Nest 0 Cart
Nest Account
Popular Exams
All Categories...
Nest
Nest 0
Contact
Log In / Sign Up
Copyright 2024 © store. All rights reserved.
Home AHIMA RHIA

AHIMA RHIA Exam Practice Questions (P. 5)

  • Full Access (1826 questions)
  • Six months of Premium Access
  • Access to one million comments
  • Seamless ChatGPT Integration
  • Ability to download PDF files
  • Anki Flashcard files for revision
  • No Captcha & No AdSense
  • Advanced Exam Configuration
Get Contributor Access
Question #41
Under which of the following conditions can an original patient health record by physically removed from the hospital?
  1. A
    when the patient is brought to the hospital emergency department following a motor vehicle accident and, after assessment, is transferred with his health record to a trauma designated emergency department at another hospital
  2. B
    when the directory of health records is acting in response to a subpoena duces tecum and takes the health record to court
  3. C
    when the patient is discharged by the physician and at the time of discharge is transported to a long-term care facility with his health record
  4. D
    when the record is taken to a physician’s private office for a follow-up patient visit postdischarge

Correct Answer:
B

Question #42
According to the following table, the most serious record delinquency problem occurred in

  1. A
    April
  2. B
    May.
  3. C
    June
  4. D
    cannot determine from this data. A

Correct Answer:
Explanation

Question #43
Using the SOAP style of documenting progress notes, choose the "subjective" statement from the following.
  1. A
    sciatica unimproved with hot pack therapy
  2. B
    patient moving about very cautiously, appears to be in pain
  3. C
    adjust pain medication; begin physical therapy tomorrow
  4. D
    patient states low back pain is as severe as it was on admission

Correct Answer:
D

Question #44
In 1987, OBRA helped shift the focus in long-term care to patient outcomes. As a result, core assessment data elements are collected on each resident as defined in the
  1. A
    UHDDS.
  2. B
    MDS.
  3. C
    Uniform Clinical Data Set.
  4. D
    Uniform Ambulatory Core Data.

Correct Answer:
B

Question #45
As the chair of a Forms Review Committee, you need to track the origin of data in a particular field and the security levels applicable to that field. Your best source for this information would be the
  1. A
    facility’s data dictionary.
  2. B
    MDS.
  3. C
    Glossary of Health Care Terms.
  4. D
    UHDDS.

Correct Answer:
A

Question #46
You notice on the admission H&P that Mr. McKahan, a Medicare patient, was admitted for disc surgery, but the progress notes indicate that due to some heat irregularities, he many not be a good surgical risk. Because of your knowledge of COP regulations, you expect that a(n)_______________ will be added to his health record
  1. A
    interval summary.
  2. B
    consultation report.
  3. C
    advance directive.
  4. D
    interdisciplinary care plan.

Correct Answer:
B

Question #47
An example of objective entry in the health record supplied by a health care practitioner is the
  1. A
    past medical history.
  2. B
    physical assessment.
  3. C
    chief complaint.
  4. D
    review of systems.

Correct Answer:
B

Question #48
You have been appointed as chair of the Health Record Committee at a new hospital. Your committee has been asked to recommend time-limited documentation standards for inclusion in the Medical Staff Bylaws, Rules and Regulations. The committee documentation standards must meet the standards of both the Joint
Commission and the Medicare Conditions of Participation. The standards for the history and physical exam documentation are discussed first. You advise them that the time period for completion of this report be should be set at
  1. A
    12 hours after admission.
  2. B
    24 hours after admission.
  3. C
    12 hours after admission or prior to surgery.
  4. D
    24 hours after admission or prior to surgery.

Correct Answer:
D

Question #49
A pathologist on the Health Record Committee asks about the time requirement for reporting a provisional diagnosis when an autopsy is performed. You respond confidently that this information must be on the health record within
  1. A
    24 hours.
  2. B
    3 days.
  3. C
    15 days.
  4. D
    60 days.

Correct Answer:
B

Question #50
A surgeon on the Health Record Committee voices a concern that, although he has been told that the operative report is to be dictated immediately after surgery, he has often had to deal with the problem of transcription backlog which prevented the report from getting on the health record in a timely manner. Your advice to this doctor is that when a known backlog exists, he should
  1. A
    provide the dictated tape to his staff.
  2. B
    request a "stat" report.
  3. C
    write a detailed operative note in the record.
  4. D
    request that administration hire more transcriptions.

Correct Answer:
C

Previous Questions Next Questions

All Pages