RHIA Practice Exam Questions and Answers (100% Pass)
All states have a health department with a division required to track and record communicable
diseases. When a patient is diagnosed with one of the diseases from the health department's
communicable disease list, the public health department must be notified. Which of the following
diseases would be reportable to the public health department?
a. Crohn's disease
b. Hepatitis B
c. Huntington's Chorea
d. Tic douloureux - ✔️✔️b. Hepatitis B
: caused by hepatitis B virus and is considered communicable disease.
The four major issues that have an impact on the record retention policy of a healthcare facility
are patient care, research, space, and:
a. Destruction policy
b. Readmission rates
c. Microfilm costs
d. Legal and statutory requirements - ✔️✔️d. Legal and statutory requirements
Which terminology provides a common language that enables a consistent way of capturing,
sharing, and aggregating health data across specialties and sites of care for electronic health
record (EHR) adoption?
a. SNOMED CT
b. ICD-10-CM
c. OTLP
d. DEEDS
aAs a core - ✔️✔️a. SNOMED CT
: Systematized Nomenclature of Medicine Clinical Terminology (SNOMED CT) provides a
common language that enables a consistent way of capturing, sharing, and aggregating health
data across specialties and sites of care.
Facility-based cancer registries receive approval as part of the facility cancer program from
which of the following agencies?
a. American Cancer Society
b. National Cancer Institute
c. American College of Surgeons
d. National Cancer Registrars Association - ✔️✔️c. American College of Surgeons
Which type of record is arranged in strictly chronological order?
a. Sectional
b. Consolidated
c. Integrated
d. Source-oriented - ✔️✔️c. Integrated
: strictly chronological order, information and sources of info are mixed together according to the
date on the entries.
The SOAP format is an example of a structured progress note commonly used with the ______
health record.
a. integrated system
b. patient-oriented
c. source-oriented
d. problem-oriented - ✔️✔️d. Problem-oriented
:The subjective, objective, assessment, and plan (SOAP) format is an example of a structured
progress note commonly used with the problem-oriented health record
Which of the following clinicians would use the DSM-V system to assist with establishing a
diagnosis?
b. Registered dietitians
c. Registered nurses
d. Practicing psychiatrists - ✔️✔️d. Practicing psychiatrists
What data set provides the underpinning of the home health prospective payment system (HH
PPS)?
a. HAVEN
b. MHDS
c. OASIS
d. UHDDS - ✔️✔️c. OASIS
The primary purpose of a Minimum Data Set in healthcare is to:
a. Define reportable data for federally funded programs
b. Mandate all data that must be contained in a health record
c. Recommend common data elements to be collected in health records
d. Standardize medical vocabulary - ✔️✔️c. Recommend common data elements to be collected in
health records.
A newborn is treated for pulmonary valve stenosis, with stretching of the valve opening
accomplished via a percutaneous balloon pulmonary valvuloplasty. In ICD-10-PCS, what root
operation would be coded for this procedure?
a. Alteration
b. Dilation
c. Repair
d. Restriction - ✔️✔️b. Dilation
: this procedure was performed as a percutaneous Dilation. The root operation Dilation is
expanding an orifice or the lumen of a tubular body part
Which of the following is an example of demographic data?
a. 125 Oak Street, Smallville, KS
b. Mother died of heart disease
c. Temperature: 100 degrees F
d. History of appendectomy at age 4 - ✔️✔️a. 125 Oak Street, Smallville, KS
: (factual details about the individual)
Medicare requires that a history and physical examination be completed within what time frame
after a patient's admission to a hospital?
a. 12 hours
b. 24 hours
c. 48 hours
d. 72 hours - ✔️✔️b. 24 Hours
:CMS requires that the history and physical examination be completed no more than 30 days
before or 24 hours after admission and the report must be placed in the record within 24 hours
after admission
Highland Hospital requires all dates be recorded in its clinical information system as
MM/DD/YYYY. This required data definition and format should be part of the________.
a. database administration system
b. data dictionary
c. decision support system
d.data modeling - ✔️✔️b. data dictionary
: map of the database, when data is created, is should have data dictionary
Why are metadata essential in information systems?
a. They provide data safeguards
b. They identify the organization's most important data assets
c. They provide the means to locate, retrieve, use, and manage data
d. They identify the disposition of data - ✔️✔️c. The provide the means to locate, retrieve, use, and
manage data
: metadata are referred to as "data about data"
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