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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 you suspect someone might be trans-identified, how do you know which pronoun to use?
  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) Infiltration is the:
  1. permeation of tissue with ethanol
  2. permeation of tissue with wax
  3. removal of calcium from tissue
  4. removal of water from tissue
Answers are locked. Please click here to buy them. 1.4) 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. 1.5) What are the four steps of the Shewhart Cycle?
  1. Analyze, create, inspect, create again
  2. Initiate, plan, execute, close
  3. Plan, do, check, act
  4. Specify, produce, inspect, change
Answers are locked. Please click here to buy them. 1.6) 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. 1.7) ________________ 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. 1.8) 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. 1.9) 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. 1.10) 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. 1.11) 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. 1.12) 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. 1.13) 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. 1.14) 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. 1.15) 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. 1.16) 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. 1.17) A nurse fails to change a surgery patient’s bandages for several days. The patient develops a serious infection as a result. The nurse's behaviour is an example of:
  1. comparative negligence
  2. contributory negligence
  3. gross negligence
  4. vicarious liability
Answers are locked. Please click here to buy them. 1.18) A willful and intentional action that causes harm is which type of negligence?
  1. Malfeasance
  2. Malpractice
  3. Misfeasance
  4. Nonfeasance
Answers are locked. Please click here to buy them. 1.19) 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. 1.20) 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. 1.21) 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. 1.22) 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. 1.23) 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. 1.24) 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. 1.25) 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. 1.26) 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. 1.27) A hospital’s mission statement describes the hospital's:
  1. history
  2. legal requirements
  3. purpose
  4. vision for the future
Answers are locked. Please click here to buy them. 1.28) 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.

Section 2: Data quality

2.1) A doctor codes services at lower than actual levels to induce patients to the clinic. What type of fraud is the doctor committing?
  1. Cloning
  2. Downcoding
  3. Unbundling
  4. Upcoding
Answers are locked. Please click here to buy them. 2.2) Which of these checks is important for an admission system?
  1. Cross-checking patient test results with previous results
  2. Ensuring correct coding of diagnoses
  3. Ensuring test results are within expected ranges
  4. Validating patient identification and demographics
Answers are locked. Please click here to buy them. 2.3) If a facility enters dates in the DD/MM/YY format in one database and the YY/MM/DD format in another database, this is a problem with:
  1. accuracy
  2. consistency
  3. redundancy
  4. reliability
Answers are locked. Please click here to buy them. 2.4) Which type of personal health information is used for direct patient care and has the strictest privacy regulations?
  1. Aggregate
  2. De-identified
  3. Identifiable
  4. Pseudonymized
Answers are locked. Please click here to buy them. 2.5) What is the most inclusive way for a survey to ask about gender?
  1. Ask participants to choose between "male", "female", and "other"
  2. Ask participants to choose between "male", "female", and "prefer not to say"
  3. Ask participants to write their gender in their own words
  4. Give a list of checkboxes with the most common genders
Answers are locked. Please click here to buy them. 2.6) Which data collection format is a self-administered form?
  1. Abstracting
  2. Observation
  3. Structured interview
  4. Survey
Answers are locked. Please click here to buy them. 2.7) A researcher is given copies of patient records for a study. The researcher replaces the real names in the records with fake names to protect the privacy of the patients. He also keeps a record that links the real names to the fake names so he can re-identify the data if necessary. What type of information has the researcher created?
  1. Aggregate
  2. Anonymous
  3. De-identified
  4. Pseudonymized
Answers are locked. Please click here to buy them. 2.8) In surveys, SOGI questions ask about:
  1. marital status and financial circumstances
  2. savings, occupation, and gross income
  3. sexual preference and gender
  4. shortness of breath symptoms
Answers are locked. Please click here to buy them. 2.9) Why do facilities collect information from patients about race and ethnicity?
  1. To comply with advertising regulations
  2. To generate more revenue from patients
  3. To maximize the marketing potential of patient data
  4. To understand and address health disparities
Answers are locked. Please click here to buy them. 2.10) Copying and pasting information from one patient's record into another is called:
  1. cloning
  2. mirroring
  3. replication
  4. transference
Answers are locked. Please click here to buy them. 2.11) Which principle of data ethics emphasizes openness and clarity in all stages of data collection, processing, and use?
  1. Accountability
  2. Consent
  3. Data minimization
  4. Transparency
Answers are locked. Please click here to buy them. 2.12) CIHI's Information Quality Framework contains five dimensions to describe and assess data quality. Which of these is one of the dimensions?
  1. Accessibility and clarity
  2. Completeness and exhaustiveness
  3. Security and privacy
  4. Usability and user-friendliness
Answers are locked. Please click here to buy them. 2.13) Which level of care typically involves the initial collection of comprehensive patient health data, including medical history and current medications?
  1. Emergency
  2. Long-term
  3. Primary
  4. Rehabilitation
Answers are locked. Please click here to buy them. 2.14) Data "portability" is the ability to:
  1. compress data for faster transmission
  2. convert data into different formats
  3. duplicate data across multiple servers
  4. move data from one place to another
Answers are locked. Please click here to buy them. 2.15) A database has null values in several important fields. Which data quality dimension is most affected?
  1. Completeness
  2. Consistency
  3. Currency
  4. Uniqueness
Answers are locked. Please click here to buy them. 2.16) What is the purpose of a data repository in healthcare?
  1. To develop new medical devices
  2. To increase hospital revenue
  3. To reduce patient wait times
  4. To store and manage health data
Answers are locked. Please click here to buy them. 2.17) What is the main reason for ensuring data is entered accurately during patient registration?
  1. To comply with data normalization standards
  2. To ensure proper treatment for patients
  3. To facilitate data aggregation for research purposes
  4. To streamline communication with insurance companies
Answers are locked. Please click here to buy them. 2.18) In the context of data, what does the acronym DIKW stand for?
  1. Data definition in key words
  2. Data into key words
  3. Data, information, knowledge, wisdom
  4. Data, integrity, knowledge, workflow
Answers are locked. Please click here to buy them. 2.19) Which type of data combines and summarises data from multiple people?
  1. Aggregated
  2. Deidentified
  3. Identifiable
  4. Pseudonymized
Answers are locked. Please click here to buy them. 2.20) Which of these is a set of rules and specifications for exchanging electronic health care data?
  1. DICOM
  2. FHIR
  3. LOINC
  4. UMLS
Answers are locked. Please click here to buy them. 2.21) Post-coordination in ICD-11 is the ability to:
  1. apply additional codes after a patient has been discharged
  2. audit codes to improve data quality
  3. change codes as a disease progresses
  4. combine codes to describe different aspects of a condition
Answers are locked. Please click here to buy them. 2.22) What does it mean when a code in ICD-11 is greyed-out?
  1. The code is an 'other specified' residual code
  2. The code is deprecated and no longer in use
  3. The code is in a block that is not its primary parent
  4. There are no index terms associated with the code
Answers are locked. Please click here to buy them. 2.23) In ICD-11, EA80 Atopic eczema is the _____________ code of EA80.0 Infantile atopic eczema.
  1. child
  2. cousin
  3. grandparent
  4. parent
Answers are locked. Please click here to buy them. 2.24) The ICD is structured by:
  1. disease categories
  2. medical interventions
  3. patient risk group types
  4. provinces and territories
Answers are locked. Please click here to buy them. 2.25) Which organization modified the ICD-10 to create the ICD-10-CA?
  1. Canadian Health Information Management Association (CHIMA)
  2. Canadian Institute for Health Information (CIHI)
  3. Health Canada
  4. World Health Organization (WHO)
Answers are locked. Please click here to buy them. 2.26) The CCI is structured by:
  1. disease categories
  2. medical interventions
  3. provinces and territories
  4. risk groups
Answers are locked. Please click here to buy them. 2.27) Which Canadian 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. 2.28) In information technology, what does the acronym WORM stand for?
  1. Whole-of-organization record management
  2. Work output reference model
  3. Write once, read many
  4. Write-only readable media
Answers are locked. Please click here to buy them. 2.29) Which of these is a CRUD operation?
  1. Combine
  2. Duplicate
  3. Read
  4. Undo
Answers are locked. Please click here to buy them. 2.30) Which organization manages the Canadian Notifiable Disease Surveillance System?
  1. Canadian Institute for Health Information (CIHI)
  2. Health Canada
  3. Public Health Agency of Canada
  4. Statistics Canada
Answers are locked. Please click here to buy them. 2.31) 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. Canada Health Infoway
  2. Canada's Health Informatics Association (COACH)
  3. Canadian Agency for Drugs and Technologies in Health (CADTH)
  4. Canadian Institute for Health Information (CIHI)
Answers are locked. Please click here to buy them. 2.32) What are the National Rehabilitation Reporting System (NRS) assessment types?
  1. Admission, discharge, and follow-up
  2. Physical, cognitive, and emotional
  3. Strength, mobility, and flexibility
  4. Weekly, monthly, and annual
Answers are locked. Please click here to buy them. 2.33) Which of these groups is included in the Canadian Community Health Survey?
  1. Full-time members of the Canadian Forces
  2. People living on reserves
  3. Prisoners
  4. Teenagers
Answers are locked. Please click here to buy them. 2.34) 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 (CIHI) Information Quality Framework
  2. EHRS Blueprint
  3. Health Level Seven International (HL7)
  4. IHE Cross-Enterprise Document Sharing Integration Profile
Answers are locked. Please click here to buy them. 2.35) CIHI's NRS 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.

Section 3: Clinical knowledge

3.1) What does the prefix entero- mean?
  1. Entire
  2. Inside
  3. Intestine
  4. Stomach
Answers are locked. Please click here to buy them. 3.2) Which suffix means "flow" or "discharge"?
  1. -emesis
  2. -ptysis
  3. -rrhaphy
  4. -rrhea
Answers are locked. Please click here to buy them. 3.3) Which prefix means the liver?
  1. Adeno-
  2. Gastro-
  3. Hepato-
  4. Nephro-
Answers are locked. Please click here to buy them. 3.4) 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. 3.5) What is hematuria?
  1. A skin rash
  2. Bacteria in the bloodstream
  3. Blood in the urine
  4. Kidney stones
Answers are locked. Please click here to buy them. 3.6) 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. 3.7) 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. 3.8) 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. 3.9) 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. 3.10) Which disease is the abnormal growth of bone, usually due to chronic kidney disease?
  1. Myelopoiesis
  2. Osteoclasis
  3. Osteodystrophy
  4. Osteoplasty
Answers are locked. Please click here to buy them. 3.11) 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. 3.12) Icterus is another word for:
  1. heart attack
  2. jaundice
  3. seizure
  4. stroke
Answers are locked. Please click here to buy them. 3.13) 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. 3.14) 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. 3.15) 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. 3.16) Which word means difficult or obstructed labour?
  1. Dyspareunia
  2. Dystocia
  3. Eclampsia
  4. Eutocia
Answers are locked. Please click here to buy them. 3.17) 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. 3.18) 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. 3.19) 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. 3.20) 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. 3.21) 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. 3.22) Which fibrous connective tissue connects muscle to bone?
  1. Cartilage
  2. Ligament
  3. Muscle fibre
  4. Tendon
Answers are locked. Please click here to buy them. 3.23) Nerve cells are also called:
  1. axons
  2. glial cells
  3. neuroglial cells
  4. neurons
Answers are locked. Please click here to buy them. 3.24) What is the functional unit of the nervous system?
  1. Alveoli
  2. Lobule
  3. Nephron
  4. Neuron
Answers are locked. Please click here to buy them. 3.25) The brain is located in which cavity?
  1. Abdominal
  2. Cranial
  3. Pericardial
  4. Pleural
Answers are locked. Please click here to buy them. 3.26) Which type of sensory neuron senses touch?
  1. Mechanoreceptor
  2. Nociceptor
  3. Photoreceptor
  4. Thermoreceptor
Answers are locked. Please click here to buy them. 3.27) Which sensory neuron responds to changes in the chemical composition of the blood?
  1. Chemoreceptor
  2. Mechanoreceptor
  3. Nociceptor
  4. Proprioceptor
Answers are locked. Please click here to buy them. 3.28) Which organ system transports oxygen, nutrients, and hormones to the body's cells?
  1. Cardiovascular
  2. Digestive
  3. Endocrine
  4. Respiratory
Answers are locked. Please click here to buy them. 3.29) Deficiency of which mineral or vitamin causes pernicious anemia?
  1. Folate
  2. Iron
  3. Vitamin B12
  4. Vitamin B6
Answers are locked. Please click here to buy them. 3.30) Which hemoglobin A1c value is the threshold for diagnosing diabetes?
  1. >4.5%
  2. >5.5%
  3. >6.5%
  4. >7.5%
Answers are locked. Please click here to buy them. 3.31) What is the normal adult range for leukocyte count?
  1. 0.5–7.0 × 10⁹/L
  2. 2.5–9.0 × 10⁹/L
  3. 4.5–11.0 × 10⁹/L
  4. 6.5–13.0 × 10⁹/L
Answers are locked. Please click here to buy them. 3.32) Which of these lipid profile results is abnormal for a man?
  1. Total cholesterol: 2.6 mmol/L
  2. LDL: 8.2 mmol/L
  3. HDL: 1.7 mmol/L
  4. Triglycerides: 0.8 mmol/L
Answers are locked. Please click here to buy them. 3.33) What is a healthy level of triglycerides for an adult?
  1. <1.7 mmol/L
  2. 1.7 to 2.3 mmol/L
  3. 2.3 to 3.4 mmol/L
  4. 3.4 to 5.6 mmol/L
Answers are locked. Please click here to buy them. 3.34) What is the normal adult range for peak flow?
  1. 20−40 litres per minute
  2. 50−80 litres per minute
  3. 150−250 litres per minute
  4. 400−700 litres per minute
Answers are locked. Please click here to buy them. 3.35) 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. 3.36) 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. 3.37) 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. 3.38) 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. 3.39) 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. 3.40) 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. 3.41) Drugs that produce loss of sensation are called:
  1. analgesics
  2. anesthetics
  3. anticonvulsants
  4. tranquilizers
Answers are locked. Please click here to buy them. 3.42) What do vasodilators 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. 3.43) What artifact is in this ECG tracing?
  1. AC interference
  2. CPR compression
  3. Loose lead
  4. Muscle tremor
Answers are locked. Please click here to buy them. 3.44) 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 4: Analytics

4.1) 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. 4.2) 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. 4.3) 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. 4.4) For data distributed normally, how many values are within two standard deviations from the mean?
  1. 50%
  2. 68%
  3. 83%
  4. 95%
Answers are locked. Please click here to buy them. 4.5) If a data set has a mean of 7.2 and a standard deviation of 1.2, what range of values falls within two standard deviations of the mean?
  1. 4.8–9.6
  2. 6.0–8.4
  3. 7.2–9.6
  4. 8.6–10.2
Answers are locked. Please click here to buy them. 4.6) 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. 4.7) 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. 4.8) What is the mean of 1, 10, 20, 50, 50, 80, 90 and 99?
  1. 45
  2. 50
  3. 55
  4. 60
Answers are locked. Please click here to buy them. 4.9) 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. 4.10) 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. 4.11) The coefficient of variation is a measure of:
  1. accuracy
  2. precision
  3. sensitivity
  4. specificity
Answers are locked. Please click here to buy them. 4.12) Which term means the extent to which measurements agree with the true value?
  1. Accuracy
  2. Precision
  3. Reliability
  4. Reproducibility
Answers are locked. Please click here to buy them. 4.13) 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. 4.14) 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. 4.15) 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. 4.16) 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. 4.17) 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. 4.18) 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. 4.19) 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. 4.20) 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. 4.21) 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. 4.22) 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. 4.23) Studies require ethics approval if they involve:
  1. data
  2. information
  3. literature
  4. people
Answers are locked. Please click here to buy them. 4.24) 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. 4.25) 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. 4.26) 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. 4.27) 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. 4.28) 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. 4.29) What is the term for combining two or more data sets into a single, unified database?
  1. Conformance
  2. Homogenization
  3. Merging
  4. Normalization
Answers are locked. Please click here to buy them. 4.30) If facial recognition software performs poorly at recognizing the faces of black people because it was trained predominantly on images of white people, this is an example of:
  1. accountability
  2. data bias
  3. privacy
  4. transparency
Answers are locked. Please click here to buy them. 4.31) What does “overfitting” mean in the context of machine learning?
  1. When a model performs well for training data but not for new data
  2. When computer scientists manually change too many data points, causing a model to become inaccurate
  3. When real patient information is inadvertently used during training
  4. When the size of a model exceeds its allocated disk space
Answers are locked. Please click here to buy them. 4.32) 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. 4.33) The following table shows the deaths and discharges at a hospital during six weeks:
Deaths 6
Deaths within 48 hours of admission 3
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. 4.34) A patient was admitted at 8 am on January 5th and discharged at 8 pm on January 10th. What is 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. 4.35) 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. 4.36) 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 5: Privacy

5.1) What is the term for an individual's agreement to the processing of their personal data?
  1. Accountability
  2. Consent
  3. Openness
  4. Safeguarding
Answers are locked. Please click here to buy them. 5.2) The obligation of a person or organization to not disclose health information is known as:
  1. accountability
  2. confidentiality
  3. privacy
  4. security
Answers are locked. Please click here to buy them. 5.3) What is the correct approach when a patient lacks the capacity to consent to healthcare decisions?
  1. Assume consent if the patient does not explicitly refuse
  2. Obtain consent from a surrogate decision-maker
  3. Proceed without consent due to their incapacity
  4. Use implied consent based on the patient's condition
Answers are locked. Please click here to buy them. 5.4) Getting a patient’s permission before a healthcare procedure is called:
  1. competency
  2. decision capacity
  3. informed consent
  4. risk management
Answers are locked. Please click here to buy them. 5.5) Informed consent is based on which ethical principle?
  1. Autonomy
  2. Beneficence
  3. Fidelity
  4. Veracity
Answers are locked. Please click here to buy them. 5.6) A legal document that outlines the treatment a person wants if they can’t make decisions for themselves is called a(n):
  1. advance directive
  2. delegated act
  3. determination policy
  4. testamentary
Answers are locked. Please click here to buy them. 5.7) 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. 5.8) Which of these is a security risk in the management of health information?
  1. Denial of patient rights
  2. Implementation of multi-factor authentication
  3. Security audits
  4. Unauthorized modification of data
Answers are locked. Please click here to buy them. 5.9) 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. 5.10) 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. 5.11) Which of these is a risk to electronic records but not paper records?
  1. Hacking
  2. Loss
  3. Tampering
  4. Unauthorized access
Answers are locked. Please click here to buy them. 5.12) 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. 5.13) 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. 5.14) 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. 5.15) 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. 5.16) Which of these control methods for safeguarding data is practical rather than administrative or technical?
  1. CCTV camera
  2. Encryption
  3. Firewall
  4. Security awareness training
Answers are locked. Please click here to buy them. 5.17) Which of these passwords is most secure?
  1. OO101JfX
  2. ifojtfhh
  3. lyot0sk3
  4. t?7HA2z!
Answers are locked. Please click here to buy them. 5.18) Which of these actions helps to keep a computer account secure?
  1. Changing the password regularly
  2. Never logging out of the account
  3. Using a simple password
  4. Writing your password down
Answers are locked. Please click here to buy them. 5.19) A zero-day attack:
  1. exploits a difference between two timezones
  2. exploits a vulnerability the vendor is unaware of
  3. occurs on the first day of the launch of new software
  4. occurs precisely at midnight
Answers are locked. Please click here to buy them. 5.20) Firewalls protect which cloud layer?
  1. Application
  2. Network
  3. Operating system
  4. Virtualization
Answers are locked. Please click here to buy them. 5.21) Which technology securely connects a computing device to a computer network over an insecure communication medium such as the Internet?
  1. Firewall
  2. IDPS
  3. SIEM system
  4. VPN
Answers are locked. Please click here to buy them. 5.22) Which type of malware claims to have detected a virus or other issue on your computer and tells you to pay to fix the problem?
  1. Cryptoware
  2. Lockerware
  3. RaaS (Ransomware as a Service)
  4. Scareware
Answers are locked. Please click here to buy them. 5.23) 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. 5.24) Common law is also known as ________ law.
  1. case
  2. private
  3. public
  4. universal
Answers are locked. Please click here to buy them. 5.25) 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. 5.26) What is Canada's federal data privacy law for private-sector organizations?
  1. HIPPA
  2. PHIPA
  3. PIPEDA
  4. WHMIS
Answers are locked. Please click here to buy them. 5.27) Which federal law requires commercial organizations to use safeguards when sending personal information by email?
  1. Access to Information Act
  2. Canada Health Act
  3. PIPEDA
  4. Privacy Act
Answers are locked. Please click here to buy them. 5.28) Which act allowes people to access their personal information held by the federal government?
  1. Access to Information Act
  2. Health Information Act
  3. Personal Health Information Protection Act
  4. Privacy Act
Answers are locked. Please click here to buy them. 5.29) 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. 5.30) Whcih Canadian act provides the basis for the privacy of all personal information, including health information?
  1. CSA Model Code
  2. HIPPA
  3. PHIPA
  4. PIPEDA
Answers are locked. Please click here to buy them.

Section 6: Technology

6.1) __________ is when a project's requirements go beyond those included in the original plans.
  1. Anchoring
  2. Cost overrun
  3. Scope creep
  4. Software bloat
Answers are locked. Please click here to buy them. 6.2) 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. 6.3) What is the first stage of the systems development life cycle?
  1. Analysis
  2. Design
  3. Development
  4. Planning
Answers are locked. Please click here to buy them. 6.4) In which stage of the systems development life cycle are users trained to use the new system?
  1. Development
  2. Implementation
  3. Maintenance
  4. Testing
Answers are locked. Please click here to buy them. 6.5) 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. 6.6) 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. 6.7) 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. 6.8) 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. 6.9) 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. 6.10) What document is a request to learn more about a supplier's capabilities?
  1. Business case
  2. RFI
  3. RFP
  4. RFQ
Answers are locked. Please click here to buy them. 6.11) 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. 6.12) 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. 6.13) 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. 6.14) 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. 6.15) 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. 6.16) 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. 6.17) What term means scrambling sensitive data into a secret code to prevent unauthorized access?
  1. Authentication
  2. Confidentiality
  3. Encryption
  4. Transmission
Answers are locked. Please click here to buy them. 6.18) 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. 6.19) To transfer database information between software packages, you would:
  1. manually copy the information from one application to the other
  2. publish the data on the internet
  3. save the data as a network
  4. use the export/import feature
Answers are locked. Please click here to buy them. 6.20) 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. 6.21) 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. 6.22) 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. 6.23) 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. 6.24) 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. 6.25) 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. 6.26) Which database optimization technique stores frequently accessed data in memory, leading to faster retrieval?
  1. Caching
  2. Denormalization
  3. Indexing
  4. Normalization
Answers are locked. Please click here to buy them. 6.27) 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
Answers are locked. Please click here to buy them.

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