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CHIM NCE Practice Exam 3

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) When unsure of a patient’s preferred pronouns, what is the most appropriate action?
  1. Ask a family member of the person
  2. Ask the person what pronouns they prefer
  3. Decide based on a person’s appearance
  4. Use the pronoun of the person’s biological gender
Answers are locked. Please click here to buy them. 1.2) Which type of health record is maintained by the patient?
  1. EHR
  2. EMR
  3. EPR
  4. PHR
Answers are locked. Please click here to buy them. 1.3) What is the main purpose of incident reports?
  1. To assign legal responsibility for failures
  2. To identify the individual responsible for the error
  3. To improve safety and quality
  4. To reduce the documentation workload
Answers are locked. Please click here to buy them. 1.4) Which action is the first step of a corrective action plan?
  1. Conduct a root-cause analysis
  2. Conduct follow-ups
  3. Implement the plan
  4. Notify the accreditation body
Answers are locked. Please click here to buy them. 1.5) Which management philosophy aims to generate the maximum amount of value with the least amount of waste?
  1. Agile
  2. Lean
  3. Six Sigma
  4. Theory of Constraints
Answers are locked. Please click here to buy them. 1.6) What are the four steps of the Shewhart Cycle?
  1. Analyze, create, inspect, and create again
  2. Initiate, plan, execute, and close
  3. Plan, do, check, and act
  4. Specify, produce, inspect, and change
Answers are locked. Please click here to buy them. 1.7) In which organizational structure is a 'silo' mentality most likely to occur?
  1. Flattened
  2. Functional
  3. Matrix
  4. Process-oriented
Answers are locked. Please click here to buy them. 1.8) Which tool is most useful for identifying inefficiencies in workflow?
  1. Calibration curve
  2. Control chart
  3. Process map
  4. Reference interval
Answers are locked. Please click here to buy them. 1.9) What is the main purpose of Failure Mode and Effects Analysis (FMEA)?
  1. To correct failures after they have been detected
  2. To determine the effects of failures
  3. To determine the root cause of failures
  4. To prevent failures before they occur
Answers are locked. Please click here to buy them. 1.10) Which of these is an example of quality assurance rather than quality control?
  1. Calibrating an analyzer
  2. Repeating an out-of-range control
  3. Reviewing incident reports
  4. Running daily controls
Answers are locked. Please click here to buy them. 1.11) Which system is used to identify, investigate, and eliminate the root causes of quality issues to prevent them from happening again?
  1. CAPA
  2. Just-in-time (JIT)
  3. Lean
  4. Shewhart Cycle
Answers are locked. Please click here to buy them. 1.12) Which group of people refuses blood transfusions due to religious beliefs?
  1. Buddhists
  2. Jehovah's Witnesses
  3. Mormons
  4. Muslims
Answers are locked. Please click here to buy them. 1.13) Which type of care improves the quality of life for patients facing serious, life-threatening illnesses?
  1. Palliative care
  2. Rehabilitative care
  3. Respite care
  4. Tertiary care
Answers are locked. Please click here to buy them. 1.14) Which of these is one of the phases of the information lifecycle?
  1. Classification
  2. Destruction
  3. Formatting
  4. Reparation
Answers are locked. Please click here to buy them. 1.15) What ethical dilemma does a healthcare provider face when a patient refuses a life-saving treatment?
  1. Being honest vs. withholding information
  2. Healthcare needs vs. resource allocations
  3. Patient autonomy vs. the duty to provide care
  4. Pro-choice vs. pro-life
Answers are locked. Please click here to buy them. 1.16) What is the main purpose of a master patient index (MPI)?
  1. To manage billing information
  2. To store laboratory test results
  3. To track medications
  4. To uniquely identify patients
Answers are locked. Please click here to buy them. 1.17) What is the main purpose of health records?
  1. To assist in the accreditation of an individual or facility
  2. To determine or audit funding levels
  3. To document and support patient care services
  4. To serve as evidence in legal proceedings
Answers are locked. Please click here to buy them. 1.18) What format is commonly used for progress notes in the POMR system?
  1. ABCDE (Airway, Breathing, Circulation, Disability, Exposure)
  2. BIRP (Behaviour, Intervention, Response, and Plan)
  3. DAP (Data, Assessment, and Plan)
  4. SOAP (Subjective, Objective, Assessment, Plan)
Answers are locked. Please click here to buy them. 1.19) A hospital uses a terminal digit filing system. To find record 12-08-35, which number(s) would you use first?
  1. 08
  2. 35
  3. 12
  4. 5
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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