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CHIM NCE Practice Exam 3

Number of questions: 167

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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 167 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 plane separates the body into front and back?
  1. Frontal
  2. Oblique
  3. Sagittal
  4. Transverse
Answers are locked. Please click here to buy them. 1.2) What does the prefix entero- mean?
  1. Entire
  2. Inside
  3. Intestine
  4. Stomach
Answers are locked. Please click here to buy them. 1.3) Which suffix means 'flow' or 'discharge'?
  1. -emesis
  2. -ptysis
  3. -rrhaphy
  4. -rrhea
Answers are locked. Please click here to buy them. 1.4) Which prefix means the liver?
  1. Adeno-
  2. Gastro-
  3. Hepato-
  4. Nephro-
Answers are locked. Please click here to buy them. 1.5) Hyperkalemia means high levels of which chemical element?
  1. Calcium
  2. Mercury
  3. Potassium
  4. Sodium
Answers are locked. Please click here to buy them. 1.6) What is hematuria?
  1. A disease where the body makes too much blood
  2. Blood in the eye
  3. Blood in the urine
  4. Kidney stones
Answers are locked. Please click here to buy them. 1.7) What is the medical term for a high lymphocyte count?
  1. Lymphocytopenia
  2. Lymphocytosis
  3. Lymphoid
  4. Lymphopoiesis
Answers are locked. Please click here to buy them. 1.8) What is the medical term for premature separation of the placenta?
  1. Abruptio placentae
  2. Ectopic pregnancy
  3. Placenta previa
  4. Pseudocyesis
Answers are locked. Please click here to buy them. 1.9) Which lung disease is associated with emphysema and chronic bronchitis?
  1. Asthma
  2. Chronic obstructive pulmonary disease
  3. Cystic fibrosis
  4. Interstitial lung disease
Answers are locked. Please click here to buy them. 1.10) What term means vaginal bleeding that occurs outside of the expected menstrual cycle?
  1. Menorrhagia
  2. Menorrhea
  3. Metrorrhagia
  4. Oligomenorrhea
Answers are locked. Please click here to buy them. 1.11) What is the medical term for abnormal changes in the growth and formation of bone?
  1. Myelopoiesis
  2. Osteoclasis
  3. Osteodystrophy
  4. Osteoplasty
Answers are locked. Please click here to buy them. 1.12) Which term means a low white blood cell count?
  1. Leukocytosis
  2. Leukodystrophy
  3. Leukopenia
  4. Leukoplakia
Answers are locked. Please click here to buy them. 1.13) Icterus is another word for:
  1. heart attack
  2. jaundice
  3. seizure
  4. stroke
Answers are locked. Please click here to buy them. 1.14) What is phlebitis?
  1. A type of blood cancer
  2. A viral infection that affects lymph nodes
  3. Clotting in an artery
  4. Inflammation of a vein
Answers are locked. Please click here to buy them. 1.15) What is the medical term for no urine production?
  1. Anuria
  2. Diuresis
  3. Micturition
  4. Voiding
Answers are locked. Please click here to buy them. 1.16) Small red or purple spots caused by a minor hemorrhage are called:
  1. palachiae
  2. parachiae
  3. pasachiae
  4. petechiae
Answers are locked. Please click here to buy them. 1.17) Which word means difficult or obstructed labour?
  1. Dyspareunia
  2. Dystocia
  3. Eclampsia
  4. Eutocia
Answers are locked. Please click here to buy them. 1.18) What is Lou Gehrig’s disease?
  1. A condition where the thyroid gland doesn't produce enough hormones
  2. A persistant ringing noise inside the ear
  3. A progressive brain disorder that slowly destroys memory and thinking skills
  4. The progressive loss of the motor neurons that control voluntary muscles
Answers are locked. Please click here to buy them. 1.19) Grade 1 tumours grow ________ and have cells that look _________.
  1. quickly, abnormal
  2. quickly, normal
  3. slowly, abnormal
  4. slowly, normal
Answers are locked. Please click here to buy them. 1.20) Most cases of tetany are caused by a deficiency of which mineral?
  1. Calcium
  2. Phosphorous
  3. Potassium
  4. Sodium
Answers are locked. Please click here to buy them. 1.21) What is ischemia?
  1. A restriction in blood supply to tissues
  2. Persistent elevation of blood pressure in the arteries
  3. Tissue death due to inadequate blood supply to the affected area
  4. When the heart is unable to pump sufficient blood to meet the body's needs
Answers are locked. Please click here to buy them. 1.22) Which type of jaundice is due to liver damage?
  1. Hepatocellular
  2. Neonatal
  3. Post-hepatic
  4. Pre-hepatic
Answers are locked. Please click here to buy them. 1.23) Which of these is a bronchodilator used to treat asthma?
  1. Cetirizine
  2. Fluticasone
  3. Mometasone
  4. Salbutamol
Answers are locked. Please click here to buy them. 1.24) What is the purpose of radiation treatment for cancer?
  1. To convert cancerous cells to normal cells
  2. To increase the blood supply to healthy cells
  3. To kill cancerous cells
  4. To stop cancerous cells from bleeding
Answers are locked. Please click here to buy them. 1.25) The ERCP is a common procedure used to:
  1. check for bladder disease
  2. evaluate the cause of jaundice
  3. remove cancerous tissue from the esophagus
  4. remove cysts from the intestinal tract
Answers are locked. Please click here to buy them. 1.26) The brain is located in which cavity?
  1. Abdominal
  2. Cranial
  3. Pericardial
  4. Pleural
Answers are locked. Please click here to buy them. 1.27) Deficiency of which substance causes pernicious anemia?
  1. Folate
  2. Iron
  3. Vitamin B12
  4. Vitamin B6
Answers are locked. Please click here to buy them. 1.28) Cancer derived from epithelial tissue is classified as a:
  1. adenoma
  2. carcinoma
  3. lipoma
  4. sarcoma
Answers are locked. Please click here to buy them. 1.29) Haloperidol is a medication used to treat which health problem?
  1. Hypertension
  2. Insomnia
  3. Rheumatoid arthritis
  4. Schizophrenia
Answers are locked. Please click here to buy them. 1.30) Which of these medications lowers the level of LDL cholesterol in the blood?
  1. Beta-blockers
  2. Corticosteroid
  3. Diuretics
  4. Statins
Answers are locked. Please click here to buy them. 1.31) Which type of drug is used to increase the output of urine?
  1. Barbiturate
  2. Corticosteroid
  3. Diuretic
  4. Immunosuppressant
Answers are locked. Please click here to buy them. 1.32) Drugs that produce loss of sensation throughout the entire body are called:
  1. analgesics
  2. anesthetics
  3. anticonvulsants
  4. tranquilizers
Answers are locked. Please click here to buy them. 1.33) What do vasodilator medicines do?
  1. Decrease glucose levels
  2. Increase the activity of neurotransmitters in the brain
  3. Inhibit the metabolism of glucose
  4. Widen blood vessels
Answers are locked. Please click here to buy them. 1.34) Which of these is a liver function test?
  1. AST test
  2. Creatine kinase test
  3. Creatinine test
  4. Troponin test
Answers are locked. Please click here to buy them.

Section 2: Health information science

2.1) A health record maintained by a patient is called a(n):
  1. electronic health record
  2. electronic medical record
  3. personal health record
  4. portal health record
Answers are locked. Please click here to buy them. 2.2) In the SOAP note of problem‐oriented medical records, what does the letter “S” stand for?
  1. Saved
  2. Subjective
  3. Summary
  4. Systematic
Answers are locked. Please click here to buy them. 2.3) Which of these information would you place in the "P" section when using SOAP charting?
  1. Patient's chief complaint
  2. Physician's diagnosis
  3. Test results
  4. Treatments
Answers are locked. Please click here to buy them. 2.4) In the SOAP note of problem‐oriented medical records, what does the letter “A” stand for?
  1. Action
  2. Alternative
  3. Application
  4. Assessment
Answers are locked. Please click here to buy them. 2.5) Which of these would you place in the "A" 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. 2.6) A missed abortion describes the circumstance in which early fetal death occurs before completion of ____________ gestation without spontaneous expulsion of conception.
  1. 12 weeks
  2. 20 weeks
  3. 30 weeks
  4. 35 weeks
Answers are locked. Please click here to buy them. 2.7) Which type code is never used on newborn abstracts?
  1. 0
  2. 1
  3. 2
  4. 3
Answers are locked. Please click here to buy them. 2.8) An unrealistic timetable imposed by the government is an example of which business risk to personal health information?
  1. Business interruption
  2. Political interference
  3. Procurement challenge
  4. User rejection
Answers are locked. Please click here to buy them. 2.9) Scope creep is often associated with which category of risk management in the e-health environment?
  1. Business risks
  2. Operational risks
  3. Project risks
  4. Safety risks
Answers are locked. Please click here to buy them. 2.10) When a patient suffers from anaphylactic shock, you must also code a(n):
  1. external cause code
  2. interaction to a drug code
  3. personal history code
  4. tertiary code
Answers are locked. Please click here to buy them. 2.11) What is a retraction of health information?
  1. The correction of incorrect information
  2. The deletion of information
  3. The removal of a record from the system
  4. The retrieval of a record from the archives
Answers are locked. Please click here to buy them. 2.12) What should form the basis of creating a retention schedule for health information?
  1. Jurisdictional legislation
  2. Organizational policies and procedures
  3. Provincial colleges of physicians and surgeons
  4. The Canadian Institute for Health Information Data Quality Framework
Answers are locked. Please click here to buy them. 2.13) A data dictionary helps ensure consistency by:
  1. bringing all the data together into one database
  2. cleaning the data
  3. making the data more accessible
  4. standardizing definitions
Answers are locked. Please click here to buy them. 2.14) Which of these is one of the five phases of information lifecycle management?
  1. Database
  2. Software
  3. Usage
  4. User
Answers are locked. Please click here to buy them. 2.15) In a workflow analysis, who is responsible for organizing meetings with the stakeholders to review the current state?
  1. Business Analyst
  2. Facilitator
  3. Management
  4. Sponsor
Answers are locked. Please click here to buy them. 2.16) What is the correct sequence of stages in the systems development life cycle?
  1. Analysis, design, planning, implementation, maintenance
  2. Design, analysis, planning, implementation, maintenance
  3. Design, planning, analysis, implementation, maintenance
  4. Planning, analysis, design, implementation, maintenance
Answers are locked. Please click here to buy them. 2.17) During workflow analysis, who gathers information from stakeholders and creates workflow diagrams?
  1. Business analyst
  2. Facilitator
  3. Management
  4. Sponsor
Answers are locked. Please click here to buy them. 2.18) Which of these is NOT a role of Health Information Management professionals?
  1. Allowing patients to review their own records
  2. Deciding on treatment for patients
  3. Making decisions to release information based on regulations governing disclosure
  4. Releasing information to a consumer-authorized third party payor who provides the consumer’s insurance coverage
Answers are locked. Please click here to buy them. 2.19) Which component of a research report explains the problem and why the problem is important?
  1. Introduction
  2. Literature review
  3. Presentation and analysis of data
  4. Conclusion and summary
Answers are locked. Please click here to buy them. 2.20) Which of these is not an ethical considerations in research?
  1. Beneficence
  2. Circle-of-care
  3. Justice
  4. Respect for persons
Answers are locked. Please click here to buy them. 2.21) What is the primary purpose of the health record?
  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. 2.22) Which dimension of data quality means all the data required is present and available for use?
  1. Accuracy
  2. Completeness
  3. Timeliness
  4. Validity
Answers are locked. Please click here to buy them. 2.23) Which database captures administrative, clinical and demographic information on hospital deaths, sign-outs and transfers?
  1. Discharge Abstract Database (DAD)
  2. Hospital Morbidity Database (HMDB)
  3. National Ambulatory Care Reporting System (NACRS)
  4. National Rehabilitation Reporting System (NRS)
Answers are locked. Please click here to buy them. 2.24) Your hospital uses a terminal digit filing system. You have to find the record for patient number 12-08-10. To locate the record, which numbers would you use first?
  1. 08
  2. 10
  3. 12
  4. 20
Answers are locked. Please click here to buy them. 2.25) In which type of filing system are all files kept together in the same place?
  1. Alphanumeric
  2. Centralized
  3. Decentralized
  4. Duplex
Answers are locked. Please click here to buy them. 2.26) Which method of organizing medical records puts the most recent documents first?
  1. Direct
  2. Indirect
  3. Reverse chronological
  4. Terminal
Answers are locked. Please click here to buy them. 2.27) What is the most logical order of units in a chronological filing system?
  1. Day, month, and year
  2. Month and year
  3. Month, day, and year
  4. Year, month, and day
Answers are locked. Please click here to buy them.

Section 3: Health information analysis and presentation

3.1) According to the Pareto principle, roughly _____ of effects come from _____ of causes.
  1. 60%, 40%
  2. 70%, 30%
  3. 80%, 20%
  4. 90%, 10%
Answers are locked. Please click here to buy them. 3.2) If two variables have a positive relationship, it means:
  1. they have a strong correlation
  2. when one variable decreases, the other tends to increase
  3. when one variable increases, the other also tends to increase
  4. when one variable increases, the other tends to decrease
Answers are locked. Please click here to buy them. 3.3) Which graph/chart best compares changes in several different categories or groups?
  1. Bar graph
  2. Line graph
  3. Pie chart
  4. Scatter plot
Answers are locked. Please click here to buy them. 3.4) Which statistical test is used to compare the means of two groups?
  1. Linear regression
  2. Median
  3. One-way ANOVA
  4. Standard t-test
Answers are locked. Please click here to buy them. 3.5) For data distributed normally, what percentage of cases is below the mean?
  1. 25%
  2. 50%
  3. 75%
  4. 100%
Answers are locked. Please click here to buy them. 3.6) What is the mean of 1, 10, 20, 50, 80, 90 and 99?
  1. 45
  2. 50
  3. 55
  4. 60
Answers are locked. Please click here to buy them. 3.7) The value that appears most often in a set of data values is called the:
  1. average
  2. coefficient of variation
  3. mean
  4. mode
Answers are locked. Please click here to buy them. 3.8) What is the mode of 1, 2, 2, 3, 4 and 6?
  1. 2
  2. 3
  3. 4
  4. 5
Answers are locked. Please click here to buy them. 3.9) If the same thing is measured many times and the measurements are always the same, this means the measurements are:
  1. accurate
  2. reliable
  3. valid
  4. variable
Answers are locked. Please click here to buy them. 3.10) A hospital records 5 direct maternal deaths and 500 obstetrical discharges (including deaths) during three months. Calculate the maternal mortality rate for this period.
  1. 1%
  2. 2%
  3. 3%
  4. 4%
Answers are locked. Please click here to buy them. 3.11) How is the average length of stay calculated?
  1. Number of days in the period of time / total number of inpatient days
  2. Total number of discharges / total number of inpatient days
  3. Total number of inpatient days / number of days in the period of time
  4. Total number of inpatient days / total number of discharges
Answers are locked. Please click here to buy them. 3.12) The incidence rate of a disease is the number of:
  1. cases at a certain point in time
  2. new and preexisting cases over a period of time
  3. new cases among contacts
  4. new cases over a period of time
Answers are locked. Please click here to buy them. 3.13) The collection and analysis of data that are needed to plan, implement, and evaluate population health initiatives is known as:
  1. determinants of health
  2. epidemiology
  3. population health
  4. population-based surveillance
Answers are locked. Please click here to buy them. 3.14) A facility analyzes health data and discovers they are sending a lot of patients to another facility for an MRI. The facility decides to investigate the purchase of MRI equipment. This is an example of using health data for:
  1. funding requests
  2. legal purposes
  3. operational management
  4. patient care
Answers are locked. Please click here to buy them. 3.15) A scale that has "excellent", "very good", "good", "fair", and "poor" as variables is an example of which scale of measurement?
  1. Interval
  2. Nominal
  3. Ordinal
  4. Ratio
Answers are locked. Please click here to buy them. 3.16) Which of these is true about random sampling?
  1. All subjects are unaware that there is an experiment taking place
  2. All subjects have an equal chance of being selected
  3. Subjects are chosen as they become available
  4. Subjects are selected based on convenience
Answers are locked. Please click here to buy them. 3.17) What kind of statistics provides simple summaries about the basic features of the data?
  1. Descriptive
  2. Hypothetical
  3. Inferential
  4. Predictive
Answers are locked. Please click here to buy them. 3.18) What statistical method draws conclusions about the larger population by examining a sample of that population?
  1. Binomial
  2. Descriptive
  3. Inferential
  4. Special
Answers are locked. Please click here to buy them. 3.19) Studies require ethics approval if they involve:
  1. data
  2. information
  3. literature
  4. people
Answers are locked. Please click here to buy them. 3.20) A study that analyzed the patterns of sickness and hospitalization of loggers in Canada’s north would be a:
  1. Health Canada study
  2. Infoway study
  3. population health study
  4. primary care study
Answers are locked. Please click here to buy them. 3.21) Which of these is a research method that collects qualitative data?
  1. Data collection
  2. Experiment
  3. Interview
  4. Rating scale
Answers are locked. Please click here to buy them. 3.22) The details on the selection of subjects in an experimental trial are outlined in the:
  1. conclusion
  2. hypothesis
  3. literature review
  4. study protocol
Answers are locked. Please click here to buy them. 3.23) What kind of study would monitor individuals over 10 years?
  1. Concurrent
  2. Cross-sectional
  3. Longitudinal
  4. Retrospective
Answers are locked. Please click here to buy them. 3.24) Which Canadian database captures national administrative, clinical, and demographic information on hospital inpatient events?
  1. CJRR
  2. HD
  3. HMDB
  4. HSMR
Answers are locked. Please click here to buy them. 3.25) The presenting complaint pick list was developed by the:
  1. CEDIS working group
  2. CIHI subgroups
  3. DAD working group
  4. NACRS ambulatory working group
Answers are locked. Please click here to buy them. 3.26) In ICD-10-CA, what are F00-F99 codes for?
  1. Diseases of the genitourinary system
  2. Endocrine, nutritional and metabolic diseases
  3. Mental and behavioural disorders
  4. Pregnancy, childbirth and the puerperium
Answers are locked. Please click here to buy them. 3.27) C00-D48 Neoplasms in the ICD-10-CA is an example of a:
  1. block
  2. diagnosis
  3. field
  4. group
Answers are locked. Please click here to buy them. 3.28) Case mix groups are used for:
  1. acute care ambulatory services
  2. acute care inpatients
  3. long term care
  4. palliative care
Answers are locked. Please click here to buy them. 3.29) The following table shows the deaths and discharges at a hospital during a six-week period:
Deaths 6
Discharges (including deaths). 200
Calculate the gross death rate.
  1. 1%
  2. 2%
  3. 3%
  4. 4%
Answers are locked. Please click here to buy them. 3.30) A patient was admitted at 8 am on January 5th and discharged at 8 pm on January 10th. What was the length of stay?
  1. 5 days
  2. 5.5 days
  3. 6 days
  4. 6.5 days
Answers are locked. Please click here to buy them. 3.31) 1,021 appendectomies were performed during one month. 19 of the individuals died within ten days of their surgery. The postoperative death rate is:
  1. 1.86%
  2. 3.34%
  3. 33.40%
  4. 53.73%
Answers are locked. Please click here to buy them. 3.32) The following patients were discharged from a hospital:
Patient number Length of stay
1 5 days
2 7 days
3 2 days
4 6 days
Calculate the average length of stay.
  1. 5 days
  2. 6 days
  3. 7 days
  4. 8 days
Answers are locked. Please click here to buy them.

Section 4: Technology and health information

4.1) The process of systematically tracking a patient's clinical treatment and the responses to that treatment for the purpose of improving care is:
  1. incident reporting
  2. informatics
  3. outcome measurement
  4. sentinel reporting
Answers are locked. Please click here to buy them. 4.2) The standards-based framework of a system that fulfills health information standards requirements is essential to ensuring:
  1. accreditation
  2. compliance
  3. conformance
  4. credentialing
Answers are locked. Please click here to buy them. 4.3) Health care organizations would normally set the risk tolerance level for e-health systems as:
  1. low
  2. medium
  3. high
  4. very high
Answers are locked. Please click here to buy them. 4.4) What can happen when there is no stakeholder involvement in the creation of a new system?
  1. Business interruption
  2. Political interference
  3. Procurement challenge
  4. User rejection
Answers are locked. Please click here to buy them. 4.5) Fetal deaths are:
  1. included in gross death rates only
  2. included in net and gross death rates
  3. included in net death rates only
  4. not included in either gross or net death rates
Answers are locked. Please click here to buy them. 4.6) When choosing a new information system, the most important factor is:
  1. how easy the system will be to implement
  2. the amount of documentation about the system
  3. the cost of the system
  4. the needs of the users
Answers are locked. Please click here to buy them. 4.7) A potential benefit of an encoder is that it:
  1. eliminates the need for coders
  2. elminiates the need to refer to inclusion/exclusion notes
  3. improves coding consistency
  4. selects the most responsible diagnosis
Answers are locked. Please click here to buy them. 4.8) The moving of computer data from one format to another to comply with changing standards for data and file handling is known as:
  1. data adapting
  2. data conversion
  3. data flow
  4. data mapping
Answers are locked. Please click here to buy them. 4.9) Which system analyzes and reports on information submitted to CIHI about individuals receiving mental health services in Ontario?
  1. CVSD
  2. DAD
  3. NACRS
  4. OMHRS
Answers are locked. Please click here to buy them. 4.10) The core component types in SNOMED CT are:
  1. concepts, descriptions, and relationships
  2. data, metadata, and information
  3. diseases, causes, and interventions
  4. entries, tables, and databases
Answers are locked. Please click here to buy them. 4.11) Which database contains data for hospital-based and community-based ambulatory care, including day surgery, outpatient and community-based clinics, and emergency departments?
  1. CVSD
  2. DAD
  3. NACRS
  4. OMHRS
Answers are locked. Please click here to buy them. 4.12) Which database contains information on inpatients from acute care hospital discharges?
  1. CVSD
  2. DAD
  3. NACRS
  4. OMHRS
Answers are locked. Please click here to buy them. 4.13) A process that scrambles sensitive data, such as personal health information, so that it can be safely transmitted is known as:
  1. access control
  2. authentication
  3. conglomeration
  4. encryption
Answers are locked. Please click here to buy them. 4.14) A fingerprint scan is an example of:
  1. a firewall
  2. artificial intelligence
  3. biometrics technology
  4. web security
Answers are locked. Please click here to buy them. 4.15) To transfer database information between software packages, you would:
  1. make the data publically available on the internet
  2. manually copy the information from one application to the other
  3. save the data as a network
  4. use the export/import feature
Answers are locked. Please click here to buy them. 4.16) What is the name of computer memory that needs power to maintain stored information?
  1. Dynamic
  2. Powered
  3. Static
  4. Volatile
Answers are locked. Please click here to buy them. 4.17) A network that connects two or more devices in a limited geographical region, usually within the same building, so that every device on the network can communicate with every other device, is known as a:
  1. community area network
  2. local area network
  3. regional area network
  4. wide area network
Answers are locked. Please click here to buy them. 4.18) Which of these is a tool used in the modeling stage of database planning?
  1. Data dictionary
  2. Data flow diagram
  3. Gantt chart
  4. Normalization table
Answers are locked. Please click here to buy them. 4.19) What type of database is arranged in a 'parent-child' relationship?
  1. Flat file
  2. Hierarchical database
  3. Object-oriented database
  4. Relational database
Answers are locked. Please click here to buy them. 4.20) A set of information describing the contents, format, and structure of a database and the relationship between its elements is called a:
  1. data dictionary
  2. data entity
  3. data system
  4. data table
Answers are locked. Please click here to buy them. 4.21) The type of database that organizes data into one or more tables of columns and rows, with a unique key identifying each row, is called:
  1. NoSQL
  2. local area
  3. object oriented
  4. relational
Answers are locked. Please click here to buy them. 4.22) Which phase of the systems development life cycle is where the new system is assessed and changed to ensure it does not become obsolete?
  1. Analysis
  2. Design
  3. Implementation
  4. Maintenance
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Section 5: Access and security

5.1) The obligation of a person or organization to not disclose health information unless authorized by law or the patient is known as:
  1. accountability
  2. confidentiality
  3. privacy
  4. security
Answers are locked. Please click here to buy them. 5.2) If a member of staff looks up a family member's records out of concern for the family member, this is:
  1. a breach of privacy
  2. allowable if done within organizational policy
  3. allowable if not done with malicious intent
  4. automatically reportable to the jurisdictional privacy commissioner
Answers are locked. Please click here to buy them. 5.3) Which of these is NOT a security risk in the management of health information?
  1. Corruption or unauthorized modification
  2. Denial of patient rights
  3. Loss of critical information technology
  4. Loss of informaiton by natural disaster
Answers are locked. Please click here to buy them. 5.4) The potential overhearing of a discussion by hospital volunteers of two clinicians discussing a specific patient is:
  1. a privacy risk
  2. a security risk
  3. not a problem
  4. within the "circle-of-care"
Answers are locked. Please click here to buy them. 5.5) Which principle of the CSA Model Code best reflects the statement “data not required for the delivery of health care should not be gathered”?
  1. Challenging compliance
  2. Consent
  3. Limiting collection
  4. Safeguards
Answers are locked. Please click here to buy them. 5.6) Which of these dangers is a risk only to electronic records and not hard copy records?
  1. Hacking
  2. Loss
  3. Tampering
  4. Unauthorized access
Answers are locked. Please click here to buy them. 5.7) A tool used to identify the potential privacy risks in a health information system is the:
  1. CHIMA Practice Briefs
  2. CSA Model Code
  3. PIPEDA
  4. privacy impact assessment
Answers are locked. Please click here to buy them. 5.8) Which principle of the CSA Model Code best reflects the statement “protecting PHI is particularly challenging in an electronic, multi-jurisdictional environment”?
  1. Challenging compliance
  2. Consent
  3. Limiting collection
  4. Safeguards
Answers are locked. Please click here to buy them. 5.9) According to the Canadian Medical Protective Association, a concept that may assist physicians in maintaining the privacy of patient information is the:
  1. circle of care
  2. duty to report
  3. see no evil; hear no evil
  4. when in doubt, throw it out
Answers are locked. Please click here to buy them. 5.10) Acceptable authentications for electronic records includes the author using a:
  1. audit trail
  2. digital signature
  3. initials with a corresponding signature legend
  4. template to track changes
Answers are locked. Please click here to buy them. 5.11) Which of these should NOT affect record retention policies?
  1. Legislation
  2. Medical staff rules and regulations
  3. Recommendations by professional governing bodies
  4. Record usage
Answers are locked. Please click here to buy them. 5.12) A phlebotomist collects blood from a 14-year-old girl without consent from her parents. The phlebotomist could be charged with:
  1. battery
  2. invasion of privacy
  3. res ipsa loquitur
  4. vicarious liability
Answers are locked. Please click here to buy them. 5.13) Common law is also known as ________ law.
  1. case
  2. private
  3. public
  4. universal
Answers are locked. Please click here to buy them. 5.14) What is Canada's federal data privacy law for private-sector organizations?
  1. HIPPA
  2. PHIPA
  3. PIPEDA
  4. WHMIS
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Section 6: The health care system in Canada

6.1) A legal document that specifies the nature and level of treatment that a person wants to receive in the event of later being unable to make those decisions is a(n):
  1. advance directive
  2. alternate level of care directive
  3. delegated act
  4. end of life directive
Answers are locked. Please click here to buy them. 6.2) ________________ is a care service given to terminally ill patients. It is often given in the patient's home. It may include nursing care, counseling, and pain management.
  1. Palliative care
  2. Public health
  3. Rehabilitative service
  4. Tertiary care
Answers are locked. Please click here to buy them. 6.3) How many CPE credits are required per CPE cycle to uphold CHIM certification?
  1. 12
  2. 24
  3. 36
  4. 48
Answers are locked. Please click here to buy them. 6.4) Which principle of PIPEDA states that organizations must hire or designate someone to manage personal information?
  1. Accountability
  2. Accuracy
  3. Challenging compliance
  4. Limiting use, disclosure, and retention
Answers are locked. Please click here to buy them. 6.5) Which principle of the Canada Health Act requires provincial insurance programs to be publicly accountable for the funds they spend?
  1. Comprehensiveness
  2. Portability
  3. Public administration
  4. Universality
Answers are locked. Please click here to buy them. 6.6) The Canadian act that provides the basis for the privacy of all personal information, including health information, is:
  1. CSA Model Code
  2. HIPPA
  3. PHIPA
  4. PIPEDA
Answers are locked. Please click here to buy them. 6.7) A citizen who lives in a remote 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 primarily a challenge with:
  1. accessibility
  2. comprehensiveness
  3. portability
  4. universality
Answers are locked. Please click here to buy them. 6.8) What type of care did the Declaration of Alma-Ata put particular emphasis on?
  1. Primary health care
  2. Private health care
  3. Socialized health care
  4. Tertiary health care
Answers are locked. Please click here to buy them. 6.9) Which of these agencies is involved in Canada's population health approach?
  1. Medicare
  2. National Health Agency
  3. Public Health Agency of Canada (PHAC)
  4. The World Health Organization (WHO)
Answers are locked. Please click here to buy them. 6.10) Why has Health Canada developed a template for implementing population health?
  1. To ensure statistical analysis of health
  2. To facilitate the population health process
  3. To fulfill requirements of the World Health Organization (WHO)
  4. To obtain funding for health care
Answers are locked. Please click here to buy them. 6.11) Provincial and territorial Vital Statistics Acts require mandatory registration of:
  1. live births
  2. live births, stillbirths, and deaths
  3. live births, stillbirths, deaths, and marriages
  4. live births, stillbirths, deaths, marriages and divorces
Answers are locked. Please click here to buy them. 6.12) Canada's health care system is best described as:
  1. a centralized, privately-funded system
  2. a privately funded health care system
  3. a set of ten provincial and three territorial health insurance plans
  4. one that delivers health care services to specific groups in Canada
Answers are locked. Please click here to buy them. 6.13) Which of the following is a barrier to health care access in Canada?
  1. An aging population
  2. Electronic health records
  3. Increase in primary health care groups
  4. Shortage of family doctors
Answers are locked. Please click here to buy them. 6.14) If a healthcare organization plans to exchange health information with other organizations, the data created must meet what international standard?
  1. Canadian Institute for Health Information ClHI Data Quality Framework
  2. EH RS Blueprint Version 2
  3. Health Level Seven International HL7
  4. IHE Cross Document Sharing profile
Answers are locked. Please click here to buy them. 6.15) The requirements for the admission of medical records as business records are set out in:
  1. Ares v. Venner
  2. Denner v. Smith
  3. Freudman v. Irani
  4. Johnson v. Hefler
Answers are locked. Please click here to buy them. 6.16) ____________ is a branch of the federal government whose primary purpose is to gather information from every province and territory and to publish accurate statistics on almost every aspect of life. It is used by government and agencies involved in public health and population health initiatives.
  1. CIHI
  2. CIHR
  3. ICES
  4. Stats Can
Answers are locked. Please click here to buy them. 6.17) The NRS database at CIHI collects data on:
  1. ambulatory care patients
  2. emergency room patients
  3. referral patients
  4. rehabilitation patients
Answers are locked. Please click here to buy them. 6.18) The ICPC is used in which setting?
  1. Acute care
  2. Ambulatory care
  3. Long term care
  4. Primary care
Answers are locked. Please click here to buy them. 6.19) Which type of care is the most highly specialized and deals with highly unusual cases?
  1. Primary care
  2. Secondary care
  3. Tertiary care
  4. Quaternary care
Answers are locked. Please click here to buy them. 6.20) Which of the following is an example of an allied health care professional?
  1. Nurses
  2. Occupational therapists
  3. Physicians
  4. Psychiatrists
Answers are locked. Please click here to buy them. 6.21) A health care contact between a patient and a provider who is responsible for treating the person is called a(n):
  1. admission
  2. ambulatory visit
  3. encounter
  4. sentinel event
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Section 7: Ethics and practice

7.1) The process where an individual is informed of and agrees to the collection, use and disclosure of personal information is called:
  1. accountability
  2. consent
  3. openness
  4. safeguarding
Answers are locked. Please click here to buy them. 7.2) The process of getting permission from a patient before procedures or treatments is called:
  1. competency
  2. decision capacity
  3. informed consent
  4. risk management
Answers are locked. Please click here to buy them. 7.3) The method, technique, or process that over time has demonstrated its superiority over other methods, techniques, or processes in a given situation is known as the:
  1. benchmark
  2. best practice
  3. business case
  4. end product
Answers are locked. Please click here to buy them. 7.4) The ten fair information principles are the core principles of:
  1. CHIMA
  2. CIHI
  3. Health Canada
  4. PIPEDA
Answers are locked. Please click here to buy them. 7.5) Which of these is not a formal characteristic of a regulated profession?
  1. Competence and quality assurance
  2. Educational standards
  3. Formal complaints process for the public
  4. Social events
Answers are locked. Please click here to buy them. 7.6) The competence of an individual as an HIM professional is legally recognized through:
  1. a certification process
  2. continuing education
  3. the completion of a CHIMA-recognized educational program
  4. the completion of an HIM educational program
Answers are locked. Please click here to buy them. 7.7) How many principles does the CSA Model Code contain?
  1. 8
  2. 9
  3. 10
  4. 12
Answers are locked. Please click here to buy them. 7.8) Which of these is NOT a CHIMA Professional Practice Brief?
  1. Electronic Records Handbook
  2. Facsimile Transmission of Health Information
  3. Principles of the Electronic Health Record
  4. Wireless communications: Safeguarding Privacy and Security
Answers are locked. Please click here to buy them. 7.9) An HIM professional is chronically late and has poor work performance. These issues should initially be addressed by the:
  1. CHIMA Code of Ethics
  2. departmental manager
  3. human resources department
  4. staff members' union
Answers are locked. Please click here to buy them. 7.10) What is IFHIMA?
  1. A credentialing organization for medical coders
  2. A nonprofit organization that defines best practices in medical ethics
  3. An international umbrella association for health information managers
  4. The professional association for health professionals in the United States
Answers are locked. Please click here to buy them. 7.11) Digital Health Canada was formerly known as:
  1. Canada's Health Informatics Association (COACH)
  2. Canadian Healthcare Information and Management Systems Society (CHIMS)
  3. Canadian Medical Informatics (CMI)
  4. Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM)
Answers are locked. Please click here to buy them. 7.12) Statutory law is also referred to as:
  1. acts
  2. common law
  3. federal law
  4. regulations
Answers are locked. Please click here to buy them. 7.13) A physician fails to inform the patient of all the risks and benefits of a procedure. The physician could be charged with:
  1. assault
  2. battery
  3. fraud
  4. negligence
Answers are locked. Please click here to buy them. 7.14) A person who is unable to provide consent to release their own health information, such as a minor or a mentally incompetent person, must rely on a:
  1. executor
  2. lawyer
  3. power of attorney
  4. substitute decision-maker
Answers are locked. Please click here to buy them. 7.15) Which Accreditation Canada program focuses on patient safety?
  1. On-site surveys
  2. Quality Performance Roadmap
  3. Required Organizational Practices
  4. Self-assessment
Answers are locked. Please click here to buy them. 7.16) A major focus of the Accreditation Canada mandate is:
  1. development of surveyors
  2. patient safety
  3. risk management
  4. standards development
Answers are locked. Please click here to buy them. 7.17) Which organization is an independent, federally funded, not-for-profit organization tasked with accelerating the adoption of digital health solutions, such as electronic health records, across Canada?
  1. Canadian Agency for Drugs and Technologies in Health (CADTH)
  2. Canada Health Infoway
  3. Canada's Health Informatics Association (COACH)
  4. Canadian Institute for Health Information (CIHI)
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