Registered Health Information Technician! Trivia Test! Quiz
(280).jpg "Registered Health Information Technician! Trivia Test! Quiz - Quiz")
Are you on your way to becoming a registered health information technician? If you said yes, you are in luck as the quiz below is precisely what you need to refresh your memory on record keeping and what someone in your position is expected to do when it comes to access and details. How about you check it out and see how good you will do.
- 1.
Which was the first major U.S. impetus for improvig hostipal health records?
- A.
Organization of the Ameican Health Information Management Association
- B.
Establishment of the JCAHO's numerous accreditation programs
- C.
Opening of the first imcorporated hosipital, known as Pennsylvania Hospital
- D.
Creation of the american College of Surgeons' hospital standardization program
Correct Answer
D. Creation of the american College of Surgeons' hospital standardization program -
- 2.
A rubber stamp of Dr. Day's signature is acceptable for use if
- A.
It is stored in the health information department and is used ony by Dr. Day
- B.
It is used by Dr. Day and her clinical staff because seh gave them permission to do so
- C.
Dr. Day signed a statement regarding its use; the statement is stored with the facility's administration
- D.
It is utilized only Dr. Day and the other physicians involved in her group practice
Correct Answer
C. Dr. Day signed a statement regarding its use; the statement is stored with the facility's administration -
- 3.
The integrated health record format is identified by its
- A.
Arrangement according to the source of the information
- B.
Association of treatment and therapies with patient problems
- C.
Organization of reports in strict chronological date order
- D.
Standarized forms as recommended by the JCAHO
Correct Answer
C. Organization of reports in strict chronological date order -
- 4.
Regulations about physician completion of health records are developed by the
- A.
Health information management department
- B.
Acute care facility's medical staff
- C.
Health care facility's governing body
- D.
Hospital's administrative offices
Correct Answer(s)
B. Acute care facility's medical staff
C. Health care facility's governing body -
- 5.
Which of the following demonstrates the personal use of the health record?
- A.
Diagnostic index that contains ICD-9-CM codes on Sally Smith
- B.
Utilization review committee minutes concerning patient Sally Smith
- C.
Sally Smith's emergency department record dated January 1
- D.
Emergency department log containing a January 1 entry for Sally Smith
Correct Answer
C. Sally Smith's emergency department record dated January 1 -
- 6.
Which of the following demonstrates the personal use of the health record?
- A.
Information from Sally Smith's record included in a hospital statistical report
- B.
JCAHO survey of 100 records, including that of Sally Smith
- C.
Quality assurance study that contains information from Sally Smith
- D.
Malpractice case brought to trial that includes Sally Smith's record as evidence
Correct Answer
D. Malpractice case brought to trial that includes Sally Smith's record as evidence -
- 7.
Susan is a nurse who brings to your attention an error in the health record. She is uncertain how to make the correction. What would Susan's first step be in amending an error in a health record?
- A.
Drawing a single line through the error
- B.
Obliterating the incorrect document
- C.
Documenting the reason for the error
- D.
Obtaining the supervisor's co-signature
Correct Answer
A. Drawing a single line through the error -
- 8.
A final progress note may be substituted for a discharge summary when a (an)
- A.
Patient's hospitalization is under 48 hours' duration with minor problems
- B.
Circumcised newborn who develops an infection is discharged within 48 hours
- C.
Obstetrical patient delivers a healthy female newborn via cesarean section
- D.
Expected death of a terminal patient occurs within 48 hours of admission
Correct Answer
A. Patient's hospitalization is under 48 hours' duration with minor problems -
- 9.
The reanalysis of health records refers to
- A.
Analysis after health providers have worked on records, but prior to permanent filing
- B.
The assembly of the health record upon receipt from the facility's nursing units
- C.
Authentication of incomplete health records after initial analysis has been done
- D.
Computerized abstracting of health records after the provider has completed them
Correct Answer
A. Analysis after health providers have worked on records, but prior to permanent filing -
- 10.
Reports that summarize administration of therapeutic radiation are documented
- A.
At the conclusion of the administration of each radiation therapy session
- B.
On a weekly basis, summarizing several radiation therapies administered
- C.
By the practitioiner administering the radiation therapy, at least monthly
- D.
At the end of the therapeutic radiation threatment for the particular patient
Correct Answer
D. At the end of the therapeutic radiation threatment for the particular patient -
- 11.
A postanesthesia evaluation is documented in the patient's record by the practitioner administering the anesthetic
- A.
Immediatley upon conclusion of the surgery
- B.
Within 24 hours after they surgery is performed
- C.
Within 48 hours after the surgery is performed
- D.
And authenticated by the patient's surgeon
Correct Answer
B. Within 24 hours after they surgery is performed -
- 12.
The major advantages of the problem-oriented health record include all of the following EXCEPT:
- A.
It requires the attending physician to consider all of the patient's problems
- B.
It is easily accepted by physicians, nurses, and allied health professionals
- C.
It clearly indicates the goals and methods of the physician in treating the patient
- D.
It allows physicians and others to follow the course of any one problem more easily
Correct Answer
B. It is easily accepted by physicians, nurses, and allied health professionals -
- 13.
The master patient index should be kept
- A.
For 25 years
- B.
For 10 years
- C.
For 5 years
- D.
Permanently
Correct Answer
D. Permanently -
- 14.
With alphabetical filing, which of the following names would be filed first?
- A.
S. Peter Jones
- B.
Steven Peter Jones
- C.
Stephen Peter Jones
- D.
S. Jones
Correct Answer
D. S. Jones -
- 15.
Divorce complicates which type of numbering system?
- A.
Social security
- B.
Family
- C.
Unit
- D.
Serial-unit
Correct Answer
B. Family -
- 16.
Which system makes it easiest to purge records for microfilming?
- A.
Terminal digit filing
- B.
Serial-unit numbering
- C.
Unit numbering
- D.
Straight numeric filing
Correct Answer
B. Serial-unit numbering -
- 17.
Which would be considered a major component of the record control function?
- A.
Requisition slip
- B.
Master patient index
- C.
Number index
- D.
File shelving
Correct Answer
A. Requisition slip -
- 18.
Which represents records filed within a primary section in terminal digit order?
- A.
00-00-52, 01-00-52, 02-00-52, 03-00-52
- B.
00-00-52, 00-00-53, 00-00-54, 00-00-55
- C.
00-00-52, 01-00-53, 02-00-54, 03-00-55
- D.
00-01-52, 00-02-53, 00-03-54, 00-04-55
Correct Answer
A. 00-00-52, 01-00-52, 02-00-52, 03-00-52 -
- 19.
Which would be the chief criterion for determining record inactivity?
- A.
Statute of limitations for the state in which health records are generated
- B.
Amount of space available for efficient storage of newer health records
- C.
Number of filing personnel available to effectively retrieve or refile records
- D.
Equipment used to store records in the health information department
Correct Answer
B. Amount of space available for efficient storage of newer health records -
- 20.
The terminal digit file area requires 2000 file guides. What is the pattern of file guides?
- A.
00-00-00, 00-05-00, 00-10-00, 00-15-00
- B.
00-00-00, 00-50-00, 01-00-00, 01-50-00
- C.
00-00-00, 00-00-05, 00-00-10, 00-00-15
- D.
00-00-00, 00-00-50, 00-01-00, 00-01-50
Correct Answer
A. 00-00-00, 00-05-00, 00-10-00, 00-15-00 -
- 21.
The four major sections of a problem-oriented health record are:
- A.
Database, problem list, initial plans, progress notes
- B.
Problem list, SOAP notes, nursing notes, graphic sheets
- C.
History and physical, problem list, SOAP notes, resume
- D.
Initial plans, problem list, SOAP notes, nursing notes
Correct Answer
A. Database, problem list, initial plans, progress notes -
- 22.
The inpatient's record generally begins in the
- A.
Facility's admitting department
- B.
Attendig physician's office
- C.
Hospital nursing station
- D.
Preadmission testing department
Correct Answer
A. Facility's admitting department -
- 23.
Which of the following would be found in a history report?
- A.
Review of systems
- B.
Differential diagnosis
- C.
Blood pressure and pulse
- D.
The patient's appearance
Correct Answer
A. Review of systems -
- 24.
The diagnosis recorded at the conclusion of the history and physical is the
- A.
Provisional diagnosis
- B.
Principal diagnosis
- C.
Primary diagnosis
- D.
Chief diagnosis
Correct Answer
A. Provisional diagnosis -
- 25.
Color coding of health record folders helps prevent
- A.
Misnumbering of health records
- B.
Misfiling of health record folders
- C.
Misinterpretation of record content
- D.
Misplacement of forms in the record
Correct Answer
B. Misfiling of health record folders -
- 26.
Which organizations' directives establish minimum contents of a health record?
- A.
JCAHO, state licensing regulations, Conditions of Participation
- B.
State health department rules, Conditions of Participation, JCAHO
- C.
Conditions of Participation, JCAHO, Memo of Understanding
- D.
State licensing regulations, JCAHO, Memo of Understanding
Correct Answer
A. JCAHO, state licensing regulations, Conditions of Participation -
- 27.
Progress notes
- A.
Are to be documented at least one daily for each patient in the acute care facility
- B.
May or may not contain an admission note focumented by the attending physician
- C.
Include a discharge note that is documented at the conclusion of the patient's stay
- D.
Should consist of information documented in the history of physical examination
Correct Answer
C. Include a discharge note that is documented at the conclusion of the patient's stay -
- 28.
Quantitative analysis of the health record would include review for
- A.
Required authentication of all entries
- B.
Use of abbreviations on the face sheet
- C.
Potentially compensable events
- D.
Consistency in documentation of provider entries
Correct Answer
A. Required authentication of all entries -
- 29.
An infant's record is
- A.
Filed with the mother's record only if the infant was a premature newborn
- B.
Separate from the mother's record and contains a few routine forms and reports
- C.
Filed with the mother's record if the infant is normal (i.e., healthy newborn)
- D.
Separate from them other's record if she experienced no delivery complications
Correct Answer
B. Separate from the mother's record and contains a few routine forms and reports -
- 30.
If a patient falls while in the hospital, an incident form is generated and
- A.
A copy is filled in the patient's health record with the original forwarded to administration
- B.
Reference ismade in the health record that an incident report was generated
- C.
Documentation of the fall and treatment rendered is recorded inthe patient's health record
- D.
The risk manager meets with the patient to discuss this potentially compensable event
Correct Answer
C. Documentation of the fall and treatment rendered is recorded inthe patient's health record -
- 31.
Which filing system organizes records in strict chronological order?
- A.
Terminial digit
- B.
Middle digit
- C.
Stright numeric
- D.
Serial numeric
Correct Answer
C. Stright numeric -
- 32.
The major advantage of straight numeric filing is
- A.
Ease in training of employees who file
- B.
Increase in health record confidentiality
- C.
Ability to monitor file clerk filing activities
- D.
Reduction in misfiles of health records
Correct Answer
A. Ease in training of employees who file -
- 33.
The terminal digit number filed first in the following series is
- A.
50-63-24
- B.
75-63-24
- C.
75-61-23
- D.
45-52-24
Correct Answer
C. 75-61-23 -
- 34.
Which would provide a chronological listing of all patient admissions?
- A.
Master patientindex
- B.
Computer abstracts
- C.
Patient register
- D.
Number control log
Correct Answer
C. Patient register -
- 35.
Which type of microfilm has the greatest storage density?
- A.
Aperture cards
- B.
Roll film
- C.
Microfiche
- D.
Microfilm jackets
Correct Answer
B. Roll film -
- 36.
A cancer registry program must acheive which follow-up rate to receive approval by the American College of Surgeons?
- A.
70%
- B.
80%
- C.
90%
- D.
100%
Correct Answer
C. 90% -
- 37.
The best application for bar coding in the health information department is
- A.
Coding diagnoses
- B.
Medical transcription
- C.
Quantitative analysis
- D.
Health record tracking
Correct Answer
D. Health record tracking -
- 38.
Birth and death certificates should be maintained by the facility
- A.
Permanently
- B.
For 25 years
- C.
For 15 years
- D.
For 10 years
Correct Answer
A. Permanently -
- 39.
The chief complaint included in a history and physical examination report is a statement made by the
- A.
Family
- B.
Nurse
- C.
Patient
- D.
Physician
Correct Answer
C. Patient -
- 40.
Which would be considered an ancillary department?
- A.
Patient billing/collections
- B.
Environmental services
- C.
Biomedical maintenance
- D.
Clinical laboratory/pathology
Correct Answer
D. Clinical laboratory/pathology -
- 41.
Which statement would be documented in the physical examination report?
- A.
Occasional headache
- B.
Palpable axillary node
- C.
History of cholecystectomy
- D.
Pain in right upper quadrant
Correct Answer
B. Palpable axillary node -
- 42.
Which is the most important consideration in designing a form?
- A.
Spacing needed for typing
- B.
Purpose and need for it
- C.
Number of copies included
- D.
Information to be documented
Correct Answer
B. Purpose and need for it -
- 43.
Which is documented in the physical examination report?
- A.
Review of systems
- B.
Present illness
- C.
General survey
- D.
Chief complaint
Correct Answer
C. General survey -
- 44.
All would be contained in thephysical examination report EXCEPT:
- A.
Rebound tenderness
- B.
Rales and rhonchi
- C.
Thrist and dizziness
- D.
Negative Romberg sign
Correct Answer
C. Thrist and dizziness -
- 45.
Standing orders
- A.
Must be authenticated by the physician after being filed in the chart
- B.
Can be excluded from the record if they are posted in the nursing unit
- C.
May be presigned by the physician prior to dupicating the orders
- D.
Need to be signed only if the attending physician alters the orders
Correct Answer
A. Must be authenticated by the physician after being filed in the chart -
- 46.
A hospital administrator requests the health information management department to provide a report detailing the number of incompleted discharged health records during the past 6 months. Such a report would be the result of a(an)
- A.
Survey of diagnostic and procedural indexes
- B.
Review of discharge lists for the past six months
- C.
Analysis of health records for deficiencies
- D.
Breakdown of records according to entry omissions
Correct Answer
C. Analysis of health records for deficiencies -
- 47.
The JCAHO requires creation of a new record for emergency patients
- A.
Upon the patient's first visit to the emergency department
- B.
Each time the patient is seen in the emergency department
- C.
When the patient is diagnosed with a different condition
- D.
If the patient has changed his or her primary physician
Correct Answer
B. Each time the patient is seen in the emergency department -
- 48.
The first step in developing a problem-oriented record is
- A.
Obtaining a patient database
- B.
Documenting the problem list
- C.
Recording SOAP progress notes
- D.
Writing initial plans for the patient
Correct Answer
A. Obtaining a patient database -
- 49.
The P in the SOAP note of the problem-oriented record refers to the
- A.
Patient's progress that has been demonstrated in response to treatment
- B.
Diagnostic, therapeutic, and educational plans that are being developed
- C.
Documentation of a particular problem in the patient's progress note
- D.
Physical assessment conducted on the patient and documented
Correct Answer
B. Diagnostic, therapeutic, and educational plans that are being developed -
- 50.
Patients admitted to the hospital on September 18th were issued the following patient nubmers: 9010, 2053, 9011, 9012, 3155, 0381. Which numbering system is being used?
- A.
Serial
- B.
Unit
- C.
Serial-unit
- D.
Terminal digit
Correct Answer
B. Unit -
Quiz Review Timeline +
Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.
-
Current Version
-
Mar 21, 2022Quiz Edited by
ProProfs Editorial Team -
Aug 04, 2009Quiz Created by
Mathewes48
- Abdomen Quizzes
- Addiction Quizzes
- Aging Quizzes
- Arthritis Quizzes
- Beauty Quizzes
- Blood Quizzes
- Body Quizzes
- Bone Quizzes
- Brain Quizzes
- Child Health Quizzes
- Dermatology Quizzes
- Digestive System Quizzes
- Disease Quizzes
- Fertility Quizzes
- First Aid Quizzes
- Hair care Quizzes
- Health And Nutrition Quizzes
- Health And Wellness Quizzes
- Health Policy Quizzes
- Health Psychology Quizzes
- Health Worldwide Quizzes
- Hearing Quizzes
- Heart Quizzes
- Hospital Quizzes
- Illness Quizzes
- Injury Quizzes
- Kidney Quizzes
- Liver Quizzes
- Lung Quizzes
- Medical Quizzes
- Mental Health Quizzes
- Nose Quizzes
- Nutrition Quizzes
- Obesity Quizzes
- Ophthalmology Quizzes
- Patient Quizzes
- Patient care Quizzes
- Pharmacy Quizzes
- Pregnancy Quizzes
- Puberty Quizzes
- Public Health Quizzes
- Respiratory System Quizzes
- Sleep Quizzes
- Stress Quizzes
- Surgery Quizzes
- Surgical Instruments Quizzes
- Throat Quizzes
- Weight Quizzes
- Wellness Quizzes
Back to top