CHIMA NCE Practice Questions
&Answers, 100% Accurate, rated A+
A health care organizations emergency department (ED) continues to report their system is 'down' 25%
of the time. operations staff have logged computer a
...
CHIMA NCE Practice Questions
&Answers, 100% Accurate, rated A+
A health care organizations emergency department (ED) continues to report their system is 'down' 25%
of the time. operations staff have logged computer and application downtime every day for a month
and found the system downtime was less than 1%. Local IS staff visited the ED periodically throughout
the day and found users successfully using the system on every visit. which of the following should the
CIO do to resolve the issue?
A. Meet with key users in the ED to hear specific complaints firsthand.
B. Officially report the month-long downtime tracking results and spend no more time on the issue.
C. Put a problem log on the unit asking ED staff to log details of each downtime experience.
D. Put an IS specialist in the department every day for a week to monitor the system use - ✔✔-Meet
with key users in the ED to hear specific complaints firsthand
Which of the following is one of the major approaches to psychology?
A. New age movement
B. Psychiatry
C. Psychoanalysis
D. Structuralism - ✔✔-Psychoanalysis
In computing the maternal death rate, the ratio is that of maternal deaths to all:
A. Births
B. Deliveries
C. Live births
D. Obstetrical discharges - ✔✔-Obstetrical discharges
The inpatient census at midnight is 67. Two patients were admitted in the morning; 1 died two hours
later and the second patient was transferred to another facility that same afternoon. The IPSD for that
day will be?
A. 65
B. 67
C. 68
D. 69 - ✔✔-69
A health record that uses both manual and electronic processes is described as a/an _________ health
record?
A. Computerized
B. Electronic
C. Hybrid
D. Traditional - ✔✔-Hybrid
All of the following are components of an information system, EXCEPT?
A. Data warehouse
B. Hardware
C. People
D. Software - ✔✔-Data warehouse
A complete health record includes?
A. Assessment and identification of health issue only
B. Assessment, identification of health issue, plan of care, and financial estimation
C. Assessment, identification of health issue, plan of care, implementation, and evaluation.
D. Identification of health issue, plan of care, implementation and evaluation only. - ✔✔-Assessment,
identification of health issue, plan of care, implementation, and evaluation.
Information retrieval is the field of information science concerned with the _________ in document
collections?
A. Organization
B. Organization and retrieval
C. Organization, retrieval and presentation of information
D. Organization, retrieval, presentation of information, and storage - ✔✔-Organization, retrieval and
presentation of information
Discharge days are used in computing the?
A. Average length of stay
B. Gross autopsy rate
C. Inpatient census
D. Percentage of occupancy - ✔✔-Average length of stay
When coding fractures, when there is no indication if the fracture is open or closed, code the condition
as?
A. Closed
B. Open
C. Other specified
D. Unspecified - ✔✔-Closed
A prostate cancer patient is admitted to the hospital for anemia and is complaining of lethargy and
nausea due to chemotherapy. He is given a blood transfusion for the anemia and discharged home. The
MRDX would be?
A. Anemia
B. Lethargy
C. Nausea
D. Prostate cancer - ✔✔-Anemia
You are coding and notice that the health record documents an error in dosage. What should you code
this as?
A. Accidental ingestion
B. Adverse effect
C. Overdose
D. Poisoning - ✔✔-Poisoning
A physician who is an active member in one hospital and applies to admit an occasional patient to
another is applying for what kind of medical staff membership?
A. Active
B. Consulting
C. Courtesy
D. Honorary - ✔✔-Courtesy
What type of database stores data in predefined tables made up of rows and columns?
A. Hierarchical
B. Object-oriented
C. Object-relational
D. Relational - ✔✔-Relational
The diagnosis stated at the end of the history and physical report is the?
A. Discharge diagnosis
B. Final diagnosis
C. Primary diagnosis
D. Provisional diagnosis - ✔✔-Provisional diagnosis
A health record analyst needs to quickly compare all lab values during one hospitalization. The record
format best suited for this purpose is the?
A. Integrated format
B. Problem-oriented
C. Reverse chronological
D. Source-oriented - ✔✔-Reverse chronological
Many facilities do not approve of auto-authentication of entries in a health record. The primary
objection is that?
A. Electronic signatures are not acceptable in many health care facilities.
B. Evidence cannot be provided that the physician reviewed and approved each report.
C. It is too easy to delegate use of computer passwords.
D. Tampering too often occurs with this method of authentication - ✔✔-Evidence cannot be provided
that the physician reviewed and approved each report.
The 'P' in the SOAP note of the problem-oriented medical record means:
A. Plan
B. Problem
C. Prognosis
D. Progress - ✔✔-Plan
An example of an advance directive is a/an:
A. Acknowledgement of having received patient's rights information.
B. Consent to release information
C. Consent to undergo treatment
D. Living will - ✔✔-Living will
Reviewing a paper-based health record to ensure that all entries are documented in ink is an example
of?
A. Concurrent analysis
B. Legal analysis
C. Qualitative analysis
D. Quantitative analysis - ✔✔-Legal analysis
Failure to obtain consent to a medical or surgical procedure might result in an action against the
physician for?
A. Assault
B. Battery
C. Invasion of privacy
D. Negligence - ✔✔-Battery
Rules and principles determined by legislative bodies constitute which type of law?
A. Administrative law
B. Case law
C. Common law
D. Statutory law - ✔✔-Statutory law
Dr. Brown of Richmond General is treating Amy for her ulcer. She was in TLC General Hospital a year
ago. Dr. Brown has asked the TLC General for a copy of her discharge summary and endoscopy report.
What action should be taken by the hospital?
A. Ask Dr. Brown to provide a consent form from Amy
B. Provide the records to Dr. Brown only if he is on your medical staff
C. Provide the records to Dr. Brown since he is treating the patient
D. Refuse access to the records - ✔✔-Provide the records to Dr. Brown since he is treating the patient.
Diagnosis and treatment of diseases requiring the services of a medical specialist comes under the
category of?
A. Primary care
B. Quaternary care
C. Secondary care
D. Tertiary care - ✔✔-Secondary care
Which of the following items are NOT generally shown on a chart of organization?
A. Channels of supervision
B. Departmental relationships
C. Individual tasks
D. Lines of communication - ✔✔-Individual tasks
A hospital's mission statement describes the organizations?
A. Fundamental principles
B. Ideal future
C. Legal and licensing requirements
D. Purpose and the customers it serves - ✔
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