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CHIM NCE Practice Exam 2

Number of questions: 181

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About the CHIM national certification exam

The Certified in Health Information Management national certification examination (CHIM NCE) is an exam for Canadians who want to become medical coders.

The exam will test you on the basics of medical coding and health information management. This includes topics such as information quality, medical terms, data analysis, privacy, leadership and the management of health data.

Exams take place three times a year, in April, July and October.

About these practice questions

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

This page contains 181 practice questions divided into the seven sections of the exam: 1. Biomedical sciences, 2. Health information science, 3. Health information analysis and presentation, 4. Technology and health information, 5. Access and security, 6. The health care system in Canada, and 7. Ethics and practice.

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. Biomedical sciences
  2. Health information science
  3. Health information analysis and presentation
  4. Technology and health information
  5. Access and security
  6. The health care system in Canada
  7. Ethics and practice

Section 1: Biomedical sciences

1.1) Which term means away from the origin?
  1. Anterior
  2. Distal
  3. Lateral
  4. Posterior
Answers are locked. Please click here to buy them. 1.2) Which plane separates the body into upper and lower parts?
  1. Frontal
  2. Oblique
  3. Sagittal
  4. Transverse
Answers are locked. Please click here to buy them. 1.3) What does the prefix blephar- mean?
  1. Earlobe
  2. Eyelid
  3. Lips
  4. Toenail
Answers are locked. Please click here to buy them. 1.4) What does the suffix -emia refer to?
  1. Blood condition
  2. Enlargement
  3. Paralysis
  4. Surgical removal
Answers are locked. Please click here to buy them. 1.5) PLT stands for:
  1. pink labelled tube
  2. plasma tube
  3. platelets
  4. professional lab technician
Answers are locked. Please click here to buy them. 1.6) BT and CT stand for:
  1. bile test and culture test
  2. bleeding time and clotting time
  3. blood test and clotting test
  4. blood tube and clot tube
Answers are locked. Please click here to buy them. 1.7) In hematology, what does HCT stand for?
  1. Hematocrit
  2. Hemoglobin colour testing
  3. High cell total
  4. High cell turbidity
Answers are locked. Please click here to buy them. 1.8) FOB stands for:
  1. far over baseline
  2. fecal occult blood
  3. foreign object in the body
  4. foul odours from the body
Answers are locked. Please click here to buy them. 1.9) What does GTT stand for?
  1. Genetic test
  2. Glucose tolerance test
  3. Guanine-thymine test
  4. Guaranteed time and temperature
Answers are locked. Please click here to buy them. 1.10) What is a CCMSU?
  1. A blood test to diagnose cancer of the red blood cells
  2. A method of collecting urine samples
  3. A type of heart attack
  4. A type of x-ray
Answers are locked. Please click here to buy them. 1.11) In health testing, what does POCT stand for?
  1. Point of care testing
  2. Point of contact testing
  3. Post-operation creatine test
  4. Pre-operation cancer test
Answers are locked. Please click here to buy them. 1.12) What is the term for a high level of glucose in the blood?
  1. Hyperglycemia
  2. Hypodermic
  3. Hypogastric
  4. Hypoglycemia
Answers are locked. Please click here to buy them. 1.13) A break or splinter of the bone into more than two fragments is called a:
  1. comminuted fracture
  2. compression fracture
  3. crepitation
  4. greenstick fracture
Answers are locked. Please click here to buy them. 1.14) What is the medical term for abnormal growth of connective tissue?
  1. Alopecia
  2. Fibrosis
  3. Mucositis
  4. Myelosuppression
Answers are locked. Please click here to buy them. 1.15) What is tinnitus?
  1. A false sense of motion or spinning
  2. A ringing sound in the ears
  3. A voice disorder
  4. Hearing loss occurring with old age
Answers are locked. Please click here to buy them. 1.16) What is a hematoma?
  1. A cancer of the blood that originates in red blood cells
  2. A cut in the skin
  3. A localized collection of blood outside the blood vessels
  4. A severed artery
Answers are locked. Please click here to buy them. 1.17) What term describes localized tumor growth?
  1. Anaplastic
  2. Carcinoma in situ
  3. Metastasis
  4. Pleomorphic
Answers are locked. Please click here to buy them. 1.18) Which part of the eye controls the amount of light entering the eyeball?
  1. Choroid
  2. Cornea
  3. Iris
  4. Retina
Answers are locked. Please click here to buy them. 1.19) What is the main function of dense regular connective tissue?
  1. To form stroma of soft organs
  2. To provide a strong attachment between structures like muscle and bones
  3. To provide elasticity to stretchable organs
  4. To reduce heat loss from the body surface
Answers are locked. Please click here to buy them. 1.20) Kernicterus is caused by an abnormal accumulation of bilirubin in which organ?
  1. Brain
  2. Heart
  3. Liver
  4. Lung
Answers are locked. Please click here to buy them. 1.21) Which chromosome is only present in males?
  1. 1
  2. 2
  3. X
  4. Y
Answers are locked. Please click here to buy them. 1.22) Hyperthyroidism, an enlarged thyroid, and exophthalmos are all symptoms of which disease?
  1. Graves' disease
  2. Hashimoto's disease
  3. Myasthenia gravis
  4. Myxedema
Answers are locked. Please click here to buy them. 1.23) What autoimmune disorder results in hypothyroidism?
  1. Celiac disease
  2. Hashimoto's disease
  3. Multiple sclerosis
  4. Myasthenia gravis
Answers are locked. Please click here to buy them. 1.24) Which muscles are the triangular muscles of the shoulder?
  1. Biceps
  2. Deltoids
  3. Long abductors
  4. Triceps
Answers are locked. Please click here to buy them. 1.25) Which skin structure helps prevent water loss and inhibits bacterial growth on the surface of the skin?
  1. Arrector pili
  2. Hair follicles
  3. Oil glands
  4. Sweat glands
Answers are locked. Please click here to buy them. 1.26) Which body tissue stores unneeded, extra energy?
  1. Bone
  2. Fat
  3. Muscle
  4. Skin
Answers are locked. Please click here to buy them. 1.27) The sweat test is used to diagnose which disease?
  1. Cystic fibrosis
  2. Infection
  3. Muscular dystrophy
  4. Pneumonia
Answers are locked. Please click here to buy them. 1.28) What diagnosis could the coder expect to see when a patient with pneumonia has inhaled food, liquid, or oil?
  1. Aspiration pneumonia
  2. Interstitial pneumonia
  3. Lobar pneumonia
  4. Pneumocystitis carinii pneumonia
Answers are locked. Please click here to buy them. 1.29) Drugs that block release of a substance that causes allergic reactions are called:
  1. anticoagulants
  2. anticonvulsants
  3. antidiabetics
  4. antihistamines
Answers are locked. Please click here to buy them.

Section 2: Health information science

2.1) Which section of a SOAP note contains treatment and medication options?
  1. Assessment
  2. Objective
  3. Plan
  4. Subjective
Answers are locked. Please click here to buy them. 2.2) The O section of SOAP documentation is:
  1. a description of treatment options
  2. data that comes from examination results and the provider
  3. data that comes from the patient
  4. the diagnosis or impression of a patient's problem
Answers are locked. Please click here to buy them. 2.3) Which of these information would you place in the "S" section when using SOAP charting?
  1. Patient's perceptions
  2. Physician's diagnosis
  3. Physician's examination
  4. Test results
Answers are locked. Please click here to buy them. 2.4) Which section of a SOAP note contains information obtained from the patient, such as signs and symptoms?
  1. Assessment
  2. Objective
  3. Plan
  4. Subjective
Answers are locked. Please click here to buy them. 2.5) 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. 2.6) The S section of SOAP documentation is:
  1. data that comes directly from the patient
  2. data that comes from the provider or test results
  3. the diagnosis or impression of a patient's problem
  4. the plan of action
Answers are locked. Please click here to buy them. 2.7) The A section of SOAP documentation includes:
  1. a description of treatment options
  2. copies of any X-rays, computed tomography scans and ultrasounds
  3. the impression of the diagnosis of the patient's problem
  4. the plan of action
Answers are locked. Please click here to buy them. 2.8) Documentation policies are established by:
  1. provincial legislation
  2. the Chief of Staff
  3. the HIM department
  4. the organization within which the professional will document
Answers are locked. Please click here to buy them. 2.9) POS coding is done at:
  1. admission
  2. bedside
  3. discharge
  4. midnight
Answers are locked. Please click here to buy them. 2.10) What is a blinded study?
  1. A study where all the participants are blind
  2. A study where participants and/or researchers do not know who is in the experimental group
  3. A study where the participants do not know they are in a research study
  4. A study where the researcher is unaware of the exact nature of what is being researched
Answers are locked. Please click here to buy them. 2.11) Which dimension of data quality means that data reflects reality?
  1. Accuracy
  2. Completeness
  3. Consistency
  4. Validity
Answers are locked. Please click here to buy them. 2.12) Which dimension of data quality is defined as the extent to which the data conforms to the expected format, type, and range?
  1. Accuracy
  2. Consistency
  3. Uniqueness
  4. Validity
Answers are locked. Please click here to buy them. 2.13) In ICD-10, G00-G99 codes are for diseases of which system?
  1. Circulatory
  2. Digestive
  3. Nervous
  4. Respiratory
Answers are locked. Please click here to buy them. 2.14) The patient is seen in the ER with a chief complaint of shortness of breath. In the patient's progress notes, the physician documents the patient was told to come in by their family physician. The diagnosis of asthma is recorded. The physician further documents that the patient has severe wheezing and no obvious relief with bronchodilators. What would you code?
  1. Asthma
  2. Asthma with acute exacerbation
  3. Asthma with status asthmaticus
  4. Obstructive asthma
Answers are locked. Please click here to buy them. 2.15) A fracture with dislocation of the femur should be coded as:
  1. a dislocation
  2. a fracture
  3. an open fracture
  4. both a dislocation and a fracture
Answers are locked. Please click here to buy them. 2.16) ICD-O is used in Canada to code which types of cases?
  1. Cancer
  2. Mental health
  3. Orthopedic
  4. Pregnancy
Answers are locked. Please click here to buy them. 2.17) What do ICD codes represent?
  1. Diseases
  2. Hospital departments
  3. Insurance providers
  4. Procedures
Answers are locked. Please click here to buy them. 2.18) Which type of filing system is also known as reverse filing?
  1. Consecutive numeric
  2. Middle digit
  3. Straight
  4. Terminal digit
Answers are locked. Please click here to buy them. 2.19) Indexing is:
  1. essential for electronic records but not for paper records
  2. essential for paper and electronic records
  3. essential for paper records but not for electronic records
  4. not essential
Answers are locked. Please click here to buy them. 2.20) What is the most common numeric filing system used in healthcare facilities?
  1. Chronological
  2. Middle digit
  3. Straight
  4. Terminal digit
Answers are locked. Please click here to buy them. 2.21) What is the primary digit of 50-63-23 in a terminal digit filing system?
  1. 5
  2. 23
  3. 50
  4. 63
Answers are locked. Please click here to buy them. 2.22) 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
Answers are locked. Please click here to buy them. 2.23) Decentralized paper records are:
  1. easier to manage
  2. less costly to manage
  3. more labour intensive to manage
  4. more secure
Answers are locked. Please click here to buy them. 2.24) Upon delivery of a healthy liveborn, the documentation related to the baby should be:
  1. copied, with the original filed in the mother's chart, and copies filed in a new baby chart
  2. filed in a new chart
  3. filed in a separate section of the mother's chart
  4. interfiled in the mother's chart
Answers are locked. Please click here to buy them. 2.25) To convert alpha filing to unit numbering, the best method is to:
  1. assign unit numbers to all patients treated within the last 5 years
  2. assign unit numbers to patients as they present for service but leave their older records as is
  3. assign unit numbers to people as they present for service and merge older records
  4. change all records to the new system
Answers are locked. Please click here to buy them. 2.26) In alphabetic filing, if two last names are identical, what is the next indexing unit?
  1. Date of birth
  2. First name
  3. Maiden name
  4. Social Security number
Answers are locked. Please click here to buy them. 2.27) Which of these organizations is a member of the Tri-Council?
  1. Canadian Institutes for Health Research
  2. Medical Council of Canada
  3. Ontario Chamber of Commerce
  4. Public Health Agency of Canada
Answers are locked. Please click here to buy them. 2.28) The documentation on the examination of tissue will be found on a:
  1. operative report
  2. pathology report
  3. progress note
  4. recovery room record
Answers are locked. Please click here to buy them.

Section 3: Health information analysis and presentation

3.1) If the curve of a frequency distribution is symmetrical and bell-shaped, it is known as a ________ curve.
  1. normal
  2. parabolic
  3. skewed
  4. tangential
Answers are locked. Please click here to buy them. 3.2) What branch of statistics is used to group and organize data?
  1. Advanced statistics
  2. Descriptive statistics
  3. Inferential statistics
  4. Probability statistics
Answers are locked. Please click here to buy them. 3.3) What term describes the relationship where the increase of one variable is associated with an increase in another variable?
  1. Continuous
  2. Negative
  3. Positive
  4. Risk
Answers are locked. Please click here to buy them. 3.4) A graphical representation of a frequency distribution is called a:
  1. bar chart
  2. histogram
  3. line graph
  4. pie chart
Answers are locked. Please click here to buy them. 3.5) What graph/chart is used to compare each percentange with the total?
  1. Bar graph
  2. Line graph
  3. Pie chart
  4. Scatter plot
Answers are locked. Please click here to buy them. 3.6) A line graph is a data presentation tool which:
  1. displays components of a whole
  2. displays the dependent variable on the horizontal axis
  3. is a non-technical graph
  4. is useful for illustrating trends over time
Answers are locked. Please click here to buy them. 3.7) A distribution is positively skewed when the mean is:
  1. bimodal
  2. multimodal
  3. shifted to the left
  4. shifted to the right
Answers are locked. Please click here to buy them. 3.8) The mean, median, mode and standard deviation are examples of which type of statistics?
  1. Descriptive
  2. Experimental
  3. Inferential
  4. Linear regression
Answers are locked. Please click here to buy them. 3.9) What is the range of 4, 4, 8, 9, 10, 13, and 22?
  1. 7
  2. 9
  3. 10
  4. 18
Answers are locked. Please click here to buy them. 3.10) What is the median of 4, 4, 8, 9, 10, 13, and 22?
  1. 4
  2. 7
  3. 9
  4. 10
Answers are locked. Please click here to buy them. 3.11) The middle value in a sorted data set is called the:
  1. average
  2. coefficient of variation
  3. mean
  4. median
Answers are locked. Please click here to buy them. 3.12) What is the mode of 4, 4, 8, 9, 10, 13, and 22?
  1. 4
  2. 7
  3. 9
  4. 10
Answers are locked. Please click here to buy them. 3.13) What is 60% expressed as a fraction in its simplest form?
  1. 3/5
  2. 4/9
  3. 5/8
  4. 6/100
Answers are locked. Please click here to buy them. 3.14) A lab analyzes blood samples from 50 patents. The number of patients with abnormal results is 45. What is this expressed as a percentage?
  1. 5%
  2. 45%
  3. 90%
  4. 95%
Answers are locked. Please click here to buy them. 3.15) What is 9/20 expressed as a percentage?
  1. 2.22%
  2. 18%
  3. 22%
  4. 45%
Answers are locked. Please click here to buy them. 3.16) The patient record is what type of data source?
  1. Primary
  2. Secondary
  3. Tertiary
  4. Indexed
Answers are locked. Please click here to buy them. 3.17) The frequency of a given illness at a particular time is called the:
  1. incidence rate
  2. mortality rate
  3. period prevalence rate
  4. point prevalence rate
Answers are locked. Please click here to buy them. 3.18) A public accountability report card published by a provincial government reporting on cardiac bypass patients would not include the:
  1. average cost of surgery
  2. net death rate
  3. number of clinicians in the OR
  4. post op complication rate
Answers are locked. Please click here to buy them. 3.19) Which formula is used to obtain the incidence rate?
  1. Number of new cases of a disease over time / Population at risk of the disease in the time
  2. Sum of the observed measurements / Number of observations
  3. Total number of cases of a disease at a given time / Total population at risk at the same time
  4. Total number of preventable incidents / Total number of admissions
Answers are locked. Please click here to buy them. 3.20) What is abstracting?
  1. Assembling a chronological set of data for an express purpose
  2. Assigning the appropriate code or nomenclature term for categorization
  3. Compiling the pertinent information from the medical record based on predetermined data sets
  4. Conducting qualitative and quantitative analysis of documentation against standards and policy
Answers are locked. Please click here to buy them. 3.21) An example of administrative data is:
  1. the name of the attending doctor
  2. the patient's date of birth
  3. the patient's name
  4. the patient's weight
Answers are locked. Please click here to buy them. 3.22) Infant death, life expectancy, and death due to cancer are examples of which classification of indicator?
  1. Health care delivery
  2. Morbidity
  3. Mortality
  4. Nutritional
Answers are locked. Please click here to buy them. 3.23) The question "Is the burden of cancer similar for all Canadians regardless of their social, economic, cultural, or demographic status?" is evaluating the __________ of the health system.
  1. accessibility
  2. efficiency
  3. equitability
  4. safety
Answers are locked. Please click here to buy them. 3.24) A subset that is used to extrapolate statistics and attribute them back to the population as a whole is known in statistics as a:
  1. constituent
  2. fragment
  3. sample
  4. specimen
Answers are locked. Please click here to buy them. 3.25) A researcher studying cancer is more likely to choose a longitudinal study rather than a cross-sectional study because:
  1. the cross-sectional study reveals information only at one point in time
  2. the longitudinal study allows the researcher more time to arrange funding
  3. the longitudinal study will mean that more people can participate.
  4. there may not be sufficient people in a cross-sectional study
Answers are locked. Please click here to buy them. 3.26) Cross-sectional studies are known for:
  1. concurrently describing characteristics and health status at one point in time
  2. lasting many years
  3. providing the information necesary to test for the most effective treatment
  4. quickly identifying cause and effect relationships
Answers are locked. Please click here to buy them. 3.27) What are the steps of the scientific method of research?
  1. Hypothesis, literature review, study design, data collection and analysis, conclusion and presentation of results
  2. Hypothesis, survey, analysis and presentation of results
  3. Introduction of the study question, study design, data collection and analysis, and presentation
  4. Theory, assumptions, study design, conclusion and presentation of results
Answers are locked. Please click here to buy them. 3.28) A newspaper article reported that "Children who routinely compete in vigorous after-school sports on smoggy days are three times more likely to get asthma than their non-athletic peers." Of the following, which is the most important additional information that would be useful before making a decision about participation in school sports?
  1. The baseline risk for getting asthma
  2. The number of students in the study who participated in after-school sports
  3. Where the study was conducted
  4. Who funded the study
Answers are locked. Please click here to buy them. 3.29) ___________ studies the health of a population using scientific approaches to prevent disease and promote good health whereas _______________ uses health information to improve to prevent disease and promote good health for groups of people or an entire country.
  1. Epidemiology, public health
  2. Population health, epidemiology
  3. Population health, public health
  4. Public health, population health
Answers are locked. Please click here to buy them. 3.30) The main function of a literature review is to:
  1. describe how your research was conducted
  2. develop a case study
  3. summarise current knowledge
  4. test a hypothesis
Answers are locked. Please click here to buy them. 3.31) The process of combining the results of several studies is known as:
  1. a meta-analysis
  2. an experiment
  3. data mining
  4. epidemiology
Answers are locked. Please click here to buy them. 3.32) To study the relationship between patient age and serum glucose level, a researcher would use which type of research?
  1. Correlational
  2. Evaluation
  3. Experimental
  4. Retrospective
Answers are locked. Please click here to buy them. 3.33) A ____________ study is a form of experimental research in which neither the researcher nor the subject knows to which group the subject belongs.
  1. control group
  2. double blind
  3. placebo
  4. random sampling
Answers are locked. Please click here to buy them. 3.34) When analyzing the proportion of hospital vists from a given population, in addition to the hospital data you could use:
  1. Vital Statistics data
  2. census data
  3. control group data
  4. peer data
Answers are locked. Please click here to buy them. 3.35) A controlled research study involving human subjects that is designed to prospectively evaluate the safety and effectiveness of new drugs, tests, or devices is a:
  1. blind study
  2. clinical trial
  3. double blind study
  4. placebo study
Answers are locked. Please click here to buy them. 3.36) In an epidemiologic experiment in which the population of one city is exposed to a presumed etiologic factor, and the population of another city is used as a control, a major difficulty is that:
  1. the case and control groups may not be comparable considering other factors
  2. the cities may not be of equal population therefore making comparisons invalid
  3. the groups studied in each city may not be representative of the population of the city
  4. there may be bias in determining the presence or absence of the presumed etiologic factor
Answers are locked. Please click here to buy them. 3.37) A hospital inpatient is scheduled to undergo a hysterectomy. However, while in the pre-operative room, the doctor discovers that the patient is pregnant and cancels the surgery. Based on this information only, you would expect the RIW to be:
  1. lower than the typical RIW
  2. the same as the typical RIW
  3. slightly higher than the typical RIW
  4. much higher than the typical RIW
Answers are locked. Please click here to buy them. 3.38) How is the maternal mortality rate calculated?
  1. (Number of maternal deaths / Number of deliveries) × 10,000
  2. (Number of maternal deaths / Number of deliveries) × 100
  3. (Number of maternal deaths / Number of live births) × 100,000
  4. (Number of maternal deaths / Number of obstetrical discharges) × 1,000,000
Answers are locked. Please click here to buy them. 3.39) Which of type of death is included in gross death rates but not net death rates?
  1. Deaths occurring within 48 hours of admission
  2. Deaths of patients who had an anaesthetic within 24 hours of a procedure
  3. Patients who are dead on arrival
  4. Stillborns
Answers are locked. Please click here to buy them. 3.40) A hospital with 100 beds serves 25,550 inpatient days over the course of a year. Calculate the bed occupancy rate.
  1. 40%
  2. 50%
  3. 60%
  4. 70%
Answers are locked. Please click here to buy them. 3.41) ____________ is/are standardized measures that assist in the comparison of health issues in a population and the identification of any change in health status.
  1. Care plans
  2. Epidemiology
  3. Health indicators
  4. Population health
Answers are locked. Please click here to buy them.

Section 4: Technology and health information

4.1) A document distributed to a large number of vendors as part of the screening process when a project is undertaken is known as a ____________.
  1. Request for Evaluation
  2. Request for Information
  3. Request for Proposal
  4. Request for Readiness Assessment
Answers are locked. Please click here to buy them. 4.2) An infectious disease specialist is tracking patients with an unknown illness. She suspects a previous patient of hers discharged several months ago may have had the same condition, but she cannot remember the patient's name. To identify the patient, you would construct a query based on:
  1. admission number
  2. chart number
  3. procedure Code
  4. provider number
Answers are locked. Please click here to buy them. 4.3) Which of these documents should the HIM professional review when coding death records?
  1. Admission record
  2. ER record
  3. History and physical
  4. Transfer record
Answers are locked. Please click here to buy them. 4.4) One advance in health care delivery is in the use of automated processes to transmit patient health status data to a health care setting for analysis. This is known as:
  1. informatics
  2. quaternary
  3. telehomecare
  4. telemonitoring
Answers are locked. Please click here to buy them. 4.5) Which of these is incorrect about designing a forms view?
  1. A barcode must be included
  2. Ensure that the form meets documentation standards
  3. Forms are compatible with all inhouse feeder systems
  4. Information is collected consistently
Answers are locked. Please click here to buy them. 4.6) The most responsible diagnosis:
  1. explains the reason for admission
  2. is based on the primary procedure
  3. reflects the diagnosis associated with greatest resources used
  4. replicates the primary diagnosis
Answers are locked. Please click here to buy them. 4.7) The CCI is used to:
  1. classify diagnostic imaging results
  2. classify laboratory results
  3. code diagnosis
  4. code interventions
Answers are locked. Please click here to buy them. 4.8) An 18-year-old male patient was admitted with a diagnosis of spontaneous tension pneumothorax. The LOS was 17 days. On day 1, a chest tube was inserted percutaneously and connected to underwater drainage using fluoroscopic guidance. On day 13, the patient had a thoracotomy with pleural abrasion and wedge resection of a lung lobe. The principle procedure for this visit is:
  1. chest tube drainage
  2. pleural abrasian
  3. thoracotomy
  4. wedge resection
Answers are locked. Please click here to buy them. 4.9) The Discharge Abstract Database (DAD) includes information from all provinces and territories except:
  1. British Colombia
  2. Nunavut
  3. Quebec
  4. Yukon
Answers are locked. Please click here to buy them. 4.10) The ICPC has 3 axes. These are:
  1. reason for encounter, diagnosis and ability
  2. reason for encounter, diagnosis and action
  3. reason for visit, age and diagnosis
  4. reason for visit, diagnosis and ability
Answers are locked. Please click here to buy them. 4.11) A patient with an enlarged thyroid was taken to the OR where a frozen section biopsy was performed, followed by total thyroidectomy. You would code the:
  1. diagnostic procedure first followed by the therapeutic procedure
  2. diagnostic procedure only
  3. therapeutic procedure first followed by the diagnostic procedure
  4. therapeutic procedure only
Answers are locked. Please click here to buy them. 4.12) Which database is a census of all deaths in Canada each year?
  1. CVSD
  2. DAD
  3. NACRS
  4. OMHRS
Answers are locked. Please click here to buy them. 4.13) If a knife and broken glass were involved in a patient's injury, the coder must:
  1. code as a multiple external cause code
  2. code both of the external codes knife (W26) and glass (W25) as the causes of the injury
  3. code only the external glass code (W25)
  4. code only the external knife code (W26)
Answers are locked. Please click here to buy them. 4.14) What type of access control restricts network access based on a person's role within an organization?
  1. Discretionary
  2. Privileged
  3. Role-based
  4. Work group-based
Answers are locked. Please click here to buy them. 4.15) The human/computer interface that allows people to enter and retrieve data to and from a system is called the:
  1. connection layer
  2. infrastructure layer
  3. presentation layer
  4. supporting layer
Answers are locked. Please click here to buy them. 4.16) In a relational database, a ____________ is a field in one table that refers to the primary key in another table.
  1. foreign key
  2. index
  3. non-primary key
  4. secondary key
Answers are locked. Please click here to buy them. 4.17) The person responsible for managing the data in terms of consistent definitions, structures etc. within an organization is the:
  1. CPO
  2. IT manager
  3. data steward
  4. security manager
Answers are locked. Please click here to buy them. 4.18) A flexible method of developing systems is known as the _________ systems development life cycle.
  1. active
  2. agile
  3. dexterous
  4. flexible
Answers are locked. Please click here to buy them.

Section 5: Access and security

5.1) The patient has the right to inspect and obtain a copy of his or her PHI:
  1. for as long as the PHI is maintained
  2. for six years
  3. for 1 year
  4. forever
Answers are locked. Please click here to buy them. 5.2) Access granted based on the function performed by the person is known as:
  1. asset management
  2. audit access
  3. global access
  4. role-based access
Answers are locked. Please click here to buy them. 5.3) A framework that ensures an organization has implemented effective measures to protect data and information is known as a:
  1. PIA
  2. PIPEDA
  3. TRA
  4. information security program
Answers are locked. Please click here to buy them. 5.4) Which of these techniques could a facility employ for access controls?
  1. Passwords
  2. Tokens
  3. Unique patient identification
  4. Wifi
Answers are locked. Please click here to buy them. 5.5) You are presenting a case for advancing the implementation of electronic documentation within your health region. In a public forum, a member of the public questions how the security of the information when it is sent between facilities can be assured. In your response, you are likely to respond that an EHR enhances security because:
  1. the data can be encrypted before sharing
  2. the information on any one patient will be stored in more than one location
  3. unauthorized access is eliminated
  4. user authentication is part of the system
Answers are locked. Please click here to buy them. 5.6) Within the context of data security, protecting data privacy means safeguarding:
  1. access to information
  2. data availability
  3. health information quality
  4. system implementation
Answers are locked. Please click here to buy them. 5.7) An error in a hard copy may be corrected by:
  1. blacking out the incorrect entry with a redacting pen
  2. destroying the hard copy containing the incorrect entry
  3. drawing a single line through the incorrect entry
  4. using correction fluid to erase the incorrect entry
Answers are locked. Please click here to buy them. 5.8) The best practice to protect PHI when a facility's computer device needs to be replaced is to:
  1. destroy the hard drive
  2. partition the hard drive
  3. reformat the hard drive
  4. use an erasure program
Answers are locked. Please click here to buy them. 5.9) A patient wants a certified copy of her Statistics Canada Registration of Birth Form because she is trying to get her passport renewed. The patient provides all proof of her identity demographic information. You should:
  1. direct the request to the chief of obstetrics
  2. direct the requestor to the provincial Vital Statistics office
  3. provide the entire birth record
  4. provide the information as requested
Answers are locked. Please click here to buy them. 5.10) Determining what information a person can access is a function of:
  1. audit trails
  2. authentication
  3. authorization
  4. privacy
Answers are locked. Please click here to buy them. 5.11) To modify protected health information (PHI) so that the identity of the individual cannot be ascertained is known as:
  1. aggregation
  2. confidentiality
  3. privacy
  4. scrubbing
Answers are locked. Please click here to buy them. 5.12) Once a patient dies, the record is reviewed and completed, and then can be destroyed:
  1. according to legislative requirements
  2. immediately
  3. never
  4. within 30 days after the data is sent to CIHI
Answers are locked. Please click here to buy them. 5.13) Defaming another person in writing is:
  1. fraud
  2. invasion of privacy
  3. libel
  4. slander
Answers are locked. Please click here to buy them. 5.14) To be effective, passwords must be:
  1. difficult to guess
  2. permanent
  3. predictable
  4. short
Answers are locked. Please click here to buy them.

Section 6: The health care system in Canada

6.1) Which principle of the Canada Health Act is not patient-focused but rather the means of achieving the end to which the other four principles are directed?
  1. Accessibility
  2. Comprehensiveness
  3. Portability
  4. Public administration
Answers are locked. Please click here to buy them. 6.2) The process of enabling people to increase control over and to improve their health is considered:
  1. health promotion
  2. population health
  3. prevention
  4. surveillance
Answers are locked. Please click here to buy them. 6.3) 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
Answers are locked. Please click here to buy them. 6.4) NHIMA is the:
  1. CHIMA structure that establishes the standards for education for HIM professionals
  2. international HIM association of which CHIMA is a member
  3. national body that considers common HIM issues
  4. union of health information managers
Answers are locked. Please click here to buy them. 6.5) Which of the following roles is considered an advanced-level HIM professional?
  1. Chief information officer
  2. Coding classification specialist
  3. Data integrity analyst
  4. Privacy coordinator
Answers are locked. Please click here to buy them. 6.6) According to CCHIM, which of the following is a requirement to maintain a Health Information Management (HIM) certification?
  1. Active participation in state, regional and/or national association workshops
  2. Completion of continuing professional education credits
  3. Support of academic programs through advisory board membership, teaching, and clinical supervision
  4. Work experience in a healthcare setting
Answers are locked. Please click here to buy them. 6.7) Which of the following roles is considered an entry-level HIM professional?
  1. Classification and terminology manager
  2. Clinical data specialist
  3. Records management analyst
  4. Registry administrator
Answers are locked. Please click here to buy them. 6.8) Which principle of PIPEDA states that an organization must have clear, readily available policies about how it manages personal information?
  1. Accountability
  2. Individual access
  3. Openness
  4. Safeguards
Answers are locked. Please click here to buy them. 6.9) Which principle of PIPEDA states that organizations must be able to explain why they are collecting personal information?
  1. Accuracy
  2. Challenging compliance
  3. Identifying purposes
  4. Limiting use, disclosure, and retention
Answers are locked. Please click here to buy them. 6.10) A citizen of Ontario who lives in a remote, northern community cannot access the specialty diabetic care she requires anywhere nearby. She does not drive and cannot afford to fly to an urban area for appropriate care. This is a challenge with:
  1. accessibility
  2. comprehensiveness
  3. portability
  4. universality
Answers are locked. Please click here to buy them. 6.11) The accessibility principle of the Canada Health Act states:
  1. Canadians must have reasonable access to healthcare facilities
  2. a Canadian who moves to a different province is still entitled to coverage
  3. all printed health materials must be made accessible in Braille
  4. anyone in Canada can register for free healthcare, regardless of immigration status
Answers are locked. Please click here to buy them. 6.12) What is the purpose of the Canada Health Act?
  1. To ensure all Canadian residents have access to necessary health care
  2. To ensure all health workers in Canada work in a safe environment
  3. To protect confidential patient information
  4. To provide health care services for people who can pay for the services
Answers are locked. Please click here to buy them. 6.13) Which of these acts ensures all eligible residents of Canada have reasonable access to insured health services on a prepaid basis, without direct charges at the point of service?
  1. Canada Emergency Response Benefit Act
  2. Canada Health Act
  3. Financial Administration Act
  4. Patent Act
Answers are locked. Please click here to buy them. 6.14) Under the Canada Health Act, what is the maximum waiting period that new residents of a province will wait for health insurance coverage?
  1. 1 month
  2. 2 months
  3. 3 months
  4. 6 months
Answers are locked. Please click here to buy them. 6.15) All eligible residents of a province or territory are entitled, on uniform terms and conditions, to all of the insured health services that are provided under the provincial or territorial health insurance plan. This refers to which principle of the Canada Health Act?
  1. Accessibility
  2. Comprehensive coverage
  3. Public administration
  4. Universality
Answers are locked. Please click here to buy them. 6.16) Which principle of the Canada Health Act ensures that citizens have healthcare even if they are in another province?
  1. Accessibility
  2. Portability
  3. Public administration
  4. Universality
Answers are locked. Please click here to buy them. 6.17) Which principle of the Canada Health Act requires provinces to provide all services deemed medically necessary?
  1. Comprehensiveness
  2. Portability
  3. Public administration
  4. Universality
Answers are locked. Please click here to buy them. 6.18) Which principle of the Canada Health Act states that all residents must have access to the same level of health care, regardless of their ability to pay?
  1. Accessibility
  2. Portability
  3. Public administration
  4. Universality
Answers are locked. Please click here to buy them. 6.19) In 1984, the Canada Health Act was passed, combining two previous federal acts addressing hospital and physician services. Which were the two acts?
  1. Privacy Act and Access to Health Information Act
  2. Privacy Act and Department of Health Act
  3. The Hospital Insurance and Diagnostic Services Act and the Medical Care Act
  4. The Medical Care Act and the Department of Health Act
Answers are locked. Please click here to buy them. 6.20) What are equalization payments?
  1. A direct transfer of money between provinces or territories
  2. A transfer of funds between regional authorities to ensure service in rural areas
  3. An allowance for provinces or territories with less money to provide the same level of services as richer jurisdictions
  4. An income tax charged to residents with higher income
Answers are locked. Please click here to buy them. 6.21) What was the intention of the regionalization of health care?
  1. To gain more funding from the federal government
  2. To improve health care delivery by involving and addressing the needs of the community
  3. To offer more services to people living in urban areas
  4. To provide more employment in the health care industry
Answers are locked. Please click here to buy them. 6.22) Which act is Canada’s federal legislation for publicly funded health care insurance?
  1. Canada Health Act
  2. Established Programs Financing Act
  3. Hospital Insurance and Diagnostic Services Act
  4. Medical Care Act
Answers are locked. Please click here to buy them. 6.23) What is the term for a legal agreement between the federal and provincial governments on health care funding?
  1. Continuity of care contract
  2. Enhanced services accord
  3. Health accord
  4. Modality accord
Answers are locked. Please click here to buy them. 6.24) The beginnings of health care accreditation in Canada originate in:
  1. Australia
  2. Ireland
  3. the United Kingdon
  4. the United States
Answers are locked. Please click here to buy them. 6.25) For which of the following groups does the federal government carry direct responsibility for health care costs?
  1. Children under 5 years old
  2. Health care professionals
  3. Members of parliament
  4. Refugee protection claimants
Answers are locked. Please click here to buy them. 6.26) The CCI is maintained by:
  1. CHA
  2. CHI
  3. CHIMA
  4. CIHI
Answers are locked. Please click here to buy them. 6.27) Which of these acts was allocated in 1977 to assist provinces with the cost for post-secondary education and health care by granting a lump sum payment?
  1. The Canada Health Act
  2. The Canada Health and Social Transfer Act
  3. The Department of Health Act
  4. The Established Programs Financing Act
Answers are locked. Please click here to buy them. 6.28) Which of the following is a reason for rising drug costs in the Canadian health care system?
  1. Birth rates are rising across Canada.
  2. Drug patents now expire earlier than they once did.
  3. Fewer employers offer drug insurance plans.
  4. The population is aging.
Answers are locked. Please click here to buy them. 6.29) Food insecurity is a challenge for health, particularly for Aboriginal peoples. What is food insecurity?
  1. A diet high in carbohydrates and trans fat
  2. A diet low in protein
  3. Limited access to nutritionists and doctors to guide food choices
  4. Limited access to nutritious foods required to maintain a healthy state
Answers are locked. Please click here to buy them. 6.30) Which of these is an administrative database that collects information on cancer incidence from all provincial and territorial cancer registries in Canada?
  1. CCR
  2. CJRR
  3. DAD
  4. MIS
Answers are locked. Please click here to buy them. 6.31) Which Canadian organization is responsible for developing and maintaining national health care reporting standards and databases?
  1. Canada Health Infoway
  2. Canadian Institute for Health Information
  3. Canadian Standards Association
  4. Statistics Canada
Answers are locked. Please click here to buy them. 6.32) In what type of funding is money provided based on the types of cases treated and the volume of patients?
  1. Block
  2. Line by line
  3. Population-based
  4. Service-based
Answers are locked. Please click here to buy them. 6.33) In which type of hospital funding is the amount determined by the previous year's expenditures?
  1. Activity based funding
  2. Block funding
  3. Line by line funding
  4. Service based funding
Answers are locked. Please click here to buy them. 6.34) Which of these is an allied health profession?
  1. HIM professional
  2. Nurse
  3. Occupational therapist
  4. Physician
Answers are locked. Please click here to buy them. 6.35) Which determinant of health includes smoking?
  1. Behaviour
  2. Environment
  3. Genetics
  4. Medical care
Answers are locked. Please click here to buy them.

Section 7: Ethics and practice

7.1) Another term for a patient advocate is:
  1. hospital concierge
  2. medical expediter
  3. medical ombudsman
  4. patient navigator
Answers are locked. Please click here to buy them. 7.2) What is the purpose of utilization management?
  1. To improve the quality of patient care
  2. To increase patient safety
  3. To reduce the number of adverse events
  4. To use resources more effectively
Answers are locked. Please click here to buy them. 7.3) The primary source for information to support utilization and quality management activities is:
  1. MIS data
  2. billing data
  3. coded data
  4. registration data
Answers are locked. Please click here to buy them. 7.4) The primary source of data and information regarding patient safety issues is:
  1. accreditation reports
  2. coded data
  3. incident reports
  4. statements of claim
Answers are locked. Please click here to buy them. 7.5) When performing quantitative analysis, you discover a pathology report on an appendix. However, the OR report does not mention an appendectomy. You should:
  1. leave the record as is
  2. refer the record to the pathologist
  3. refer the record to the surgeon
  4. submit the record to the risk manager
Answers are locked. Please click here to buy them. 7.6) A ______________ causes death or major and enduring loss of function for a recipient of healthcare services.
  1. adverse event
  2. incident
  3. liability
  4. sentinel event
Answers are locked. Please click here to buy them. 7.7) When a verbal complaint is lodged against a member of CHIMA, the ethics committee must:
  1. contact law enforcement
  2. contact the employer
  3. investigate the complaint
  4. request documentation from the complainant
Answers are locked. Please click here to buy them. 7.8) You are a HIM professional employed as a coder in a large teaching hospital. Your facility is concerned that the average RIW for the facility is too low compared with peer hospitals, and hired an external company to do a coding review. Their recommendation to coding staff is to review the health record and code all conditions noted by any health professional. You are very uncomfortable with this recommendation. Which of the following is your best option under the circumstances?
  1. Code all conditions as query diagnoses
  2. Code all conditions as requested
  3. Contact CHIMA immediately
  4. Document and take your concerns to administration
Answers are locked. Please click here to buy them. 7.9) Incident reports should be:
  1. filed with the associated visit
  2. stored separately from the health record
  3. the first document seen when accessing a record
  4. thrown out once the incident is investigated
Answers are locked. Please click here to buy them. 7.10) The senior manager responsible for overall management of information resources within an organization is the:
  1. CEO
  2. CFO
  3. CIO
  4. CMO
Answers are locked. Please click here to buy them. 7.11) The International Federation of Health Information Management Associations (IFHIMA) is a non-profit organization that collaborates with the:
  1. International Health Terminology Standards Development Organization
  2. International Quality Federation
  3. Systemics and Informatics World Network
  4. World Health Organization
Answers are locked. Please click here to buy them. 7.12) Law originating from court decisions is known as:
  1. common law
  2. public law
  3. statute law
  4. tort law
Answers are locked. Please click here to buy them. 7.13) A document requiring a person to give testimony at court is called a(n):
  1. affidavit
  2. search warrant
  3. subpoena
  4. summons
Answers are locked. Please click here to buy them. 7.14) With Accreditation Canada's Qmentum program, organizations are surveyed every how many years?
  1. 1
  2. 2
  3. 3
  4. 4
Answers are locked. Please click here to buy them. 7.15) Which organization is a national, not-for-profit corporation that sets the accreditation standards for educational institutions and certification standards for health information professionals in Canada?
  1. Canada Health Infoway
  2. Canadian College of Health Information Management (CCHIM)
  3. Canadian Health Information Management Association (CHIMA)
  4. Canadian Institute for Health Information (CIHI)
Answers are locked. Please click here to buy them. 7.16) Which organization publishes Professional Practice Briefs (PPBs)?
  1. CHIMA
  2. CIHI (Canadian Institute for Health Information)
  3. Canada Health Infoway
  4. Health Canada
Answers are locked. Please click here to buy them.

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