CDIP Practice Exam 2 Questions and
Answers with Verified Solutions | Latest
Updated 2026
A physician admits a patient with
shortness of breath and chest
pain,
then treats the patient with Lasix,
oxygen, and Theophylline. The
physician's final documented
diagnosis for the patient is acute
exacerbation of COPD. What is
missing from this diagnosis that
would make it reliable information
in
the treatment of this patient?
a.No additional information is
needed.
b.The type of COPD
c.The reason the patient was
treated
with Lasix
d.The reason for the Theophylline
,If the physician does not document c The coder cannot assume diagnoses on
the diagnosis, the coding abnormal findings such as lab reports.
professional cannot assume the Abnormal
patient has a diagnosis based findings (laboratory, X-ray, pathologic, and
solely other
on diagnostic results) are not coded and
a.An abnormal lab finding reported
b.Abnormal pathology reports unless the physician indicates their clinical
c.Both A and B significance. If the findings are outside the
d.None of the above normal
range and the physician has ordered other
tests to
evaluate the condition or prescribed
treatment, it is
appropriate to ask the physician whether
the
diagnosis should be added (AHA 1990,
15).
These documents would be used c Clinicians and providers utilize various
for documents to identify abnormal
are used by clinicians and temperature,
providers blood pressure, pulse, respiration, oxygen
to identify abnormal temperature, levels,
blood pressure, pulse, respiration, and other indicators. These documents are
oxygen levels, and other often
indicators. called nurses' graphic records or vital sign
a.Nurses' graphic records flowsheets (Hess 2015, 43).
b.Vital sign flowsheets
c.Both A and B
d.None of the above
,The American Hospital a The American Hospital Association
Association (AHA), the
(AHA), the American Health American Health Information Management
Information Management Association (AHIMA), Center for Medicare
Association (AHIMA), Center for and
Medicare and Medicaid Services Medicaid Services (CMS), and National
(CMS), and National Center for Center for
Healthcare Statistics (NCHS) are Health Statistics (NCHS) are all
all cooperating parties
a.Cooperating parties that developed and approved
b.Governing bodies ICD-10-CM/PCS
c.Coding associations (ICD-10-CM Official Guidelines for Coding
d.Work independently to develop and
coding guidelines Reporting 2016a, 1).
A patient was admitted with HIV a If a patient is admitted for an HIV-related
and condition, the principal diagnosis should be
pneumocystic carini. The patient B20,
should have a principal diagnosis Human immunodeficiency virus [HIV]
in disease
ICD-10 of: followed by additional diagnosis codes for
a.AIDS all
b.Asymptomatic HIV reported HIV-related conditions
c.Pneumonia (ICD-10-CM
d.Not enough information Official Guidelines for Coding and
Reporting 2016a,
17).
, APR-DRGs have levels b The APR-DRG system is distributed into
(subclasses) levels
of severity entitled: (subclasses) similar to MS-DRGs. These
a.Excessive, Major, Moderate, levels are
Minor entitled Extreme, Major, Moderate, Minor
b.Extreme, Major, Moderate, Minor (Hess
c.Extreme, Major, Moderate, 2015, 48)
Minimal
d.Excessive, Major
During an outpatient procedure for a When a patient presents for outpatient
removal of a bladder cyst, the surgery
urologist accidentally tore the and develops complications requiring
urethral sphincter requiring an admission to
observation stay. This should be observation, code the reason for the
assigned as the principal surgery as the
diagnosis: first reported diagnosis (reason for the
a.The reason for the outpatient encounter),
surgery followed by codes for the complications as
b.The reason for admission secondary diagnoses (ICD-10-CM Official
c.Either the reason for the Guidelines for Coding and Reporting
outpatient 2016a, 103).
surgery or the reason for
admission
d.None of the above
Answers with Verified Solutions | Latest
Updated 2026
A physician admits a patient with
shortness of breath and chest
pain,
then treats the patient with Lasix,
oxygen, and Theophylline. The
physician's final documented
diagnosis for the patient is acute
exacerbation of COPD. What is
missing from this diagnosis that
would make it reliable information
in
the treatment of this patient?
a.No additional information is
needed.
b.The type of COPD
c.The reason the patient was
treated
with Lasix
d.The reason for the Theophylline
,If the physician does not document c The coder cannot assume diagnoses on
the diagnosis, the coding abnormal findings such as lab reports.
professional cannot assume the Abnormal
patient has a diagnosis based findings (laboratory, X-ray, pathologic, and
solely other
on diagnostic results) are not coded and
a.An abnormal lab finding reported
b.Abnormal pathology reports unless the physician indicates their clinical
c.Both A and B significance. If the findings are outside the
d.None of the above normal
range and the physician has ordered other
tests to
evaluate the condition or prescribed
treatment, it is
appropriate to ask the physician whether
the
diagnosis should be added (AHA 1990,
15).
These documents would be used c Clinicians and providers utilize various
for documents to identify abnormal
are used by clinicians and temperature,
providers blood pressure, pulse, respiration, oxygen
to identify abnormal temperature, levels,
blood pressure, pulse, respiration, and other indicators. These documents are
oxygen levels, and other often
indicators. called nurses' graphic records or vital sign
a.Nurses' graphic records flowsheets (Hess 2015, 43).
b.Vital sign flowsheets
c.Both A and B
d.None of the above
,The American Hospital a The American Hospital Association
Association (AHA), the
(AHA), the American Health American Health Information Management
Information Management Association (AHIMA), Center for Medicare
Association (AHIMA), Center for and
Medicare and Medicaid Services Medicaid Services (CMS), and National
(CMS), and National Center for Center for
Healthcare Statistics (NCHS) are Health Statistics (NCHS) are all
all cooperating parties
a.Cooperating parties that developed and approved
b.Governing bodies ICD-10-CM/PCS
c.Coding associations (ICD-10-CM Official Guidelines for Coding
d.Work independently to develop and
coding guidelines Reporting 2016a, 1).
A patient was admitted with HIV a If a patient is admitted for an HIV-related
and condition, the principal diagnosis should be
pneumocystic carini. The patient B20,
should have a principal diagnosis Human immunodeficiency virus [HIV]
in disease
ICD-10 of: followed by additional diagnosis codes for
a.AIDS all
b.Asymptomatic HIV reported HIV-related conditions
c.Pneumonia (ICD-10-CM
d.Not enough information Official Guidelines for Coding and
Reporting 2016a,
17).
, APR-DRGs have levels b The APR-DRG system is distributed into
(subclasses) levels
of severity entitled: (subclasses) similar to MS-DRGs. These
a.Excessive, Major, Moderate, levels are
Minor entitled Extreme, Major, Moderate, Minor
b.Extreme, Major, Moderate, Minor (Hess
c.Extreme, Major, Moderate, 2015, 48)
Minimal
d.Excessive, Major
During an outpatient procedure for a When a patient presents for outpatient
removal of a bladder cyst, the surgery
urologist accidentally tore the and develops complications requiring
urethral sphincter requiring an admission to
observation stay. This should be observation, code the reason for the
assigned as the principal surgery as the
diagnosis: first reported diagnosis (reason for the
a.The reason for the outpatient encounter),
surgery followed by codes for the complications as
b.The reason for admission secondary diagnoses (ICD-10-CM Official
c.Either the reason for the Guidelines for Coding and Reporting
outpatient 2016a, 103).
surgery or the reason for
admission
d.None of the above
