HCS-D new Questions With Complete Solutions
43 year old female with chronic intractable tension headaches
and fibromyalgia, who routinely takes Ibuprofen for pain, is
admitted to home care for assessment and teaching on GU
system. She has had edema in her lower extremities and
hematuria. The patient has been diagnosed with Nephropathy
caused by long-term use of ibuprofen. Code:
a. G44.221, M79.7, R60.0, R31.9, N28.9
b. N14.0, T39.315D, G44.221, M79.7
c. N14.1, T39.311A, G44.221, M79.7
d. T39.311D, N14.0, G44.221, M79.7 Correct Answers b.
N14.0, T39.315D, G44.221, M79.7
47 year old Down syndrome and intellectual disabled female
admitted from ER. Family states that patient has recently
exhibited very unsteady gait with rigid lower extremities and
today with the very sharp acute pain in the neck. Patient also
with history of DM type 2, HTN, CHF, obesity and chronic
renal insufficiency. CT reveals spondylosis with myelopathy,
predominate cervical/thoracic region.
a. M47.10, E11.9, I10, N28.9, I50.9, E66.9, Q90.9
b. M47.13, E11.22, I13.0, N18.9, I50.9, E66.9, Q90.9, F79
c. M47.23, E11.9, I10, N18.9, I50.9, E66.0, Q90.9
d. M47.12, M47.14, I13.0, N18.9, I50.9, E11.9, E66.9, Q90.9,
F79 Correct Answers b. M47.13, E11.22, I13.0, N18.9, I50.9,
E66.9, Q90.9, F79
47 year old male with progressive pain and weakness in left
upper extremity. Patient diagnosed with muscle disorder related
to malignant neoplasm of the left deltoid muscle structure. Code:
,a. C49.12, M63.812
b. C49.12, M63.822
c. M63.822, C49.12
d. M63.812, C49.12 Correct Answers b. C49.12, M63.822
48 year old multiple sclerosis female admitted for monitoring of
E coli UTI following a short hospitalization, and is still on
antibiotics. The pt is incontinent of urine, and has frequent UTIs
due to poor cleaning technique. SN to teach caregiver proper
toileting hygiene and monitoring due to frequent UTIs. Code:
a. M34.9, N39.0, B95.62
b. G35, N39.0, A49.20, Z87.440
c. N39.0, B96.20, G35, R32, Z87.440
d. N39.0, B96.20, G37.0 Correct Answers d. N39.0, B96.20,
G37.0
71 year old female noted with increased weakness and SOB and
admitted to hospital. The patient has underlying chronic kidney
disease, and while hospitalized, the patient's kidney function
declined and she was placed on hemodialysis. The patient has
comorbidities of type 2 diabetes on insulin, CAD, prior history
of CHF, HTN and rheumatoid arthritis, SN and therapy to see
patient on admit for weakness and teaching of disease process.
The primary focus of care is the HTN and CHF, the patient's
overall weakness related to prolonged hospitalization. Code:
a. I13.2, E11.22, N18.6, I50.9, I25.10, M06.0, Z99.2, Z79.4
b. I10, N18.6, Z99.2, I50.9, E11.9, I25.10, M06.9
c. I50.9, I12.0, N18.9, E11.0, I25.119, Z79.4, Z99.2
d. I12.0, N18.6, M62.81, I50.9, E11.9, I25.10, M06.9 Correct
Answers a. I13.2, E11.22, N18.6, I50.9, I25.10, M06.0, Z99.2,
Z79.4
, HTN, CHF, & CKD - I13.-
71 year old male admitted to home care for PT/OT following
CVA with right dominant hemiplegia, takes Insulin for Type 2
diabetes, is on hemodialysis for ESRD, is obese with a BMI of
38.4. Code:
a. I69.351, E11.22, N18.6, Z99.2, Z68.x3, Z79.4
b. I69.351, E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
c. I69.351, E11.9, N18.6, Z99.3, Z68.3, Z79.4
d. I69.351, E11.9, N18.6, Z99.2, Z68.3, Z79.2 Correct Answers
b. I69.351, E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
96 year old patient being seen for chronic pain management due
to her benign brain tumor. She is on oxycontin TID. On
admission, the caregiver tells the SN that the patient has not had
a bowel movement x5 days. The SN calls the MD and gets an
order to check for impaction and finds that the patient is
impacted. Code?
a. K56.41, G89.29
b. G89.29, K56.41, C71.9
c. G89.3, D33.2, K56.41
d. K59.00, G89.3 Correct Answers c. G89.3, D33.2, K56.41
A 32 year old female is admitted to the hospital with right flank
pain, hematuria, and HTN. She has been known to have frequent
UTIs that she has been treated for in the past. Imaging and
further testing and resulting was performed and the patient was
diagnosed with autosomal dominant PKD (polysystic kidney
disease) and resulting stage III CKD and HTN. She was
43 year old female with chronic intractable tension headaches
and fibromyalgia, who routinely takes Ibuprofen for pain, is
admitted to home care for assessment and teaching on GU
system. She has had edema in her lower extremities and
hematuria. The patient has been diagnosed with Nephropathy
caused by long-term use of ibuprofen. Code:
a. G44.221, M79.7, R60.0, R31.9, N28.9
b. N14.0, T39.315D, G44.221, M79.7
c. N14.1, T39.311A, G44.221, M79.7
d. T39.311D, N14.0, G44.221, M79.7 Correct Answers b.
N14.0, T39.315D, G44.221, M79.7
47 year old Down syndrome and intellectual disabled female
admitted from ER. Family states that patient has recently
exhibited very unsteady gait with rigid lower extremities and
today with the very sharp acute pain in the neck. Patient also
with history of DM type 2, HTN, CHF, obesity and chronic
renal insufficiency. CT reveals spondylosis with myelopathy,
predominate cervical/thoracic region.
a. M47.10, E11.9, I10, N28.9, I50.9, E66.9, Q90.9
b. M47.13, E11.22, I13.0, N18.9, I50.9, E66.9, Q90.9, F79
c. M47.23, E11.9, I10, N18.9, I50.9, E66.0, Q90.9
d. M47.12, M47.14, I13.0, N18.9, I50.9, E11.9, E66.9, Q90.9,
F79 Correct Answers b. M47.13, E11.22, I13.0, N18.9, I50.9,
E66.9, Q90.9, F79
47 year old male with progressive pain and weakness in left
upper extremity. Patient diagnosed with muscle disorder related
to malignant neoplasm of the left deltoid muscle structure. Code:
,a. C49.12, M63.812
b. C49.12, M63.822
c. M63.822, C49.12
d. M63.812, C49.12 Correct Answers b. C49.12, M63.822
48 year old multiple sclerosis female admitted for monitoring of
E coli UTI following a short hospitalization, and is still on
antibiotics. The pt is incontinent of urine, and has frequent UTIs
due to poor cleaning technique. SN to teach caregiver proper
toileting hygiene and monitoring due to frequent UTIs. Code:
a. M34.9, N39.0, B95.62
b. G35, N39.0, A49.20, Z87.440
c. N39.0, B96.20, G35, R32, Z87.440
d. N39.0, B96.20, G37.0 Correct Answers d. N39.0, B96.20,
G37.0
71 year old female noted with increased weakness and SOB and
admitted to hospital. The patient has underlying chronic kidney
disease, and while hospitalized, the patient's kidney function
declined and she was placed on hemodialysis. The patient has
comorbidities of type 2 diabetes on insulin, CAD, prior history
of CHF, HTN and rheumatoid arthritis, SN and therapy to see
patient on admit for weakness and teaching of disease process.
The primary focus of care is the HTN and CHF, the patient's
overall weakness related to prolonged hospitalization. Code:
a. I13.2, E11.22, N18.6, I50.9, I25.10, M06.0, Z99.2, Z79.4
b. I10, N18.6, Z99.2, I50.9, E11.9, I25.10, M06.9
c. I50.9, I12.0, N18.9, E11.0, I25.119, Z79.4, Z99.2
d. I12.0, N18.6, M62.81, I50.9, E11.9, I25.10, M06.9 Correct
Answers a. I13.2, E11.22, N18.6, I50.9, I25.10, M06.0, Z99.2,
Z79.4
, HTN, CHF, & CKD - I13.-
71 year old male admitted to home care for PT/OT following
CVA with right dominant hemiplegia, takes Insulin for Type 2
diabetes, is on hemodialysis for ESRD, is obese with a BMI of
38.4. Code:
a. I69.351, E11.22, N18.6, Z99.2, Z68.x3, Z79.4
b. I69.351, E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
c. I69.351, E11.9, N18.6, Z99.3, Z68.3, Z79.4
d. I69.351, E11.9, N18.6, Z99.2, Z68.3, Z79.2 Correct Answers
b. I69.351, E11.22, N18.6, E66.9, Z99.2, Z68.38, Z79.4
96 year old patient being seen for chronic pain management due
to her benign brain tumor. She is on oxycontin TID. On
admission, the caregiver tells the SN that the patient has not had
a bowel movement x5 days. The SN calls the MD and gets an
order to check for impaction and finds that the patient is
impacted. Code?
a. K56.41, G89.29
b. G89.29, K56.41, C71.9
c. G89.3, D33.2, K56.41
d. K59.00, G89.3 Correct Answers c. G89.3, D33.2, K56.41
A 32 year old female is admitted to the hospital with right flank
pain, hematuria, and HTN. She has been known to have frequent
UTIs that she has been treated for in the past. Imaging and
further testing and resulting was performed and the patient was
diagnosed with autosomal dominant PKD (polysystic kidney
disease) and resulting stage III CKD and HTN. She was