RHIA Summer Review:
Quiz by Ebuwei, Patience
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25 questions
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- Q1Anna is coding an operative report for a carpal tunnel release procedure. She assigns three procedure codes: one for starting the IV, another for the incision, and one more for the carpal tunnel release procedure. Anna is:coding to specificityUnbundling codesBundling codesaccurately coding30s
- Q2William Tennison was admitted to the hospital with obstructive bowel syndrome. After three days of admission, the patient exhibited signs of sepsis, so antibiotics were started, and the symptoms were resolved within three days after antibiotic administration. How is the coder required to report the infection on the UB-04 form?First listed diagnosis codeAdmitting diagnosis codeHospital-acquired condition codePresent on admission code30s
- Q3ICD-10-CM codes are __________ and CPT codes are __________.Alphanumeric; numericalphanumeric; alphanumericnumeric; alphanumericnumeric; numeric30s
- Q4A patient needs an operative procedure to remove a small fridge magnet that was swallowed. Which of the following ICD-10-PCS root operations would be coded for this procedure?ResectionInspectionExcisionExtirpation30s
- Q5The physician has ordered a potassium supplement for the patient. Which of the following would the coder expect to see as a diagnosis?HypocalcemiaHyponatremiaHypothyroidHypokalemia30s
- Q6The operative report states carpal tunnel release. Identify the correct body system.TendonsPeripheral nervous systemUpper jointsUpper bones30s
- Q7The physician documents dyspnea as the diagnosis in the patient record. Which diagnosis code should be used?R06.02 - Shortness of breathD64.9 - Anemia, unspecifiedR03.1 - Low blood pressure readingR00.0 - Rapid heartbeat30s
- Q8A CT scan showed an enlarged liver, which is also known as:hemochromatosishepatomegalyhepatitishepatohemia.30s
- Q9The patient was admitted for observation due to postoperative pain after nephrectomy. Which of the following should be the first listed diagnosis?ObservationPostoperative painPostnephrectomyNot listed30s
- Q10Three days after surgical admission, the patient develops a fever and labored breathing. Blood tests show that the patient acquired a nosocomial infection. Which of the following could the patient have acquired?Strep throatCellulitisSurgical site infectionStaph infection30s
- Q11The H1C screening determines a patient’s risk for developing diabetes. The normal range is between 4% and 5.6% and the at-risk range is 5.7% to 6.4%; 6.5% and above, the patient has diabetes. Herman’s H1C screening was 6.2%. Which of the following diagnoses is most appropriateZ13.1 - Encounter for screening for diabetes mellitusR73.03 - PrediabetesE10 - Type 1 diabetesE11 - Type 2 diabetes30s
- Q12Melissa is auditing the patient paper files for a hospice care service. Which of the following records should be present for every patient record?Anesthesia recordDietary informationHistory and physicalPatient consents30s
- Q13When designing forms for the EHR to collect data, what is the most important factor to keep in mind?The electronic form should follow the same format as the paper version format.The electronic form should contain a variety of colors to differentiate important elementsThe electronic form should not include all of the same elements of the paper form because some elements may not be essential.The electronic form should fit to one screen page, so the size of the text boxes should not matter30s
- Q14Which of the following examples displays the use of point-of-care charting?Lab reports that are electronically sent to the physician’s office to attach to the patient recordPatient filling out intake forms and submitting them to the intake clerks who enter the data into the HER.A physician using the tablet to sit in front of the patient documenting patient concernsTriage nurse taking patient blood pressure, temperature, and pulse, writing them on a scrap piece of paper, and recording it in the EHR behind her desk.30s
- Q15The physician monitored Stacey’s fluid input and output over several days to ensure she was hydrated. The use of the collected data is an example of:clinical dataPrimary datasecondary dataresearch data30s