Himt 101
- 1.
Which of the following most accurately defines health information and data according to the IOM EHR criteria?
- A.
Health information and data provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results.
- B.
Health information and date improve workflow processes by eliminating lost orders and ambiguities caused b y illegible handwriting, generatging related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders
- C.
Health information and data includes systems that deliver prompts regarding preventive practices, information about prescriptions, and clinical data regarding disease diagnoses and management
- D.
Health information and data reduces lag time between regonition and treatment of medical problems and it lends itself to electronic consults between physicians.
Correct Answer
A. Health information and data provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. -
- 2.
Which of the following first identified capturing data at the point of care as a key criterion for an EHR?
- A.
Health Insurance Portability and Accountability Act
- B.
Institute of Medicine
- C.
Computer-based Patient Record Institute
- D.
Health Information Technology for Economic and Clinical Health Act
Correct Answer
C. Computer-based Patient Record Institute -
- 3.
Which of the following is the best definition of electronic health records?
- A.
Any information that relates to the past, present, or future physical condition of a person that is stored in an electronic format
- B.
The portions of a patient's medical records that are stored in a computer system as well as the functional benefits derived from having an electronic health record
- C.
Patient information that is stored electronically and may be accessed by both the patient and the patient's healthcare provider on demand
- D.
Any healthcare information that is stored by computer
Correct Answer
B. The portions of a patient's medical records that are stored in a computer system as well as the functional benefits derived from having an electronic health record -
- 4.
The ONC developed which of the following strategies to meet their goal of informing clinical practice?
- A.
Fostering regional collaborations
- B.
Ecouring use of PHR
- C.
Accelerating research and dissemenation of evidence
- D.
Promoting EHR diffusion in rural and underserved areas
Correct Answer
D. Promoting EHR diffusion in rural and underserved areas -
- 5.
You are a priimary care physician in a small practice. Why do you need to know abou the HITECH Act?
- A.
Because it makes funding available to help you implement a certified EHR in your practice
- B.
Because it will reduce your Medicare payments by five percent if you continue to use paper charts in 2015
- C.
Because it offers you financial incentives for implementing an EHR before 2015
- D.
Because is requires you to offer telemedicine to your patients by 2020
Correct Answer
C. Because it offers you financial incentives for implementing an EHR before 2015 -
- 6.
Which of the following is not one of the IOM criteria for EHRs?
- A.
Connectivity between multiple care providers
- B.
Management of administrative processess and reporting
- C.
Statistical collection and reporting related to population health
- D.
Provide decision support
Correct Answer
D. Provide decision support -
- 7.
What is a cheif compliant?
- A.
A summary of the patient's symptoms
- B.
A record of the patient's vital signs
- C.
The main rason a patient seeks care
- D.
The doctor's assessment of what is wrong with the patient
Correct Answer
C. The main rason a patient seeks care -
- 8.
You have a sinsus infection and visit your physician for treatment. Your physician writes you a prescription for an antibotic on her prescription pad. Which of the following can you reasonably infer about the patient records ar your doctor's office based on the interaction?
- A.
They may be either paper or electronic because EHR systems require a handwritten prescription for the patient file
- B.
They are electronic records but the software does not support electronic prescription submission
- C.
They are paper records because electronic records require electronic submission of prescriptions
- D.
They may be either paper or electronic buy your doctor simply prefers to write out her prescriptions
Correct Answer
C. They are paper records because electronic records require electronic submission of prescriptions -
- 9.
Which of the foloowing is not true about an inpatient chart?
- A.
It only contains information related to the patient's current day
- B.
Its central element is the physician's exam note
- C.
It inclues more information than an outpatient chart
- D.
It includes nurses's notes that indicate the patient's response to treatment
Correct Answer
B. Its central element is the physician's exam note -
- 10.
Which of the following is a characteristic of an EHR system used by a medial office?
- A.
It incorporates computer systems from many different vendors
- B.
It stores patient data in a single electronic medical record
- C.
It mnust be accessible to any specialists who are also treating the patient
- D.
It requires clinicians to use an interface to view data from different systems
Correct Answer
B. It stores patient data in a single electronic medical record -
- 11.
Which of the following is an example of point-of-care documentation?
- A.
A nurse enters a patient's vital signs into the patient's record at the end of his shift
- B.
A transcriptionist types an encounter note and sends it to the physicians
- C.
The physician prints the encounter note at the conclusion of the patient's visit
- D.
A nurse practioner creates an exam note from memory while the patient gets dressed.
Correct Answer
C. The physician prints the encounter note at the conclusion of the patient's visit -
- 12.
One drawback of using an EHR on a tablet PC this is not a problem on a laptop is that it:
- A.
Is easy to drop
- B.
Runs on batteries
- C.
Is harder of IT departments to update
- D.
Lacks a keyboard
Correct Answer
D. Lacks a keyboard -
- 13.
Both the IOM and CPRI share which of the following EHR criteria recommendations?
- A.
Data capture at the point of care
- B.
Electronic communication and connectivity
- C.
Provison of decision support
- D.
Patient support
Correct Answer
C. Provison of decision support -
- 14.
How does point of care documentation improve the delivery of healthcare process?
- A.
It saves time and money by eliminating the cost of dictation and transcription
- B.
It allows a clinician to sigan an encounter note before the patient leaves the office
- C.
It ensures that all infromation required for referralis available immediately
- D.
It gives the patient a chance to make corrections to his medical record
Correct Answer
C. It ensures that all infromation required for referralis available immediately -
- 15.
Which of the following best defines the term eligible professional?
- A.
Any clinician who works directly with patients when providing care and is therefore bound by HIPAA mandates
- B.
Anyone who has been granted access to protected health information in electronic form
- C.
A credentialed healthcare professional who is in good standing with a medical board and qualified to practice in a state
- D.
A healthcare provider who is considered entitled to recieve incentive payments under the HITECH Act.
Correct Answer
D. A healthcare provider who is considered entitled to recieve incentive payments under the HITECH Act. -
- 16.
Which of the following considered an optional, rather than a core, meaningful objective for hospitals when fulfilloing the CMS meaningful use criteria?
- A.
CPOE
- B.
Drug-formulary checks
- C.
Maintain active medication list
- D.
Record smoking satus for patients 13 years or older
Correct Answer
B. Drug-formulary checks -
- 17.
Which of the following certifies an EHR system?
- A.
ONC-ATCB
- B.
CPRI
- C.
CHCS II
- D.
AHIMA
Correct Answer
A. ONC-ATCB -
- 18.
Which of the following statements about electronic health records is true?
- A.
The idea for electronic health records first originated with the Health Insurance and Accountability Act
- B.
The Computer-based Patient Record Institute outlined eight core functions that any EHR should be able to perform
- C.
It has primarily been physicians who have led the charge in the impetus behind developing a nation EHR system
- D.
The HITECH Act signed by President Obama is promoting the widespread adoption of electronic health records
Correct Answer
D. The HITECH Act signed by President Obama is promoting the widespread adoption of electronic health records -
- 19.
Which of the following organizations created a strategy that tied purchase of group health insurance benefits to quality care standards?
- A.
AHIMA
- B.
Leapfrog Group
- C.
Kaiser Permanente
- D.
Agency for Healthcare Research and Quality
Correct Answer
B. Leapfrog Group -
- 20.
Which of the following is not considered part of the workflow in a medical office that uses an EHR system?
- A.
The workflow process begins when the patient request an appointment
- B.
The physician dictates her exam notes at the conclusion of the patient encounter
- C.
The patient discusses his symptoms with his physican during the exam
- D.
The patient leaves his physician's office with a printed copy of the encounter
Correct Answer
B. The physician dictates her exam notes at the conclusion of the patient encounter -
- 21.
Which of the following is not a functional benefit for an EHR as defined by the IOM?
- A.
Trend analysis
- B.
Health maintenance
- C.
Discrete data
- D.
Alerts
Correct Answer
C. Discrete data -
- 22.
Which of the following is an example of a digital image that may be part of an electronic medical record?
- A.
Fielded data
- B.
Coded data
- C.
Transcribed exam notes
- D.
Annotated drawings
Correct Answer
D. Annotated drawings -
- 23.
Which of the following state that statements is true about discrete data that is stored in an EHR system?
- A.
A person is needed to interpret its meaning
- B.
It must first be imported from outside text files
- C.
It requires little storage space
- D.
It is only useful if it is codified
Correct Answer
C. It requires little storage space -
- 24.
Text data that is stored in an EHR system is least useful for performing which of the following functions?
- A.
Decision support
- B.
Trend analysis
- C.
Research
- D.
Diagnosis
Correct Answer
B. Trend analysis -
- 25.
Which of the following is an example of a result finding?
- A.
White male
- B.
20120331
- C.
Gall bladder
- D.
Normal urine protein
Correct Answer
D. Normal urine protein -
- 26.
Which of the following is not one of the six main categories that the MEDCIN nomenclature uses to organize findings?
- A.
Body Structure
- B.
Symptoms
- C.
Physical Examination
- D.
Therapy
Correct Answer
A. Body Structure -
- 27.
What is the NANDA-I code set used to categorize?
- A.
Laboratory test results
- B.
Biomedical information
- C.
Nursing diagnoses
- D.
Point-of-care documentation
Correct Answer
C. Nursing diagnoses -
- 28.
You have just imported an x-ray for a patient into an image system; this means:
- A.
The image has been successfully cataloged
- B.
You need to use OCR software to catalog this image
- C.
You need to complete the cataloging process by adding the patient's name
- D.
You need to enter identifying data about the document into the computer
Correct Answer
D. You need to enter identifying data about the document into the computer -
- 29.
Which of the following is not true of a Picture Archival Communications System? (PACS)
- A.
It imports digital images into the EHR system
- B.
It associates images with the patient EHR record
- C.
It is seperate from the EHR system
- D.
It is used to archive diagnostic images
Correct Answer
A. It imports digital images into the EHR system -
- 30.
Your medical office is implementing an EHR system and needs to add numerous paper charts into the new document/image system. The best course of action would be to:
- A.
Scan all of the printed pages into the new system
- B.
Keep the paper charts, but begin entering all new information electronically
- C.
Import the word processing files from any transcribed dictation as text records
- D.
Hire transcriptionist to retype all of the old information into the EHR
Correct Answer
C. Import the word processing files from any transcribed dictation as text records -
- 31.
A text file would be produced for upload to an EHR in which of the following examples?
- A.
A medical assistant scans and catalogs a copy of a patient's test results
- B.
A clinician selects a protocol through a patient chart at the point-of-care
- C.
A radiology technician links to a copy of an X-ray stored in a PAC
- D.
A medical tanscriptionist types exam notes using a word processor
Correct Answer
D. A medical tanscriptionist types exam notes using a word processor -
- 32.
Which of the following statements about imported text data is false?
- A.
The text data is searcable by computer
- B.
The text data may be incorporated into the EHR system
- C.
The text document will dynamically resize itself when viewed on a handheld device
- D.
The text data is codified by the EHR once it has been imported
Correct Answer
D. The text data is codified by the EHR once it has been imported -
- 33.
Which of the following standards would enable a hospital that uses many different systems to integrate data from all of these systems into a cohesive way?
- A.
DICOM
- B.
HL7
- C.
PAC
- D.
IMH
Correct Answer
B. HL7 -
- 34.
Which of the following standards would enable a hospital that uses many different systems to integrate data from all of these systems into a cohesive way?
- A.
DICOM
- B.
HL7
- C.
PAC
- D.
IMH
Correct Answer
B. HL7 -
- 35.
Which of the following is an example of trend analysis provided by and EHR?
- A.
An article on from a professional medical journal
- B.
A generic equivalent to a brand name drug
- C.
A graph showing a patient's cholesterol levels over time
- D.
A message automatically generated from the data
Correct Answer
C. A graph showing a patient's cholesterol levels over time -
- 36.
Which of the following would not be considered a benefit of patient-entered data?
- A.
The patient is an authority on the symptoms he experiened when an illness started
- B.
The patient can enter accurate information about her social and flamily history
- C.
The patient can review and make corrections to previous entries made by medical staff
- D.
The patient can comment on the success of previous treatments that were recommended by the physician.
Correct Answer
C. The patient can review and make corrections to previous entries made by medical staff -
- 37.
An alert that warns a physician that a brand name drug is not covered by a patient's insurance plan is an example of a(n):
- A.
ABN alert
- B.
Formulary alert
- C.
Nonaction alert
- D.
Electronic lab order system alert
Correct Answer
B. Formulary alert -
- 38.
Jenna has a penicillin allergy. Which of the following alerts in an EHR would detect this alergy?
- A.
DUR
- B.
PDR
- C.
ABN
- D.
HL7
Correct Answer
A. DUR -
- 39.
You recieve a letter in the mail from the pediatrician that your child is due to recieve certain immunizations. This is an example of which functional benefit of codified EHR data?
- A.
Trend analysis
- B.
Health maintenanace
- C.
Alerts
- D.
Decision support
Correct Answer
B. Health maintenanace -
- 40.
What is a medical protocol?
- A.
Treatment recommendations for the use of certain drugs
- B.
A standard plan of therapy established for different conditions
- C.
Evidence-based guidelines used for patinet diagnoses
- D.
Medication dosing guidelines based on test results
Correct Answer
B. A standard plan of therapy established for different conditions -
- 41.
An insurance billing code represents a:
- A.
Patient's symptoms
- B.
Physician's observations
- C.
Service that was rendered
- D.
Treatment plan
Correct Answer
C. Service that was rendered -
- 42.
Which of the following is true about the login you use for the Student Edition software?
- A.
It must be kept secret
- B.
It creates a permanent record of your use of the software
- C.
It is unique to you
- D.
It serves as your electronic signature
Correct Answer
C. It is unique to you -
- 43.
In which section of the Student Edition software is the Hx tab located?
- A.
Encounter View Pane
- B.
Medcin Nomenclature Pane
- C.
Menu Bar
- D.
Entry Details
Correct Answer
A. Encounter View Pane -
- 44.
Which of the following is not an exampe of a function menu in the Student Edition software?
- A.
Options
- B.
Graph
- C.
Encounter
- D.
Enter
Correct Answer
C. Encounter -
- 45.
Where within the Student Edition software can you locate a finding associated with it's ICD-9-CM code?
- A.
Entry Details
- B.
Note View
- C.
Sx tab
- D.
Outline View
Correct Answer
D. Outline View -
- 46.
When using the Student Edition software, what is the first step in every encounter once you have logged in?
- A.
Creating a new encounter
- B.
Selecting a patient
- C.
Assigning a finding
- D.
Verifying patient information
Correct Answer
B. Selecting a patient -
- 47.
The Sx tab on the Nomenclature pane is associated with which component of the SOAP format?
- A.
Subjective
- B.
Objective
- C.
Assessment
- D.
Plan
Correct Answer
A. Subjective -
- 48.
You are viewing findings in the Medcin Symptoms tabe and notice that "facial twitching" has neither a small plus sign nor a small negative sign beside it. What does this mean?
- A.
This symptom is not the right match for the patient
- B.
Facial twitching is the main title for a new subcategory
- C.
The tree for this finding has been collapsed
- D.
This is the most specific finding available for the symptom
Correct Answer
D. This is the most specific finding available for the symptom -
- 49.
You are trying to locate the patient Robert Smith in the Student Edition Patient Selection window. Which of the following would be the quickest way to locate his record?
- A.
Typing his patient identification number
- B.
Typing the patient's first name and last name
- C.
Scrolling through the list of paitent names
- D.
Type the patient's last name, followed by R.
Correct Answer
D. Type the patient's last name, followed by R. -
- 50.
What is the main purpose of an EHR system that is based on the MEDCIN nomenclature?
- A.
To document clinical notes in a codified electronic medical record
- B.
To allow physicians to write prescriptions electronically
- C.
To perform drug utilization reviews and send alerts
- D.
To provide both patients and healthcare providers equal access to information
Correct Answer
A. To document clinical notes in a codified electronic medical record -
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Feb 15, 2013Quiz Edited by
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Apr 30, 2012Quiz Created by
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