RHIA Domain 1 Test Questions with Complete Solutions
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Course
RHIA Domain 1
Institution
RHIA Domain 1
RHIA Domain 1 Test Questions with Complete Solutions
Sue is updating the data dictionary for her organization. In this data dictionary, the data element name is considered which of the following? - Answer-metadata
A method of documenting nurses' progress notes by recording only abnormal or ...
RHIA Domain 1 Test Questions
with Complete Solutions
Sue is updating the data dictionary for her organization. In this data dictionary, the data
element name is considered which of the following? - Answer-metadata
A method of documenting nurses' progress notes by recording only abnormal or
unusual findings or deviations from the prescribed plan of care is called - Answer-
charting by exception
A 65 year old white male was admitted tot the hospital on 1/15 complaining of
abdominal pain. The attending physician requested an upper GI series and laboratory
evaluation of CBC and UA. The x-ray revealed possible cholelithiasis and the UA
showed an increased white blood cell count. The patient was taken to surgery for an
exploratory laparoscopy, and a ruptured appendix was discovered. The chief complaint
was: - Answer-abdominal pain
Mrs. Smith's admitting data indicates that her birth date is March 21, 1948. On the
discharge summary, Mrs. Smith's birth date is recorded as July 21, 1948. Which data
quality element is missing from Mrs. Smith's health record? - Answer-data consistency
Which of the following is an acceptable means of authenticating a record entry? -
Answer-the physician personally signs the entry electronically
In a long term care setting, these are problem-oriented frameworks for additional patient
assessment based on problem identification items (triggered conditions) - Answer-
resident assessment protocols (RAPs)
What type of information makes it easy for hospitals to compare and combine the
contents of multiple patient health recordS? - Answer-uniform data sets
Which of the following materials are required elements in an emergency care record? -
Answer-time and means of the patient's arrival, treatment rendered, and instructions at
discharge.
In assessing the quality of care given to patients with diabetes mellitus, the quality team
collects data regarding blood sugar levels on admission and on discharge. These data
are called - Answer-indicators
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