an audit of heart attack patients, the data
,showed that 94 percent of the patients received aspirin within 24 hours of arriving at the hospital.
Given this data, which of the following actions would be best?
a. Alert the Joint Commission that the hospital has not met its quality goal
b. Determine whether there was a medical or other reason why patients were not given aspirin
c. Institute an in-service training program for clinical staff on the importance of administering
aspirin within 24 hours
d. Determine which physicians did not order aspirin - Correct answers✔b. Determine whether
there was a medical or other reason why patients were not given aspirin
Patient care outcomes are reviewed to improve the safety and quality of care as well as to
identify issues related to medical necessity for treatment and appropriateness of care. Accrediting
and licensing entities expect that healthcare organizations will choose appropriate measures for
the services they offer. In this situation is it important to determine whether there was a medical
or other reason why patients b. Determine whether there was a medical or other reason why
patients were not given aspirin
Patient care outcomes are reviewed to improve the safety and quality of care as well as to
identify issues related to medical necessity for treatment and appropriateness of care. Accrediting
and licensing entities expect that healthcare organizations will choose appropriate measures for
the services they offer. In this situation is it important to determine whether there was a medical
or other reason why patients were not given aspirin within 24 hours of arrival at the hospital.
This determination is critical to assess compliance with the quality goal.were not given aspirin
within 24 hours of arrival at the hospital. This determination is critical to assess compliance with
the quality goal.
A health record technician has been asked to review the discharge patient abstracting module of a
proposed new electronic health record (EHR). Which of the following data sets would the
technician consult to ensure the system collects all federally required discharge data elements for
Medicare and Medicaid inpatients in an acute-care hospital?
a. CARF
,b. DEEDS
c. UACDS
d. UHDDS - Correct answers✔d. UHDDS (Uniform Hospital Discharge Data Set)
The Uniform Hospital Discharge Data Set (UHDDS) data characteristics include patient-specific
items on every inpatient.
Standardizing medical terminology to avoid differences in naming various health 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 standard
c. Transaction standards
d. Vocabulary standards - Correct answers✔d. 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.
Patient care managers use the data documented in the health record to:
a. Determine the extent and effects of occupational hazards
b. Evaluate patterns and trends of patient care
c. Generate patient bills and third-party payer claims for reimbursement
, d. Provide direct patient care - Correct answers✔b. Evaluate patterns and trends of patient care
Patient care managers are responsible for the overall evaluation of services rendered for their
particular area of responsibility. To identify patterns and trends, they take details from
individual health records and put all the information together in one place.
At admission, Mrs. Smith's date of birth is recorded as 3/25/1948. An audit of the EHR discovers
that the numbers in the date of birth are transposed in reports. This situation reflects a problem
in:
a. Data comprehensiveness
b. Data consistency
c. Data currency
d. Data granularity - Correct answers✔b. Data consistency
Consistency means ensuring the patient data is reliable and the same across the entire patient
encounter. In other words, patient data within the record should be the same and should not
contradict other data also in the patient record.
A health data analyst has been asked to compile a listing of daily blood pressure readings for
patients with a diagnosis of hypertension who were treated on the medical unit within a twoweek
period. What clinical report would be the best source to gather this information?
a. Vital signs record
b. Initial nursing assessment record
c. Physician progress notes
d. Admission record - Correct answers✔a. Vital signs record
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.
