Outlined Answers
\Q\.Dr. Reed tried to explain wound care to Mr. Baker prior to discharge, but Baker (who is 104
and moderately senile) just could not seem to understand or remember what the doctor said.
Mr. Baker's daughter was with him, so Dr. Reed explained Mr. Baker's aftercare to his daughter.
Dr. Reed should document discharge instructions - ANSWERS✔-in the discharge summary and
on a patient instructions form signed by Dr. Reed and Mr. Baker's daughter and filed in Mr.
Baker's medical record.
\Q\.Johnston City was set upon by a swarm of killer bees. All 5,000 residents are at risk of a bee
attack. If 25 residents were attacked by the bees, the incidence of bee attacks - ANSWERS✔-is 5
in 1,000
\Q\.Delinquency rate - ANSWERS✔-Number of delinquent records / monthly discharges x 100
\Q\.A supervisor reviews a job to determine the required content, skills, knowledge, abilities,
and responsibilities for the position. The tasks are grouped and lines of responsibility and
authority are defined. The supervisor is writing a job - ANSWERS✔-description
\Q\.A piece of objective data collected upon initial assessment of the patient is the -
ANSWERS✔-vital signs
\Q\.Which of the following is considered a late effect regardless of time? - ANSWERS✔-
nonunion
,\Q\.The purpose of CMS's National Correct Coding Initiative is to - ANSWERS✔-detect and
prevent payment for improperly coded services
\Q\.Which of the following scenarios identifies a pathologic fracture? - ANSWERS✔-
compression fracture of the vertebrae as a result of bone metastasis
\Q\.The patient's family asked the attending physician to keep the patient in the hospital for a
few days more until they could make arrangements for the patient's home care. Because the
patient no longer meets criteria for continued stay, if the physician complies with the family's
request, this would be considered - ANSWERS✔-an inappropriate use of hospital resources
\Q\.case-mix index - ANSWERS✔-volume of patients in each category x DRG weight
MS-DRG weights / total discharges
\Q\.A pharmacist at your facility was caught running a drug ring. The pharmacist filled orders of
valuable medications with cheap outdated ones purchased on the Internet and then sold the
good drugs for profit. Patients have been injured, and the lawsuits are starting. Unfortunately,
your facility is going to be held responsible for the pharmacist's negligent acts under the
doctrine of - ANSWERS✔-respondeat superior
\Q\.Community Hospital Administration decided to change the number of adult and children
beds from 300 to 375 effective on the first day in July. The total number of inpatient service days
for adults and children for the year was 111,963. What was the percentage of occupancy rate
for adults and children for the entire year? - ANSWERS✔-90.8%
Occupancy Rate: Total IPSD / total bed count
Bed Count: number of beds x number of days in period
\Q\.You supervise five clerical employees who will be moving when a new wing of your facility is
completed. When you meet with the architect to plan their space, you will ask for - ANSWERS✔-
300 square feet of space for your clerical staff
, 60 sq ft per employee
\Q\.The difference between an Institutional Review Board (IRB) and a hospital's Ethics
Committee is that - ANSWERS✔-the IRB deals with the ethical treatment of human research
subjects, and the Ethics Committee covers a wide range of issues.
\Q\.You have been asked to report the registry's annual caseload to administration. The most
efficient way to retrieve this information would be to use - ANSWERS✔-accession register
\Q\.Incomplete abortion complicated by excessive hemorrhage; dilation and curettage
performed.
Code the diagnoses using ICD-10-CM and procedures using ICD-10-PCS.
D62 Acute posthemorrhagic anemia
O03.1 Delayed or excessive hemorrhage following incomplete spontaneous abortion
O03.6 Delayed or excessive hemorrhage following complete or unspecified spontaneous
abortion
O03.4 Incomplete spontaneous abortion without complication
10D17ZZ Extraction, retained products of conception, via natural opening
0UDB7ZZ Extraction, endometrium, via natural opening - ANSWERS✔-O03.1, 10D17ZZ
\Q\.A 4-year-old child had a repair of an incarcerated inguinal hernia. This is the first time this
child had been treated for this condition.
49496 Repair initial inguinal hernia full-term infant, under age 6 months, or preterm infant over
50 weeks' post conception age and under 6 months at the time of surgery, with or without
hydrocelectomy; incarcerated or strangulated
49501 Repair initial inguinal hernia, age 6 months to under 5 years, with or without
hydrocelectomy; incarcerated or strangulated
49521 Repair recurrent inguinal hernia, any age; incarcerated or strangulated