Registered Health Information Technician! Trivia Test! Quiz
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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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 13.The master patient index should be kept
- A.
For 25 years
- B.
For 10 years
- C.
For 5 years
- 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
- 15.Divorce complicates which type of numbering system?
- A.
Social security
- B.
Family
- C.
Unit
- D.
Serial-unit
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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