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Free CAHIMS Practice Questions

10 free, exam-style Certified Associate in Healthcare Information and Management Systems (CAHIMS) practice questions with answers and explanations. No signup required. Work through them below, then take the full free CAHIMS practice test to study every exam domain.

Question 1

A rural facility has 22 inpatient beds and is located 40 miles from the nearest hospital. This facility is BEST classified as a:

  1. Federally qualified health center
  2. Critical Access Hospital (CAH)
  3. Long-term acute care hospital
  4. Inpatient rehabilitation facility
Show answer & explanation

Correct answer: B - Critical Access Hospital (CAH)

Question 2

A hospital discovers a patient has three different MRNs across the EHR, lab, and radiology systems. This is BEST resolved by:

  1. EMPI matching algorithms to merge records
  2. Permanently deleting two of the duplicate records
  3. Disabling the lab and radiology systems entirely
  4. Requiring patient re-registration at every visit
Show answer & explanation

Correct answer: A - EMPI matching algorithms to merge records

Question 3

A physician orders penicillin and the EHR displays an alert because the patient has a documented allergy. This is an example of:

  1. Patient registration data validation at intake
  2. A claim adjudication denial response from payer
  3. Pharmacy formulary tier comparison
  4. Drug-allergy interaction checking by CDS
Show answer & explanation

Correct answer: D - Drug-allergy interaction checking by CDS

Question 4

The Five Rights of Clinical Decision Support include all of the following **EXCEPT**:

  1. Right time
  2. Right cost
  3. Right person
  4. Right information
Show answer & explanation

Correct answer: B - Right cost

Question 5

A nurse walking back and forth across the unit because of a poorly arranged supply room represents which Lean waste?

  1. Inventory
  2. Transportation
  3. Motion
  4. Waiting
Show answer & explanation

Correct answer: C - Motion

Question 6

A hospital sets RTO at 1 hour and RPO at 15 minutes for its EHR. This means the hospital can tolerate:

  1. Combined 1 hour 15 minutes total disruption
  2. 1 hour to plan and 15 minutes to execute recovery
  3. 1 hour of downtime and 15 minutes of data loss
  4. 1 hour of data loss and 15 minutes of downtime
Show answer & explanation

Correct answer: C - 1 hour of downtime and 15 minutes of data loss

Question 7

Severity and priority of a defect are BEST described as:

  1. Independent - severity is impact, priority is urgency
  2. Inversely related - high severity is always low priority
  3. Identical, with the same numerical value
  4. Both assigned exclusively by the project sponsor
Show answer & explanation

Correct answer: A - Independent - severity is impact, priority is urgency

Question 8

Without specific patient authorization, PHI may be used or disclosed for which of the following?

  1. Marketing of unrelated commercial products
  2. Personal use by a hospital employee at home
  3. Sale of patient lists to third-party vendors
  4. Treatment, payment, healthcare operations
Show answer & explanation

Correct answer: D - Treatment, payment, healthcare operations

Question 9

A subcontractor of a Business Associate that creates, receives, or transmits PHI is:

  1. Also a Business Associate under HIPAA
  2. Subject only to state privacy regulations
  3. Exempt from the HIPAA Security Rule
  4. Exempt from the HIPAA Privacy Rule
Show answer & explanation

Correct answer: A - Also a Business Associate under HIPAA

Question 10

Lewin's three-stage change management model consists of:

  1. Define, Measure, Analyze, Improve, Control
  2. Awareness, Desire, Knowledge, Ability, Reinforcement
  3. Plan, Do, Check, Act
  4. Unfreeze, Change, Refreeze
Show answer & explanation

Correct answer: D - Unfreeze, Change, Refreeze

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