CENGAGE CCS-P EXAM QUESTIONS
AND ANSWERS
The first character for all of the codes assigned in ICD-10-CM is - Correct Answers -an
alphabet
A 19-year-old college student, who lives on campus in a dormitory, is brought to the ER
by his roommates, complaining of a severe headache, nuchal rigidity, fever, and
photophobia. The ER physician performs an LP and orders a CSF analysis with a
bacterial culture and sensitivity. The young man is admitted to the ICU with a provisional
diagnosis of - Correct Answers -meningitis due to Neisseria meningitidis-positive
cerebrospinal fluid.
As a concurrent record reviewer for an acute care facility, you have asked Dr.
Crossman to provide an updated history and physical for one of her recent admissions.
Dr. Crossman pages through the medical record to a copy of an H&P performed in her
office a week before admission. You tell Dr. Crossman that - Correct Answers -the H&P
copy is acceptable as long as she documents any interval changes.
Based on the following documentation in an acute care record, where would you expect
this excerpt to appear?
Initially the patient was admitted to the medical unit to evaluate the x-ray findings and
the rub. He was started on Levaquin 500 mg initially and then 250 mg daily. The patient
was hydrated with IV fluids and remained afebrile. Serial cardiac enzymes were done.
The rub, chest pain, and shortness of breath resolved. EKGs remained unchanged.
Patient will be discharged and followed as an outpatient. - Correct Answers -discharge
summary
Ingrid Anderson presents with a skin infection that began as a raised, itchy bump,
resembling an insect bite. Within 1-2 days, it developed into a vesicle. Now it is a
painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During
the history, her doctor learns that she has recently returned from an overseas vacation
that included a trip to a sheep farm and becomes concerned that she may have become
infected with anthrax. He will prescribe an - Correct Answers -antibiotic.
Given the diagnosis "carcinoma of axillary lymph nodes and lungs, metastatic from
breast," what is the primary cancer site(s)? - Correct Answers –breast
Gerda Smith has presented to the ER in a coma with injuries sustained in a motor
vehicle accident. According to her sister, Gerda has had a recent medical history taken
, at the public health department. The physician on call is grateful that she can access
this patient information using the area's - Correct Answers -RHIO.
You need to retrieve information on a particular physician in your facility. Specifically,
you need to know how many cases he saw during the month of May. What would be
your best source of information? - Correct Answers -physician index
Which system is a classification of health and health-related domains that describe body
functions and structures, domains of activities and participation, and environmental
factors that interact with all of these components? - Correct Answers -International
Classification of Functioning, Disability and Health (ICF)
Softening of the bone in children is termed ________. - Correct Answers -rickets
As part of a quality improvement study, you have been asked to provide information on
the menstrual history, number of pregnancies, and number of living children on each OB
patient from a stack of old obstetrical records. Determine the best place in the record to
locate this information - Correct Answers -prenatal record.
In preparation for an EHR, you are conducting a total facility inventory of all forms
currently used. You must name each form for bar coding and indexing into a document
management system. The unnamed document in front of you includes a microscopic
description of tissue excised during surgery. The document type you are most likely to
give to this form is - Correct Answers -pathology report.
Dr. Zambrano ordered a CEA test for Mr. Logan, a 67-year-old African American male
patient. Dr. Zambrano may be considering a diagnosis of - Correct Answers -cancer.
To gather statistics for surgical services provided on an outpatient basis, which of the
following codes are needed? - Correct Answers -CPT codes
You have been asked to identify every reportable case of cancer from the previous
year. A key resource will be the facility's - Correct Answers -disease index.
The performance of ongoing record reviews is an important tool in ensuring data quality.
These reviews evaluate - Correct Answers -the overall quality of documentation in the
record.
Henrietta Dawson presents with a chief complaint of pain and weakness in her arms
and neck. After an H and P and a review of diagnostic tests that include a myelogram,
her doctor diagnoses a herniated nucleus pulposus at the _________ level of her spine.
- Correct Answers -cervical
In quality review activities, departments are directed to focus on clinical processes that
are - Correct Answers -high risk.
AND ANSWERS
The first character for all of the codes assigned in ICD-10-CM is - Correct Answers -an
alphabet
A 19-year-old college student, who lives on campus in a dormitory, is brought to the ER
by his roommates, complaining of a severe headache, nuchal rigidity, fever, and
photophobia. The ER physician performs an LP and orders a CSF analysis with a
bacterial culture and sensitivity. The young man is admitted to the ICU with a provisional
diagnosis of - Correct Answers -meningitis due to Neisseria meningitidis-positive
cerebrospinal fluid.
As a concurrent record reviewer for an acute care facility, you have asked Dr.
Crossman to provide an updated history and physical for one of her recent admissions.
Dr. Crossman pages through the medical record to a copy of an H&P performed in her
office a week before admission. You tell Dr. Crossman that - Correct Answers -the H&P
copy is acceptable as long as she documents any interval changes.
Based on the following documentation in an acute care record, where would you expect
this excerpt to appear?
Initially the patient was admitted to the medical unit to evaluate the x-ray findings and
the rub. He was started on Levaquin 500 mg initially and then 250 mg daily. The patient
was hydrated with IV fluids and remained afebrile. Serial cardiac enzymes were done.
The rub, chest pain, and shortness of breath resolved. EKGs remained unchanged.
Patient will be discharged and followed as an outpatient. - Correct Answers -discharge
summary
Ingrid Anderson presents with a skin infection that began as a raised, itchy bump,
resembling an insect bite. Within 1-2 days, it developed into a vesicle. Now it is a
painless ulcer, about 2 cm in diameter, with a black necrotic area in the center. During
the history, her doctor learns that she has recently returned from an overseas vacation
that included a trip to a sheep farm and becomes concerned that she may have become
infected with anthrax. He will prescribe an - Correct Answers -antibiotic.
Given the diagnosis "carcinoma of axillary lymph nodes and lungs, metastatic from
breast," what is the primary cancer site(s)? - Correct Answers –breast
Gerda Smith has presented to the ER in a coma with injuries sustained in a motor
vehicle accident. According to her sister, Gerda has had a recent medical history taken
, at the public health department. The physician on call is grateful that she can access
this patient information using the area's - Correct Answers -RHIO.
You need to retrieve information on a particular physician in your facility. Specifically,
you need to know how many cases he saw during the month of May. What would be
your best source of information? - Correct Answers -physician index
Which system is a classification of health and health-related domains that describe body
functions and structures, domains of activities and participation, and environmental
factors that interact with all of these components? - Correct Answers -International
Classification of Functioning, Disability and Health (ICF)
Softening of the bone in children is termed ________. - Correct Answers -rickets
As part of a quality improvement study, you have been asked to provide information on
the menstrual history, number of pregnancies, and number of living children on each OB
patient from a stack of old obstetrical records. Determine the best place in the record to
locate this information - Correct Answers -prenatal record.
In preparation for an EHR, you are conducting a total facility inventory of all forms
currently used. You must name each form for bar coding and indexing into a document
management system. The unnamed document in front of you includes a microscopic
description of tissue excised during surgery. The document type you are most likely to
give to this form is - Correct Answers -pathology report.
Dr. Zambrano ordered a CEA test for Mr. Logan, a 67-year-old African American male
patient. Dr. Zambrano may be considering a diagnosis of - Correct Answers -cancer.
To gather statistics for surgical services provided on an outpatient basis, which of the
following codes are needed? - Correct Answers -CPT codes
You have been asked to identify every reportable case of cancer from the previous
year. A key resource will be the facility's - Correct Answers -disease index.
The performance of ongoing record reviews is an important tool in ensuring data quality.
These reviews evaluate - Correct Answers -the overall quality of documentation in the
record.
Henrietta Dawson presents with a chief complaint of pain and weakness in her arms
and neck. After an H and P and a review of diagnostic tests that include a myelogram,
her doctor diagnoses a herniated nucleus pulposus at the _________ level of her spine.
- Correct Answers -cervical
In quality review activities, departments are directed to focus on clinical processes that
are - Correct Answers -high risk.
