RHIA EXAM COMPREHENSIVE EXAM SCRIPT
2026 SOLVED QUESTIONS FULL SOLUTION
◉ Which of the following is coded as an adverse effect in ICD-9-CM?
a. tinnitus due to allergic reaction after administration of ear drops
b. mental retardation due to intracranial abscess
c. rejection of transplanted kidney
d. nonfunctioning pacemaker due to defective soldering. Answer: a.
tinnitus due to allergice reaction after administration of ear drops
◉ which of the following scenarios identifies a pathologic fracture?
a. greenstick fracture secondary to fall from bed
b. compression fracture of the skull after being hit with a baseball
bat
c. vertebral fracture with cord compression following a car accident
d. compression fracture of the vertebrae as a result of bone
metastasis.. Answer: d. compression fracture of the vertebrae as a
result of bone metastasis.
◉ If the same condition is described as both acute and chronic and
separate sub entries exist in the ICD-10-CM alphabetic index at the
same indentation level
a. they should both be coded, acute sequence first.
,b. they should both be coded, chronic sequence first
c. only the acute condition should be coded.
d. only the chronic condition should be coded. Answer: a. they
should both be coded, acute sequence first.
◉ which of the following statements is true
a. a surgical procedure may include one or more surgical operation
b. the terms surgical operation and surgical procedure are
synonymous
c. a surgical operation may include one or more surgical procedures
d. the term surgical procedure is an incorrect term and should not
be used.. Answer: c. a surgical operation may include one or more
surgical procedures
◉ which of the following would be coded as a poisoning
a. coumadin intoxication due to a cumulative effect
b. idisoyncratic reaction to artane
c. interaction between aldomet and a vasodilating agent
d. reaction between coumadin and an over-the-counter medication.
Answer: d. reaction between coumadin and an over-the-counter
medication
◉ which of the following diagnoses or procedures would prevent the
normal delivery code, O80, from being assigned?
,a. occiput presentation
b. single liveborn
c. episiotomy
d. low forceps. Answer: d. low forceps
◉ which of the following are considered a (late effect) sequela
regardless of time?
a. congenital defect
b. nonunion
c. nonhealing fracture
d. poisoning. Answer: b. nonunion
◉ four people were seen in your emergency department yesterday.
which one will be coded as a poisoning?
- josh was diagnosed with digitalis intoxication
-ben had an allergic reaction to a dye adminstered for a pyelogram
- bryan developed syncope after taking Contac pills with a double
scotch
-matthew had an idiosyncratic reaction between two properly
administered prescription drugs
a. josh
b. ben
c. bryan
, d. matthew. Answer: c. bryan
◉ Patient is admitted for elective cholecystectomy for treatment of
chronic cholecystititis with cholelithiasis. prior to administration of
general anesthesia, patient suffers cerebral thrombosis. surgery is
subsequently canceled. code and sequence the coding from the
following codes.
I66.9 cerebral thrombosis without cerebral infarction
K80.10 chronic cholecystitis with cholelithiasis
Z53.09 Iatrogenic cerebrovascular infarction or hemorrhage
OFT40ZZ Cholecystectomy, total
a. I97.821, K80.10, OFT4OZZ
b. K80.10, I66.9, Z53.09
C. I97.821, I66.9, Z53.09
d. I66.9, Z53.09. Answer: b. K80.10, I66.9, Z53.09
◉ The discharge diagnosis for this inpatient encounter is rule out
myocardial infarction. the coder would assign.
a. a code for myocardial infarction
b. a code for the patient's symptoms
c. a code for an impending myocardial infarction
d. no code for this condition. Answer: a. a code for myocardial
infarction.
2026 SOLVED QUESTIONS FULL SOLUTION
◉ Which of the following is coded as an adverse effect in ICD-9-CM?
a. tinnitus due to allergic reaction after administration of ear drops
b. mental retardation due to intracranial abscess
c. rejection of transplanted kidney
d. nonfunctioning pacemaker due to defective soldering. Answer: a.
tinnitus due to allergice reaction after administration of ear drops
◉ which of the following scenarios identifies a pathologic fracture?
a. greenstick fracture secondary to fall from bed
b. compression fracture of the skull after being hit with a baseball
bat
c. vertebral fracture with cord compression following a car accident
d. compression fracture of the vertebrae as a result of bone
metastasis.. Answer: d. compression fracture of the vertebrae as a
result of bone metastasis.
◉ If the same condition is described as both acute and chronic and
separate sub entries exist in the ICD-10-CM alphabetic index at the
same indentation level
a. they should both be coded, acute sequence first.
,b. they should both be coded, chronic sequence first
c. only the acute condition should be coded.
d. only the chronic condition should be coded. Answer: a. they
should both be coded, acute sequence first.
◉ which of the following statements is true
a. a surgical procedure may include one or more surgical operation
b. the terms surgical operation and surgical procedure are
synonymous
c. a surgical operation may include one or more surgical procedures
d. the term surgical procedure is an incorrect term and should not
be used.. Answer: c. a surgical operation may include one or more
surgical procedures
◉ which of the following would be coded as a poisoning
a. coumadin intoxication due to a cumulative effect
b. idisoyncratic reaction to artane
c. interaction between aldomet and a vasodilating agent
d. reaction between coumadin and an over-the-counter medication.
Answer: d. reaction between coumadin and an over-the-counter
medication
◉ which of the following diagnoses or procedures would prevent the
normal delivery code, O80, from being assigned?
,a. occiput presentation
b. single liveborn
c. episiotomy
d. low forceps. Answer: d. low forceps
◉ which of the following are considered a (late effect) sequela
regardless of time?
a. congenital defect
b. nonunion
c. nonhealing fracture
d. poisoning. Answer: b. nonunion
◉ four people were seen in your emergency department yesterday.
which one will be coded as a poisoning?
- josh was diagnosed with digitalis intoxication
-ben had an allergic reaction to a dye adminstered for a pyelogram
- bryan developed syncope after taking Contac pills with a double
scotch
-matthew had an idiosyncratic reaction between two properly
administered prescription drugs
a. josh
b. ben
c. bryan
, d. matthew. Answer: c. bryan
◉ Patient is admitted for elective cholecystectomy for treatment of
chronic cholecystititis with cholelithiasis. prior to administration of
general anesthesia, patient suffers cerebral thrombosis. surgery is
subsequently canceled. code and sequence the coding from the
following codes.
I66.9 cerebral thrombosis without cerebral infarction
K80.10 chronic cholecystitis with cholelithiasis
Z53.09 Iatrogenic cerebrovascular infarction or hemorrhage
OFT40ZZ Cholecystectomy, total
a. I97.821, K80.10, OFT4OZZ
b. K80.10, I66.9, Z53.09
C. I97.821, I66.9, Z53.09
d. I66.9, Z53.09. Answer: b. K80.10, I66.9, Z53.09
◉ The discharge diagnosis for this inpatient encounter is rule out
myocardial infarction. the coder would assign.
a. a code for myocardial infarction
b. a code for the patient's symptoms
c. a code for an impending myocardial infarction
d. no code for this condition. Answer: a. a code for myocardial
infarction.
