Certificate in Medical Record and Health Information Technician

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Online Examination Detail:
Duration- 60 minutes.
Number of Questions- 30. (Multiple Choice Questions).
Maximum Marks- 100, Passing Marks- 40%.
There is no negative marking.

Candidate Details

NameEmailPhone Number

1 / 30

1. What is the main challenge faced by healthcare professionals with the use of emerging technologies?

A. They don't have enough funding to purchase new technologies

B. They don't have the time to learn how to use new technologies

C. They don't understand how to use new technologies

D. They don't see the benefits of using new technologies

2 / 30

2. The E in the No Elbow Rule stands for _______.

A. erasing

B. editing

C. electronic

D. entries

3 / 30

3. The NMC (2015) code states that nurses must ‘complete all records accurately and without any ______.

A. falsification

B. interference

C. patients present

D. mistakes

4 / 30

4. The NMC (2015) code states that nurses must ‘take all steps to make sure that all records are kept ______.

A. in a locked desk

B. securely

C. in order

D. None of these

5 / 30

5. What colour ink can be used when writing in patients records?

A. any as long as it is legible

B. black

C. black or dark blue

D. black, blue, green and red

6 / 30

6. Records should be clear, intelligible and _______.

A. accessible

B. available

C. annotated

D. accurate

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7. The patient may be permitted to leave the hospital temporarily for a period of not more than ____ hours.

A. 48 hours

B. 72 hours

C. 12 hours

D. 24 hours

8 / 30

8. Systematized Nomenclature of Medicine – Clinical Terminology (SNOMED-CT) is used byphysicians and other health care providers for the electronic exchange of ____ healthinformation.

A. Physical

B. Psychological

C. Clinical

D. Technical

9 / 30

9. When a patient is transferred to another hospital, then the medical record must contain the details of ________________.

A. Doctor who transferred the patient and who received the patient

B. Name of the hospital and doctor to which the patient was transferred

C. Care provided

D. All of the above

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10. ___________ process provides expected confidentiality and security of medical records.

A. Retention

B. Release

C. Admission

D. Discharge

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11. What does contemporaneous mean?

A. written in plain language

B. comprehensively written

C. written in real time.

D. written in a chronological order

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12. The NMC (2015) code states that nurses must ‘collect, treat and store all data and research findings ______.

A. in the ward office

B. appropriately

C. confidentially

D. as soon as possible

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13. How often should you write in the patients notes?

A. once a day

B. at the end of every shift.

C. once a shift and if any other changes occur

D. morning, afternoon and night-time

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14. What is the new need in healthcare education?

A. To translate emerging technologies and the data/information they generate into healthcare

B. To stop using high tech tools

C. To keep using traditional pen and paper

D. To hire more healthcare professionals

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15. Which one of the following is a legal requirement to be complied with in relation to records?

A. Data Protection Act

B. Caldicot principles

C. NMC Record Keeping

D. Code of Professional Conduct

16 / 30

16. New model of Health Information Management (HIM) practice is ____________

A. Terminology focused

B. Information focused

C. Disease focused

D. Condition focused

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17. Why is it important to educate healthcare professionals about emerging technologies?

A. So, they can be left behind in their field

B. So, they can better understand and apply new technologies into their practice

C. So, they can take longer to complete their work

D. So, they can continue to use traditional pen and paper

18 / 30

18. The greatest improvements in medical record services derived from the hospital standardization movement in the USA was started in the year _________________

A. 1938

B. 1928

C. 1918

D. 1960

19 / 30

19. Demographic information including a _________ identifier is necessary in a health record system

A. Personal

B. Manual

C. Electronic

D. Unique

20 / 30

20. If you make a mistake in a record, how should it be corrected?

A. with correction fluid

B. scribble it out

C. put a single line through the record

D. tell your mentor

21 / 30

21. The NMC (2015) code states that nurses must identify any ______ or problems that have arisen and take steps to deal with them.

A. issues

B. incidents

C. accidents

D. risks

22 / 30

22. What is the problem with healthcare professionals and technology?

A. Healthcare professionals don't want to use technology

B. Technology is too expensive

C. Technology is advancing faster than healthcare professionals can understand and apply it

D. Healthcare professionals are too busy to learn about new technology

23 / 30

23. Who can write in the patients’ notes?

A. all relevant professionals and the patient

B. medical and nursing staff

C. medical, nursing and other health and social care professionals

D. anyone

24 / 30

24. The NMC (2015) code states that records must not ‘include unnecessary abbreviations, jargon or ______.

A. hearsay

B. swear words

C. speculation

D. humorous comments

25 / 30

25. Which Indian association is recognized by the International Federation of Health Information Management Associations (IFHIMA)?

A. HERAI

B. CAHO

C. HIMA India

D. RFHHA

26 / 30

26. Who adopts the approach that ‘if it is not recorded, it has not happened.

A. the Nursing and Midwifery Council

B. courts of law

C. the Data Protection Act

D. the doctors

27 / 30

27. Govt. of India’s My Health Record – Personal Health Record Locker platform has been designed and developed by:

A. Tata-Consultancy Services (TCS)

B. Centre for Development of Advanced Computing (C-DAC)

C. Infosys

D. National Health Mission (NHM)

28 / 30

28. With the advent of new technology, healthcare professionals have many high-tech tools. Which of the following is NOT an example of a high-tech tool?

A. Traditional pen and paper

B. Voice recognition

C. High-speed computers

D. Mobile technology

29 / 30

29. In India, the Health Information Management profession comes under which category:

A. Medical Profession

B. Allied Health profession

C. Clinical Services

D. None of the above

30 / 30

30. When writing in patients’ notes what must always be there?

A. date, time, signature, printed name, position held, mentor’s signature

B. date, time, ward, signature

C. date, time, signature, printed name, position held

D. date, time, signature, printed name

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