Hospital Administration Practice Exam
Course Introduction
Hospital Administration is a multidisciplinary course designed to equip students with the fundamental knowledge and practical skills needed to efficiently manage healthcare institutions. The course covers key topics such as healthcare systems, organizational behavior, human resource management, financial planning, healthcare laws and ethics, patient care services, and quality improvement. Students will learn about the unique challenges facing hospital administrators, including resource allocation, regulatory compliance, technology integration, and patient safety. Through theoretical instruction, case studies, and real-world examples, this course prepares learners to assume leadership roles in hospital management and contribute to the effective delivery of healthcare services.
Recommended Textbook
LaFleur Brooks Health Unit Coordinating 7th Edition by Elaine A. Gillingham
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Page 2
Chapter 1: Health Unit Coordinating
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Sample Questions
Q1) An example of a clinical task is:
A)answering a patient's request on the intercom.
B)filing reports in patients' charts.
C)starting an intravenous line.
D)answering the unit telephone.
Answer: C
Q2) One of the first educational programs for HUC was offered at a vocational school in Minneapolis in:
A)1960.
B)1966.
C)1955.
D)1956.
Answer: B
Q3) Which of the following is the first step in the evolution of any profession?
A)Certification or licensure
B)Formal education
C)On-the-job training
D)Formation of a national association
Answer: C
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Page 3
Chapter 2: Overview of Health Care Today
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Sample Questions
Q1) The patient has been placed on a ventilator.The department that is usually responsible for the care of this equipment is the _____ department.
A)cardiopulmonary (respiratory care)
B)physical therapy
C)occupational therapy
D)radiation therapy
Answer: A
Q2) Which of the following is common to a preferred provider organization (PPO)?
A)The patient must always obtain a referral prior to treatment.
B)The prospective payment is usually related to a Medicare patient.
C)The patient may use nonparticipating doctors without being charged an extra fee.
D)The patient usually does not need a referral for treatment.
Answer: D
Q3) The patient who undergoes a gastrointestinal study may be taken to the:
A)nutritional care department.
B)cardiopulmonary department.
C)neurology clinical laboratory.
D)gastroenterology laboratory.
Answer: D
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Page 4
Chapter 3: The Nursing Department and Medical Staff
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Sample Questions
Q1) A clinical pathway is defined as a:
A)method of outlining a patient's path of treatment for a specific diagnosis,procedure,or symptom.
B)hallway that patients use to go to hospital specialty departments for treatment.
C)chart used to outline nurses' clinical schedules.
D)career pathway for employees to use to advance within the hospital system.
Answer: A
Q2) A patient admitted with Alzheimer disease would be admitted to which of the following nursing units?
A)Neurology
B)Orthopedics
C)Telemetry
D)Oncology
Answer: A
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Chapter 4: Communication Devices and Their Uses
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Sample Questions
Q1) Wireless technologies and mass communication systems are becoming part of hospital disaster preparedness plans.Events that may require this plan being initiated include:
A)a multiple-injury car accident.
B)a patient in code arrest.
C)a nursing unit potluck.
D)a patient diagnosed with tuberculosis (TB).
Q2) When one is taking a message for a co-worker,important pieces of information to record are:
A)the extension number the call came in on.
B)what your co-worker was doing when the call was taken.
C)if this is a personal or a business call.
D)date,time,caller,and return call number.
Q3) When EMR with CPOE is implemented,the HUC is notified when a task needs to be completed by:
A)a bell sounding when the patient's name is chosen on the computer screen.
B)a red light blinking next to the patient's name on the computer screen.
C)an icon appearing on the computer screen next to the patient's name.
D)the patient's name being highlighted in yellow on the computer screen.
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Page 6
Chapter 5: Communication and Interpersonal Skills
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Sample Questions
Q1) The receiver smiles after hearing a message from the sender.The smile is a component of communication called:
A)tact.
B)decoding.
C)feedback.
D)encoding.
Q2) A patient who speaks very little English is admitted to the nursing unit.One effective guideline for speaking with someone who does not speak English well would be to:
A)use slang or jargon to eliminate confusion.
B)ignore the patient's body language;different cultures use different types of body language.
C)avoid asking for feedback or additional information,because this may complicate the communication.
D)speak directly to the person,even if an interpreter is present.
Q3) The implementation of EMR requires the HUC to:
A)have advanced communication skills.
B)be a medical transcriptionist.
C)have a bachelor's degree.
D)be cross trained as a certified nursing assistant (CNA).
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Page 7
Chapter 6: Workplace Behavior
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Sample Questions
Q1) A person's values are formed by the age of:
A)18.
B)16.
C)6.
D)21.
Q2) The purpose of the Health Insurance Portability and Accountability Act of 1996 (HIPAA)is to:
A)protect the confidentiality of private individual health information.
B)standardize health care nationally.
C)standardize health care teaching facilities.
D)protect the hospital and health care workers from being sued.
Q3) Under HIPAA,health care providers are required to:
A)provide religious counseling for patients upon request.
B)provide security for both paper and electronic individual health information.
C)provide legal counsel for patients upon request.
D)routinely provide each patient with a copy of his or her chart upon discharge from a health care facility.
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Chapter 7: Management Techniques and Problem Solving
Skills for Health Unit Coordinating
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Sample Questions
Q1) Finding diagnostic test results (including the most current)when EMR or paper charts are used is similar because both:
A)require that the testing department be called.
B)require that the doctor be called.
C)may be located on the computer.
D)may be located on the patient's chart.
Q2) Nursing unit 4A has three lumbar puncture (LP)trays.Yesterday,there were five.Central services received a patient charge for one,meaning that a patient was not charged for an LP tray.This would be brought to the nursing unit's attention on the:
A)standard supply list.
B)change-of-shift report.
C)central services department discrepancy report.
D)supply needs sheet.
Q3) The most efficient method for tracking patients and their activities is to use a: A)census worksheet.
B)change-of-shift report.
C)scorecard.
D)surveillance camera.
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Chapter 8: The Patients Chart or Electronic Medical Record
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Sample Questions
Q1) The paper admission packet contains patient forms typical for each patient hospital encounter.Which of the following forms is used for each patient admission?
A)Anticoagulant therapy record
B)Diabetic record
C)Nurses' admission record
D)Consultation form
Q2) "Stuffing" charts refers to:
A)ordering routine diagnostic tests that were not ordered for the patient to legally protect the doctor.
B)the registered nurse (RN)documenting more than is necessary in the nurses' notes.
C)placing all charts in proper sequence in the chart rack when not in use.
D)placing new chart forms in each patient's chart before the need arises.
Q3) A locked workstation that is located on the wall outside a patient's room is called a: A)pen tab.
B)WALLaroo.
C)WALKaroo.
D)cluster of workstations (COW).
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Chapter 9: Health Unit Coordinator Role in Processing of
Electronic,
preprinted,
and Handwritten Doctors Orders
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Sample Questions
Q1) An order that is executed according to its qualifying phrase and is automatically discontinued after completion is a _____ order.
A)prn
B)standing
C)one-time or short-series
D)doctors'
Q2) A set of doctors' orders is defined as:
A)entry of a doctor's orders onto the doctors' order sheet,dated,timed,and signed.
B)several sheets of doctors' orders that would outline the patient's care during an admission.
C)all of the orders written on a particular patient.
D)several sheets of orders for a particular diagnosis.
Q3) The HUC would sign off on a set of doctor's orders _____ the doctor's signature. A)on the same line as B)two lines below C)one line below D)out in the right margin next to
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Chapter 10: Patient Activity, patient Positioning, and Nursing
Observation Orders
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Sample Questions
Q1) Axillary temperature is the temperature reading obtained:
A)under the arm.
B)rectally.
C)in the ear.
D)under the tongue.
Q2) A semi-sitting position also may be referred to as _____ position.
A)Fowler's
B)anatomical
C)Trendelenburg
D)dorsal recumbent
Q3) Checking the pupils of the eyes and the appropriateness of verbal responses would be done during:
A)neurologic vital signs.
B)apical rate.
C)intake and output.
D)tympanic vital signs.
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Chapter 11: Nursing Intervention or Treatment Orders
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Sample Questions
Q1) The CSD stocks supplies used for nursing procedures in the supply closet (C-lockers or cart)located on each nursing unit.Which of the following would be found on the nursing unit?
A)Disposable or frequently used items generally are stored on the nursing unit.
B)All CSD items will likely be kept on the medical/surgical (med/surg)unit even if infrequently used.
C)The HUC is not expected to be familiar with the location of central supply items.
D)Infrequently used items are kept on the nursing units.
Q2) When reusable equipment used by a patient on a nursing unit is discontinued by their doctor,it is important for the equipment to be:
A)placed in the dirty utility room.
B)discarded.
C)placed in the clean utility room.
D)sent home with the patient.
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13
Chapter 12: Nutritional Care Orders
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Sample Questions
Q1) The usual measurement that defines overweight and obesity is the:
A)DRI.
B)PEG.
C)RDA.
D)BMI.
Q2) The diet progression for a patient starting with a cl liq diet and who has an order for DAT would likely be:
A)TPN NKFA NPO.
B)reg low chol ADA.
C)full liq soft reg.
D)reg NAS full liq.
Q3) A patient may request which diet because of religious beliefs?
A)Dysphagia diet
B)Bland diet
C)Bananas,rice,applesauce,and toast (BRAT)diet
D)Kosher diet
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Chapter 13: Medication Orders
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Sample Questions
Q1) When computer physician order entry (CPOE)is used,medication orders are sent to the pharmacy:
A)by the HUC,who prints out a copy of the doctors' orders and faxes it to the pharmacy.
B)automatically when the doctor enters them into the patient's medical record via computer.
C)after the HUC types the medication orders into the computer.
D)by the nurse who faxes a copy of the orders to the pharmacy after reading them.
Q2) A concentrated dose of medication or fluid that is frequently given intravenously is known as a(n):
A)bolus.
B)ampule.
C)capsule.
D)admixture.
Q3) An example of a common computerized medication cart is:
A)I-med.
B)Pyxis.
C)TPN.
D)WOW
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15
Chapter 14: Laboratory Orders
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Sample Questions
Q1) Which of the following indicates that a specimen may be collected at any time?
A)Stat
B)Timed
C)Fasting
D)Random
Q2) An example of a point-of-care (POC)testing order is:
A)paracentesis.
B)guaiac all stools.
C)cardiac enzymes.
D)O&P.
Q3) A physician is the individual who is most likely to collect which of the following specimens?
A)Bone marrow
B)Sputum
C)Wound drainage
D)Gastric washings
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Chapter 15: Diagnostic Imaging Orders
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Sample Questions
Q1) Which of the following is TRUE of diagnostic imaging procedures?
A)The registered nurse (RN)must prepare the consent form when necessary.
B)All diagnostic imaging procedures end with the word x-ray.
C)The HUC is responsible for preparing necessary consent forms.
D)All x-rays require some sort of patient preparation prior to the examination.
Q2) When a doctor writes an order for a diagnostic imaging procedure with routine preparation,the preparation would be one that:
A)is the same as that given for all types of x-rays.
B)is given to accommodate the patient's preference.
C)the radiologist believes will produce the best picture.
D)the nurse decides to give the patient.
Q3) The procedure that uses high-frequency sound waves to create an image of body organs is:
A)CT.
B)US.
C)nuclear medicine
D)magnetic resonance imaging (MRI).
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Chapter 16: Other Diagnostic Studies
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Sample Questions
Q1) A patient who has apnea is experiencing:
A)absence of breathing.
B)atrial fibrillation.
C)abdominal pain.
D)a pacemaker.
Q2) To assess a patient's lung capacity and function,the doctor would order a(n):
A)rhythm strip.
B)electrocardiogram (ECG).
C)Holter monitor.
D)spirometry study.
Q3) Which endoscopic procedure would require that the patient be given cathartics and/or enemas before the procedure is performed?
A)Bronchoscopy
B)Sigmoidoscopy
C)Esophagoscopy
D)Arthroscopy
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Chapter 17: Treatment Orders
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Sample Questions
Q1) A tube connected to a mechanical ventilator that supplies air to the patient's lungs and assists breathing is called a(n):
A)straight cath.
B)endotracheal (ET)tube.
C)stent.
D)shunt.
Q2) OT assists patients:
A)in finding a job upon release from the hospital.
B)to cope with stressful occupations.
C)in finding the ideal occupation for their personality.
D)to return to their greatest possible functional independence.
Q3) Which of the following veins and arteries are often used for grafts during a CABG?
A)Femoral vein and carotid artery
B)Varicose vein and pulmonary artery
C)Saphenous vein and internal mammary artery (IMA)
D)Radial vein and coronary artery
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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) 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.
Q3) A parent teaching room on a pediatric unit is used to:
A)train a parent to assume care of the child.
B)teach a parent to assist in working on the nursing unit.
C)teach parenting skills when it has been determined that they are lacking.
D)train interested parents who need a job to work as a nursing assistant.
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Page 20
Chapter 19: Admission,preoperative,and Postoperative Procedures
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Sample Questions
Q1) An example of an elective surgery is:
A)a patient who was struck by a car and suffered a fractured hip and requires surgery.
B)the patient's indigestion turned out to be a massive MI requiring a CABG.
C)the patient diagnosed with acute appendicitis who is scheduled for an immediate appendectomy.
D)the patient has been having chronic shoulder pain and an arthroplasty is indicated.
Q2) Which statement is TRUE regarding surgical patients?
A)All surgical patients will be inpatients.
B)Diagnostic tests are performed as soon as possible following admission to the hospital.
C)All surgical patients will arrive at the hospital on the day before their procedure.
D)Coronary artery bypass graft (CABG)patients rarely receive preoperative teaching.
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Chapter 20: Discharge, transfer, and Postmortem Procedures
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Sample Questions
Q1) If a patient expires unexpectedly after a 2-hour hospital stay:
A)a police investigation is ordered.
B)this will become a coroner's case,and an autopsy will be performed.
C)an attorney will meet with the family to discuss a settlement.
D)the family will be asked if they want to have an autopsy performed.
Q2) Which task might the HUC have regarding the deceased patient's organ donation?
A)Asking the patient's family to sign the form to donate their family member's organ(s)
B)Calling the patient's doctor and asking if the patient is going to donate an organ
C)Notifying the morgue of the patient's death and preparing all required forms for the patient's family to sign when and if requested to do so
D)Transporting the patient to the morgue
Q3) 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.
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Page 22
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Sample Questions
Q1) Which of the following guidelines should be followed for electrical safety?
A)Use extension cords so that the medical device can be brought closer to the patient.
B)Leave malfunctioning equipment plugged in but immediately call your maintenance department.
C)Unplug a piece of equipment if someone has spilled liquid on it.
D)Leave the paper shredder plugged in while you are working to clear a jam from it.
Q2) Which is a TRUE statement regarding AIDS?
A)AIDS may be used as the primary diagnosis for hospital admission.
B)The nurse may alert family members and visitors that a patient has AIDS.
C)PCP and KS are the two most frequent opportunistic infections of the patient with AIDS.
D)ARC stands for AIDS-related cancer.
Q3) An MSDS is used to document:
A)employee injuries when hazardous materials are used.
B)violations by a facility when hazardous materials are stored or handled.
C)details on chemical dangers and safety procedures.
D)fire safety guidelines.
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Chapter 22: Medical Terminology, basic Human Structure, and Disorders
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Sample Questions
Q1) The heart is divided into left and right sides by the:
A)tricuspid valve.
B)mitral valve.
C)septum.
D)aorta.
Q2) The protective covering of the heart is called the _____ and its inflammation is known as _____.
A)pericardium;pericarditis
B)septum;septitis
C)meninges;meningitis
D)ventricles;ventriculopathy
Q3) The three main origins of medical terminology include:
A)Italian,Native American language,and slang
B)Greek and Latin language,and modern language
C)German,Italian,and French languages
D)French and Latin language,and pseudonyms
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