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RHIA Summer Review:

Quiz by Ebuwei, Patience

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25 questions
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  • Q1
    Anna 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 specificity
    Unbundling codes
    Bundling codes
    accurately coding
    30s
  • Q2
    William 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 code
    Admitting diagnosis code
    Hospital-acquired condition code
    Present on admission code
    30s
  • Q3
    ICD-10-CM codes are __________ and CPT codes are __________.
    Alphanumeric; numeric
    alphanumeric; alphanumeric
    numeric; alphanumeric
    numeric; numeric
    30s
  • Q4
    A 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?
    Resection
    Inspection
    Excision
    Extirpation
    30s
  • Q5
    The physician has ordered a potassium supplement for the patient. Which of the following would the coder expect to see as a diagnosis?
    Hypocalcemia
    Hyponatremia
    Hypothyroid
    Hypokalemia
    30s
  • Q6
    The operative report states carpal tunnel release. Identify the correct body system.
    Tendons
    Peripheral nervous system
    Upper joints
    Upper bones
    30s
  • Q7
    The physician documents dyspnea as the diagnosis in the patient record. Which diagnosis code should be used?
    R06.02 - Shortness of breath
    D64.9 - Anemia, unspecified
    R03.1 - Low blood pressure reading
    R00.0 - Rapid heartbeat
    30s
  • Q8
    A CT scan showed an enlarged liver, which is also known as:
    hemochromatosis
    hepatomegaly
    hepatitis
    hepatohemia.
    30s
  • Q9
    The patient was admitted for observation due to postoperative pain after nephrectomy. Which of the following should be the first listed diagnosis?
    Observation
    Postoperative pain
    Postnephrectomy
    Not listed
    30s
  • Q10
    Three 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 throat
    Cellulitis
    Surgical site infection
    Staph infection
    30s
  • Q11
    The 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 appropriate
    Z13.1 - Encounter for screening for diabetes mellitus
    R73.03 - Prediabetes
    E10 - Type 1 diabetes
    E11 - Type 2 diabetes
    30s
  • Q12
    Melissa is auditing the patient paper files for a hospice care service. Which of the following records should be present for every patient record?
    Anesthesia record
    Dietary information
    History and physical
    Patient consents
    30s
  • Q13
    When 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 elements
    The 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 matter
    30s
  • Q14
    Which 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 record
    Patient 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 concerns
    Triage 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
  • Q15
    The 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 data
    Primary data
    secondary data
    research data
    30s

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