| 1. A
clinical pertinence review reveals a microbiology report indicating the
presence of Clostridia. Which of the following diagnoses should the record
contain?
A.
gastroenteritis
B.
gas gangrene
C.
tuberculosis
D.
upper respiratory infection
2.
Given the following entry from the Table of Drugs and Chemicals in ICD-9-CM,
what E code would be used to indicate the external cause for a diagnosis
of "Dermatitis due to allergic reaction to penicillin"?
A.
E856
B.
E930.0
C.
E962.0
D.
E980.4
3.
Which of the following is a HCPCS Level II code?
A.
30115
B.
30115-50
C.
J7100
D.
X1025
4.
Which of the following would be appropriately assigned as a principal
diagnosis code for a Medicare patient admitted to the hospital?
A.
V12.59 Personal history of circulatory disease
B.
V17.3 Family history of ischemic heart disease
C.
V45.81 Aortocoronary bypass status
D.
V67.0 Follow-up examination following surgery
5.
When a patient is diagnosed as having a metastatic brain tumor, the primary
tumor is MOST likely to be in the
A.
lymph nodes.
B.
lung.
C.
bone.
D.
breast.
6.
Which of the following is most likely to be identified during a third-party
payer's audit to verify charges?
A.
a pathology report showing normal tissue after an appendectomy
B.
a postoperative wound dehiscence documented in the nurses' notes but not
listed on the face sheet
C.
a discrepancy between the medication sheet and the physician's orders
D.
an incorrect ICD-9-CM code
7.
In identifying appropriate laboratory studies for diagnosing patients
who present with low hemoglobin, the medical staff most likely would include
A.
serum amylase.
B.
guaiac test.
C.
SGOT.
D.
CPK.
8. A
supervisor may legally ask job applicants their
A.
birthdates.
B.
reason for leaving the last job.
C.
marital status.
D.
religious preference.
9. A
nurse gave an incorrect dose of prescribed medication that resulted in
an overdose for the patient. Under which of the following legal doctrines
would the patient file suit against the hospital?
A.
Federal Shop Book Rule
B.
Res ipsa loquitur
C.
Res gestae rule
D.
Respondent superior
10.
A hernia repair was attempted, but the procedure was terminated following
a laparotomy incision. According to ICD-9-CM guidelines for coding procedures,
this procedure would be coded as a
A.
cancelled surgery.
B.
herniorrhaphy.
C.
laparoscopy.
D.
laparotomy.
11.
Given the following statistical data, what is the percentage of occupancy
for adults and children at Community Hospital, a 275-bed hospital with
40 bassinets, in the month of July?
A.
79.9%
B.
82.1%
C.
84.0%
D.
84.5%
12.
If 150 males and 125 females were born with birth defects, which of the
following is the male-to-female ratio of birth defects?
A.
0.12:1
B.
0.83:1
C.
1.20:1
D.
1.25:1
13.
The pediatric department has requested an analysis of drug-ordering practices
for high-risk neonates. The perception is that usual drug dosages are
not being recalibrated in response to lower birth weight. Which of the
following graphic displays of data will be most helpful in this analysis?
A.
bubble graph
B.
control chart
C.
scatter diagram
D.
contingency table
14.
A hospital has received a request to participate in a study on "DRGs
and Their Impact on Perinatal Regionalization." This study would
include data from approximately 3,800 records for the first year and might
repeat in succeeding years. Given that each of the data sources cited
below contains the needed data, the initial data would be most easily
collected from the
A.
infants' records.
B.
Bureau of Vital Statistics.
C.
mothers' records.
D.
delivery room log.
15.
Hospitals may choose to monitor procedures that are repeated during a
single admission to identify possible procedural failures. Which of
the following, if repeated, are MOST likely to be reviewed?
A.
enema
B.
venipuncture
C.
preoperative endoscopy
D.
Swan-Ganz catheterization
16.
Fetal deaths should be classified in hospital statistics as
A.
admitted and discharged on the same day.
B.
neither admitted nor discharged.
C.
hospital deaths.
D.
dead on arrival (DOA).
17.
The hospital fetal death rate is computed from
A.
all fetal deaths.
B.
early fetal deaths.
C.
intermediate and late fetal deaths.
D.
deaths of fetuses weighing less than 2500 grams.
18.
A subpoena duces tecum is received by the Health Information Department
from an attorney in connection with a lawsuit. The subpoena does not contain
sufficient information to determine whether the named individual is a
party to the lawsuit, and, if so, whether the individual is the plaintiff
or defendant. In addition, the subpoena does not indicate whether the
attorney who requested the records represents the plaintiff or the defendant
in the lawsuit. Which of the following would be the strongest argument
for refusing to comply with the subpoena?
A.
There is neither an actual nor an implied waiver of right to privacy by
the patient.
B.
There is no indication as to whether the named individual is a party to
the lawsuit.
C.
A subpoena must be served by the local law enforcement agency.
D.
It is not known whether the patient is the plaintiff or defendant.
19.
The following progress note was recorded in a medical record:
"Nebulizer
given with 2.5 mg albuterol. Patient tolerated well. B/S: Diffuse mild
rhonchi with a few expiratory wheezes and with loose cough."
Which
of the following healthcare providers is most likely to have written the
note?
A.
pharmacist
B.
physical therapist
C.
respiratory therapist
D.
dietitian
20.
What options are represented in the above data model?
A.
patient ID and doctor ID
B.
patient
C.
office visit and doctor ID
D.
patient and office visit
21.
What type of relationship is represented in the data model?
A.
one-to-many
B.
many-to-many
C.
one-to-one
D.
one-many-none
22.
A quality improvement team has been created to solve a recurring problem
with records coded after the hospital's three-day time frame. Which of
the following tools would the team use to help them evaluate alternative
solutions to this problem?
A.
check sheet
B.
decision matrix
C.
histogram
D.
run chart
23.
A file clerk has applied for a position as a release of information coordinator.
The file clerk currently works a regular day shift, 8 a.m. to 4:30 p.m.,
Monday through Friday. The coordinator position would require that she
work occasionally on weekends. The release of information supervisor knows
that the file clerk is a divorced mother of two small children. Which
of the following questions would be legally appropriate for the supervisor
to ask the file clerk during the job interview?
A.
"Does your ex-husband have your children on the weekends?"
B.
"Do you have weekend child care?"
C.
"Will you be able to work on weekends as required?"
D.
"Who will care for your children when you work weekends?"
24.
A hospital's productivity standard is 3.37 work hours per admission, which
includes an allowance for personal, fatigue, and delay (PFD) time. Vacation,
holiday, and sick (VHS) time has averaged 11 percent. For a given month,
1,350 admissions are anticipated. Based on 20 workdays and a standard
workday of 7.5 hours, approximately how many FTEs should be budgeted for
this month?
A.
28.44
B.
30.30
C.
31.56
D.
33.67
25.
A transcription supervisor notes that the transcriptionists are spending
much of their time filing transcribed reports. The supervisor determines
that it would be better to have three transcriptionists and one file clerk.
The justification for this decision is most likely based on a
A.
PERT chart.
B.
flow diagram.
C.
flow process chart.
D.
work distribution chart.
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