Certified Documentation Integrity Practitioner (CDIP®)
Exam 1 Domain 3 – Certified Questions, Verified Correct
Answers & Detailed Explanations | Clinical Documentation,
Record Review, Coding, Regulations, Leadership &
Compliance
2026/2027 | GRADED A+ | 100% VERIFIED
Question:
A physician documents pneumonia of the left lower lobe with crackles in the bases. The patient has difficulty
swallowing day 2 of admission following CVA with infarct. The patient has a history of gastroesophageal reflux. It
would be appropriate to query for:
A. No query warranted
B. Infectious pneumonia
C. Aspiration pneumonia
D. COPD with pneumonia
Aspiration pneumonia
Question:
Physicians queries should:
A. Be initiated on all admissions
B. Be leading
C. Be utilized to clarify ambiguous documentation
D. Be performed by all heath care professionals
Be utilized to clarify ambiguous documentation
, Question:
A CDI program should allow concurrent documentation review to:
A. educate clinical care providers
B. allow providers to clarify hospital acquired conditions and present on admission indicators
C. address areas of quality impact
D. all of the above
all of the above
Question:
A patient has a stage III pressure ulcer noted in the ED. While the patient is in the hospital for 6 days, the ulcer
progresses to stage IV. The correct POA assignment would be:
A. Y- yes
B. N- No
C. U- unknown
D. None of the above
Y-yes
Question:
The following query was found in a patient's health record. Which of the answers best applies to this query?
Dr. Bean: this patient received IV Rocephin and Vancomycin: please document severe sepsis in the progress note to
justify the drug utilization.
A. This is a leading query.
B. This query brings in information not documented within the chart and is appropriate
C. This is a yes or no query
Exam 1 Domain 3 – Certified Questions, Verified Correct
Answers & Detailed Explanations | Clinical Documentation,
Record Review, Coding, Regulations, Leadership &
Compliance
2026/2027 | GRADED A+ | 100% VERIFIED
Question:
A physician documents pneumonia of the left lower lobe with crackles in the bases. The patient has difficulty
swallowing day 2 of admission following CVA with infarct. The patient has a history of gastroesophageal reflux. It
would be appropriate to query for:
A. No query warranted
B. Infectious pneumonia
C. Aspiration pneumonia
D. COPD with pneumonia
Aspiration pneumonia
Question:
Physicians queries should:
A. Be initiated on all admissions
B. Be leading
C. Be utilized to clarify ambiguous documentation
D. Be performed by all heath care professionals
Be utilized to clarify ambiguous documentation
, Question:
A CDI program should allow concurrent documentation review to:
A. educate clinical care providers
B. allow providers to clarify hospital acquired conditions and present on admission indicators
C. address areas of quality impact
D. all of the above
all of the above
Question:
A patient has a stage III pressure ulcer noted in the ED. While the patient is in the hospital for 6 days, the ulcer
progresses to stage IV. The correct POA assignment would be:
A. Y- yes
B. N- No
C. U- unknown
D. None of the above
Y-yes
Question:
The following query was found in a patient's health record. Which of the answers best applies to this query?
Dr. Bean: this patient received IV Rocephin and Vancomycin: please document severe sepsis in the progress note to
justify the drug utilization.
A. This is a leading query.
B. This query brings in information not documented within the chart and is appropriate
C. This is a yes or no query
