CCA Exam Domain 3 Questions With
Correct Answers
Which of the following elements is not a component of mos patient records
A. Patient identification
B Clinical history
C. Financial information
D. Test results - answerFinancial information
Identify where the following information would be fou...
Which of the following elements is not a component of mos patient records
A. Patient identification
B Clinical history
C. Financial information
D. Test results - answer✔Financial information
Identify where the following information would be found in an acute care record: Following
induction of an adequate general anesthesia, and with the patient supine on the padded table, the
left upper extremity was prepped and draped in the standard fashion
A. Anesthesia report
B. Physician progress notes
C. Operative Report
D. Recovery room record - answer✔Operative report
Identify where the following information would be found in the acute care record CBC, WBC
12.0, RBC 4.65, HGB 14.8, MCV 93?
A. Medical laboratory report
B. Pathology report
C. Physical examination
D. Physician orders - answer✔Pathology report
Identify where the following information would be found in the acute care record: PA and lateral
chest, the lungs are clear. The heart and mediastinum are normal in size and configuration. There
are minor degenerative changes of the lower thoracic spine.
A. Medical laboratory report
B. Physical examination
D. Radiography report - answer✔Radiography report
The____ provided the impetus for standardizing health care records with minimum standards
early in the twentieth centry? - answer✔ACS
The following is documented in an acute care record. Microscopic sections are of squamous
mucous with no atypia. Where would this documentation be found?
A. History
B. Pathology report
C. Physical Examination
D. Operative Report - answer✔Pathology report
The following is documented in an acute-care record: "Admit to 3C. Diet: NPO. Meds:
Compazine 10 mg IV Q 6 PRN." In which of the following would this documentation appear?
a. Admission order
b. History
c. Physical examination
d. Progress notes - answer✔Admission order
The following is documented in an acute care record: 38 weeks of gestation, Apgars 8/9. 6#
9.8oz, good cry. Where would this documentation be found?
A. Admission note
B. Clinical laboratory
C. Newborn record
D. Physician order - answer✔Newborn record
The following is documented in an acute care record: Atrial fibriliation with rapid ventricular
response, left axis deviation, left bundle branch block. Where would this documentation be
found?
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