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Health Information Management · RHIA

AHIMA Registered Health Information Administrator Examination Practice Test

The AHIMA Registered Health Information Administrator Examination practice page covers the management of health records across their lifecycle. Its question bank samples decisions about record access, disclosure review, amendment handling, legal holds, privacy incidents, breach assessment, information-system contracts, and user permissions.

Exam overview

Exam providerAmerican Health Information Management Association
Exam codeRHIA
CategoryHealth Information Management

About the AHIMA Registered Health Information Administrator Examination Exam

RHIA-level health information work connects legal and operational controls with reliable recordkeeping. Staff must verify that a request is valid and appropriately scoped, preserve the integrity of finalized documentation, and apply retention holds before records are destroyed. Privacy and security decisions include escalating suspected disclosures, assessing whether notification duties may apply, and limiting electronic health record access to job-related needs. Information governance also involves setting measures that make workload comparisons meaningful, such as adjusting productivity figures for differences in case volume. When an organization selects or replaces a system, contract terms should address access to and retrieval of organizational data. These scenarios call for balancing patient rights, confidentiality, record completeness, defensible processes, and operational continuity.

Sample Practice Questions

Review a selection from this exam's published US Practice Tests practice bank.

Question 1

A health information department wants to determine whether its records are complete before sending them to an authorized requester. Which control is most useful?

  1. AA checklist that verifies the requested date range and expected document categories
  2. BA rule that sends only the first page of each document
  3. CA requirement that every request be processed by the same employee
  4. DA report that counts requests received but not records sent
Show answerCorrect answer: A

A completeness checklist tied to the request scope helps staff confirm that the appropriate date range and document types are included. The other choices do not establish whether the response contains all requested records.

Question 2

A manager is comparing productivity among teams that process different numbers of cases. Which presentation best supports a fair comparison?

  1. ATotal cases completed by each team without adjustment
  2. BCases completed per staff hour, with the calculation method stated
  3. CThe largest single-day case count for each team
  4. DA ranking based only on the number of staff assigned
Show answerCorrect answer: B

A rate such as cases per staff hour accounts for differences in staffing time and makes the comparison more interpretable. The method and relevant context should be stated so the measure is understood consistently.

Question 3

A health information department receives a valid request from a patient to inspect their medical record. Which action best supports the patient’s access rights while protecting record integrity?

  1. AAllow the patient to remove pages they consider inaccurate
  2. BProvide access through the organization’s established process and preserve the original record
  3. CRequire the patient to explain why they want to inspect the record
  4. DSend the record to the patient’s employer for review
Show answerCorrect answer: B

Organizations should handle access requests through established procedures and preserve the integrity of the original health record. Access does not authorize alteration or removal of original documentation.

Question 4

An organization is establishing a process for reviewing a suspected privacy incident. What should staff do first when they identify a possible unauthorized disclosure?

  1. AReport it promptly through the organization’s designated incident-reporting channel
  2. BDelete relevant system logs to prevent further exposure
  3. CContact the affected individual before notifying organizational leadership
  4. DWait until the next routine audit to determine whether it was significant
Show answerCorrect answer: A

Prompt reporting through established channels allows the organization to investigate, contain potential harm, preserve relevant evidence, and determine required follow-up under applicable policy and law.

Question 5

An organization is determining whether a reported data breach requires notification. Which action is most appropriate?

  1. AApply the organization’s incident assessment process and applicable legal requirements
  2. BNotify every patient immediately before determining what information was involved
  3. CDelete the affected records to prevent further access
  4. DWait until the next annual privacy review to evaluate the event
Show answerCorrect answer: A

The organization should promptly assess the incident under its established process and applicable law, including the information involved, circumstances, and notification obligations. Destruction or delay without assessment is not an appropriate response.

Question 6

A health system is purchasing a new information system. Which contract provision most directly helps the organization retrieve its information if the vendor relationship ends?

  1. AA requirement for a documented data export in a usable format, with transition support and defined timelines
  2. BA requirement that the vendor provide annual product brochures
  3. CA requirement that users complete optional training each year
  4. DA requirement that the vendor choose the organization’s record retention periods
Show answerCorrect answer: A

A defined export and transition provision addresses access to organizational information at contract termination and supports continuity, migration, and records management needs.

Question 7

A health information department receives a subpoena for records. What should staff do before releasing the requested information?

  1. ASend the entire record immediately because a subpoena always authorizes unrestricted disclosure
  2. BRoute the request through the organization’s established legal review process to assess its validity and scope
  3. CAsk the patient’s employer whether disclosure is appropriate
  4. DDelete information outside the requested date range
Show answerCorrect answer: B

A subpoena does not automatically authorize every requested disclosure in every circumstance. Legal or designated privacy review should assess the request, applicable requirements, scope, and any needed notice or protective measures before release.

How to use this practice test

Access the free practice set to answer up to 20 randomly selected questions from the 50-question bank. After submitting the session, review the results to identify which health information management decisions need more attention, such as disclosure controls, record integrity, or privacy response.

Preparation tips

  • For access and disclosure scenarios, distinguish the requester’s authority, the permitted scope, and any steps needed to verify or document the release.
  • Compare amendment requests, finalized records, and legal holds; identify how to preserve original entries and suspend routine destruction when required.
  • Map a suspected privacy incident from initial escalation through fact gathering and breach-notification assessment rather than assuming every incident has the same outcome.
  • When reviewing EHR permissions, connect each user’s access to assigned duties and the least-privilege principle.
  • For system procurement questions, look for contract provisions that support data portability and retrieval when a vendor relationship ends.
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