RHIA Domain 3 Practice Exam Questions and Answers
How long should the master patient index be maintained?
a. For at least 5 years
b. For at least 10 years
c. For at least 25 years
d. Permanently - Answer-D
Community Memorial Hospital had 25 inpatient deaths, including newborns, during the m...
RHIA Domain 3 Practice Exam Questions
and Answers
How long should the master patient index be maintained?
a. For at least 5 years
b. For at least 10 years
c. For at least 25 years
d. Permanently - Answer-D
Community Memorial Hospital had 25 inpatient deaths, including newborns, during the
month of June. The hospital had a total of 500 discharges for the same period, including
deaths of adults, children, and newborns. The hospital's gross death rate for the month
of June was:
a. 0.05%
b. 2%
c. 5%
d. 20% - Answer-C
Dr. Smith orders 500 mg of penicillin by mouth three times a day for Jane Doe, who is
being seen in the hospital emergency department. The computer sends an alert to Dr.
Smith to tell her the patient, Jane Doe, is allergic to penicillin. What type of computer
system is Dr. Smith using?
a. Clinical data repository
b. Data exchange standard
c. Clinical decision support
d. Health informatics standard - Answer-C
The user needs a list of all of the patients that were diagnosed a cerebral infarction or a
cerebral hemorrhage. This is an example of a situation in which what type of search
should be used?
a. Structured query language
b. Wildcard search
c. Truncation
d. Boolean search - Answer-D
Which of the following outcomes most likely results from a data entry error in the MPI?
a. John Stevenson was sent home with a prescription to continue 0.625 Digoxin instead
of the 0.0625 dosage that he was initially prescribed.
b. John Stevenson was assigned to room 1203 instead of 1213.
c. John Stevenson was diagnosed with indigestion instead of appendicitis.
d. John Stevenson was entered into the system as a new patient and assigned a new
medical record number instead of being matched to the John W. Stevenson already in
the system and keeping his current medical record number. - Answer-D
,The technology commonly utilized for automated claims processing (sending bills
directly to third-party payers) is:
a. Optical character recognition
b. Bar coding
c. Neural networks
d. Electronic data interchange - Answer-D
A hospital is undergoing a major reconstruction project and a new director of nursing
has been hired. At the same time, the nursing documentation component of the EHR
has been implemented. The fact that nursing staff satisfaction scores have risen is:
a. A result of anecdotal benefits of EHR
b. A result of qualitative benefits of EHR
c. A result of reconfiguration of the nursing units
d. Uncertain due to existence of confounding variables - Answer-D
Using the admission criteria provided, determine if the following patient meets severity
of illness and intensity of service criteria for admission.
John Smith presents to the emergency room at 1500 hours with a fever of 101 degrees
F, which he has had for the last three days. He was discharged six days ago following a
colon resection. X-rays show a bowel obstruction and the plan is to admit him to surgery
in the morning.
a. The patient does not meet both severity of illness and intensity of service criteria.
b. The patient does meet both severity of illness and intensity of service criteria.
c. The patient meets intensity of service criteria but not severity of illness criteria.
d. The patient meets severity of illness criteria but not intensity of service criteria. -
Answer-B
The generic formula for calculating rate of occurrence is used to calculate hospital-
acquired infections in an intensive care unit in a given month. If the number of hospital-
acquired infections is the numerator, the denominator would be the:
a. Number of patients who died of infection
b. Number of deaths in the ICU
c. Number of discharges (including deaths) of ICU patients
d. Total number of hospital discharges - Answer-C
Follow-up data about a patient's progress or status collected at regular intervals is
primarily associated with a(n):
a. Patient index
b. Disease registry
c. Enterprise master patient index
d. Patient medical record - Answer-B
This type of chart is used to focus attention on any variation in a process and helps the
team to determine whether that variation is normal or a result of special circumstances.
,a. Pareto chart
b. Pie chart
c. Control chart
d. Line chart - Answer-C
What is the formatting problem in the following table?
Medical Center Hospital Admission Types
Elective 2,843 62.4
Emergency admission 942 37.6
Total 3,785 100.0
a. The variable names are missing
b. The title of the table is missing
c. The column headings are missing
d. The column totals are inaccurate - Answer-C
Which of the following would likely be recorded on an information systems issues log?
a. Alan is present every day there is a system test.
b. Betty reported receiving 25 erroneous e-mail messages.
c. Dr. Brown effectively uses e-prescribing.
d. John requested a supply of tamperproof paper for his office. - Answer-B
Dr. Jones comes into the HIM department and requests that the HIM director provide a
list of all of his patients from the previous year in which the principal diagnosis of
myocardial infarction was indicated. Which index would the HIM director query from to
provide Dr. Jones with this information?
a. Disease index
b. Master patient index
c. Operative index
d. Physician index - Answer-A
An EHR system is programmed by the vendor not to release certain patient data
because it is considered proprietary to the vendor and a healthcare organization. The
vendor is protecting its own business interests above that of the patient. This is an
example of:
a. Continuity of care record
b. Graphic user interface
c. HIPAA security breach
d. Health information blocking - Answer-D
Which of the following is the goal of an MPI ongoing maintenance program?
a. To maintain low creation rates for duplicates, overlaps, and overlays
b. To maintain the readmission rate for the facility
c. To carry out treatment, payment, and operations
d. To ensure appropriate state regulations of insurance and health plans - Answer-A
, What type of graph is the following, which is used to present the frequency distribution
of a single numeric variable?
a. Box plot
b. Bar plot
c. Histogram
d. Line plot - Answer-C
A physician is concerned that the data patients enter into an EHR is not as reliable as
data entered by another provider. What function serves to distinguish the source of data
in an EHR?
a. Data dictionary
b. Data provenance
c. Data quality
d. Data registry - Answer-B
Community Memorial Hospital discharged nine patients on April 1st. The length of stay
for each patient is shown in the following table. What is the mode length of stay for this
group of patients?
PatientNumber of DaysA1B5C3D3E8F8G8H9I9
a. 5 days
b. 6 days
c. 8 days
d. 9 days - Answer-C
What term is used to describe the ability of one hospital's EHR from Vendor ABC to
communicate flawlessly with another hospital's EHR from Vendor XYZ without any
glitches or loss of data integrity?
a. Interoperability
b. Electronic health record
c. Health information technology
d. Health information exchange - Answer-A
For an EHR to provide robust clinical decision support, what critical element must be
present?
a. Structured data
b. Internet connection
c. Physician portal
d. Standard vocabulary - Answer-A
A requirements specification that lists what is needed from the vendor to support
interoperability is necessary to:
a. Create a checklist of user concerns about information systems
b. Identify specific features and functions that must be in an information system
c. Make a migration path for future phases of information systems
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