RHIT Systems 4 — Questions and Answers
Question 1: A hospital's system remains fully operational when one server fails because workload automatically shifts to a redundant server. This capability is called:
- Load balancing
- Failover (Correct answer)
- Scalability
- Data mirroring
Correct answer: Failover
Failover is the automatic switching to a standby system when the primary system fails, ensuring continuous availability.
Question 2: In systems analysis, a use case diagram is primarily used to illustrate:
- The physical network layout of servers
- Interactions between users (actors) and system functions (Correct answer)
- The logical flow of data through a database
- Hardware specifications for system components
Correct answer: Interactions between users (actors) and system functions
Use case diagrams depict how actors (users or external systems) interact with the system's functional capabilities.
Question 3: Which system implementation strategy goes live with the new system at all locations simultaneously, replacing the old system completely?
- Phased rollout
- Pilot implementation
- Parallel implementation
- Big bang (direct cutover) implementation (Correct answer)
Correct answer: Big bang (direct cutover) implementation
Direct cutover (big bang) switches all users to the new system at once on a set date, with the old system decommissioned immediately.
Question 4: An audit trail in an EHR system records which of the following?
- Only failed login attempts
- Who accessed or modified a record, what was changed, and when (Correct answer)
- Backup and recovery operations only
- System hardware performance metrics
Correct answer: Who accessed or modified a record, what was changed, and when
An audit trail logs user access events, record modifications, timestamps, and user identities to support accountability and compliance.
Question 5: The concept of 'data at rest' encryption in a healthcare system refers to protecting data:
- While it is being transmitted over a network
- Stored on servers, hard drives, or backup media (Correct answer)
- Displayed on a clinical workstation screen
- Entered through a web-based patient portal
Correct answer: Stored on servers, hard drives, or backup media
Data at rest encryption secures stored data (on disks, databases, or backups) so it is unreadable without proper decryption keys.
Question 6: A health system connects multiple regional hospitals so they can share patient records in real time. This regional network is called a(n):
- Enterprise Resource Planning (ERP) system
- Health Information Exchange (HIE) (Correct answer)
- Integrated Delivery Network database
- Population health registry
Correct answer: Health Information Exchange (HIE)
A Health Information Exchange (HIE) enables the electronic sharing of health information across different organizations in a region.
Question 7: System downtime procedures in a hospital HIM department are designed to:
- Permanently replace the electronic system
- Allow manual, paper-based workflows until the system is restored (Correct answer)
- Restrict all patient care until systems are online
- Archive all electronic records to external storage
Correct answer: Allow manual, paper-based workflows until the system is restored
Downtime procedures establish manual backup processes so clinical and administrative operations can continue during system outages.
RHIT Systems 4
A hospital's system remains fully operational when one server fails because workload automatically shifts to a redundant server.
This capability is called: