Related Topics
Take Another Quiz

Himt 101

81 Questions
School Quizzes & Trivia
Questions and Answers
  • 1. 
    • 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.

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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.

  • 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

  • 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

  • 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

  • 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.

  • 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

  • 17. 
    Which of the following certifies an EHR system?
    • A. 

      ONC-ATCB

    • B. 

      CPRI

    • C. 

      CHCS II

    • D. 

      AHIMA

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 25. 
    Which of the following is an example of a result finding?
    • A. 

      White male

    • B. 

      20120331

    • C. 

      Gall bladder

    • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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.

  • 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

  • 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

  • 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

  • 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

  • 41. 
    An insurance billing code represents a:
    • A. 

      Patient's symptoms

    • B. 

      Physician's observations

    • C. 

      Service that was rendered

    • D. 

      Treatment plan

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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

  • 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.

  • 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

  • 51. 
    Which of the following statements is not true about an encounter note?
    • A. 

      It often includes data that was entered by different healthcare professionals

    • B. 

      It is a record of the clinical findings from a patient examination

    • C. 

      It reflects findings from an exam that occurred on a specifid date

    • D. 

      It is a longitudinal record of the care a patient has recieved

  • 52. 
    Under what circumstances is a new encounter created for a patient?
    • A. 

      When a patient introduces new symptoms during an office visit

    • B. 

      When a physician orders blood work for a patient as part of an anuual physical exam

    • C. 

      When a patient calls a physician's office with a billing inquiry

    • D. 

      When a patient visits her doctor with symptoms of the flu

  • 53. 
    A patient tells you that he has been having back pain for over a month. Later in the exam, he remembers the pain seems to be getting worse. How would you record this finding information in the EHR?
    • A. 

      Back-related symptoms

    • B. 

      Back pain, episodes recently worse

    • C. 

      Chronic/recurring, back pain

    • D. 

      Back pain, chronic/recurring, episodes recently worse

  • 54. 
    All of the following Entry Details fields are stored in the EHR as fielded data except:
    • A. 

      Modifier

    • B. 

      Free Text

    • C. 

      Value

    • D. 

      Episode

  • 55. 
    Why is the first item in each drop-down list within the Entry details fields a blank?
    • A. 

      To enable to user to search

    • B. 

      To enter free text

    • C. 

      To clear certain Entry Detail fields

    • D. 

      To modify a selected finding

  • 56. 
    Which of the following is not an advantage of the free-text entery window?
    • A. 

      The window is large enough to allow a clinician to type a longer note

    • B. 

      The text entered in this window is stored as fielded data

    • C. 

      The clinician can use a spell checker to proofread her text

    • D. 

      It inclues an insert text feature that helps save typing time

  • 57. 
    Which of the following is the Medcin tab this is used for "tests performed"?
    • A. 

      Sx

    • B. 

      Rx

    • C. 

      Tx

    • D. 

      Dx

  • 58. 
    Which of the following is the Medcin tab this is used for "treatments"?
    • A. 

      Sx

    • B. 

      Rx

    • C. 

      Tx

    • D. 

      Dx

  • 59. 
    Where are the Entry Details fields located in the Student Edition software?
    • A. 

      In the rigth pane of the window

    • B. 

      At the bottom portion of the screen

    • C. 

      In the leftr pane of the window

    • D. 

      Along the top portion of the screen

  • 60. 
    Where are the Entry Details fields located in the Student Edition software?
    • A. 

      In the rigth pane of the window

    • B. 

      At the bottom portion of the screen

    • C. 

      In the leftr pane of the window

    • D. 

      Along the top portion of the screen

  • 61. 
    Where is the Note View tab within the main window of the Student Edition software located?
    • A. 

      The MEDCIN Nomenclature Pane

    • B. 

      The Ecounter View Pane

    • C. 

      The Menu Bar

    • D. 

      Outline View

  • 62. 
    If you are entering information about test that have performed on a paitent, you are most likely to select which tab in the Nomenclature Pane?
    • A. 

      Sx

    • B. 

      Px

    • C. 

      Tx

    • D. 

      Rx

  • 63. 
    All of the following ere the main objectives of the Health Information Portability and Accountability Act except:
    • A. 

      Improving patients' access long-term

    • B. 

      Ecouraging people to use health savings accounts

    • C. 

      Combating fraud and abuse in healthcare delivery

    • D. 

      Promoting the widespread adoption of EHR

  • 64. 
    Uniform identifiers are a component of which of the following?
    • A. 

      HIPAA Privacy Rule

    • B. 

      Administrative Simplification Subsection

    • C. 

      Technical Safeguards

    • D. 

      Security Rule

  • 65. 
    __________ is an example of a HIPAA EDI transaction that is not yet final.
    • A. 

      Claims Status

    • B. 

      Remittance and Payment Advice

    • C. 

      Health Claims Attachments

    • D. 

      Retail Drug Claims

  • 66. 
    Which of the following statements about an EDI transaction is not true?
    • A. 

      Both the sender and the receiver of data must use the same formats and code sets

    • B. 

      The implementation of HIPAA uniform identifiers has made the electronic coordination of benefits easier

    • C. 

      Healthcare providers must use a national provide identifier on all data transmissions

    • D. 

      HIPAA requires the provider to mail a signed copy following the transmission of all data.

  • 67. 
    A patient would expect to find all of the following in a medical officer's HIPAA privacy policy except:
    • A. 

      An explanation of how the offfice may use and share the patient's PHI with others

    • B. 

      A description of the patient's rights with respect to PHI and how they may exercise those rights

    • C. 

      Details about the different entitiesw with whom the medical office typically shares PHI, including how to contact them directly

    • D. 

      Information on who the patient can contact for further information about the medical office;'s privacy policy

  • 68. 
    Under the revised HIPAA Privacy Rule, a healthcare entity may discloser a patient's PHI without the patient's prior consent or authorization in all of the following situations except:
    • A. 

      In situations where the patient's employer requires the PHI for benefits

    • B. 

      When a law enforcement agency requests it

    • C. 

      When an adminstrative medical assistant post a payment

    • D. 

      In cases where the PHI is used to provide customer service

  • 69. 
    Mr. Juarez signed an authorization form giving his cardiologist permission to use his PHI for a research study. What does this mean?
    • A. 

      The hospital may now disclose Mr. Juarez's PHI for additional studies, as needed

    • B. 

      Mr. Juarez understands the reason why his cardiologist wishes to use his PHI

    • C. 

      The authorization for Mr. Juarez signed does not have an expiration date

    • D. 

      Once he has signed the authorization form, Mr. Juarez cannot change his mind about the disclosure

  • 70. 
    Mrs. Smothers, a resident in an assisted living facility, wants to review her medial record. What does this request mean to the facility?
    • A. 

      They must furnish Mrs. Smothers' records immediately

    • B. 

      They may decline the request unless the patient supplies a valid reason for reviewing it

    • C. 

      They many charge the resident for costs associated with supplying the record

    • D. 

      They must permanently change the record to reflect whaterver the resident requests

  • 71. 
    Which of the following is not a covered entity under the HIPAA Privacy Rule?
    • A. 

      Business associates

    • B. 

      Healthcare providers

    • C. 

      Clearinghouses

    • D. 

      Health plan

  • 72. 
    Which of the following government agency is charged with enforcing the Privacy Rule?
    • A. 

      CMS

    • B. 

      OHSA

    • C. 

      IOM

    • D. 

      OCR

  • 73. 
    Which of the following statements is true about the HIPAA Security Rule?
    • A. 

      It applies to both paper and electronic forms of PHI

    • B. 

      It supplements the Privacy Rule in many areas

    • C. 

      It protects all electronic information related to healthcare

    • D. 

      It establishes standards for who may access PHI

  • 74. 
    Which of the following is not an example of an Administrative Safegaurd under the HIPAA Security Rule?
    • A. 

      Facility Access Controls

    • B. 

      Security Management Process

    • C. 

      Business Associate Contracts and Other Arrangement

    • D. 

      Security Awareness and Training

  • 75. 
    Which of the following is the first step when a healthcare provider begins implementation of the Administrative Safequards of the Security Rule?
    • A. 

      Workforce Security

    • B. 

      Information Access Management

    • C. 

      The Security Management Process

    • D. 

      Security Awaremenss and Training

  • 76. 
    Which of the following best describes a security official?
    • A. 

      An individual who is assigned to enforce both the Privacy Rule and the Security Rule

    • B. 

      The IT Director at a healthcare facility

    • C. 

      Any individual who conducts security awareness and training for all new and existing employees

    • D. 

      An employee who has overall responsibility for the HIPAA Security Rule

  • 77. 
    Which of the following is not an example of Security Awareness and Training standard implementation specification?
    • A. 

      Log-in-Monitoring

    • B. 

      Security Reminders

    • C. 

      Response and Reporting

    • D. 

      Password Management

  • 78. 
    Which of the following would most likely be considered a breach of PHI?
    • A. 

      A hospital patient being wheeled to x-ray overhears a conversation between two doctors

    • B. 

      An employee of a medical practice greets a patient by name when she sees the patient at the supermarket

    • C. 

      A medical assistant accidentally gives patient education information about sexually transmitted diseases to the wrong patient

    • D. 

      A business associate of a healthcare provider uses PHI to find out the addresses of patients who live in a certain region

  • 79. 
    What does the term user authentication mean in relation to criteria for electronic signatures?
    • A. 

      That the recipient of the document that has an electronic signature can confirm that no one altered the document during its transmission

    • B. 

      That the person who recieves the document can verify that the document was signed by a real person

    • C. 

      That the person who signed the document electronically cannot deny signing the document later

    • D. 

      That the person who signed the document used established standards when signing the document.

  • 80. 
    Which of the following statements is true about digital signatures?
    • A. 

      The certificate authoriy keeps track of both the public and private keys

    • B. 

      Digital signatures require the used of cryptography and PKI

    • C. 

      A recipient validates a sender's signature by decoding it with the private key

    • D. 

      A computer software program uses a message digest to encrypt the sender's key

  • 81. 
    Which of the following would not be a recommended way to prevent unauthorized individuals from accessing the EHR as yourself?
    • A. 

      Logging into the EHR as yourself

    • B. 

      Storing PIN information in a file on your computer

    • C. 

      Making sure you log off before you step away from your computer

    • D. 

      Refusing to allow a colleague to make entries under you log in

Related Topics