HCS-D Certification Practice Questions With Complete
Solutions
A patient has a history of prostate cancer that has metastasized
to the right femur where it's caused a pathological fracture. He is
admitted to home health for nursing and therapy, which will
provide routine care of the pathological right femur fracture,
which is the focus of care and is healing normally, as well as
observation and assessment, strengthening, transfers and pain
management. His dosage of morphine, which he has been taking
for his neoplasm-related pain, was increased. Correct Answers
M84.551D, C79.51, G89.3, Z85.46, Z79.891
Code: A 42-year-old male is admitted to home health for
observation and assessment of fever and shortness of breath,
which are stated to be side effects of chemotherapy taken to treat
chronic lymphocytic leukemia. The medical record states that
the leukemia resulted from occupational exposure to radiation
due to his job as a registered nurse in an emergency room setting
Correct Answers R50.9, R06.02, T45.1x5D, C91.10, W88.0xxs
Code: A 47-year-old woman was hospitalized for treatment of
acute DVTs in both of her calves. Blood tests in the hospital
revealed a Factor V Leiden mutation, which her physician
documented is responsible for her DVTs. The focus of the home
health admission are the DVTs. She is now on long-term
anticoagulant medication and the nurse will be regularly
checking PT/INRs. Correct Answers I82.4Z3, D68.51, Z51.81,
Z79.01
, Code: A 53-year-old man is admitted to home health for
aftercare following surgery for non-traumatic compartment
syndrome in his bicep. Medical record documentation indicates
that the patient experienced a spontaneous hemorrhage in the
muscle due to hemophilia A, which led to the compartment
syndrome. It's also indicated that the surgery completely
resolved the non-traumatic compartment syndrome. Correct
Answers Z47.89, D66
Code: A 57-year-old man is admitted to home health with a
primary diagnosis of chemical pneumonia that his physician
diagnosed as caused by inhaling excessive smoke from a
campfire. He also has type 2 diabetes and PVD and takes oral
hypoglycemic medication. Correct Answers T59.8411D,
J68.0, E11.51, X03.1XXD, Z79.84
Code: A 57-year-old patient was referred to home health for
wound care to a stage 3 pressure ulcer/injury on her right
buttock. She is morbidly obese with a documented BMI of 41.
She had a Greenfield filter inserted four years ago after she was
diagnosed with a chronic DVT of her right upper leg, following
a fem-pop bypass due to severe PVD. As a result of her chronic
DVT, she is on chronic anticoagulant therapy and the agency
will also be obtaining PT/INR levels. Correct Answers
L89.313, I73.9, I82.5Y1, E66.01, Z68.41, Z51.81
Code: A 57-year-old woman suffered a deep gash to her right
thigh when she accidentally dropped a large kitchen knife. The
wound was surgically repaired in the hospital, but later dehisced.
She was admitted to home health for wound care, and also has
Solutions
A patient has a history of prostate cancer that has metastasized
to the right femur where it's caused a pathological fracture. He is
admitted to home health for nursing and therapy, which will
provide routine care of the pathological right femur fracture,
which is the focus of care and is healing normally, as well as
observation and assessment, strengthening, transfers and pain
management. His dosage of morphine, which he has been taking
for his neoplasm-related pain, was increased. Correct Answers
M84.551D, C79.51, G89.3, Z85.46, Z79.891
Code: A 42-year-old male is admitted to home health for
observation and assessment of fever and shortness of breath,
which are stated to be side effects of chemotherapy taken to treat
chronic lymphocytic leukemia. The medical record states that
the leukemia resulted from occupational exposure to radiation
due to his job as a registered nurse in an emergency room setting
Correct Answers R50.9, R06.02, T45.1x5D, C91.10, W88.0xxs
Code: A 47-year-old woman was hospitalized for treatment of
acute DVTs in both of her calves. Blood tests in the hospital
revealed a Factor V Leiden mutation, which her physician
documented is responsible for her DVTs. The focus of the home
health admission are the DVTs. She is now on long-term
anticoagulant medication and the nurse will be regularly
checking PT/INRs. Correct Answers I82.4Z3, D68.51, Z51.81,
Z79.01
, Code: A 53-year-old man is admitted to home health for
aftercare following surgery for non-traumatic compartment
syndrome in his bicep. Medical record documentation indicates
that the patient experienced a spontaneous hemorrhage in the
muscle due to hemophilia A, which led to the compartment
syndrome. It's also indicated that the surgery completely
resolved the non-traumatic compartment syndrome. Correct
Answers Z47.89, D66
Code: A 57-year-old man is admitted to home health with a
primary diagnosis of chemical pneumonia that his physician
diagnosed as caused by inhaling excessive smoke from a
campfire. He also has type 2 diabetes and PVD and takes oral
hypoglycemic medication. Correct Answers T59.8411D,
J68.0, E11.51, X03.1XXD, Z79.84
Code: A 57-year-old patient was referred to home health for
wound care to a stage 3 pressure ulcer/injury on her right
buttock. She is morbidly obese with a documented BMI of 41.
She had a Greenfield filter inserted four years ago after she was
diagnosed with a chronic DVT of her right upper leg, following
a fem-pop bypass due to severe PVD. As a result of her chronic
DVT, she is on chronic anticoagulant therapy and the agency
will also be obtaining PT/INR levels. Correct Answers
L89.313, I73.9, I82.5Y1, E66.01, Z68.41, Z51.81
Code: A 57-year-old woman suffered a deep gash to her right
thigh when she accidentally dropped a large kitchen knife. The
wound was surgically repaired in the hospital, but later dehisced.
She was admitted to home health for wound care, and also has
