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CHIM NCE Practice Exam 1

Number of questions: 200

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About the CHIM national certification exam

The CHIM NCE (Certified in Health Information Management National Certification Examination) is an exam administered by the Canadian College of Health Information Management (CCHIM).

The exam assesses entry-level knowledge of health information management, including information governance, medical terminology, analytics, and privacy.

Passing the exam is a requirement to become a Certified Health Information Management (CHIM) professional in Canada.

About these practice questions

These practice questions will help prepare you for the CHIM national certification exam.

This page contains 200 practice questions divided into the six sections of the exam: 1. Information governance, 2. Data quality, 3. Clinical knowledge, 4. Analytics, 5. Privacy, and 6. Technology.

All questions have been carefully designed to mimic the questions on the real exam, to help you prepare and get a passing grade.

Check out all the practice tests in this series: Practice Test 1, Practice Test 2, and Practice Test 3.

Sections

  1. Information governance
  2. Data quality
  3. Clinical knowledge
  4. Analytics
  5. Privacy
  6. Technology

Section 1: Information governance

1.1) What is the term for the legal obligation of health professionals to provide a reasonable level of care and avoid careless actions?
  1. Autonomy
  2. Duty of care
  3. Nonmaleficence
  4. The Good Samaritan law
Answers are locked. Please click here to buy them. 1.2) When communicating with someone from a different culture, it is important to:
  1. make assumptions about their beliefs and values
  2. speak louder and slower to ensure understanding
  3. be respectful of their cultural differences
  4. avoid using humor, as it may be misinterpreted
Answers are locked. Please click here to buy them. 1.3) What are the four pillars of medical ethics?
  1. Beneficence, non-maleficence, justice, and autonomy
  2. Dignity, privacy, compassion, and accountability
  3. Professionalism, consequentialism, trust, and responsibility
  4. Professionalism, sensitivity, integrity, and confidentiality
Answers are locked. Please click here to buy them. 1.4) A patient refuses to have his blood drawn. The phlebotomist threatens the patient with the needle, saying she will draw the patient's blood whether he gives consent or not. For threatening the patient, the phlebotomist could be charged with:
  1. assault
  2. battery
  3. fraud
  4. invasion of privacy
Answers are locked. Please click here to buy them. 1.5) What are the parts of the problem-oriented record?
  1. Insurance details, appointment logs, test results, and discharge summaries
  2. Patient demographics, diagnosis history, treatment schedule, and medication list
  3. Problems, solutions, solution administration, and feedback
  4. The database, a problem list, initial plans, and progress notes
Answers are locked. Please click here to buy them. 1.6) The acronym SOMR stands for __________-oriented medical record.
  1. source
  2. subject
  3. summary
  4. system
Answers are locked. Please click here to buy them. 1.7) What distinguishes an enterprise master patient index (EMPI) from a master patient index (MPI)?
  1. An EMPI covers inpatient services, and an MPI covers outpatient services
  2. An EMPI links records across different systems, and an MPI handles records from a single system
  3. An EMPI processes real-time data, and an MPI stores historical patient records
  4. EMPIs use blockchain technology for data security, and an MPI uses a centralised database or cloud storage
Answers are locked. Please click here to buy them. 1.8) What health records are a combination of paper and computer-generated records?
  1. Blended
  2. Duel
  3. Hybrid
  4. Mixed
Answers are locked. Please click here to buy them. 1.9) What is the difference between data governance and information governance?
  1. Data governance aims for regulatory compliance, whereas information governance aims for data quality
  2. Data governance applies to paper records, whereas information governance applies to electronic records
  3. Data governance focuses on technical assets, whereas information governance focuses on the business context
  4. Data governance legal/business-driven, whereas information governance is IT-driven
Answers are locked. Please click here to buy them. 1.10) What is the term for the sequence of steps that moves data from source to consumption?
  1. Data capture
  2. Data collection
  3. Data pipeline
  4. Data submission
Answers are locked. Please click here to buy them. 1.11) While a patient is receiving care, most paper records are filed in reverse chronological order. Why?
  1. Because coders need the data that way
  2. Because it helps doctors access the most recent data quickly
  3. Because it makes filing reports easier for doctors
  4. Because legislation requires it
Answers are locked. Please click here to buy them. 1.12) What should you do when you find a document in the wrong record?
  1. Advise the patient's doctor
  2. Destroy the document and complete an incident report
  3. Leave the document in the record
  4. Refile the document in the correct record
Answers are locked. Please click here to buy them. 1.13) In which numbering system does the patient have a single medical record number that is used for all subsequent visits?
  1. Episodic
  2. Serial
  3. Serial unit
  4. Unit
Answers are locked. Please click here to buy them. 1.14) With the terminal digit filing system:
  1. misfiles are more common
  2. records are more evenly distributed
  3. records have to be moved around frequently to make space for incoming files
  4. the middle digits are known as the tertiary digits
Answers are locked. Please click here to buy them. 1.15) What is an overlay?
  1. When a patient is assigned two medical record numbers
  2. When a patient is given the same medication twice
  3. When a patient receives the same test twice
  4. When two different patient records are wrongly identified as one individual
Answers are locked. Please click here to buy them. 1.16) In what filing system are files kept in different places?
  1. Centralized
  2. Decentralized
  3. Off-site storage
  4. Serial-unit
Answers are locked. Please click here to buy them. 1.17) Which term means failure to take proper care in performing a task?
  1. Culpability
  2. Fraud
  3. Negligence
  4. Restitution
Answers are locked. Please click here to buy them. 1.18) Where in a SOAP note does the doctor propose a treatment plan?
  1. Subjective
  2. Objective
  3. Assessment
  4. Plan
Answers are locked. Please click here to buy them. 1.19) Which format of medical records documentation breaks the SOAP format into smaller components?
  1. CHEDDAR
  2. Conventional
  3. HPI
  4. Source-Oriented
Answers are locked. Please click here to buy them.

Section 2: Data quality

Section 3: Clinical knowledge

Section 4: Analytics

Section 5: Privacy

Section 6: Technology

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