Free CRA Practice Questions

Question 1

Inpatient CT delays have lengthened, prompting a request for another scanner. Observation shows that the existing scanner is frequently idle while technologists establish IV access and resolve incomplete preparation after patients arrive. Once patients are ready, scanning and interpretation meet their service targets. Transport can deliver patients promptly when called. Which intervention should the administrator test before expanding scanner capacity?

Accepted Answer

Coordinate preparation on the sending unit and confirm readiness before requesting transport.

Answer

Add a transport team to bring more inpatients to the CT holding area.

Answer

Shorten scheduled scan slots to increase the number of available examination times.

Answer

Extend scanner operating hours while retaining the current preparation and transport sequence.

Question 2

A CT service budgeted $78,000 for 1,000 examinations: $48,000 in fixed costs and $30 in variable costs per examination. It actually performed 1,200 examinations and spent $82,000. The examination mix is unchanged, and the fixed costs remain valid at this volume. After adjusting for actual volume, how should the administrator describe spending performance?

Accepted Answer

$2,000 favorable compared with the flexible budget.

Answer

$4,000 unfavorable because spending exceeded the original total budget.

Answer

$2,000 unfavorable compared with the allowance for actual volume.

Answer

$11,600 favorable after increasing the entire original budget by 20%.

Question 3

What contract provision would most directly close the service gap in this MRI maintenance agreement?

The vendor guarantees a two-hour onsite response but excludes replacement-parts delays from its uptime calculation. During each of three recent outages, an engineer met the response guarantee, yet imaging remained unavailable for two days awaiting parts.

Accepted Answer

Set a restoration deadline that includes parts delays and specifies a remedy if missed.

Answer

Shorten the guaranteed onsite response to one hour during normal business hours.

Answer

Increase the number of preventive maintenance visits without changing replacement-parts provisions.

Answer

Calculate uptime over all calendar hours rather than the hours patients are scheduled.

Question 4

After a patient-identification near miss, interviews reveal that several sonographers omitted the second identifier for familiar returning patients. They believed recognition was equally reliable, and supervisors had praised their shorter room-turnover times. The required verification process has now been restored. Under Just Culture, which response best fits the behavior and its contributing conditions?

Accepted Answer

At-risk behavior: coach the staff and remove incentives that favor skipping verification.

Answer

Human error: console the staff and add a reminder to the existing identification workflow.

Answer

Reckless behavior: suspend the staff involved because the omissions were deliberate choices.

Answer

Competency failure: repeat the entire orientation before permitting staff to scan returning patients.

Question 5

An adult becomes unresponsive and pulseless in the MRI scanner room, Zone IV. Trained staff have begun basic life support, and the patient can be removed immediately. The responding team brings a conventional defibrillator and a steel crash cart toward the scanner-room door. What should the MRI team direct?

Accepted Answer

Move the patient to the designated safe resuscitation area, keeping conventional equipment outside Zone IV.

Answer

Turn off scanner electrical power, then admit the team with its usual resuscitation equipment.

Answer

Keep the patient on the table and admit the cart after screening it with a handheld detector.

Answer

Quench the magnet before removing the patient so conventional resuscitation equipment can enter.

Question 6

An outside oncologist requests an established patient's prior CT images and reports to plan treatment. The imaging center has verified the recipient and treatment relationship and has an approved secure transfer method. No more restrictive law or patient restriction applies. A records clerk proposes holding the request until a new patient authorization arrives. Under HIPAA, which direction is appropriate?

Accepted Answer

Send the requested records securely; this treatment disclosure does not require a separate authorization.

Answer

Obtain written authorization because the treating physician works outside the imaging organization.

Answer

Send only the newest report because minimum necessary prohibits releasing the longitudinal imaging history.

Answer

Remove patient identifiers from the images before sharing them with the verified treating physician.

Question 7

A proposed Saturday ultrasound session would add $4,800 in monthly staffing and support costs. Each additional examination would generate $180 in net reimbursement and incur $60 in variable costs; the posted charge is $500. Finance would also allocate $1,200 of existing overhead to the session, but that expense will continue whether the session opens or not. The service can safely perform 48 additional examinations monthly, and demand exceeds that capacity. Which assessment correctly determines whether the session can cover its incremental costs?

Accepted Answer

Break-even is 40 examinations; the available capacity supports opening the session.

Answer

Break-even is 11 examinations; the available capacity supports opening the session.

Answer

Break-even is 27 examinations; the available capacity supports opening the session.

Answer

Break-even is 50 examinations; the available capacity does not support opening the session.

Question 8

A request for proposals for a replacement CT scanner identifies a 250-kg patient-table capacity as mandatory. One proposal supports only 210 kg but earns the highest combined score because of its lower life-cycle cost. Other proposals meet the mandatory specifications and fit the approved budget. How should the selection committee handle the highest-scoring proposal?

Accepted Answer

Exclude it from the award decision because it fails a mandatory specification.

Answer

Select it and refer patients above its table limit to a competing facility.

Answer

Deduct clinical-capability points and compare the revised total with the remaining proposals.

Answer

Issue a conditional award and resolve the table-capacity shortfall during acceptance testing.

Question 9

A CT quality dashboard lists a CTDIvol of 8 mGy for a 20-kg child and an 80-kg adult. Both values use the same 32-cm reference phantom. A committee member concludes that the patients therefore received the same absorbed radiation dose. Which interpretation should guide the administrator's response?

Accepted Answer

CTDIvol reflects phantom output; patient size must be considered before comparing patient doses.

Answer

Equal CTDIvol values establish comparable absorbed doses when both values use the same reference phantom.

Answer

Equal dose-length products would establish equal organ doses despite the difference in patient body size.

Answer

Dividing CTDIvol by each patient's weight would produce the appropriate size-specific dose estimate.

Question 10

An expanded evening MRI schedule requires two technologists on duty for 40 hours each week, 52 weeks per year. Each paid full-time equivalent (FTE) represents 2,080 annual hours, but 20% of those hours are unavailable for coverage because of leave and education. Existing staff are fully committed to other shifts, overtime is not planned, and fractional positions are permitted. What is the smallest additional paid-FTE budget that covers the schedule?

Accepted Answer

2.50 FTEs

Answer

2.00 FTEs

Answer

2.40 FTEs

Answer

3.00 FTEs

Free CRA Practice Questions

Domain 1: Records and Information Management Principles 33% of exam

Question 1

Question 2

Domain 2: Records Systems, Storage and Retrieval 33% of exam

Question 3

Question 4

Domain 3: Retention, Disposition and Vital Records Protection 33% of exam

Question 5

Question 6

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