question

I am creating the data dictionary. My next decision is the type of field that the zip code should be. I should choose which of the following? a) numeric b) alphabetic c) alphanumeric d) auto-numbering

answer

c) alphanumeric

question

Which of the following attributes is a foreign key in the lab test entity? a) physician number b) name of lab test c) order number d) result

answer

a) physician number

question

How many patients were discharged on August 12, 2010? This is an example of what type of query?

answer

natural language query

question

I need to choose a database model that allows us to store images, video as well as data. My obvious choice is:

answer

object-oriented database

question

We recently installed a database that is flexible and easy to use. We must have installed what type of database?

answer

relational database

question

I need a technology that allows data to be stored in one place and be retrieved by many systems. My obvious choice is:

answer

database

question

In our human resource system, our degree and major are entered in the same field. This example of what type of problem?

answer

normalization

question

I need to control what the nurses have access to in the database. I should use the _____ system.

answer

database management

question

We have database that is used by many different systems but is only updated periodically. This is our ______.

answer

data warehouse

question

T or F: An advantage of the relational data model is the use of tables.

answer

T

question

We are scheduled to implement a new financial information system in six months. Which of the following implementation model is safest for the organization? a) parallel b) phased c) pilot d) big bang

answer

a) parallel

question

We are conducting a site visit for an EHR that we are considering buying. This is an example of a(n) _____.

answer

evaluation

question

I do not want to drag out the implementation of our new lab system. Which go live strategy is quickest?

answer

cutover

question

We started out developing a simple database to collect patient satisfaction data. It became more and more complex. this is an example of ___.

answer

scope creep

question

In our new system, the service is stored as a three character alphabetic field. Our old system stores it as a two digit number. What do I need to do? a) integrate b) interface c) select go-live model d) convert the data

answer

d) convert the data

question

I am collecting data from system users regarding their needs. I must be in which stage of the system life cycle?

answer

analysis

question

T or F: The HIM director and other stakeholders make the decision on which EHR is purchased.

answer

T

question

Our critical path just slipped. What does this mean?

answer

Our implementation will be delayed

question

We are using an iterative process to develop the system. We are using _____.

answer

prototyping

question

I refuse to settle for a substandard information system. I want the best of the best. What strategy will I utilize?

answer

best of fit

question

T or F: I am a project manager. My job includes keeping the project on target, change management, and software programming.

answer

F

question

T or F: All hospital employees should receive training on the EHR being implemented.

answer

F

question

T or F: Vendor X vows that they have the copyright to sell the software. This is an example of a warranty.

answer

T

question

In order to determine what the users need in an information system, I should utilize a(n) _____.

answer

questionnaire

question

I need to learn about the vendor's financial status, the number of installs of the information system, sample resumes, and more. I need to review the request for _____.

answer

proposal

question

I want a list of Medicare patients discharged yesterday. This report would require what type of operation?

answer

filtering

question

In developing our forms management program, we should address which of the following: a) backscanning b) OCR c)bar code symbology d) retrieval strategies

answer

c) bar code symbology

question

Our exchange time for our imaging system is abysmal. This meanst that:

answer

It takes too long for the jukebox to access and retrieve the documents.

question

Technical maintenance includes which of the following: a) scanning b) prepping pages for scanning c) backscanning d) backing up files

answer

d) backing up files

question

I am filling in missing data and correcting some data entry problems. I am doing:

answer

data cleansing

question

T or F: Charts can be scanned immediately following discharge or after the chart is complete.

answer

T

question

I just looked up a patient's diagnosis in the cancer registry. What kind of data is this?

answer

secondary data

question

I want to take a piece of paper, scan it, and then be able to edit the data. What technology should I use?

answer

optical character recognition

question

I am listing the advantages of document imaging. Which of the following would I include in my list? a) retrieval of large number of records b) fear of change c) increased use of computer technology d) lack of manipulation

answer

a) retrieval of large number of records

question

T or F: The recommendation is for images to be stored on the hard drive permanently.

answer

F

question

T or F: Business continuity planning is the term used to describe the routine maintenance performed.

answer

F

question

T or F: We need a redundant back-up server that mirrors the system at our facility.

answer

T

question

T or F: Face validity is a type of data cleansing.

answer

T

question

I have been asked to justify my decision to scan immediately after discharge. Which of the following l would I say to support this decision? a) allows coding to performed remotely b) physicians have to be trained c) only part time staff required d) charts are not immediately available

answer

a) allows coding to be performed remotely

question

I need to pull up all of the patients who were discharged between December 1 through December 31 except newborns. This is an example of a situation where what type of search should be used?

answer

Boolean

question

I have mandated that the social security number will be displayed in the xxx-xx-xxxx format. This is an example of the use of a _____.

answer

mask

question

What level of data model that describes how the data is stored?

answer

physical data model

question

Which of the following is an example of an entity? a) radiology exam b) name of test c) date of test d) ordering physician

answer

a) radiology exam

question

We just added a new system that changed the way that data moves throughout the facility. I need to update what?

answer

data flow diagram

question

T or F: Once the system is operational and an evaluation of the implementation process is done, the implementation process is over.

answer

T

question

A new graduate asked me why we need to get support from the Chief Executive Officer for the proposed EHR. My response should be:

answer

Others in the organization follow the lead of the CEO.

question

Our selection committee is at a stalemate on the system to purchase. What should we have done to prevent this from happening?

answer

develop an objective method of selection

question

I am entering the number of days after which the bill drops, the services we perform, and other information about how we want the system to perform. What part of the implementation are we doing?

answer

setting configuration

question

I am a coder and I love workflow technology. Why would I say this?

answer

The processing of the medical record can be done simultaneously so I have charts available as soon as they are scanned.

question

The language used on the Internet is ____.

answer

HTML

question

Within a LAN, the security device used to control access from the Internet is known as ___.

answer

a firewall

question

T or F: A motherboard is a synonym for memory chips.

answer

F

question

Within the hardware of the personal computer, temporary memory is known as:

answer

cache

question

Similar to an electronic pen or pencil, this instrument would be used on smaller devices such as a PDA:

answer

stylus

question

I want to add narration to my PowerPoint slideshow, to do this, I will need to use:

answer

a microphone

question

Outsourcing release of information has been a common practice for many years. As some facilities reinsource this practice, what do we mainly attribute this to?

answer

stricter federal mandates such as HIPAA

question

I want to use a software program to assist me with the assignment of a pneumonia diagnosis on Mr. Johnson's record. What software would I choose?

answer

Encoder software

question

A chargmeaster review by HIM coding personnel is instrumental to the facility due to:

answer

annual coding updates in ICD and CPT codes.

question

To assure that a participant's rights are protected during clinical trials and studies, a researcher would first apply at the local level for a research project to ___.

answer

IRB

question

I want to make a color brochure to advertise the HIM program to recruit new students. I should use this type of software application:

answer

graphics

question

The monthly cancer conference team is looking for a software system to handle their meetings systematically so that many participants can see the calendar at once and also access the calendar to make entry changes/additions. This team would need this type of software:

answer

scheduling

question

Project management software includes all of the following EXCEPT: a) calendar b) email c) task manager d) test bank

answer

d) test bank

question

I want to find the name of a drug used in the treatment of asthma and to do this, I want to use the Internet and perform a search. After reaching the Internet's World Wide Web, I would need to use:

answer

the web browser

question

Which fo the following are NOT word processing software applications? a) WordPerfect B)Word c) Zoho d) Paradox

answer

d) Paradox

question

I want to make a graph and I only have a spreadsheet application that is made by Microsoft Corporation. What software do I use?

answer

Excel

question

Within the Microsoft's software for performing formulas for calculations, the symbol that means "multiplication" is the:

answer

*

question

Today, the powerful databases used with the large amounts of data in research and for companies who mine data at increased speeds, we see the use of this type of database:

answer

extended relational data model/object-relational

question

The MPI si an example of a(n) __________.

answer

database

question

Our national association, AHIMA, has an Internet address so that when I email someone at our national association, I must use their particular email address and use the exact extension domain address. For our national association, this domain extension is:

answer

.org

question

I was not sure about the finding of a review on a patient record and felt I needed a second opinion of an expert and as an HIM professional, I would then need the clinical expertise of a/an ____.

answer

physician advisor

question

An example of subjective data within the patient's health record would be found within the ____.

answer

chief complaint

question

The goal of the NHIN as enacted by President Bush is 2004 is to have the electronic health record operable by

answer

2014

question

T or F: MPI clean up is best when done after transitioning to an EHR.

answer

F

question

The data set developed primarily for emergency department data usage in facilities is the DEEDS and was developed by the ___.

answer

CDC

question

This data set is a standardized set of performance measures used for many employers and agencies but is mainly used for managed care:

answer

HEDIS

question

This data set was developed by the CMS and is primarily targeted for home care:

answer

OASIS

question

This data set was developed by the JC and is used to examine a health care facility's internal performance over time and to compare performance with others:

answer

ORYX

question

I reviewed the patient's record of Mr. Brown and found there was no H&P on the record at 7 hours past this patient's admission time. This would be an example of:

answer

quantitative analysis

question

I reviewed the health record of Sally Williams and found the physician stated on her post-op note the documentation of "examined after surgery." This would be an example of:

answer

Qualitative analysis

question

The 1982 marked a change in financial payments in health care services due to prospective payment. Before this, payment was based on:

answer

fee for service

question

Which of the following has the largest data capacity? a) CD-R b) CD-RW c) Blu-Ray d) DVD

answer

c) Blu-Ray

question

The agency responsible for updating the relative weights of the DRGs annually is the:

answer

CMS

question

Which of the following has the most data capacity? a) kilobyte b) megabyte c) terabyte d) gigabyte

answer

c) terabyte

question

I am setting up a network of computers in a framework to an organizational chart, I.e., a parent and child relationship. Which network am I using?

answer

tree

question

Which of the following Internet connections uses cables to transmit signals? a) fiberoptic b) satellite c) microwave d) infrared

answer

a) fiberoptic

question

T or F: A docking station is used so that smaller computers can load the data onto the Internet.

answer

F

question

All of the following are examples of bitmaps in graphical terms except: a) .accdb b) .tif c) .bmp d) .jpg

answer

a) .accdb

question

One of the most important elements within project management software is:

answer

communication

question

Chat room communication is a great tool to communicate with fellow students or have a study session as it works with the other person(s) on this basis:

answer

synchronous

question

T or F: I can burn my vendor's software onto a CD and take it home so I can work at home to help save time and save my facility overtime dollars spent since this is still work, but just not at the workplace.

answer

F

question

T or F: Rich text format was developed by Microsoft.

answer

T

question

T or F: within spreadsheet software, rows are seen vertically and columns are seen horizontally.

answer

F

question

T or F: the field is not the lowest on the hierarchy within the structure of the database.

answer

F

question

T or F: A Gantt chart might be found within scheduling software.

answer

F

question

I work in a nursing home and the data we collect must be reported. What data set should we use according to the standards?

answer

MDS-LTC

question

Two coders have found the same abbreviation on two records. One abbreviation of "O.D." was used on an eye health record to mean "right eye." The other abbreviation on the other patient's record was used to mean "overdose" on an abuse record. What data quality component is lacking here?

answer

consistency

question

T or F: A flowchart can be used to help identify redundancies as well as duplication of efforts in data quality.

answer

T

question

T or F: Requiring information into a data field is a preferred method to assure the data is captured.

answer

T

question

T or F: The patient is not the primary source of data.

answer

T

question

I have been asked to explain what source systems do. Which of the following would be my response? a) Source systems keep up with where the data is collected. b) Source systems are systems that populate the EHR. c) Source systems provide a snapshot of the patient's diagnosis, allergies, and other critical information. d) Source systems are under the control of the patient.

answer

b) Source systems are systems that populate the EHR.

question

Which component of the EHR could use bar codes to ID patients?

answer

electronic medication administration record

question

I am a physician. I need to check test results of my patient from my office. Which components of the EHR would I use?

answer

patient provider portal

question

I am nervous about implementing an EHR. Which of the following could be used to alleviate my fears? a) The EHR improves communications between healthcare providers. b) There is a lack of standards. c) EHRs are an expensive proposition. d) There is a fairly steep learning curve when implementing the EHR.

answer

a.) The EHR improves communications between healthcare providers.

question

Which function is seen in the ambulatory EHR, but not the inpatient one?

answer

practice management

question

What type of standard controls the content of the data elements?

answer

data content standards

question

Which terminology is used to capture detailed clinical information?

answer

SNOMED CT

question

With ICD-10-CM being implemented, I need a way to link the ICD-10-CM code to the ICD-9-CM code. I need to use:

answer

mapping.

question

One of the advantages of unstructured data is: a) use of templates b) data can be more specific c) use of drop down lists and radio buttons d) conversion to structured data

answer

b) data can be more specific

question

I just clicked on an icon. I must be using what to navigate through the EHR?

answer

graphical user interface

question

The messaging standard that is used for clinical and administrative data is:

answer

HL7

question

I need to be able to group similar diagnoses together. I need a ____.

answer

classification system

question

Patients have control over which of the following: a) PHR b) CCR c) EHR d) ANSI

answer

a) PHR

question

Critique this statement: The infrastructure of the EHR should include a clinical data repository. a) This is a true statement. b) False statement as infrastructure only includes hardware, neetwork, and other basic components. c) False statement as the clinical data repository has no connection to the EHR. d) False statement as the clinical data repository is another name for the EHR.

answer

a.) This is a true statement.

question

Which of the following is a legal concern regarding the EHR? a) ability to subpoena audit trails b) template design c) ANSI standards d) Data sets

answer

a) Ability to subpoena audit trails

question

What JC mandate does the chart location system assist with compliance?

answer

accessibility

question

Patient follow-up is a key part of what HIM system?

answer

cancer registry software

question

Financial information systems include all of the following except: a) accounts payable b) accounts receivable c) general ledger d) formulary

answer

d) formulary

question

I attended a fire and safety training session this year as an employee, thus my record is kept within this information system:

answer

human resources

question

Maintenance crew uses an information system to track all the inspections of the elevators within each of the buildings of the hospital and ambulatory buildings on the grounds. What information system is used to track this data?

answer

facilities management

question

The HVAC system needs repair and I can send a message through the network to their information system about this need. Their information system that would receive my "distress email" would be:

answer

facilities management

question

Which of the functionality below is more likely to be found in a birth certificate system designed by a vendor than the state? a) productivity b) submit birth certificate data c) request SSN d) order copies of birth certificates

answer

a) productivity

question

What product would identify that Dr. Smith needs to sign a discharge summary?

answer

chart deficiency

question

Which of the following systems would be used primarily by physicians, rather than HIM Department staff? a) cancer registry system b) data quality indicators system c) transcription system d) dictation system

answer

d) dictation system

question

Which of the following systems would track follow-up rates? a) ROI system b) encoder/grouper c) trauma registry d) dictation system

answer

c) trauma registry

question

I am entering the number of units of blood given to a patient during surgery, the presence or absence of a nosocomial infections, and other information from the patient's chart. What system must I be using?

answer

data quality indicator

question

I am entering the newborn's APGARs, the weight of the baby, request for SSN, name of parents, and other information. What system am I using?

answer

birth certificate

question

Where would you find a field entitled document type?

answer

transcription system

question

As a general rule, which of the following systems would be utilized by departments other than HIM? a) transcription system b) encoder/grouper c) master patient index d) tumor registry

answer

c) master patient index

question

Reports designed specifically for one time use are called what type of reports?

answer

ad hoc

question

Which of the following is an example of a function of the cancer registry software? a) checking social security death index b) entering the device implanted c) resequencing diagnoses d) invoicing requester

answer

a) checking social security death index

question

T or F: A registry tracks multiple diseases and conditions rather than specialize.

answer

F.

question

T or F: The transcription system should collect the date of transcription.

answer

T

question

A major problem with the MPI is:

answer

Duplicate record numbers

question

This system assigns medical record numbers to new patients according to the facility's policy:

answer

Registration (ADT)

question

Soundex is used within this system:

answer

MPI

question

Another name for this algorithm is "fuzzy logic":

answer

rules-based

question

The system that would print out advance directives and notice of privacy practices is the:

answer

registration (ADT)

question

Dr. Harris will be out of town next Friday and as his assistant. I need to used the information system of ____ to change all of his appointmetents from next Friday for his patients to the following Friday. What IS do I use?

answer

scheduling

question

Sterile supply services department is performing their annual inventory check. What IS will this department be using for this function?

answer

materials management

question

maintenance crew uses an IS to track all the inspections of the elevators within the hospital and ambulatory buildings on the grounds. What IS is used to track this data?

answer

facilities management

question

When HIM professionals assist in updating codes for the chargemaster, this ultimately feeds to what IS?

answer

financial

question

Which of the following departments might best use a data warehouse? a)scheduling b) materials management c) decision support d) revenue cycle

answer

c) decision support

question

T or F: Accounts payable is what the facility receives monetarily.

answer

F

question

T or F: The human resources IS is not available to all employees of the facility.

answer

T

question

T or F: The system that collects patient data at "preadmission" is registration system.

answer

T

question

Which of the following ISs describes these functions: prints barcodes to track specimens, notifies physicians of panic values, and identifies normal ranges for each test noting high, low, and panic levels. a) laboratory b)radiology c) nursing d) inventory control

answer

a) laboratory

question

How would the chargemaster affect the pharmacy IS after an order has been filled and has been given to the patient?

answer

patient's bill is charged automatically

question

Patient monitoring systems include all of the following except: a) teleradiology b) oxygen saturation rates c) vital signs d) fetal monitoring

answer

A) teleradiology

question

A radiology IS would house and maintain the procedure of: a) CBC b) methotrexate c) GI series d) TSH

answer

c) GI series

question

The clinical ISs within a facility can communicate with each other and health care providers because these are connected by the ____.

answer

network

question

T or F: PACS stands for pixel archival communication system.

answer

F

question

T or F: Pathology reports can be retrieved using the nursing information system.

answer

F

question

T or F: Demographic data are obtained from the hospital IS.

answer

T

question

T or F: Medication errors will increase by using the pharmacy IS.

answer

F

question

T or F: Nursing scheduling systems are available within the nursing IS.

answer

T

question

The data element principal diagnosis is found in ____.

answer

encoder/grouper

question

I need to enter Macon General Hospital as one of the requesters of health information. What would I use to enter the name of the facility, address, and other information?

answer

requester table

question

Which of the following is a function of the release of information software? a) track status of patient discharge b) track status of request c) duplicate medical record numbers d) resequencing diagnosis and procedure codes

answer

b) track status of request

question

This algorithm has the highest rate of success in identifying potential duplicates in the MPI:

answer

probabilistic

question

T or F: I need a door keycard so the electronic sensor on my door reader will unlock and let me in my office. I will call materials management for this.

answer

F

question

The equivalent of filmless radiology images does all of the following except: a) eliminates the need to file radiology films b) eliminates the need to purchase radiology film folders c) eliminates lost files d) increases costs for the department

answer

d) increases costs for the department

question

Smart cards include all of the follwoing statements except: a) convenient way to carry data with the patient at all times b) can provide a physician with vital data in emergency situations for proper care c) relatively inexpensive way to carry PHR d) computer chip capacity technology ranges from 8 GB to 128 GB

answer

d) computer chip capacity technology ranges from 8 GB to 128 GB

question

T or F: Propranolol is the generic drug name for Inderal.

answer

T

question

Inflammation of the inner lining of the heart is called what?

answer

Endocarditis

question

The trade name drug Questran is classified as a/an:

answer

Antihyperlipidemic

question

T or F: CABG is the abbreviation for Cardiac Artery Bypass Graft.

answer

F

question

Which statement is the correct form of the verb? a) Finger to nose test and heel to shin test are normal. b) Finger to nose test and heel to shin test is normal.

answer

A) Finger to nose test and heel to shin test are normal.

question

Which statement is the correct form of the verb? a) The age and sex of a patient causes variation in the normal range of laboratory values. b) The age and sex of a patient cause variation in the normal range of laboratory values.

answer

b) The age and sex of a patient cause variation in the normal range of laboratory values.

question

T or F: An aneursym is the ballooning of part of an artery wall.

answer

T

question

Which of the following is an example of data security? a) automatic log off after inactivity b) fire protection c) contingency planning d) card key for access to data center

answer

a) automatic log off after inactivity

question

What is the term that is used to mean ensuring that data are not altered during transmission across a network or during storage?

answer

integrity

question

Data has been lost in our EHR. To correct this problem, the facility needs to take what step?

answer

data recovery

question

Phishing is a(n):

answer

malware

question

To access PHI, I muster enter a user name and place my thumb in a reader. This is an example of what type of authentication?

answer

two-factor

question

The computer notified me that a user accessed the PHI of a patient with the same last name. This is an example of a(n):

answer

trigger

question

Which of the following is a type of network security? a) firewall b) phishing c) emergency access control d) forensic

answer

A) firewall

question

Which of the following is considered an example of a security incident? a) shared log-on b) monitor left on and unattended; however, no one accessed the information c) contract maintenance staff repairing the computer without supervision by your staff d) virus attack that destroyed files

answer

d) virus attack that destroyed files

question

Which of the following is an example of technical safeguard? a) facility access controls b) person or entity authentication c) workstation location and use d) encryption

answer

b) person or entity authentication

question

Symmetric and asymmetric are examples of what?

answer

encryption

question

I am reviewing a tool that identifies when a user logs in and out, what they do, and more. I am reviewing what?

answer

audit trail

question

During risk analysis, the facility documents potential threats to:

answer

data security

question

Unfortunately we had a hacker invade our system. What is the process that we use to gather evidence?

answer

forensics

question

Which of the following is an example of a business associate? a) contract coder b) environmental services c) chief security officer d) employee with access to e-PHI

answer

a) contract coder

question

T or F: The security rule applies to all PHI.

answer

F

question

T or F: Types of security threats are: human error, intentional activity, and natural disasters.

answer

T

question

T or F: An addressable standard is optional.

answer

F

question

T or F: Termination process is where employees are fired for security breaches.

answer

F

question

T or F: User name and password is an example of a two-factor authentication.

answer

F

question

When editing is done after dictation, this is known as:

answer

back end speech recognition

question

Early speech recognition systems that were based on recognition of a few key words or sounds were:

answer

artificial neural networks

question

Speech recognition technology systems today use sentence structure, meaning, and context based on statistical algorithms, this is known as:

answer

natural language processing

question

Speech recognition compares to artificial intelligence, yet it is different in that computers have yet mastered:

answer

how to think

question

Transcriptionists of the future with speech recognition technology will become more ____.

answer

an editor

question

I am teh CEO of a small facility that has very active ER and radiology departmetns iwth a full capacity of inpatients in the hospital. I have a medical staff of 10 physicians and 1 transcriptionist who is full time and is consistently backlogged. I need help with transcription. What should I consider? a) BESR b) FESR c) outsource d) interactive voice response system

answer

c) outsource

question

Which of the following is not a problem with speech recognition technology? a) persons who speak with an accent b) conversation with a nurse during dictation c) saying "period" at the end of a statement d) mumbling words

answer

a) persons who speak with an accent

question

Speech recognition audio files are transmitted on the Internet using what computer language?

answer

VoiceXML

question

All of the following are benefits of speech recognition technology except: a) reduces staffing when there is a lack of transcriptionists b) increases the turnaround time for reports from the time of dictation until printed c) quality of health record is improved due to legible charts d) interfaces well and offers optimistic future with the EHR

answer

B) increases the turnaround time for reports from the time of dictation until printed

question

A dictated statement of "200 mg of Vitamin B12 2 per day" would be transcribed by a speech recognition system as:

answer

two hundred milligram of Vitamin B twelve two per day

question

When a speech recognition system has been "trained" to a particular voice or user, this is termed:

answer

speaker dependent

question

T or F: FESR is where the recognition process occurs in "near" real time where the dictation takes place.

answer

T

question

T or F: IBM was one of the major developers of the hidden Markov model in the 1980s

answer

T

question

T or F: Speech recognition and voice recognition are not the same.

answer

F

question

T or F: Continuous speech software requires words to be dictated slowly so the software recognizes where one word begins and another word ends.

answer

F

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