SCFHS Classification Exam – Health Informatics (Medical Records) Technician: free practice test

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Practice test questions with answers and explanations

Try the questions in the test above first, then open each one here to see the correct answer and why every other option is wrong.

01The inpatient census at midnight is 180. During the next day there are 25 admissions, 20 patients discharged alive and 2 deaths. With no other transfers, what is the next midnight census?

Practice question Unit: Hospital Statistics

  1. A227

    227 adds admissions, discharges and deaths instead of subtracting departures.

  2. B163

    163 does not follow the admission-minus-departure balance.

  3. C185

    185 subtracts live discharges but forgets the two deaths.

  4. D183 ✓ Correct answer

    The balance is 180 + 25 − 20 − 2 = 183 patients.

Reference: SCFHS exam blueprint, u1: Hospital Statistics; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

02Which graph best shows the distribution of length of stay (continuous data)?

Practice question Unit: Health Care Statistics and Database Management

  1. APictograph using small hospital bed icons

    Pictographs are not well suited to showing a continuous frequency distribution.

  2. BHistogram ✓ Correct answer

    A histogram groups lengths of stay into intervals to show their frequency distribution.

  3. CPie chart

    A pie chart shows parts of a whole, not the shape of continuous measurements.

  4. DLine graph of a single category

    A line graph typically shows change over an ordered sequence, such as time.

Reference: SCFHS exam blueprint, u2: Health Care Statistics and Database Management; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

03Accreditation surveyors review the rate of health records overdue for required completion. What does this delinquency rate primarily reflect?

Practice question Unit: Health Record Analysis and Completion

  1. ABed numbers

    Bed capacity is not a measure of timely documentation completion.

  2. BProfit

    Profit measures financial results, not documentation timeliness.

  3. CHow many coders have left the department in the past year

    Staff turnover is a separate workforce indicator, not the record-delinquency rate.

  4. DDocumentation compliance ✓ Correct answer

    Overdue incomplete records indicate compliance problems with documentation requirements.

Reference: SCFHS exam blueprint, u3: Health Record Analysis and Completion; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

04A data warehouse differs from a transactional database because it is optimised for:

Practice question Unit: Database, Applications and Electronic Health Record

  1. AAnalysis and reporting ✓ Correct answer

    A warehouse combines historical data for analytical queries and reporting.

  2. BReal-time alerts

    Real-time alerts depend on current operational data, not the main purpose of a warehouse.

  3. COrder entry

    Order entry is a real-time transactional task.

  4. DPrinting labels

    Label printing is an operational output, not warehouse analytics.

Reference: SCFHS exam blueprint, u4: Database, Applications and Electronic Health Record; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

05A report mentions 'tachycardia'. The prefix tachy- indicates:

Practice question Unit: Medical Terminology

  1. AAbsent

    Absence is commonly expressed by prefixes such as a- or an-.

  2. BFast ✓ Correct answer

    Tachy- means rapid or fast, as in tachycardia.

  3. CSlow

    Brady- means slow; tachy- means fast.

  4. DIrregular rhythm caused by electrical disturbance of the heart

    Irregular rhythm describes arrhythmia, not the meaning of tachy-.

Reference: SCFHS exam blueprint, u5: Medical Terminology; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

06Health records are reviewed by several groups. Which group is an internal (within-facility) user?

Practice question Unit: Life Cycle of Medical Records and Functions of the Health Record

  1. ACourt

    A court is an external legal user of disclosed records.

  2. BMinistry of Health statistics department

    A ministry statistics department is outside the individual facility.

  3. CQuality improvement committee ✓ Correct answer

    The facility quality-improvement committee uses records internally to review care.

  4. DInsurance company

    An insurance company is an external payer, not an internal facility committee.

Reference: SCFHS exam blueprint, u6: Life Cycle of Medical Records and Functions of the Health Record; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

07Shelf labels in a terminal-digit file room usually show:

Practice question Unit: Location, Space and Equipment Requirements

  1. AThe range of primary (terminal) digits on each shelf ✓ Correct answer

    Shelf ranges identify the primary terminal-digit groups so staff can locate the correct section.

  2. BDoctor names

    Terminal-digit filing groups records by numbers rather than doctor names.

  3. CThe date the shelf was installed and its weight limit

    Installation dates do not tell staff which record numbers belong on a shelf.

  4. DPatient names

    Patient names are not the grouping key in terminal-digit shelving.

Reference: SCFHS exam blueprint, u7: Location, Space and Equipment Requirements; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

08Prefixes like 'Al-' in Arabic names cause alphabetic filing problems unless:

Practice question Unit: System for Numbering and Filing of Medical Records

  1. AEach clerk decides individually

    Individual clerks applying different rules make retrieval inconsistent.

  2. BNumbers are used

    Numeric filing is a different system and does not resolve the rule within an alphabetic index.

  3. CThey are removed from records

    Deleting name components can damage identity matching and should not be improvised.

  4. DA consistent rule is applied ✓ Correct answer

    A documented common indexing rule keeps name filing and retrieval consistent.

Reference: SCFHS exam blueprint, u11: System for Numbering and Filing of Medical Records; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

09A coder completes 24 inpatient charts per working day. A department must complete 1,200 charts in 20 working days. How many full-time-equivalent (FTE) coders are required at this productivity?

Practice question Unit: Managing Health Services, Health Insurance

  1. A5

    Five FTE would provide twice the capacity needed at this productivity.

  2. B50

    Fifty coders would produce far more than the required monthly workload.

  3. C2.5 ✓ Correct answer

    Daily workload is 1,200 ÷ 20 = 60 charts; 60 ÷ 24 = 2.5 FTE.

  4. D1.2

    1.2 FTE would complete only 576 charts in 20 days.

Reference: SCFHS exam blueprint, u12: Managing Health Services, Health Insurance; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references

10Infant mortality rate is deaths under 1 year per:

Practice question Unit: Health Statistics

  1. A100,000 children under five years of age

    Children under five are not the denominator for infant mortality rate.

  2. B1,000 live births ✓ Correct answer

    Infant mortality counts deaths before the first birthday per 1,000 live births.

  3. C100 births

    The conventional denominator is 1,000 live births, not 100 births.

  4. D1,000 population

    Total population is used for crude population rates, not infant mortality.

Reference: SCFHS exam blueprint, u13: Health Statistics; AHIMA Health Information Management: Concepts, Principles, and Practice; ICD-10-CM/ICD-11 and HL7 standards references