CCA Test Part 2 MOCK EXAM NURSING
2024 complete solution
A. J95.851, B96.5 A 55 year old male was transferred to a nursing home for continuing care
because of ventilator dependence following complications of cardiac bypass surgery. He was
readmitted three weeks later due to ventilator associated pneumonia (VAP) de to Pseudomonas
aeruginosa. How should the readmission be coded?
A. J95.851, B96.5
B. J16.8
C. T88.9XXA, J18.9, B96.5
D. J15.1, J95.851
A. Z11.4, Z72.51 A 45 year old female patient comes in requesting an HIV Test. The patient
reports multiple male sexual partners recently. The patient undergoes HIV screening due to high-
risk heterosexual behavior. What code(s) should be assigned?
A. Z11.4, Z72.51
B. Z72.52, Z11.3
C. Z72.51, Z11.4
D. Z11.3, Z72.52
A. O03.1 A 23 year old female is admitted for vaginal bleeding following a miscarriage two
weeks prior to this admission. She is afebrile at this time and is treated with an aspiration dilation
and curettage. Products of conception are found. Which of the following should be the principal
diagnosis?
A. O03.1
B. O08.1
C. O07.1
D. O03.6
A. metastatic carcinoma of the brain A patient presents to the emergency department with a
fractured arm secondary to a fall precipitated by syncope and ataxia. The patient undergoes a
closed reduction of the fracture in the emergency department and is then admitted for work up
,for metastatic carcinoma secondary to ataxia and syncope in a patient with recent history of lung
cancer. The patient's work up confirms recurrent lung carcinoma metastatic to the brain. The
principal diagnosis should be:
A. metastatic carcinoma of the brain
B. syncope
C. carcinoma of the lung
D. fractured arm
C. hematochezia A female patient with hematochezia presents to the hospital outpatient
surgery department for a colonoscopy but the procedure was not performed due to elevated blood
pressure. What is the first listed diagnosis for this encounter?
A. procedure not performed for other reason
B. procedure not performed due to contraindication
C. hematochezia
D. elevated blood pressure
D. 02703DZ A patient was admitted for evaluation of chest pain. CAD was discovered upon
completion of a left heart cath done with evaluation of the left heart, multiple coronary arteries,
an aortography with low osmolar contrast. A non drug eluting stent was required in the left
anterior descending artery to alleviate the blockage. Prior to discharge the patient fell out of bed
and suffered a left greater trochanter hip fracture. Open reduction, internal fixation was
performed. Two days after the ORIF, the patient began running a fever and had chills. A post op
infection was diagnosed and a PICC line was inserted into the superior vena cava for
administration if IV antibiotics over the next several weeks. Which of the following would be the
princiapl procedure for this patient's stay?
A. 02HV33Z
B. 4A023N7
C. 0QS704Z
D. 02703DZ
C. fractured femur A 55 year old patient with AIDS admitted after being struck by a car while
walking in a parking lot. She has a comminuted, right femoral shaft fracture and a contusion of
both hands and right elbow abrasion. The principal diagnose should be the:
A. contusion hand
B. AIDS
C. fracture femur
D. abrasion elbow
B. hematuria, adverse reaction to coumadin A patient take Coumadin as prescribed and
correctly administered. However, the patient develops hematuria secondary to the Coumadin use.
The correct coding assignment for this case would be:
A. hematuria, poisoning due to Coumadin
B. hematuria, adverse reaction to Coumadin
C. poisoning due to Coumadin
D. unspecified adverse reaction to Coumadin
, A. K21.9 A patient is admitted as an inpatient and discharged with chest pain. After
evaluation, it is suspected the patient may have gastroesophageal reflux disease (GERD). The
final diagnosis was "Rule out GERD." The correct code assignment would be:
A. K21.9
B. R07.9
C. Z03.89
D. R10.11
D. open biopsy and definitive surgery If a patient undergoes an open biopsy for a frozen
section immediately before the definitive surgery, how should this be coded with ICD-10-PCS
codes?
A. definitive surgery only
B. exploratory surgery
C. open biopsy only
D. open biopsy and definitive surgery
C. M20.12, 28291-TAA 59 year old female patient presents with acquired hallux rigidus. Hallux
rigidus repair is performed with resection of the joint with implant in the first left toe proximal
phalanx. What codes would assigned?
A. M20.22, 28291-TA
B. M20.31, 28291-T5
C. M20.12, 28291-TA
D. M20.12, 28291-LT
D. sequence either pancreatitis or noncalculus cholecystitis first A patient is admitted with
abdominal pain. The discharge summary states "pancreatitis vs. noncalculus cholecystitis" as the
final diagnoses. Both diagnoses are equally treated. Based on coding guidelines, what is the
correct sequencing for these diagnoses?
A. sequence the abdominal pain first, followed by pancreatitis and noncalculus cholecystitis as
secondary diagnoses
B. noncalculus cholecystitis; pancreatitis
C. pancreatitis; noncalculus cholecystitis; abdominal pain
D. sequence either pancreatitis or noncalculus cholecystitis first
D. principal The "code, if applicable, any casual condition first" note in the ICD-10-CM
Tabular List indicates that this code may be assigned when the casual condition is unknown or
not applicable. When the casual condition is known, the code for that condition may be reported
as which type of diagnosis?
A. qualified
B. manifestation
C. comorbidity
D. principal
C. 0FT4ZZ, 0FC94ZZ Patient is admitted for removal of the gallbladder due to chronic
cholecystitis. While performing a common bile duct exploration, a non obstructive calculus was
found and removed as well. Assign the correct coding sequence for a total laparoscopic
cholecystectomy with percutaneous endoscopic removal of common bile duct stones.
2024 complete solution
A. J95.851, B96.5 A 55 year old male was transferred to a nursing home for continuing care
because of ventilator dependence following complications of cardiac bypass surgery. He was
readmitted three weeks later due to ventilator associated pneumonia (VAP) de to Pseudomonas
aeruginosa. How should the readmission be coded?
A. J95.851, B96.5
B. J16.8
C. T88.9XXA, J18.9, B96.5
D. J15.1, J95.851
A. Z11.4, Z72.51 A 45 year old female patient comes in requesting an HIV Test. The patient
reports multiple male sexual partners recently. The patient undergoes HIV screening due to high-
risk heterosexual behavior. What code(s) should be assigned?
A. Z11.4, Z72.51
B. Z72.52, Z11.3
C. Z72.51, Z11.4
D. Z11.3, Z72.52
A. O03.1 A 23 year old female is admitted for vaginal bleeding following a miscarriage two
weeks prior to this admission. She is afebrile at this time and is treated with an aspiration dilation
and curettage. Products of conception are found. Which of the following should be the principal
diagnosis?
A. O03.1
B. O08.1
C. O07.1
D. O03.6
A. metastatic carcinoma of the brain A patient presents to the emergency department with a
fractured arm secondary to a fall precipitated by syncope and ataxia. The patient undergoes a
closed reduction of the fracture in the emergency department and is then admitted for work up
,for metastatic carcinoma secondary to ataxia and syncope in a patient with recent history of lung
cancer. The patient's work up confirms recurrent lung carcinoma metastatic to the brain. The
principal diagnosis should be:
A. metastatic carcinoma of the brain
B. syncope
C. carcinoma of the lung
D. fractured arm
C. hematochezia A female patient with hematochezia presents to the hospital outpatient
surgery department for a colonoscopy but the procedure was not performed due to elevated blood
pressure. What is the first listed diagnosis for this encounter?
A. procedure not performed for other reason
B. procedure not performed due to contraindication
C. hematochezia
D. elevated blood pressure
D. 02703DZ A patient was admitted for evaluation of chest pain. CAD was discovered upon
completion of a left heart cath done with evaluation of the left heart, multiple coronary arteries,
an aortography with low osmolar contrast. A non drug eluting stent was required in the left
anterior descending artery to alleviate the blockage. Prior to discharge the patient fell out of bed
and suffered a left greater trochanter hip fracture. Open reduction, internal fixation was
performed. Two days after the ORIF, the patient began running a fever and had chills. A post op
infection was diagnosed and a PICC line was inserted into the superior vena cava for
administration if IV antibiotics over the next several weeks. Which of the following would be the
princiapl procedure for this patient's stay?
A. 02HV33Z
B. 4A023N7
C. 0QS704Z
D. 02703DZ
C. fractured femur A 55 year old patient with AIDS admitted after being struck by a car while
walking in a parking lot. She has a comminuted, right femoral shaft fracture and a contusion of
both hands and right elbow abrasion. The principal diagnose should be the:
A. contusion hand
B. AIDS
C. fracture femur
D. abrasion elbow
B. hematuria, adverse reaction to coumadin A patient take Coumadin as prescribed and
correctly administered. However, the patient develops hematuria secondary to the Coumadin use.
The correct coding assignment for this case would be:
A. hematuria, poisoning due to Coumadin
B. hematuria, adverse reaction to Coumadin
C. poisoning due to Coumadin
D. unspecified adverse reaction to Coumadin
, A. K21.9 A patient is admitted as an inpatient and discharged with chest pain. After
evaluation, it is suspected the patient may have gastroesophageal reflux disease (GERD). The
final diagnosis was "Rule out GERD." The correct code assignment would be:
A. K21.9
B. R07.9
C. Z03.89
D. R10.11
D. open biopsy and definitive surgery If a patient undergoes an open biopsy for a frozen
section immediately before the definitive surgery, how should this be coded with ICD-10-PCS
codes?
A. definitive surgery only
B. exploratory surgery
C. open biopsy only
D. open biopsy and definitive surgery
C. M20.12, 28291-TAA 59 year old female patient presents with acquired hallux rigidus. Hallux
rigidus repair is performed with resection of the joint with implant in the first left toe proximal
phalanx. What codes would assigned?
A. M20.22, 28291-TA
B. M20.31, 28291-T5
C. M20.12, 28291-TA
D. M20.12, 28291-LT
D. sequence either pancreatitis or noncalculus cholecystitis first A patient is admitted with
abdominal pain. The discharge summary states "pancreatitis vs. noncalculus cholecystitis" as the
final diagnoses. Both diagnoses are equally treated. Based on coding guidelines, what is the
correct sequencing for these diagnoses?
A. sequence the abdominal pain first, followed by pancreatitis and noncalculus cholecystitis as
secondary diagnoses
B. noncalculus cholecystitis; pancreatitis
C. pancreatitis; noncalculus cholecystitis; abdominal pain
D. sequence either pancreatitis or noncalculus cholecystitis first
D. principal The "code, if applicable, any casual condition first" note in the ICD-10-CM
Tabular List indicates that this code may be assigned when the casual condition is unknown or
not applicable. When the casual condition is known, the code for that condition may be reported
as which type of diagnosis?
A. qualified
B. manifestation
C. comorbidity
D. principal
C. 0FT4ZZ, 0FC94ZZ Patient is admitted for removal of the gallbladder due to chronic
cholecystitis. While performing a common bile duct exploration, a non obstructive calculus was
found and removed as well. Assign the correct coding sequence for a total laparoscopic
cholecystectomy with percutaneous endoscopic removal of common bile duct stones.
