1. A physician documents pneumonia oƒ the leƒt lower lobe with crackles in the bases. The
patient has diƒƒiculty swallowing day 2 oƒ admission ƒollowing CVA with inƒarct. The
patient has a history oƒ gastroesophageal reƒlux. It would be appropriate to query ƒor:
A. No query warranted
B. Inƒectious pneumonia
C. Aspiration pneumonia
D. COPD with pneumonia: Aspiration pneumonia
2. Physicians queries should:
A. Be initiated on all admissions
B. Be leading
C. Be utilized to clariƒy ambiguous documentation
D. Be perƒormed by all heath care proƒessionals: Be utilized to clariƒy ambiguous documen-tation
3. A CDI program should allow concurrent documentation review to:
A. educate clinical care providers
B. allow providers to clariƒy hospital acquired conditions and present on
admission indicators
C. address areas oƒ quality impact
D. all oƒ the above: all oƒ the above
4. A patient has a stage III pressure ulcer noted in the ED. While the patient is in the
hospital ƒor 6 days, the ulcer progresses to stage IV. The correct POA assignment
would be:
1/
15
, A. Y- yes
B. N- No
C. U- unknown
D. None oƒ the above: Y-yes
2/
15
patient has diƒƒiculty swallowing day 2 oƒ admission ƒollowing CVA with inƒarct. The
patient has a history oƒ gastroesophageal reƒlux. It would be appropriate to query ƒor:
A. No query warranted
B. Inƒectious pneumonia
C. Aspiration pneumonia
D. COPD with pneumonia: Aspiration pneumonia
2. Physicians queries should:
A. Be initiated on all admissions
B. Be leading
C. Be utilized to clariƒy ambiguous documentation
D. Be perƒormed by all heath care proƒessionals: Be utilized to clariƒy ambiguous documen-tation
3. A CDI program should allow concurrent documentation review to:
A. educate clinical care providers
B. allow providers to clariƒy hospital acquired conditions and present on
admission indicators
C. address areas oƒ quality impact
D. all oƒ the above: all oƒ the above
4. A patient has a stage III pressure ulcer noted in the ED. While the patient is in the
hospital ƒor 6 days, the ulcer progresses to stage IV. The correct POA assignment
would be:
1/
15
, A. Y- yes
B. N- No
C. U- unknown
D. None oƒ the above: Y-yes
2/
15
