Healthcare Systems and Operations
Final Exam Questions
Course Introduction
Healthcare Systems and Operations explores the organizational structures, processes, and management strategies that support the delivery of healthcare services. The course addresses the complexities of healthcare systems at local, national, and global levels, including the roles of public and private sectors, regulatory bodies, and insurance models. Students examine operational aspects such as patient flow, quality control, resource allocation, data management, and the integration of technology. Through case studies and real-world examples, the course equips students with skills to analyze and improve healthcare operations, emphasizing efficiency, patient safety, ethics, and the challenges of adapting to evolving healthcare landscapes.
Recommended Textbook
LaFleur Brooks Health Unit Coordinating 7th Edition by Elaine A. Gillingham
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22 Chapters
927 Verified Questions
927 Flashcards
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Chapter 1: Health Unit Coordinating
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28 Verified Questions
28 Flashcards
Source URL: https://quizplus.com/quiz/28696
Sample Questions
Q1) The HUC position was created during World War II because:
A)nurses went on strike to protest the war.
B)many were out of work,and creating this position provided jobs.
C)a critical shortage of nurses occurred.
D)patients required more care.
Answer: C
Q2) Which of the following statements is true and something to keep in mind when locating information on the Internet?
A)Information may be found that is old,outdated,or not reliable or worthwhile.
B)If information is located on the Internet,it has to be accurate.
C)Information located on the Internet is always maintained and is current.
D)Certain search engines provide only reliable information.
Answer: A
Q3) A CDSS is a computer program that:
A)assists nurses in interpreting doctors' orders.
B)assists the HUC when rewriting doctors' orders.
C)provides alerts when there is a conflict in the doctors' orders at the point of entry.
D)provides assistance for ancillary personnel who interpret doctors' orders.
Answer: C
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Page 3
Chapter 2: Overview of Health Care Today
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45 Flashcards
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Sample Questions
Q1) With respect to Medicare insurance,type A coverage refers to:
A)inpatient treatment.
B)very hyperactive patients.
C)outpatient treatment.
D)automobile coverage.
Answer: A
Q2) The federal and state program that provides care for the indigent is:
A)workers' compensation.
B)Medicare.
C)Medicaid (Arizona Health Care Cost Containment System [AHCCCS] in Arizona).
D)indemnity insurance
Answer: C
Q3) A DRG is:
A)similar to a genetically caused illness carried through related family members.
B)one that carries various costs for the same diagnosis.
C)an arbitrary assignment for a diagnosis.
D)one of a group of 467 DRGs used by Medicare as a measure in the prospective payment system.
Answer: D
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Page 4
Chapter 3: The Nursing Department and Medical Staff
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42 Verified Questions
42 Flashcards
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Sample Questions
Q1) Which of the following may be classified as a physician extender?
A)PSA
B)ND
C)NP
D)HO
Answer: C
Q2) A holistic philosophy of providing nursing care considers the:
A)particular religion of the patient.
B)physical,emotional,social,economic,and spiritual needs of the patient.
C)patent's educational background.
D)patient's current and past financial background.
Answer: B
Q3) Which of the following specialists diagnoses and treats disorders of the neuromuscular system with physical elements to restore the patient to participation in society?
A)Psychiatrist
B)Physiatrist
C)Orthopedist
D)Neurologist
Answer: B
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Chapter 4: Communication Devices and Their Uses
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) When the EMR with CPOE is used,patient documents faxed from another facility would be:
A)given to the patient to verify the information
B)placed in an envelope and labeled with the patient's ID label.
C)scanned into the patient's EMR.
D)sent to the patient's doctor's office.
Q2) The HUC is normally in charge of maintaining the nursing unit bulletin board.Which of the following is true regarding guidelines followed to properly maintain the bulletin board?
A)Post nursing policies and staff development classes.
B)The date does not have to be noted on any item that was posted.
C)Discard all items removed,even items with initials of those who have read them.
D)The bulletin board also may be used by nursing personnel to post invitations to showers,parties,etc.
Q3) The abbreviation WOW stands for:
A)workstation on wheels.
B)wheels on wheelchair.
C)weight of workstation.
D)workstation of workers.
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Page 6
Chapter 5: Communication and Interpersonal Skills
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38 Verified Questions
38 Flashcards
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Sample Questions
Q1) The following is an example of symbolic nonverbal communication:
A)hand gestures.
B)body art.
C)eye contact.
D)posture.
Q2) Which percentage of communication is visual?
A)7%
B)38%
C)55%
D)10%
Q3) Repeating instructions back to a person in one's own words is a communication technique called:
A)specific rather than general feedback.
B)denying the sender's feelings.
C)constructive rather than destructive feedback.
D)paraphrasing.
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Chapter 6: Workplace Behavior
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43 Verified Questions
43 Flashcards
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Sample Questions
Q1) The HIPAA Security Rule applies to:
A)covered entity (CE).
B)PHI.
C)individually identifiable health information (IIHI).
D)electronic protected health information (EPHI).
Q2) A basic set of principles that define our concepts of right or wrong in given situations is known as:
A)a job description.
B)a performance appraisal.
C)a code of ethics.
D)values clarification.
Q3) One of the principles in the patients' bill of rights is that one should refrain from inflicting harm on a patient.An HUC,while transcribing doctors' orders,missed stat orders,and the treatment delay caused harm to the patient.The principle breached is:
A)confidentiality.
B)nonmaleficence.
C)autonomy.
D)veracity.
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8
Chapter 7: Management Techniques and Problem Solving
Skills for Health Unit Coordinating
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34 Verified Questions
34 Flashcards
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Sample Questions
Q1) An ineffective method of responding to a visitor's complaint regarding his wife's care from the previous day (your day off)would involve:
A)listening carefully and attentively to what the person is saying.
B)refraining from eating or chewing gum while communicating.
C)asking pertinent objective questions and gathering as many facts as possible.
D)responding with statements such as,"I was not here yesterday," or "I'm not responsible for things like that."
Q2) An effective time management technique for an HUC to use is:
A)engaging in conversation with everyone who enters the nursing unit,to keep posted about various happenings.
B)working on as many tasks at once as is possible.It is not important to complete one task,such as a new set of orders,before moving to the next task.
C)not trying to plan for the rush periods,because it is not possible to predict how busy the nursing unit can become.
D)taking breaks as assigned to maintain effectiveness and reduce stress.
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Page 9
Chapter 8: The Patients Chart or Electronic Medical Record
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32 Verified Questions
32 Flashcards
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Sample Questions
Q1) The term clinical pathway refers to:
A)a plan of care that includes the physician's orders and predicted outcomes.
B)a computer menu of order options.
C)the distance from the admitting department to the nursing unit a patient is admitted to.
D)the name of the hospital newsletter.
Q2) The patient is receiving medication because his blood sugar is regularly too high.The nurse is required to check his blood sugar at regular intervals.When paper charts are used,this information will be written on the:
A)parenteral fluid or infusion record.
B)therapy record.
C)diabetic record.
D)anticoagulant therapy record.
Q3) The Admission Service Agreement or Conditions of Admission contains:
A)doctors' orders.
B)advance directives regarding the patient's health care decisions.
C)legal permission to treat the patient and a financial agreement.
D)the patient's address,next of kin,and admission diagnosis.
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Chapter 9: Health Unit Coordinator Role in Processing of
Electronic,
preprinted,
and Handwritten Doctors Orders
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26 Verified Questions
26 Flashcards
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Sample Questions
Q1) A stat order also may be noted as:
A)now or immediately.
B)directly.
C)ASAP.
D)written in red so as to indicate its urgency.
Q2) The HUC would sign off on a set of doctors' orders:
A)when every order has been addressed and the first nine steps of transcription have been completed.
B)when every order has been read and understood.
C)after the nurse has received a copy of the orders.
D)only after each order has been carried out,as when blood has been collected,x-rays completed,etc.
Q3) Doctors' orders are recorded on a Kardex to:
A)communicate and update orders for the nursing staff.
B)ensure that treatments are given.
C)make it easier to prepare the requisitions.
D)maintain a record of medications.
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Page 11
Chapter 10: Patient Activity, patient Positioning, and Nursing
Observation Orders
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30 Verified Questions
30 Flashcards
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Sample Questions
Q1) A patient placed in the Trendelenburg position would be in a position in which the: A)head and the feet are elevated.
B)head is elevated and the knees are bent.
C)head is low and the body and legs are on an inclined plane.
D)body is completely flat.
Q2) The doctor has written an order for tympanic temp q4h.The patient's temperature would be taken using a(n)_____ thermometer.
A)oral
B)rectal
C)aural
D)glass
Q3) Which of the following is considered a vital sign?
A)blood pressure (BP)
B)continuous passive motion (CPM)
C)complete blood count (CBC)
D)head of bed (HOB)
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Chapter 11: Nursing Intervention or Treatment Orders
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44 Verified Questions
44 Flashcards
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Sample Questions
Q1) Which of the following is a commercially prepackaged sodium phosphate enema that is frequently used in hospitals?
A)Soap suds
B)Fleet
C)Oil retention
D)Harris flush
Q2) Infiltration of an IV means that the:
A)tip of the IV catheter comes out of or pokes through the vein.
B)nurse or the doctor has inserted a needle into a patient's vein.
C)IV fluids have infused.
D)patient has rejected the IV fluids.
Q3) Autologous blood is best defined as:
A)the patient's own blood donated previously for transfusion.
B)blood of a patient's relative donated previously for transfusion.
C)blood that has been transported by the Red Cross.
D)washed blood.
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13
Chapter 12: Nutritional Care Orders
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27 Flashcards
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Sample Questions
Q1) A patient who needs rehydration would receive:
A)a high-calorie diet.
B)fluids orally and/or intravenously.
C)a low-fat diet.
D)a low-calorie diet.
Q2) A diet that includes all plant foods,dairy,and eggs is the _____ diet.
A)ovolactovegetarian
B)lactovegetarian
C)flexitarian
D)kosher
Q3) Stage 4 of the postoperative diet for the gastric bypass procedure consists of which of the following?
A)Pureed foods
B)Clear liquids
C)Soft solids
D)Gastric bypass liquids
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14
Chapter 13: Medication Orders
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52 Verified Questions
52 Flashcards
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Sample Questions
Q1) What type of medication order is Ambien 15 mg PO q HS?
A)Standing
B)One time
C)Short order series
D)prn
Q2) Which of the medications in the following orders would be administered by mouth?
A)Add 20 mEq KCl to each IV
B)Compazine 10 mg IM q6h prn n/v
C)PCA MS 2 mg
D)PCN 250 mg PO q6h
Q3) In the order,Neosporin ointment tid to L knee,the Neosporin ointment would be applied:
A)three times a day.
B)four times a day
C)two times a day
D)once a day
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Chapter 14: Laboratory Orders
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52 Flashcards
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Sample Questions
Q1) Which of the following values is a critical value?
A)Potassium (K): 3.5 mEq/L
B)Hgb: 14.5 g/dL
C)Hematocrit (Hct): 45 vol/dL
D)FBS: 320 mg/dL
Q2) What time would an FBS be ordered to be drawn?
A)One hour after lunch
B)One hour prior to eating
C)After the patient has not eaten for 8 to 10 hours
D)Two hours after eating
Q3) The symbol that represents potassium is:
A)K.
B)Ca.
C)Fe.
D)P.
Q4) What specimen is most commonly used for laboratory studies?
A)Urine
B)Blood
C)Stool
D)Wound drainage
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Chapter 15: Diagnostic Imaging Orders
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31 Verified Questions
31 Flashcards
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Sample Questions
Q1) Contrast media refers to:
A)contact by a news reporter regarding an in-house patient.
B)substances used in diagnostic procedures to distinguish between different body densities.
C)a technique that uses high-frequency sound waves to create an image of body organs.
D)the name of a technique that is used to assess the functional capacity of an organ.
Q2) The abbreviation KUB refers to kidneys,_____,and bladder.
A)urethra
B)uterus
C)uvula
D)ureters
Q3) A sinus series would be ordered from:
A)Special Invasive X-ray Procedures.
B)Radiology.
C)CT.
D)Nuclear Medicine.
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Chapter 16: Other Diagnostic Studies
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37 Flashcards
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Sample Questions
Q1) A visual examination of the esophagus,stomach,and intestines is a(n):
A)implanted cardioverter defibrillator (ICD).
B)NCS.
C)brainstem auditory evoked response (BAER).
D)EGD.
Q2) The department that performs diagnostic tests that relate to the heart and lungs is:
A)cardiopulmonary.
B)neurology.
C)endoscopy.
D)gastroenterology.
Q3) A doctor orders a pulmonary function test (PFT)to determine:
A)posture function abnormalities.
B)pulse rate.
C)the extent of pulmonary abnormality.
D)primary site of abnormalities.
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18
Chapter 17: Treatment Orders
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35 Verified Questions
35 Flashcards
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Sample Questions
Q1) The term aerobic exercise involves exercise:
A)that strengthens muscles by forcing them to work very hard for a brief time.
B)that causes the heart and lungs to work harder to benefit the cardiovascular and circulatory system.
C)performed by the patient without assistance as instructed by the PT.
D)in which the patient is submissive and the PT moves the patient's limbs.
Q2) Which of the following is TRUE of dialysis?
A)Hemodialysis is the process of removing waste products from the blood by means of diuretics.
B)Peritoneal dialysis is the introduction of fluid into the abdominal cavity that then absorbs wastes from the intestines.
C)Hemodialysis requires vascular access such as inserting a cannula into an artery and another cannula into a vein.
D)Only one type of dialysis is available.
Q3) Defibrillation is performed to:
A)wake a patient after surgery.
B)restore normal cardiac rhythm.
C)temporarily stop the heart.
D)treat apnea.
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Page 19
Chapter 18: Miscellaneous Orders
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Sample Questions
Q1) A patient is to be transferred,and the doctor has written an order for certain portions of the chart to be photocopied to be sent with the patient.The HUC would find the hospital's outline on how to carry out this order in the:
A)nursing unit communication book.
B)Physicians' Desk Reference (PDR).
C)hospital formulary.
D)policy and procedure (P&P)manual.
Q2) To obtain a patient's medical record from another health care facility,a consent is faxed after it has been signed by the:
A)patient's doctor.
B)patient's nurse.
C)patient.
D)patient's case worker.
Q3) Patient medical records faxed to a nursing unit would be:
A)sent to the patient's doctor's office.
B)scanned into or filed in the patient's electronic medical record (EMR)or paper chart.
C)sent to HIMS.
D)given to the patient's family.
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Chapter 19: Admission,preoperative,and Postoperative Procedures
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Sample Questions
Q1) To avoid errors and provide a safe surgical experience,the patient's surgeon,while in the preoperative care unit,will ask the patient:
A)where their surgeon attended medical school.
B)to state the surgery that is to be performed.
C)to identify their primary nurse for that day.
D)which other doctors have seen them for their current condition.
Q2) It is important for the HUC to monitor the patient's EMR consistently because:
A)there are tasks that the HUC may need to perform.
B)there may be personal messages from other staff members.
C)one of the responsibilities of the HUC is to check that each patient has updated progress notes.
D)someone has to monitor the system to ensure it is working correctly.
Q3) The purpose of the electronic patient status tracking board is to:
A)assist doctors in finding newly admitted patients.
B)assist nurses in keeping track of their assigned patients.
C)keep family and visitors aware of a patient's location on the nursing unit.
D)keep family and friends updated on the status of a surgical patient.
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Page 21
Chapter 20: Discharge, transfer, and Postmortem Procedures
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32 Flashcards
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Sample Questions
Q1) A patient is received on a nursing unit as a transfer from the telemetry unit,and the HUC is informed that the patient's old records are missing.The most likely place for staff to find the missing records would be the:
A)health information management systems (HIMS)department.
B)risk management office.
C)floor from which the patient was transferred.
D)patient's doctor's office.
Q2) Transfer to an ECF or another facility differs from a regular discharge in that:
A)additional paperwork must be done.
B)the admitting department must be notified.
C)the environmental services department is notified.
D)the nutritional care department is notified.
Q3) The patient's doctor may write an order for a room change for which of the following two primary reasons?
A)Change in status of acuity or the need for an isolation room
B)Patient personality differences or change in status of acuity
C)Request for a change in nurse assignment or the need for an isolation room
D)To cluster doctor's patients on one unit or patient personality differences
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Chapter 21: Reports, infection Control, emergencies, and Special Services
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31 Flashcards
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Sample Questions
Q1) Which statement is TRUE regarding an incident report?
A)The HUC is the most likely employee to view incidents that merit incident reports.
B)The incident report is a part of the patient's permanent medical record.
C)If the HUC sees an occurrence that should be reported,he or she should remain silent;this is a nursing issue.
D)An incident report form should be written for all incidents that occur to anyone,no matter how insignificant they may seem.
Q2) A fire is detected in the medication room wastebasket.An immediate response should be to:
A)announce fire in a loud voice so as to evacuate patients quickly.
B)avoid using the phrase code red,which is the code used during an emergency blood transfusion.
C)walk quickly down the hall and open all doors that are closed.
D)follow the procedures noted by the acronym RACE.
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Chapter 22: Medical Terminology, basic Human Structure, and Disorders
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Sample Questions
Q1) AIDS is caused by: A)CAD.
B)the human immunodeficiency virus (HIV).
C)CABG.
D)congestive heart failure (CHF).
Q2) The hormones glucagon and insulin are produced in the: A)islets of Langerhans.
B)gallbladder.
C)liver.
D)small intestine.
Q3) The new admit from the emergency department had symptoms of incontinence of urine and stool,frothing from the mouth,arching of the back,and turning of the head to one side.The seizure activity stage during which these symptoms occurred was most likely the _____ stage.
A)preictal
B)postictal
C)interictal
D)aura
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