RHIA DOMAIN 1 EXAM 1 STUDY SET QUESTIONS AND ANSWERS 2024/2025
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Course
RHIA
Institution
RHIA
Mildred Smith was admitted to a nursing facility with the following information: "Patient is
being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical
information was listed along with a summary of the care already provided. This information is
documented on the:
a.) A...
RHIA DOMAIN 1 EXAM 1 STUDY SET
QUESTIONS AND ANSWERS 2024/2025
Mildred Smith was admitted to a nursing facility with the following information: "Patient is
being admitted for Organic Brain Syndrome." Underneath the diagnosis her medical
information was listed along with a summary of the care already provided. This information is
documented on the:
a.) Admitting physical evaluation record
b.) Patient's rights acknowledgement form
c.) Release of Information form
d.) Transfer Record
→ D. Transfer Record
→ For further explanation look at page 160
A 65 y/o white male was admitted to the hospital on a 1/15 complaining of abdominal pain.
The attending physician requested an upper GI series and a laboratory evaluation of CBC
and UA. The X-ray revealed possible cholelithiasis and the UA showed an increase in white
blood cell count. The patient was taken to surgery for an exploratory laparoscopy and a
ruptured appendix was discovered. The chief complaint was:
d. Ensure the legal signature of an individual making a correction accompanies the correction.
→ A. Obliterate Errors
→ For further explanation see page 160.
All documentation entered in the medical record relating to the patient's diagnosis and
treatment are considered this type of data:
a. Clinical
b. Identification
c. Secondary
d. Financial
→ A. Clinical
→ For further explanation see page 160.
In a long-term care setting, these are problem-oriented frameworks for additional patient
assessment based on problem identification items (triggered conditions):
a. Resident Assessment Protocols (RAPs)
b. Resident Assessment Instrument (RAIs)
c. Utilization Guidelines (UG)
d. Minimum Data Sets
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