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CHIM NCE Practice Exam 2

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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) Which pillar of medical ethics is the patient’s right to make decisions about their healthcare?
  1. Autonomy
  2. Beneficence
  3. Justice
  4. Nonmaleficence
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1.2) What is the focus of quality assurance?
  1. Continuous quality improvement
  2. Doing more with less
  3. Improving a system
  4. Preventing mistakes and defects
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1.3) Which problem-solving methodology consists of the phases Define, Measure, Analyze, Improve, and Control?
  1. Lean
  2. Pareto charts
  3. Shewhart cycle
  4. Six Sigma
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1.4) Which of these is a key principle of the lean management philosophy?
  1. Ideas flow from the top down
  2. It is better to under-communicate than to overcommunicate
  3. Staff must be accountable to achieve success
  4. Words speak louder than actions
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1.5) Which phase of the PDCA cycle involves carrying out a small experiment to test the hypothesis?
  1. Plan
  2. Do
  3. Check
  4. Act
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1.6) TQM stands for __________ quality management.
  1. targeted
  2. technical
  3. total
  4. traditional
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1.7) Which of these actions is a crime of battery?
  1. Disclosing a patient's health information without consent
  2. Holding down a patient to draw their blood against their will
  3. Refusing to draw blood from a patient who arrives late to the appointment
  4. Spreading malicious rumours about a colleague
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1.8) Which of these services generally requires out-of-pocket payment or coverage through private insurance?
  1. X-rays
  2. Ambulance transport
  3. Dental care
  4. Hospital care
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1.9) Which term means an unanticipated event that results in death or serious injury to a patient?
  1. Adverse event
  2. Liability incident
  3. Panic incident
  4. Sentinel event
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1.10) Which of the following is a key consideration before disclosing health information?
  1. The storage format of the information
  2. The time of day
  3. Whether proper authorization has been obtained
  4. Whether the patient has health insurance
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1.11) What are the 5 stages of the information life cycle?
  1. Creation, storage, usage, archival, and destruction
  2. Discovery, interpretation, communication, obfuscation, and crystalization
  3. Inspiration, processing, propagation, solidification, and erosion
  4. Organization, dissemination, use, change, and obsolescence
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1.12) When an error is found in an electronic record, a(n) ___________ should be made.
  1. addendum
  2. change
  3. deletion
  4. new record
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1.13) Which department of the Government of Canada is responsible for national health policy?
  1. Canadian Institute for Health Information (CIHI)
  2. Health Canada
  3. Public Health Agency of Canada
  4. Statistics Canada
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1.14) What is the most common numeric filing system used in healthcare facilities?
  1. Chronological
  2. Middle digit
  3. Straight
  4. Terminal digit
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1.15) In which filing system is the heaviest filing activity concentrated in the area with the most new records?
  1. Alphabetical
  2. Middle digit
  3. Straight numeric
  4. Terminal digit
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1.16) Decentralized records are:
  1. easier to manage
  2. less costly to manage
  3. more labor-intensive to manage
  4. more secure
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1.17) What is the main purpose of maintaining data logs?
  1. To identify and correct errors
  2. To improve the speed and efficiency of data processing
  3. To prevent unauthorized access to data
  4. To see who has accessed and changed the data
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1.18) What is medical negligence?
  1. A situation where an injured patient has no evidence of how the injury occurred
  2. An agreement for a doctor to provide treatment
  3. The failure to provide a patient with a reasonable standard of care
  4. The submission of insurance claims for services never provided
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1.19) Which intervention is refused by some parents due to fears of potential links to autism, despite scientific evidence to the contrary?
  1. Blood transfusions
  2. Chemotherapy
  3. Vaccination
  4. X-rays
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Section 2: Data quality

Section 3: Clinical knowledge

Section 4: Analytics

Section 5: Privacy

Section 6: Technology

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