CCDS REVIEW QUESTIONS AND CORRECT

CCDS REVIEW QUESTIONS AND CORRECT

CORRECT ANSWER WERS SCORED 100%

AT FIRST ATTEMPT

A basic EHR is not capable of doing which of the following?

• Capturing a problem list
• Recording patient demographic data
• Capturing prescription orders

D)Highlighting out-of-range test levels - Correct Answer D)Highlighting out-of-range test levels

A document keyed by a medical trCorrect Answercriptionist is introduced into a patient's clinical record. Which of the following statements regarding this information is correct?

• As its author, the trCorrect Answercriptionist must authenticate the information.
• The information is automatically attributed to a practitioner and does not require

authentication.

• The practitioner who dictated the information must authenticate the trCorrect

Answercribed entry.

• The office manager must apply a rubber-stamp signature to the trCorrect

Answercribed document. - Correct Answer c. The practitioner who dictated the information must authenticate the trCorrect Answercribed entry.

A health care practice that wants to implement a fully functional EHR might find technical assistance and information regarding best practices from which of the following?A)Regional Health Information Organizations

• Regional Extension Center
• Sub-Network Organization
• National Health Information Network - Correct Answer B) Regional Extension Center

A medical assistant searched the MPI and cannot find an exact match for an existing

patient. The next step would be to:

• create a new record for the patient
• seek technical assistance
• look for a close match
• none of the above - Correct Answer c. look for a close match

A medical office that is in the process of implementing an EHR system should be aware that which of the following standard documentation practices will be different than what they were previously accustomed to when moved to the EHR environment?

• Systematic organization of information
• Guidelines for using abbreviations
• Qualitative documentation reviews
• Guidelines for correcting errors - Correct Answer d. Guidelines for correcting errors
• / 3

A patient "feels queasy, especially when standing up quickly." This is an example of which SOAP format component?

• S
• O
• A
• P - Correct Answer a. S

A patient e-mails her provider about a sudden onset of angina. How should this information be handled for a practice that is using a certified EHR?

• The e-mail should be printed and added to the patient's health record.
• The provider should update the patient's problem list with this information.
• The e-mail is an example of virtual care and therefore does not require

documentation.

• The Joint Commission does not endorse the use of e-mail for the provision of care. -

Correct Answer b. The provider should update the patient's problem list with this information.

A patient index that can be shared across all the service components is called what?

• Master patient/person index (MPI)
• Enterprise master patient/person index (EMPI)
• Practice management system (PMS)
• Unit record - Correct Answer b. Enterprise master patient/person index (EMPI)

A patient no longer suffers from rhinitis. How would this information be noted within a certified EHR system?

• It would be removed from the patient's problem list.
• It would be marked as resolved in the patient's problem list.
• It would trigger an automatic statement noting the patient is on no medication.
• All Correct Answerwers listed - Correct Answer b. It would be marked as resolved in

the patient's problem list.

A physician can view a trend in a patient's health history by using which of the following EHR features?

• Flow sheets
• Grids
• Tabs
• Lists - Correct Answer a. Flow sheets

A physician practice is beginning phase three of an EHR implementation process.Which of the following would be most likely to occur during this phase?A)The practice temporarily closes to focus exclusively on implementation.B)The practice replaces its front office staff with IT professionals.C)The practice stops using paper records entirely.D)The practice hires some additional staff to help with implementation - Correct Answer D)The practice hires some additional staff to help with implementation

• / 3

A practice has narrowed down their EHR vendor selection to one candidate. It would be prudent for the project team to do which of the following next?

• Perform reference checks on the vendor

B)Sign a contract to secure the EHR vendor's services C)Begin EHR training sessions with the clinical and office staff D)Determine how the practice staff feels about switching to a paperless system - Correct Answer A) Perform reference checks on the vendor

A practice provides a diabetic patient with print outs related to diet and exercise. Which of the eight core EHR capabilities is being described?

• Health information and data

B)Administrative processes C)Patient support D)Reporting and population management - Correct Answer C)Patient support

A practice that is implementing an EHR system should review ______ laws before deciding on which type of electronic signature to include.

• local
• state
• federal
• None of the above - Correct Answer b. state

A practice wants to include a wireless network as part of its EHR system. The practice should consider which of the following?

• Wireless networks are less reliable than wired networks.
• Wireless systems may interfere with some medical devices.
• Wireless user devices are expensive to replace
• All Correct Answerwers listed - Correct Answer b. Wireless systems may interfere

with some medical devices

A provider orders a chest x-ray based on his examination findings. What record purpose is associated with this order?

• Provide support for clinical decisions
• Provide data for administrative decisions
• Provide data for research
• Evaluate quality of services - Correct Answer a. Provide support for clinical decisions

A Regional Health Information Organization is most similar to a ______.

• National Health Information Network
• Sub-Network Organization
• Health Information Exchange
• Regional Extension Center - Correct Answer B) Sub-Network Organization Correct

A significant portion of patient adverse events are the result of which of the following?

• Equipment failures
• Miscommunications
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